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dc.contributor.authorLaverty, AA
dc.contributor.authorPalladino, R
dc.contributor.authorLee, JT
dc.contributor.authorMillett, C
dc.date.accessioned2020-12-10T01:28:37Z
dc.date.available2020-12-10T01:28:37Z
dc.date.issued2015-05-20
dc.identifierpii: 10.1186/s12966-015-0223-3
dc.identifier.citationLaverty, A. A., Palladino, R., Lee, J. T. & Millett, C. (2015). Associations between active travel and weight, blood pressure and diabetes in six middle income countries: a cross-sectional study in older adults. INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 12 (1), https://doi.org/10.1186/s12966-015-0223-3.
dc.identifier.issn1479-5868
dc.identifier.urihttp://hdl.handle.net/11343/253716
dc.description.abstractBACKGROUND: There is little published data on the potential health benefits of active travel in low and middle-income countries. This is despite increasing levels of adiposity being linked to increases in physical inactivity and non-communicable diseases. This study will examine: (1) socio-demographic correlates of using active travel (walking or cycling for transport) among older adults in six populous middle-income countries (2) whether use of active travel is associated with adiposity, systolic blood pressure and self-reported diabetes in these countries. METHODS: Data are from the WHO Study on Global Ageing and Adult Health (SAGE) of China, India, Mexico, Ghana, Russia and South Africa with a total sample size of 40,477. Correlates of active travel (≥150 min/week) were examined using logistic regression. Logistic and linear regression analyses were used to examine health related outcomes according to three groups of active travel use per week. RESULTS: 46.4% of the sample undertook ≥150 min of active travel per week (range South Africa: 21.9% Ghana: 57.8%). In pooled analyses those in wealthier households were less likely to meet this level of active travel (Adjusted Risk Ratio (ARR) 0.77, 95% Confidence Intervals 0.67; 0.88 wealthiest fifth vs. poorest). Older people and women were also less likely to use active travel for ≥150 min per week (ARR 0.71, 0.62; 0.80 those aged 70+ years vs. 18-29 years old, ARR 0.82, 0.74; 0.91 women vs. men). In pooled fully adjusted analyses, high use of active travel was associated with lower risk of overweight (ARR 0.71, 0.59; 0.86), high waist-to-hip ratio (ARR 0.71, 0.61; 0.84) and lower BMI (-0.54 kg/m(2), -0.98;- 0.11). Moderate (31-209 min/week) and high use (≥210 min/week) of active travel was associated with lower waist circumference (-1.52 cm (-2.40; -0.65) and -2.16 cm (3.07; -1.26)), and lower systolic blood pressure (-1.63 mm/Hg (-3.19; -0.06) and -2.33 mm/Hg (-3.98; -0.69)). CONCLUSIONS: In middle-income countries use of active travel for ≥150 min per week is more common in lower socio-economic groups and appears to confer similar health benefits to those identified in high-income settings. Efforts to increase active travel levels should be integral to strategies to maintain healthy weight and reduce disease burden in these settings.
dc.languageEnglish
dc.publisherBMC
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titleAssociations between active travel and weight, blood pressure and diabetes in six middle income countries: a cross-sectional study in older adults
dc.typeJournal Article
dc.identifier.doi10.1186/s12966-015-0223-3
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.source.titleInternational Journal of Behavioral Nutrition and Physical Activity
melbourne.source.volume12
melbourne.source.issue1
dc.rights.licenseCC BY
melbourne.elementsid1325330
melbourne.contributor.authorLee, Ta-Yu
dc.identifier.eissn1479-5868
melbourne.accessrightsOpen Access


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