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Associations of Public Transportation Use With Cardiometabolic Health: A Systematic Review and Meta-Analysis
Public transportation provides an opportunity to incorporate physical activity into journeys, but potential health impacts have not been systematically examined. We searched the literature for articles on public transportation and health published through December 2017 using Google (Google Inc., Mou...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438807/ https://www.ncbi.nlm.nih.gov/pubmed/30689686 http://dx.doi.org/10.1093/aje/kwz012 |
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author | Patterson, Richard Webb, Elizabeth Hone, Thomas Millett, Christopher Laverty, Anthony A |
author_facet | Patterson, Richard Webb, Elizabeth Hone, Thomas Millett, Christopher Laverty, Anthony A |
author_sort | Patterson, Richard |
collection | PubMed |
description | Public transportation provides an opportunity to incorporate physical activity into journeys, but potential health impacts have not been systematically examined. We searched the literature for articles on public transportation and health published through December 2017 using Google (Google Inc., Mountain View, California), 5 medical databases, and 1 transportation-related database. We identified longitudinal studies which examined associations between public transportation and cardiometabolic health (including adiposity, type 2 diabetes mellitus, and cardiovascular disease). We assessed study quality using the Newcastle-Ottawa Scale for cohort studies and performed meta-analyses where possible. Ten studies were identified, 7 investigating use of public transportation and 3 examining proximity to public transportation. Seven studies used individual-level data on changes in body mass index (BMI; weight (kg)/height (m)(2)), with objective outcomes being measured in 6 studies. Study follow-up ranged from 1 year to 10 years, and 3 studies adjusted for nontransportation physical activity. We found a consistent association between use of public transportation and lower BMI. Meta-analysis of data from 5 comparable studies found that switching from automobile use to public transportation was associated with lower BMI (−0.30 units, 95% confidence interval: −0.47, −0.14). Few studies have investigated associations between public transportation use and nonadiposity outcomes. These findings suggest that sustainable urban design which promotes public transportation use may produce modest reductions in population BMI. |
format | Online Article Text |
id | pubmed-6438807 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-64388072019-04-04 Associations of Public Transportation Use With Cardiometabolic Health: A Systematic Review and Meta-Analysis Patterson, Richard Webb, Elizabeth Hone, Thomas Millett, Christopher Laverty, Anthony A Am J Epidemiol Systematic Reviews and Meta- and Pooled Analyses Public transportation provides an opportunity to incorporate physical activity into journeys, but potential health impacts have not been systematically examined. We searched the literature for articles on public transportation and health published through December 2017 using Google (Google Inc., Mountain View, California), 5 medical databases, and 1 transportation-related database. We identified longitudinal studies which examined associations between public transportation and cardiometabolic health (including adiposity, type 2 diabetes mellitus, and cardiovascular disease). We assessed study quality using the Newcastle-Ottawa Scale for cohort studies and performed meta-analyses where possible. Ten studies were identified, 7 investigating use of public transportation and 3 examining proximity to public transportation. Seven studies used individual-level data on changes in body mass index (BMI; weight (kg)/height (m)(2)), with objective outcomes being measured in 6 studies. Study follow-up ranged from 1 year to 10 years, and 3 studies adjusted for nontransportation physical activity. We found a consistent association between use of public transportation and lower BMI. Meta-analysis of data from 5 comparable studies found that switching from automobile use to public transportation was associated with lower BMI (−0.30 units, 95% confidence interval: −0.47, −0.14). Few studies have investigated associations between public transportation use and nonadiposity outcomes. These findings suggest that sustainable urban design which promotes public transportation use may produce modest reductions in population BMI. Oxford University Press 2019-04 2019-01-25 /pmc/articles/PMC6438807/ /pubmed/30689686 http://dx.doi.org/10.1093/aje/kwz012 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journalpermissions@oup.com. |
spellingShingle | Systematic Reviews and Meta- and Pooled Analyses Patterson, Richard Webb, Elizabeth Hone, Thomas Millett, Christopher Laverty, Anthony A Associations of Public Transportation Use With Cardiometabolic Health: A Systematic Review and Meta-Analysis |
title | Associations of Public Transportation Use With Cardiometabolic Health: A Systematic Review and Meta-Analysis |
title_full | Associations of Public Transportation Use With Cardiometabolic Health: A Systematic Review and Meta-Analysis |
title_fullStr | Associations of Public Transportation Use With Cardiometabolic Health: A Systematic Review and Meta-Analysis |
title_full_unstemmed | Associations of Public Transportation Use With Cardiometabolic Health: A Systematic Review and Meta-Analysis |
title_short | Associations of Public Transportation Use With Cardiometabolic Health: A Systematic Review and Meta-Analysis |
title_sort | associations of public transportation use with cardiometabolic health: a systematic review and meta-analysis |
topic | Systematic Reviews and Meta- and Pooled Analyses |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438807/ https://www.ncbi.nlm.nih.gov/pubmed/30689686 http://dx.doi.org/10.1093/aje/kwz012 |
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