Associations between active travel and adiposity in rural India and Bangladesh: a cross-sectional study

BMC Public Health

Research Article

Preet K. Dhillon¹  Krithiga Shridhar¹  Dewan Alam²  Shah Ebrahim³  Anthony A. Laverty⁴  Ailsa J. McKay⁴  Christopher Millett⁵  Amit Dias⁶  Joseph Williams⁷ 

[1] Centre for Chronic Conditions and Injuries, Public Health Foundation of India, Gurgaon, India;Centre for Global Health Research, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Toronto, Canada;Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK;Department of Primary Care and Public Health, Imperial College London, London, UK;Department of Primary Care and Public Health, Imperial College London, London, UK;Centre for Chronic Conditions and Injuries, Public Health Foundation of India, Gurgaon, India;Goa Medical College, Sangath, Goa, India;Voluntary Health Services, Chennai, India;

关键词: Active commuting;    Exercise;    Overweight;    Obesity;    Body mass index;    South Asia;   

DOI  :  10.1186/s12889-015-2411-0

 received in 2015-06-15, accepted in 2015-10-12,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundData on use and health benefits of active travel in rural low- and middle- income country settings are sparse. We aimed to examine correlates of active travel, and its association with adiposity, in rural India and Bangladesh.MethodsCross sectional study of 2,122 adults (≥18 years) sampled in 2011–13 from two rural sites in India (Goa and Chennai) and one in Bangladesh (Matlab). Logistic regression was used to examine whether ≥150 min/week of active travel was associated with socio-demographic indices, smoking, oil/butter consumption, and additional physical activity. Adjusting for these same factors, associations between active travel and BMI, waist circumference and waist-to-hip ratio were examined using linear and logistic regression.ResultsForty-six percent of the sample achieved recommended levels of physical activity (≥150 min/week) through active travel alone (range: 33.1 % in Matlab to 54.8 % in Goa). This was more frequent among smokers (adjusted odds ratio 1.36, 95 % confidence interval 1.07–1.72; p = 0.011) and those that spent ≥150 min/week in work-based physical activity (OR 1.71, 1.35–2.16; p < 0.001), but less frequent among females than males (OR 0.25, 0.20–0.31; p < 0.001). In fully adjusted analyses, ≥150 min/week of active travel was associated with lower BMI (adjusted coefficient −0.39 kg/m2, −0.77 to −0.02; p = 0.037) and a lower likelihood of high waist circumference (OR 0.77, 0.63–0.96; p = 0.018) and high waist-to-hip ratio (OR 0.72, 0.58–0.89; p = 0.002).ConclusionsUse of active travel for ≥150 min/week was associated with being male, smoking, and higher levels of work-based physical activity. It was associated with lower BMI, and lower risk of a high waist circumference or high waist-to-hip ratio. Promotion of active travel is an important component of strategies to address the growing prevalence of overweight in rural low- and middle- income country settings.

【 授权许可】

CC BY   
© McKay et al. 2015