Walking and cycling, as active transportation, and obesity factors in adolescents from eight countries

dc.creatorFerrari, Gerson
dc.creatorDrenowatz, Clemens
dc.creatorKovalskys, Irina
dc.creatorGómez, Georgina
dc.creatorRigotti, Attilio
dc.creatorCortés, Lilia Yadira
dc.creatorGarcía, Martha Yépez
dc.creatorPareja, Rossina G.
dc.creatorHerrera-Cuenca, Marianella
dc.creatorDel’Arco, Ana Paula
dc.creatorPeralta, Miguel
dc.creatorMarques, Adilson
dc.creatorLeme, Ana Carolina B.
dc.creatorSadarangani, Kabir P.
dc.creatorGuzmán-Habinger, Juan
dc.creatorChaves, Javiera Lobos
dc.creatorFisberg, Mauro
dc.date2024-04-10T06:19:34Z
dc.date2024-04-10T06:19:34Z
dc.date2022
dc.date.accessioned2024-07-17T21:14:47Z
dc.date.available2024-07-17T21:14:47Z
dc.identifier10.1186/s12887-022-03577-8
dc.identifier14712431
dc.identifierhttps://hdl.handle.net/20.500.12728/10957
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/9509739
dc.descriptionBackground: Evidence has shown that active transportation decreases obesity rates, but considering walking or cycling as separate modes could provide additional information on the health benefits in adolescents. This study aimed to examine the associations between walking and cycling as form active transportation and obesity indicators in Latin American adolescents. Methods: Population-based study with 671 adolescents (mean age: 15.9 [standard deviation: 0.8] years) from eight countries participating in the Latin American Study of Nutrition and Health/Estudio Latino Americano Nutrition y Salud (ELANS). Walking and cycling for active transportation were measured using the International Physical Activity Questionnaire long version. Body mass index, waist circumference, neck circumference, and relative fat mass were used as obesity indicators. Associations were estimated using logistic regression models for the pooled data adjusted for country, sex, age, socio-economic levels, race/ethnicity, leisure-time physical activity and energy intake. Results: Mean time spent walking and cycling was 22.6 (SD: 33.1) and 5.1 (SD: 24.1) min/day, respectively. The median values were 12.8 (IQR: 4.2; 25.7) and 0 (IQR: 0; 6.2) for walking and cycling. Participants reporting ≥ 10 min/week of walking or cycling for active transportation were 84.2% and 15.5%, respectively. Costa Rica (94.3% and 28.6%) showed the highest prevalence for walking and cycling, respectively, while Venezuela (68.3% and 2.4%) showed the lowest prevalence. There was no significant association between walking for active transportation and any obesity indicator. In the overall sample, cycling for ≥ 10 min/week was significantly associated with a lower likelihood of overweight/obesity based on BMI (OR: 0.86; 95%CI: 0.88; 0.94) and waist circumference (OR: 0.90; 95%CI: 0.83; 0.97) adjusted for country, sex, age, socio-economic level, race/ethnicity, leisure-time physical activity and energy intake compared to cycling for < 10 min/week. There were no significant associations between cycling for active transportation and neck circumference as well as relative fat mass. Conclusions: Cycling for active transportation was negatively associated with obesity indicators, especially body mass index and waist circumference. Programs for promoting cycling for active transportation could be a feasible strategy to tackle the high obesity rates in adolescents in Latin America. Trial registration: ClinicalTrials.Gov NCT02226627. Retrospectively registered on August 27, 2014. © 2022, The Author(s).
dc.descriptionCoca Cola Company; Fundación Bengoa; Instituto Pensi/Hospital Infantil Sabara; Instituto de Investigación Nutricional de Peru; International Life Science Institute of Argentina; Fundação de Amparo à Pesquisa do Estado de São Paulo, FAPESP, (2019/24124–7); Universidad de Costa Rica, UCR; Pontificia Universidad Javeriana; Pontificia Universidad Católica de Chile, UC; Universidad Central de Venezuela, UCV; Universidad San Francisco de Quito, USFQ
dc.formatapplication/pdf
dc.languageen
dc.publisherBioMed Central Ltd
dc.subjectActive transportation
dc.subjectEpidemiology
dc.subjectLatin America
dc.subjectNeighborhood built environment
dc.subjectPhysical activity
dc.titleWalking and cycling, as active transportation, and obesity factors in adolescents from eight countries
dc.typeArticle


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