Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, USACH, Santiago, Chile.
Centro de Estudios para la Medición de la Actividad Física «CEMA». Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá D.C, Colombia.
BMC Public Health. 2018 Apr 19;18(1):523. doi: 10.1186/s12889-018-5450-5.
There is limited evidence concerning how active commuting (AC) is associated with health benefits in young. The aim of the study was to analyze the relationship between AC to and from campus (walking) and obesity and metabolic syndrome (MetS) in a sample of Colombian university students.
A total of 784 university students (78.6% women, mean age = 20.1 ± 2.6 years old) participated in the study. The exposure variable was categorized into AC (active walker to campus) and non-AC (non/infrequent active walker to campus: car, motorcycle, or bus) to and from the university on a typical day. MetS was defined in accordance with the updated harmonized criteria of the International Diabetes Federation criteria.
The overall prevalence of MetS was 8.7%, and it was higher in non-AC than AC to campus. The percentage of AC was 65.3%. The commuting distances in this AC from/to university were 83.1%, 13.4% and 3.5% for < 2 km, 2-5 km and > 5 km, respectively. Multiple logistic regressions for predicting unhealthy profile showed that male walking commuters had a lower probability of having obesity [OR = 0.45 (CI 95% 0.25-0.93)], high blood pressure [OR = 0.26 (CI 95% 0.13-0.55)] and low HDL cholesterol [OR = 0.29 (CI 95% 0.14-0.59)] than did passive commuters.
Our results suggest that in young adulthood, a key life-stage for the development of obesity and MetS, AC could be associated with and increasing of daily physical activity levels, thereby promoting better cardiometabolic health.
关于积极通勤（AC）如何与年轻人的健康益处相关，证据有限。本研究旨在分析哥伦比亚大学生样本中，往返校园（步行）的 AC 与肥胖和代谢综合征（MetS）之间的关系。
共有 784 名大学生（78.6%为女性，平均年龄 20.1±2.6 岁）参与了这项研究。暴露变量分为 AC（主动步行往返校园）和非 AC（非/不常主动步行往返校园：汽车、摩托车或公共汽车）。按照国际糖尿病联合会标准的最新协调标准定义 MetS。
MetS 的总体患病率为 8.7%，非 AC 往返校园者高于 AC 者。AC 的比例为 65.3%。往返校园的 AC 通勤距离分别为<2 公里、2-5 公里和>5 公里，占比分别为 83.1%、13.4%和 3.5%。预测不健康特征的多因素逻辑回归显示，男性步行通勤者肥胖的可能性较低[OR=0.45（95%CI 0.25-0.93)]、高血压[OR=0.26（95%CI 0.13-0.55)]和低 HDL 胆固醇[OR=0.29（95%CI 0.14-0.59)]。
我们的结果表明，在年轻成年人中，即肥胖和 MetS 发展的关键生命阶段，AC 可能与日常身体活动水平的增加有关，从而促进更好的心脏代谢健康。
