Abstract

Physical activity is declining worldwide, partly owing to reductions in active commuting (walking or cycling).Active commuting has been recommended as a practical way of incorporating more physical activity into daily life.3-6 A meta-analysis of 173 146 participants reported that active commuting was associated with a lower risk of adverse cardiovascular outcomes, especially for women. However, the work was limited by a heterogeneous range of cardiometabolic endpoints (including hypertension, diabetes, stroke, coronary heart disease, and cardiovascular disease (CVD)), inconsistent adjustment for confounders, and no differentiation between walking and cycling. The authors of the study recommended further research on the association between active commuting and CVD. Evidence on the association of active commuting on mortality and cancer are equivocal, with available studies limited by relatively small numbers of participants. Evidence is limited on the associations of mixed mode commuting (a combination of active and non-active) on health outcomes. We used UK Biobank, a large, prospective, population based cohort study, to investigate the association between different types of active commuting and incident CVD, cancer, and all cause mortality.

Title of Work

Association between active commuting and incident cardiovascular disease, cancer, and mortality: prospective cohort study

Authors

Carlos A Celis-Morales, Donald M Lyall, Paul Welsh,1 Jana Anderson, Lewis Steell, Yibing Guo, Reno Maldonado, Daniel F Mackay, Jill P Pell, Naveed Sattar, Jason M R Gill