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 |
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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 |
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