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Associations of active commuting with body fat and visceral adipose tissue: A cross-sectional population based study in the UK.

Accepted version
Peer-reviewed

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Type

Article

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Authors

Mytton, Oliver T 
Brage, Søren 
Wareham, Nick 

Abstract

The promotion of active travel (walking and cycling) is one promising approach to prevent the development of obesity and related cardio-metabolic disease. However the associations between active travel and adiposity remain uncertain. We used the Fenland study (a population based-cohort study; Cambridgeshire, UK, 2005-15) to describe the association of commuting means with DEXA measured body fat and visceral adipose tissue (VAT) among commuters (aged 29-65years; n=7680). We stratified our sample into those living near (within five miles) and far (five miles or further) from work, and categorised commuting means differently for each group reflecting their different travel options. Associations were adjusted for age, education, Mediterranean diet score, smoking, alcohol consumption, test site and either self-reported physical activity or objective physical activity. Among those living near to work, people who reported regularly cycling to work had lower body fat than those who only used the car (adjusting for self-reported physical activity: women, -1.74%, 95% CI: -2.27% to -0.76%; men, -1.30%, -2.26% to -0.33%). Among those who lived far from work, people who reported regular car-use with active travel had lower body fat (women; -1.18%, 95% CI: -2.23% to -0.13%; men, -1.19%, -1.93% to -0.44%). Findings were similar for VAT and when adjusting for objectively measured physical activity instead of self-reported physical activity. In conclusion, active commuting may reduce adiposity and help prevent related cardio-metabolic disease. If people live too far from work to walk or cycle the whole journey, incorporating some active travel within the commute is also beneficial.

Description

Keywords

Active travel, Adiposity, Body fat, Cycling, Obesity, Visceral adipose tissue, Walking, Adipose Tissue, Adiposity, Bicycling, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Transportation, United Kingdom, Walking

Journal Title

Prev Med

Conference Name

Journal ISSN

0091-7435
1096-0260

Volume Title

106

Publisher

Elsevier BV
Sponsorship
Medical Research Council (MC_UU_12015/1)
Medical Research Council (MC_UU_12015/3)
Medical Research Council (MC_UU_12015/4)
Wellcome Trust (087636/Z/08/Z)
Medical Research Council (MR/K023187/1)
Economic and Social Research Council (ES/G007462/1)
Medical Research Council (MC_UU_12015/6)
Medical Research Council (MR/K025147/1)
Department of Health (via National Institute for Health Research (NIHR)) (NF-SI-0512-10135)
Medical Research Council (MC_UU_12015/7)
Wellcome Trust (103394/Z/13/Z)
Medical Research Council (MC_U106179473)