Need for active commuting to improve cardiorespiratory health: analysis of a population survey in Chile
DOI:
https://doi.org/10.47197/retos.v66.110851Keywords:
cardiorespiratory fitness, active commuting, walking, bicycling, adultAbstract
Introduction: increased active commuting is associated with increases in cardiorespiratory fitness. Evidence in Chile is scarce.
Objective: the aim of this study was to evaluate the association between cardiorespiratory fitness and active commuting in the Chilean population.
Methodology: we analysed data from 5292 cases related to walking speed (brisk, normal, slow) and 1861 cases of active commuting via walking or cycling (measured in minutes) from the Chilean National Health Survey 2016-2017. The fitness was estimated using five equations. The association between fitness, walking speed, and active commuting was assessed through linear regression models, both unadjusted and adjusted for sociodemographic, anthropometric, and health-related confounding variables.
Results: in the unadjusted models, "brisk" walking speed was associated with a fitness increase ranging from 3.3 to 4.5 mlO2/kg/min. After adjusting for sociodemographic, anthropometric, and health variables, the fitness increment for "brisk" walking speed ranged from 0.1 to 3.7 mlO2/kg/min in three models (all p < 0.001). Conversely, for every one-minute increase in active commuting via walking or cycling, the fitness increased between 0.06 and 0.07 mlO2/kg/min in four unadjusted models (p < 0.001). Consequently, a daily increase of 10 minutes in active commuting, sustained over five days, was associated with a fitness increment ranging from 28.5 to 32 mlO2/kg/min.
Conclusions: engaging in "brisk" walking and increasing the duration of walking or bicycle commuting significantly enhanced fitness, irrespective of sociodemographic, anthropometric, and health factors.
References
Andersen, L. B. (2016). Active commuting: an easy and effective way to improve health. The Lancet. Diabetes & Endocrinology, 4(5), 381–382. https://doi.org/10.1016/S2213-8587(16)00077-2
Baran, C., Belgacem, S., Paillet, M., de Abreu, R. M., de Araujo, F. X., Meroni, R., & Corbellini, C. (2024). Active commuting as a factor of cardiovascular disease prevention: a systematic review with meta-analysis. Journal of Functional Morphology and Kinesiology, 9(3), 125. https://doi.org/10.3390/JFMK9030125
Baynard, T., Arena, R. A., Myers, J., & Kaminsky, L. A. (2016). The role of body habitus in predicting car-diorespiratory fitness: the FRIEND registry. International Journal of Sports Medicine, 37(11), 863–869. https://doi.org/10.1055/S-0042-110572
Blond, M. B., Rosenkilde, M., Gram, A. S., Tindborg, M., Christensen, A. N., Quist, J. S., & Stallknecht, B. M. (2019). How does 6 months of active bike commuting or leisure-time exercise affect insulin sensitivity, cardiorespiratory fitness and intra-abdominal fat? A randomised controlled trial in individuals with overweight and obesity. British Journal of Sports Medicine, 53(18), 1183–1192. https://doi.org/10.1136/BJSPORTS-2018-100036
Cigarroa, I., Espinoza-Sanhueza, M. J., Lasserre-Laso, N., Diaz-Martinez, X., Garrido-Mendez, A., Matus-Castillo, C., Martinez-Sanguinetti, M. A., Leiva, A. M., Petermann-Rocha, F., Parra-Soto, S., Concha-Cisternas, Y., Troncoso-Pantoja, C., Martorell, M., Ulloa, N., Waddell, H., & Celis-Morales, C. (2020). Association between walking pace and diabetes: findings from the chilean national health survey 2016-2017. Int J Environ Res Public Health, 17(15), e5341. https://doi.org/10.3390/IJERPH17155341
Cokorilo, N., Ruiz-montero, P. J., González-fernández, F. T., & Martín-moya, R. (2022). An intervention of 12 weeks of nordic walking and recreational walking to improve cardiorespiratory capacity and fitness in older adult women. Journal of Clinical Medicine, 11(10). https://doi.org/10.3390/JCM11102900
Concha-Cisternas, Arévalo-Gómez, Cancino-Pizarro, Guzmán-Muñoz, & Díaz-Martínez. (2024). Influen-cia de los desplazamientos activos sobre la aptitud cardiorrespiratoria en escolares. Retos, 58, 1022–1029. https://doi.org/10.47197/RETOS.V58.105660
Cristi-Montero, C., Ramírez-Campillo, R., Alvarez, C., Méndez, A. G., Martínez, M. A., Martínez, X. D., Leiva, A. M., Salas, C., Gutiérrez, M., Sanzana-Inzunza, R., Durán, E. D., Labraña, A. M., Aguilar-Farías, N., & Celis-Morales, C. (2016). Fitness cardiorrespiratorio se asocia a una mejora en marcadores metabólicos en adultos chilenos. Revista Médica de Chile, 144(8), 980–989.
De Cocker, K., Verloigne, M., Cardon, G., & Van Acker, R. (2021). Public health communication and edu-cation to promote more physical activity and less sedentary behaviour: Development and formative evaluation of the “physical activity triangle.” Patient Education and Counsueling, 104(1), 75–84. https://doi.org/10.1016/J.PEC.2020.06.025
De Geus, B., Joncheere, J., & Meeusen, R. (2009). Commuter cycling: effect on physical performance in untrained men and women in Flanders: minimum dose to improve indexes of fitness. Scandina-vian Journal of Medicine & Science in Sports, 19(2), 179–187. https://doi.org/10.1111/J.1600-0838.2008.00776.X
de Souza E Silva, C., Kaminsky, L., Arena, R., Christle, J., Araújo, C., Lima, R., Ashley, E., & Myers, J. (2018). A reference equation for maximal aerobic power for treadmill and cycle ergometer exercise testing: Analysis from the FRIEND registry. European Journal of Preventive Cardiology, 25(7), 742–750.
Garrido-Méndez, A., Díaz, X., Martínez, M. A., Leiva, A. M., Álvarez, C., Ramírez Campillo, R., Cristi-Montero, C., Rodríguez, F., Salas-Bravo, C., Durán, E., Labraña, A. M., Aguilar-Farías, N., Celis-Morales, C., Garrido-Méndez, A., Díaz, X., Martínez, M. A., Leiva, A. M., Álvarez, C., Ramírez Cam-pillo, R., … Celis-Morales, C. (2017). Mayores niveles de transporte activo se asocian a un menor nivel de adiposidad y menor riesgo de obesidad: resultados de la Encuesta Nacional de Salud 2009-2010. Revista Médica de Chile, 145(7), 837–844. https://doi.org/10.4067/S0034-98872017000700837
Henriques-Neto, D., Peralta, M., Garradas, S., Pelegrini, A., Pinto, A. A., Sánchez-Miguel, P. A., & Marques, A. (2020). Active commuting and physical fitness: a systematic review. International Journal of Environmental Research and Public Health, 17(8). https://doi.org/10.3390/IJERPH17082721
Hingorjo, M. R., Zehra, S., Hasan, Z., & Qureshi, M. A. (2017). Cardiorespiratory fitness and its association with adiposity indices in young adults. Pakistan Journal of Medical Sciences, 33(3), 659–664.
Höchsmann, C., Meister, S., Gehrig, D., Gordon, E., Li, Y., Nussbaumer, M., Rossmeissl, A., Schäfer, J., Hanssen, H., & Schmidt-Trucksäss, A. (2018). Effect of E-Bike versus bike commuting on cardi-orespiratory fitness in overweight adults: a 4-week randomized pilot study. Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine, 28(3), 255–261. https://doi.org/10.1097/JSM.0000000000000438
Hoehner, C. M., Barlow, C. E., Allen, P., & Schootman, M. (2012). Commuting distance, cardiorespiratory fitness, and metabolic risk. American Journal of Preventive Medicine, 42(6), 571–578. https://doi.org/10.1016/J.AMEPRE.2012.02.020
Jurak, G., Soric, M., Sember, V., Djuric, S., Starc, G., Kovac, M., & Leskosek, B. (2021). Associations of mode and distance of commuting to school with cardiorespiratory fitness in Slovenian school-children: a nationwide cross-sectional study. BMC Public Health, 21(1). https://doi.org/10.1186/S12889-021-10326-6
Kalliolahti, E., Gluschkoff, K., Haukka, E., Lanki, T., Jussila, J. J., Halonen, J. I., Oksanen, T., & Ervasti, J. (2024). Changes in active commuting and changes in work ability and recovery from work in 16,778 finnish public sector employees. Journal of Transport & Health, 38, 101872. https://doi.org/10.1016/J.JTH.2024.101872
Machado, N., Wingfield, M., Kramer, S., Olver, J., Williams, G., & Johnson, L. (2022). Maintenance of car-diorespiratory fitness in people with stroke: a systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 103(7), 1410-1421.e6. https://doi.org/10.1016/J.APMR.2022.01.151
Margozzini, P., & Passi, A. (2018). Encuesta Nacional de Salud, ENS 2016-2017: un aporte a la planifica-ción sanitaria y políticas públicas en Chile. ARS MEDICA Revista de Ciencias Médicas, 43(1), 30–34. https://doi.org/10.11565/arsmed.v43i1.1354
Ministerio de Salud. (2018, 25 de mayo). ENS – encuesta nacional de salud - EPI - departamento de epi-demiologia. https://epi.minsal.cl/encuesta-ens-descargable/
Ministerio de Salud. (2024, 10 de marzo). Bases de datos - EPI - departamento de epidemiologia. https://epi.minsal.cl/bases-de-datos/
Møller, N. C., Østergaard, L., Gade, J. R., Nielsen, J. L., & Andersen, L. B. (2011). The effect on cardi-orespiratory fitness after an 8-week period of commuter cycling--a randomized controlled study in adults. Preventive Medicine, 53(3), 172–177. https://doi.org/10.1016/J.YPMED.2011.06.007
Myers, J., Kaminsky, L., Lima, R., Christle, J., Ashley, E., & Arena, R. (2017). A reference equation for normal standards for VO2 max: analysis from the fitness registry and the importance of exer-cise national database (FRIEND Registry). Progress in Cardiovascular Diseases, 60(1), 21–29.
Reyes-Ferrada, W., Solis-Urra, P., Plaza-Díaz, J., Sadarangani, K. P., Ferrari, G. L. de M., Rodríguez-Rodríguez, F., & Cristi-Montero, C. (2020). Cardiorespiratory fitness, physical activity, sedentary time and its association with the atherogenic index of plasma in chilean adults: influence of the waist circumference to height ratio. Nutrients, 12(5). https://doi.org/10.3390/NU12051250
Ross, R., Blair, S. N., Arena, R., Church, T. S., Després, J. P., Franklin, B. A., Haskell, W. L., Kaminsky, L. A., Levine, B. D., Lavie, C. J., Myers, J., Niebauer, J., Sallis, R., Sawada, S. S., Sui, X., & Wisløff, U. (2016). Importance of assessing cardiorespiratory fitness in clinical practice: a case for fitness as a clin-ical vital sign: a scientific statement from the american heart association. Circulation, 134(24), e653–e699. https://doi.org/10.1161/CIR.0000000000000461
Ross, R., & Myers, J. (2023). Cardiorespiratory fitness and its place in medicine. Reviews in Cardiovascu-lar Medicine, 24(1), 14. https://doi.org/10.31083/J.RCM2401014/PDF
Sloan, R., Visentini-Scarzanella, M., Sawada, S., Sui, X., & Myers, J. (2022). Estimating cardiorespiratory fitness without exercise testing or physical activity status in healthy adults: regression model development and validation. JMIR Public Health and Surveillance, 8(7). https://doi.org/10.2196/34717
Sudersanadas, K., Alturki, M., Phillip, W., Al Koblan, A., Tambur, P., Komath Mohan, S., Saleh Alsantali, L., Ibrahim Alhoumedan, G., Salem Alenazi, M., & Almudaihim, A. (2024). The impact of body com-position on cardiorespiratory fitness in adult females. Cureus, 16(3). https://doi.org/10.7759/CUREUS.55428
Tello, J. A., & Toffoletto, M. C. (2020). Factores asociados al sedentarismo e inactividad física en Chile: Una revisión sistemática cualitativa. Revista Médica de Chile, 148(2), 233–241. https://doi.org/10.4067/S0034-98872020000200233
Tomkinson, G. R., Lang, J. J., Tremblay, M. S., Dale, M., Leblanc, A. G., Belanger, K., Ortega, F. B., & Léger, L. (2017). International normative 20 m shuttle run values from 1 142 026 children and youth representing 50 countries. British Journal of Sports Medicine, 51(21), 1545–1554.
Vaara, J. P., Kyröläinen, H., Fogelholm, M., Santtila, M., Häkkinen, A., Häkkinen, K., & Vasankari, T. (2014). Associations of leisure time, commuting, and occupational physical activity with physi-cal fitness and cardiovascular risk factors in young men. Journal of Physical Activity & Health, 11(8), 1482–1491. https://doi.org/10.1123/JPAH.2012-0504
Vainshelboim, B., Myers, J., & Matthews, C. E. (2022). Non-exercise estimated cardiorespiratory fitness and mortality from all-causes, cardiovascular disease, and cancer in the NIH-AARP diet and health study. European Journal of Preventive Cardiology, 29(4), 599–607. https://doi.org/10.1093/EURJPC/ZWAA131
Villa-González, E., Ruiz, J. R., & Chillón, P. (2015). Associations between active commuting to school and health-related physical fitness in spanish school-aged children: a cross-sectional study. Interna-tional Journal of Environmental Research and Public Health, 12(9), 10362–10373. https://doi.org/10.3390/IJERPH120910362
Wang, Y., Chen, S., Lavie, C. J., Zhang, J., & Sui, X. (2019). An overview of non-exercise estimated cardi-orespiratory fitness: estimation equations, cross-validation and application. Journal of Science in Sport and Exercise, 1(1), 38–53. https://doi.org/10.1007/S42978-019-0003-X/METRICS
Wasserman, K., Stringer, W., Sun, X., Sue, D., Hansen, J., Whipp, B., & Sietsma, K. (2011). Principles of Exercise Testing and Interpretation (5ta ed.). Baltimore: Lippincott, Williams & Wilkins.
Zhao, Y., Fu, X., Ke, Y., Wu, Y., Qin, P., Hu, F., Zhang, M., & Hu, D. (2024). Independent and joint associa-tions of estimated cardiorespiratory fitness and its dynamic changes and obesity with the risk of hypertension: A prospective cohort. Journal of Human Hypertension, 38(5), 413–419. https://doi.org/10.1038/S41371-024-00910-9
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