Active commuting and the risk of obesity, hypertension and diabetes: a systematic review and meta-analysis of observational studies
Active commuting may hold a potential for preventing adverse health outcomes. However, evidence of the association of active commuting and the risk of health outcomes remains debatable. The current study systematically and quantitatively summarised research findings on the association between active...
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BMJ Publishing Group
2021-06-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/6/6/e005838.full |
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| author | Jian Wu Yudong Miao Yu Feng Xin Zeng Soumitra S Bhuyan Ning Chen Quanman Li Clifford Silver Tarimo Cuiping Wu |
| author_facet | Jian Wu Yudong Miao Yu Feng Xin Zeng Soumitra S Bhuyan Ning Chen Quanman Li Clifford Silver Tarimo Cuiping Wu |
| author_sort | Jian Wu |
| collection | DOAJ |
| description | Active commuting may hold a potential for preventing adverse health outcomes. However, evidence of the association of active commuting and the risk of health outcomes remains debatable. The current study systematically and quantitatively summarised research findings on the association between active commuting and the risk of the mentioned health outcomes. We comprehensively searched four databases (PubMed, EMBASE, Web of Science and Open Grey) from inception to 2 August 2020 for observational studies investigating the associations among adult population. Summary relative risks (RRs) and 95% CIs were estimated for the association. Heterogeneity was investigated using Cochran’s Q test and the I2 statistic. Restricted cubic splines were used to evaluate linear and nonlinear relations. The search yielded 7581 initial references. We included 28 articles in the meta-analysis. Compared with inactive commuting, active commuting reduced the risk of obesity (RR=0.88, 95% CI 0.83 to 0.94, I2=69.1%), hypertension (RR=0.95, 95% CI 0.87 to 1.04, I2=82.2%) and diabetes (RR=0.82, 95% CI 0.76 to 0.90, I2=44.5%). Restricted cubic splines showed linear associations between active commuting and obesity, hypertension and diabetes (Pnonlinearity=0.640; Pnonlinearity=0.886; Pnonlinearity=0.099). As compared with the lowest active commuting group, the risk of obesity, hypertension and diabetes in the highest active commuting group were reduced by 13% (95% CI 0.82 to 0.93, I2=65.2%); 6% (95% CI 0.86 to 1.02, I2=75.2%) and 19% (95% CI 0.73 to 0.91, I2=49.8%) respectively. Active commuting seemed to be associated with lower risk of obesity, hypertension and diabetes. However, the results should be interpreted cautiously because this meta-analysis was based solely on observational studies.PROSPERO registration numberCRD42020202723. |
| format | Article |
| id | doaj-art-58d029f9949048d081eab532f3e3c3f2 |
| institution | OA Journals |
| issn | 2059-7908 |
| language | English |
| publishDate | 2021-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj-art-58d029f9949048d081eab532f3e3c3f22025-08-20T02:10:44ZengBMJ Publishing GroupBMJ Global Health2059-79082021-06-016610.1136/bmjgh-2021-005838Active commuting and the risk of obesity, hypertension and diabetes: a systematic review and meta-analysis of observational studiesJian Wu0Yudong Miao1Yu Feng2Xin Zeng3Soumitra S Bhuyan4Ning Chen5Quanman Li6Clifford Silver Tarimo7Cuiping Wu8Department of Neurology, Tiantai People`s Hospital of Zhejiang Province, Taizhou, ChinaCollege of Public Health, Zhengzhou University, Zhengzhou, Henan, ChinaDepartment of Social Medicine and Health Service Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, People`s Republic of ChinaDepartment of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, People`s Republic of ChinaSchool of Planning and Public Policy, Rutgers University-New Brunswick, New York, New York, USADepartment of Epidemiology and Biostatistics, School of Public Health, Guangxi Medical University, Nanning, Guangxi, ChinaCollege of Public Health, Zhengzhou University, Zhengzhou, ChinaCollege of Public Health, Zhengzhou University, Zhengzhou, ChinaCollege of Public Health, Zhengzhou University, Zhengzhou, Henan, ChinaActive commuting may hold a potential for preventing adverse health outcomes. However, evidence of the association of active commuting and the risk of health outcomes remains debatable. The current study systematically and quantitatively summarised research findings on the association between active commuting and the risk of the mentioned health outcomes. We comprehensively searched four databases (PubMed, EMBASE, Web of Science and Open Grey) from inception to 2 August 2020 for observational studies investigating the associations among adult population. Summary relative risks (RRs) and 95% CIs were estimated for the association. Heterogeneity was investigated using Cochran’s Q test and the I2 statistic. Restricted cubic splines were used to evaluate linear and nonlinear relations. The search yielded 7581 initial references. We included 28 articles in the meta-analysis. Compared with inactive commuting, active commuting reduced the risk of obesity (RR=0.88, 95% CI 0.83 to 0.94, I2=69.1%), hypertension (RR=0.95, 95% CI 0.87 to 1.04, I2=82.2%) and diabetes (RR=0.82, 95% CI 0.76 to 0.90, I2=44.5%). Restricted cubic splines showed linear associations between active commuting and obesity, hypertension and diabetes (Pnonlinearity=0.640; Pnonlinearity=0.886; Pnonlinearity=0.099). As compared with the lowest active commuting group, the risk of obesity, hypertension and diabetes in the highest active commuting group were reduced by 13% (95% CI 0.82 to 0.93, I2=65.2%); 6% (95% CI 0.86 to 1.02, I2=75.2%) and 19% (95% CI 0.73 to 0.91, I2=49.8%) respectively. Active commuting seemed to be associated with lower risk of obesity, hypertension and diabetes. However, the results should be interpreted cautiously because this meta-analysis was based solely on observational studies.PROSPERO registration numberCRD42020202723.https://gh.bmj.com/content/6/6/e005838.full |
| spellingShingle | Jian Wu Yudong Miao Yu Feng Xin Zeng Soumitra S Bhuyan Ning Chen Quanman Li Clifford Silver Tarimo Cuiping Wu Active commuting and the risk of obesity, hypertension and diabetes: a systematic review and meta-analysis of observational studies BMJ Global Health |
| title | Active commuting and the risk of obesity, hypertension and diabetes: a systematic review and meta-analysis of observational studies |
| title_full | Active commuting and the risk of obesity, hypertension and diabetes: a systematic review and meta-analysis of observational studies |
| title_fullStr | Active commuting and the risk of obesity, hypertension and diabetes: a systematic review and meta-analysis of observational studies |
| title_full_unstemmed | Active commuting and the risk of obesity, hypertension and diabetes: a systematic review and meta-analysis of observational studies |
| title_short | Active commuting and the risk of obesity, hypertension and diabetes: a systematic review and meta-analysis of observational studies |
| title_sort | active commuting and the risk of obesity hypertension and diabetes a systematic review and meta analysis of observational studies |
| url | https://gh.bmj.com/content/6/6/e005838.full |
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