Wen Li Ming, Rissel Chris
Health Promotion Service, Sydney South West Area Health Service, Level 9, King George V Building, Missenden Road, Camperdown, NSW 2050, Australia.
Prev Med. 2008 Jan;46(1):29-32. doi: 10.1016/j.ypmed.2007.08.009. Epub 2007 Aug 23.
The aim of this study was to investigate the associations between various modes of transport to work and overweight and obesity, in men and women.
The study was conducted using data from a representative sample of 6810 respondents who reported being in the workforce, extracted from the 2003 New South Wales Adult Health Survey, Australia. Logistic regression modeling adjusted for potential confounders.
Men who cycled to work were significantly less likely to be overweight and obese (39.8%) compared with those driving to work (60.8%), with an adjusted odds ratio of 0.49 (95% CI: 0.31-0.76) and much less likely to be obese (5.4%) with an adjusted odds ratio 0.34 (95% CI: 0.13-0.87). Men who used public transport to work were also significantly less likely to be overweight and obese (44.6%) with an adjusted odds ratio of 0.65 (95% CI: 0.53-0.81). However, these inverse relationships were not found in women.
These findings support recommendations to cycle to work or use public transport as a strategy to maintain healthy weight for men. Although healthy weight cannot be causally attributed to cycling and use of public transport in this study, the link is plausible, and increased cycling and use of public transport would have positive benefits for the environment and health in any case.
本研究旨在调查男性和女性不同上班交通方式与超重及肥胖之间的关联。
该研究使用了从2003年澳大利亚新南威尔士州成人健康调查中提取的6810名在职受访者的代表性样本数据。采用逻辑回归模型对潜在混杂因素进行了调整。
与开车上班的男性(60.8%)相比,骑车上班的男性超重和肥胖的可能性显著降低(39.8%),调整后的优势比为0.49(95%置信区间:0.31 - 0.76),肥胖的可能性也低得多(5.4%),调整后的优势比为0.34(95%置信区间:0.13 - 0.87)。使用公共交通上班的男性超重和肥胖的可能性也显著降低(44.6%),调整后的优势比为0.65(95%置信区间:0.53 - 0.81)。然而,在女性中未发现这些反向关系。
这些发现支持了关于骑车上班或使用公共交通作为男性维持健康体重策略的建议。尽管在本研究中健康体重不能因果性地归因于骑车和使用公共交通,但这种联系是合理的,而且增加骑车和使用公共交通无论如何都将对环境和健康产生积极益处。