Device-Measured and Self-Reported Active Travel Associations with Cardiovascular Disease Risk Factors in an Ethnically Diverse Sample of Adults

Autor: James F. Sallis, Tarik Benmarhnia, Dorothy D. Sears, Katie Crist, Marta M. Jankowska, Steven Zamora, Jiue-An Yang, Loki Natarajan, Lindsay Dillon
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Aging
obesity
Health
Toxicology and Mutagenesis

GPS
Ethnic group
lcsh:Medicine
physical activity
Cardiovascular
Toxicology
0302 clinical medicine
Risk Factors
Medicine
030212 general & internal medicine
Aetiology
glucose
education.field_of_study
blood pressure
Middle Aged
biking
Heart Disease
Walkability
Cardiovascular Diseases
Biomarker (medicine)
Female
social and economic factors
Adult
Population
Sample (statistics)
Basic Behavioral and Social Science
Article
lipids
03 medical and health sciences
walking
Clinical Research
2.3 Psychological
Environmental health
Behavioral and Social Science
Humans
education
Exercise
Nutrition
transportation
business.industry
Prevention
lcsh:R
Public Health
Environmental and Occupational Health

030229 sport sciences
medicine.disease
Obesity
accelerometer
Blood pressure
Cross-Sectional Studies
Self Report
Sedentary Behavior
business
Body mass index
Zdroj: International Journal of Environmental Research and Public Health
Volume 18
Issue 8
International journal of environmental research and public health, vol 18, iss 8
International Journal of Environmental Research and Public Health, Vol 18, Iss 3909, p 3909 (2021)
ISSN: 1660-4601
DOI: 10.3390/ijerph18083909
Popis: Active travel (AT) provides an opportunity to alleviate the physical inactivity and climate crises contributing to the global chronic disease burden, including cardiovascular diseases (CVD). Though AT shows promising links to reduced CVD risk, prior studies relied on self-reported AT assessment. In the present study, device-measured and self-reported AT were compared across population subgroups and relationships with CVD risk biomarkers were evaluated for both measures. The study recruited an ethnically diverse sample (N = 602, mean age 59 years, 42% Hispanic/Latino ethnicity) from neighborhoods that varied by walkability and food access. AT was assessed using concurrently collected accelerometer and GPS data and self-report data from a validated survey. Relationships with body mass index (BMI), triglycerides, high-density lipoprotein (HDL) cholesterol, blood pressure (BP), and moderate-to-vigorous physical activity (MVPA) were modeled using multivariable linear regression. Devices captured more AT than did self-report. We found differences in AT measures by population subgroups, including race, ethnicity, education, income, vehicle access, and walkability. Men had more accelerometer-measured MVPA, though women self-reported more daily minutes. Both device and survey AT measures were positively associated with total accelerometer-measured MVPA, though the relationship was stronger with device-measured AT. Device-measured AT was associated with lower BMI. No other CVD risk biomarker was associated with either AT measure. No effect modification by Hispanic/Latino ethnicity was detected. Further studies with device-based measures are warranted to better understand the relationship between AT and cardiovascular health.
Databáze: OpenAIRE