Falconer Catherine L, Cooper Ashley R, Flint Ellen
South West Public Health, NHS Gloucestershire Foundation Trust, Cheltenham, UK.
NIHR Bristol Nutrition Biomedical Research Unit, University of Bristol, Bristol, UK.
BMJ Open. 2017 Oct 8;7(10):e017132. doi: 10.1136/bmjopen-2017-017132.
To describe the active commuting (AC) patterns of adults with type 2 diabetes and how these relate to physical activity and sedentary behaviour in UK Biobank. Social and environmental correlates of AC will also be explored.
Cross-sectional analysis of a cohort study.
This is a population cohort of over 500 000 people recruited from 22 centres across the UK. Participants aged between 37 and 73 years were recruited between 2006 and 2010.
6896 participants with a self-reported type 2 diabetes diagnosis who reported commuting to work and had complete covariate data were included in the analysis.
Exposure measures were AC to work, measured as usual mode of transport.
Outcome measures were weekly minutes of moderate to vigorous physical activity (MVPA), hours/day of sedentary time and participation in active travel.
AC (reporting walking or cycling to work only) was reported by 5.5% of participants, with the great majority using the car to commute (80%). AC was associated with an additional 73 (95% CI 10.8 to 134.9) and 105 (95% CI 41.7 to 167.2) weekly minutes of MVPA for men and women, respectively. AC was associated with reduced sedentary time (β -1.1, 95% CI -1.6 to -0.7 hours/day for men; and β -0.8, 95% CI -1.2 to -0.3 hours/day for women). Deprivation and distance from home to work were identified as correlates of AC behaviour.
Rates of AC are very low in adults with type 2 diabetes. However, AC offers a potentially sustainable solution to increasing physical activity and reducing sedentary behaviour. Therefore, strategies to improve the environment and encourage AC may help to increase population levels of physical activity and reduce the disease burden associated with type 2 diabetes.
描述英国生物银行中2型糖尿病成年人的主动通勤（AC）模式，以及这些模式与身体活动和久坐行为之间的关系。还将探讨AC的社会和环境相关因素。
队列研究的横断面分析。
这是一个从英国22个中心招募的超过50万人的人群队列。2006年至2010年期间招募了年龄在37岁至73岁之间的参与者。
6896名自我报告患有2型糖尿病且报告通勤上班并拥有完整协变量数据的参与者被纳入分析。
暴露测量指标为上班的AC情况，以通常的交通方式衡量。
结果测量指标为每周中等至剧烈身体活动（MVPA）的分钟数、每天久坐时间的小时数以及参与主动出行的情况。
5.5%的参与者报告采用AC（仅报告步行或骑自行车上班），绝大多数人使用汽车通勤（80%）。AC分别与男性和女性每周额外增加73（95%CI 10.8至134.9）和105（95%CI 41.7至167.2）分钟的MVPA相关。AC与久坐时间减少相关（男性β -1.1，95%CI -1.6至-0.7小时/天；女性β -0.8，95%CI -1.2至-0.3小时/天）。贫困程度和家到工作地点的距离被确定为AC行为的相关因素。
2型糖尿病成年人的AC率非常低。然而，AC为增加身体活动和减少久坐行为提供了一个潜在的可持续解决方案。因此，改善环境和鼓励AC的策略可能有助于提高人群的身体活动水平，并减轻与2型糖尿病相关的疾病负担。
