What are the health benefits of active travel? A systematic review of trials and cohort studies.

<h4>Background</h4>Increasing active travel (primarily walking and cycling) has been widely advocated for reducing obesity levels and achieving other population health benefits. However, the strength of evidence underpinning this strategy is unclear. This study aimed to assess the eviden...

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Autores principales:	Lucinda E Saunders, Judith M Green, Mark P Petticrew, Rebecca Steinbach, Helen Roberts
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1121d108495d40d9bea6be3489e1b8b3
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spelling	oai:doaj.org-article:1121d108495d40d9bea6be3489e1b8b32021-11-18T08:59:33ZWhat are the health benefits of active travel? A systematic review of trials and cohort studies.1932-620310.1371/journal.pone.0069912https://doaj.org/article/1121d108495d40d9bea6be3489e1b8b32013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23967064/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Increasing active travel (primarily walking and cycling) has been widely advocated for reducing obesity levels and achieving other population health benefits. However, the strength of evidence underpinning this strategy is unclear. This study aimed to assess the evidence that active travel has significant health benefits.<h4>Methods</h4>The study design was a systematic review of (i) non-randomised and randomised controlled trials, and (ii) prospective observational studies examining either (a) the effects of interventions to promote active travel or (b) the association between active travel and health outcomes. Reports of studies were identified by searching 11 electronic databases, websites, reference lists and papers identified by experts in the field. Prospective observational and intervention studies measuring any health outcome of active travel in the general population were included. Studies of patient groups were excluded.<h4>Results</h4>Twenty-four studies from 12 countries were included, of which six were studies conducted with children. Five studies evaluated active travel interventions. Nineteen were prospective cohort studies which did not evaluate the impact of a specific intervention. No studies were identified with obesity as an outcome in adults; one of five prospective cohort studies in children found an association between obesity and active travel. Small positive effects on other health outcomes were found in five intervention studies, but these were all at risk of selection bias. Modest benefits for other health outcomes were identified in five prospective studies. There is suggestive evidence that active travel may have a positive effect on diabetes prevention, which may be an important area for future research.<h4>Conclusions</h4>Active travel may have positive effects on health outcomes, but there is little robust evidence to date of the effectiveness of active transport interventions for reducing obesity. Future evaluations of such interventions should include an assessment of their impacts on obesity and other health outcomes.Lucinda E SaundersJudith M GreenMark P PetticrewRebecca SteinbachHelen RobertsPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 8, p e69912 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lucinda E Saunders Judith M Green Mark P Petticrew Rebecca Steinbach Helen Roberts What are the health benefits of active travel? A systematic review of trials and cohort studies.
description	<h4>Background</h4>Increasing active travel (primarily walking and cycling) has been widely advocated for reducing obesity levels and achieving other population health benefits. However, the strength of evidence underpinning this strategy is unclear. This study aimed to assess the evidence that active travel has significant health benefits.<h4>Methods</h4>The study design was a systematic review of (i) non-randomised and randomised controlled trials, and (ii) prospective observational studies examining either (a) the effects of interventions to promote active travel or (b) the association between active travel and health outcomes. Reports of studies were identified by searching 11 electronic databases, websites, reference lists and papers identified by experts in the field. Prospective observational and intervention studies measuring any health outcome of active travel in the general population were included. Studies of patient groups were excluded.<h4>Results</h4>Twenty-four studies from 12 countries were included, of which six were studies conducted with children. Five studies evaluated active travel interventions. Nineteen were prospective cohort studies which did not evaluate the impact of a specific intervention. No studies were identified with obesity as an outcome in adults; one of five prospective cohort studies in children found an association between obesity and active travel. Small positive effects on other health outcomes were found in five intervention studies, but these were all at risk of selection bias. Modest benefits for other health outcomes were identified in five prospective studies. There is suggestive evidence that active travel may have a positive effect on diabetes prevention, which may be an important area for future research.<h4>Conclusions</h4>Active travel may have positive effects on health outcomes, but there is little robust evidence to date of the effectiveness of active transport interventions for reducing obesity. Future evaluations of such interventions should include an assessment of their impacts on obesity and other health outcomes.
format	article
author	Lucinda E Saunders Judith M Green Mark P Petticrew Rebecca Steinbach Helen Roberts
author_facet	Lucinda E Saunders Judith M Green Mark P Petticrew Rebecca Steinbach Helen Roberts
author_sort	Lucinda E Saunders
title	What are the health benefits of active travel? A systematic review of trials and cohort studies.
title_short	What are the health benefits of active travel? A systematic review of trials and cohort studies.
title_full	What are the health benefits of active travel? A systematic review of trials and cohort studies.
title_fullStr	What are the health benefits of active travel? A systematic review of trials and cohort studies.
title_full_unstemmed	What are the health benefits of active travel? A systematic review of trials and cohort studies.
title_sort	what are the health benefits of active travel? a systematic review of trials and cohort studies.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/1121d108495d40d9bea6be3489e1b8b3
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What are the health benefits of active travel? A systematic review of trials and cohort studies.

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