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Active commuting in Swedish workers between 1998 and 2015 - trends, characteristics and cardiovascular disease risk.
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Åstrand Laboratory of Work Physiology, The Research Unit for Movement, Health and Environment.ORCID iD: 0000-0001-5213-4439
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Åstrand Laboratory of Work Physiology, Björn Ekblom's research group.ORCID iD: 0000-0002-4030-5437
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Åstrand Laboratory of Work Physiology.ORCID iD: 0000-0002-3185-9702
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Åstrand Laboratory of Work Physiology.ORCID iD: 0000-0001-7335-3796
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2019 (English)In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Trend analyses of active commuting and potential variations in trends and association with cardiovascular disease (CVD) risk within sub-groups are unknown.

OBJECTIVES: To a) describe trends in active commuting between 1998 to 2015 and b) to study the association between different amounts of active commuting and the incidence risk of CVD in a large sample of Swedish workers, and analyses of potential variations across sub-groups of socio-demographics, physical activity and BMI.

METHODS: A total of 318,309 participants (47% women, 18-74 years) who participated in a nationwide occupational health service screening between 1998 and 2015 were included. Commuting habits were self-reported, and data on first-time CVD events were derived from national registers.

RESULTS: Self-reported passive commuters decreased between 1998 and 2015 (64% to 56%), transferring to an increase in mainly moderate/high-dose active commuters (12% to 19%). Changes were seen in all subgroups. The characteristics and life-style habits of the typical passive and active commuter changed little over the study period. Low- and moderate/high-dose active commuters had significantly decreased risks for a first time CVD during follow-up. This was accentuated in men, middle-aged and in participants with light physical work situations, irregular exercise habits, being overweight/obese and with low fitness.

CONCLUSION: Increases in active commuting were observed between 1998 and 2015, however still leaving a majority who do not actively commute. As active commuting, regardless dose, is associated with a lower CVD risk, encouraging more people to actively commute may provide an easily accessible and time-efficient possibility to increase physical activity and health in the general population.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019.
Keywords [en]
active commuting, cardiovascular disease, cycling, physical activity, trends, walking, working population
National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
URN: urn:nbn:se:gih:diva-5889DOI: 10.1111/sms.13581PubMedID: 31631386OAI: oai:DiVA.org:gih-5889DiVA, id: diva2:1366234
Projects
HPI-gruppenAvailable from: 2019-10-28 Created: 2019-10-28 Last updated: 2019-10-31Bibliographically approved

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The full text will be freely available from 2020-10-20 01:01
Available from 2020-10-20 01:01

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Salier Eriksson, JaneEkblom, BjörnKallings, LenaHemmingsson, ErikEkblom, ÖrjanEkblom Bak, Elin

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Salier Eriksson, JaneEkblom, BjörnKallings, LenaHemmingsson, ErikEkblom, ÖrjanEkblom Bak, Elin
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The Research Unit for Movement, Health and EnvironmentBjörn Ekblom's research groupÅstrand Laboratory of Work Physiology
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Scandinavian Journal of Medicine and Science in Sports
Sport and Fitness Sciences

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