Prince Stephanie A, Butler Gregory P
Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada.
School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Health Promot Chronic Dis Prev Can. 2025 May;45(5):249-255. doi: 10.24095/hpcdp.45.5.03.
We explored the contribution of active (nonmotorized) transportation, including walking and cycling, to physical activity (PA) levels and its association with PA recommendations adherence (youth: ≥ 60 min/day; adults: ≥ 150 min/week) using self-reported domain-specific and accelerometer-measured PA from Cycles 4 to 6 (2014-2019) of the Canadian Health Measures Survey (N = 8620). Recreation and household or occupational PA were similar for users and non-users, but accelerometer-measured PA was significantly higher among active transportation users (12-17 years: 56.6 vs. 47.7 min/ day; 18-64 years: 33.4 vs. 22.8 min/day, 65-79 years: 21.5 vs. 13.7 min/day). Active transportation was not associated with meeting the PA recommendation for youth after adjusting for confounders (adjusted odds ratio [aOR] = 1.39; 95% confidence interval [CI]: 0.91-2.11), but it was for adults (18-64 years: aOR = 2.71, 95% CI: 2.18-3.37; 65-79 years: aOR = 2.26, 95% CI: 1.39-3.69). Given its contribution to population PA levels, supporting active transportation should be considered an important tool for health promotion.
我们利用加拿大健康测量调查第4至6轮（2014 - 2019年）的自我报告特定领域和加速度计测量的身体活动数据（N = 8620），探讨了包括步行和骑自行车在内的主动（非机动）交通对身体活动（PA）水平的贡献及其与PA建议依从性的关联（青少年：≥60分钟/天；成年人：≥150分钟/周）。娱乐活动以及家务或职业性PA在主动交通使用者和非使用者中相似，但加速度计测量的PA在主动交通使用者中显著更高（12 - 17岁：56.6对47.7分钟/天；18 - 64岁：33.4对22.8分钟/天；65 - 79岁：21.5对13.7分钟/天）。在调整混杂因素后，主动交通与青少年达到PA建议无关（调整后的优势比[aOR] = 1.39；95%置信区间[CI]：0.91 - 2.11），但与成年人有关（18 - 64岁：aOR = 2.71，95% CI：2.18 - 3.37；65 - 79岁：aOR = 2.26，95% CI：1.39 - 3.69）。鉴于其对人群PA水平的贡献，支持主动交通应被视为促进健康的重要工具。
