Minority Health Archive

Active commuting and cardiovascular risk: A meta-analytic review

Hamer, Mark and Chida, Yoichi (2008) Active commuting and cardiovascular risk: A meta-analytic review. Preventive Medicine, 46 (1). pp. 9-13.

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Objective. Leisure time physical activity is inversely associated with cardiovascular risk, although evidence for the protective effects of active commuting is more limited. The present review examines evidence from prospective epidemiological studies of commuting activity and cardiovascular risk. Methods. Meta-analytic procedures were performed to examine the association between commuting physical activity and cardiovascular risk. Several cardiovascular endpoints were examined including mortality, incident coronary heart disease, stroke, hypertension and diabetes. Results. We included eight studies in the overall analysis (173,146 participants) that yielded 15 separate risk ratios (RR). The overall metaanalysis demonstrated a robust protective effect of active commuting on cardiovascular outcomes (integrated RR=0.89, 95% confidence interval 0.81–0.98, p=0.016). However, the protective effects of active commuting were more robust among women (0.87, 0.77–0.98, p=0.02) than in men (0.91, 0.80–1.04, p=0.17). Conclusions. Active commuting that incorporates walking and cycling was associated with an overall 11% reduction in cardiovascular risk, which was more robust among women. Future studies should investigate the reasons for possible gender effects and also examine the importance of commuting activity intensity.

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Item Type: Article
Additional Information: Access to full text is subject to the publisher's access restrictions.
Uncontrolled Keywords: Leisure time physical activity; cardiovascular risk; active commuting; commuting activity; walking; cycling
Subjects: Health > Public Health
Health > Public Health > Chronic Illness & Diseases > Cardiovascular Disease
Health > Public Health > Chronic Illness & Diseases > Diabetes
Health > Public Health > Health Risk Factors
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Depositing User: Users 141 not found.
Date Deposited: 13 Mar 2008
Last Modified: 03 May 2011 10:20
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/909

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