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Longitudinal associations of active commuting with body mass index.

Published version
Peer-reviewed

Change log

Authors

Mytton, Oliver Tristan 

Abstract

OBJECTIVE: To investigate the longitudinal associations between active commuting (walking and cycling to work) and body mass index (BMI). METHOD: We used self-reported data on height, weight and active commuting from the Commuting and Health in Cambridge study (2009 to 2012; n=809). We used linear regression to test the associations between: a) maintenance of active commuting over one year and BMI at the end of that year; and b) change in weekly time spent in active commuting and change in BMI over one year. RESULTS: After adjusting for sociodemographic variables, other physical activity, physical wellbeing and maintenance of walking, those who maintained cycle commuting reported a lower BMI on average at one year follow-up (1.14kg/m(2), 95% CI: 0.30 to 1.98, n=579) than those who never cycled to work. No significant association remained after adjustment for baseline BMI. No significant associations were observed for maintenance of walking. An increase in walking was associated with a reduction in BMI (0.32kg/m(2), 95% CI: 0.03 to 0.62, n=651, after adjustment for co-variates and baseline BMI) only when restricting the analysis to those who did not move. No other significant associations between changes in weekly time spent walking or cycling on the commute and changes in BMI were observed. CONCLUSIONS: This work provides further evidence of the contribution of active commuting, particularly cycling, to preventing weight gain or facilitating weight loss. The findings may be valuable for employees choosing how to commute and engaging employers in the promotion of active travel.

Description

Keywords

Adiposity, Adult, Bicycling, Body mass index, Epidemiology, Motor activity, Obesity, Transportation, Walking, Bicycling, Body Mass Index, Health Surveys, Humans, Longitudinal Studies, Transportation, United Kingdom, Walking

Journal Title

Prev Med

Conference Name

Journal ISSN

0091-7435
1096-0260

Volume Title

90

Publisher

Elsevier BV
Sponsorship
Medical Research Council (MR/K023187/1)
Economic and Social Research Council (ES/G007462/1)
Wellcome Trust (087636/Z/08/Z)
Wellcome Trust (103394/Z/13/Z)
Medical Research Council (MC_UU_12015/6)
Cambridge University Hospitals NHS Foundation Trust (CUH) (BRC 2012-2017)
NETSCC (None)
TCC (None)
NIHR Evaluation Trials and Studies Coordinating Centre (09/3001/06)
The Commuting and Health in Cambridge study was developed by David Ogilvie, Simon Griffin, Andy Jones and Roger Mackett and initially funded under the auspices of the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence. Funding from the British Heart Foundation, Economic and Social Research Council, Medical Research Council, National Institute for Health Research and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. The study was then subsequently funded by the National Institute for Health Research Public Health Research programme (project number 09/3001/06). Oliver Mytton is supported by a Welcome Trust clinical doctoral fellowship. David Ogilvie and Jenna Panter are supported by the Medical Research Council [Unit Programme number MC_UP_12015/6]. Jenna Panter was supported by an NIHR post-doctoral fellowship [PDF-2012-05-157].