TY - JOUR
T1 - Beneficial association between active travel and metabolic syndrome in Latin-America
T2 - A cross-sectional analysis from the Chilean National Health Survey 2009–2010
AU - Sadarangani, Kabir P.
AU - Von Oetinger, Astrid
AU - Cristi-Montero, Carlos
AU - Cortínez-O'Ryan, Andrea
AU - Aguilar-Farías, Nicolás
AU - Martínez-Gómez, David
N1 - Funding Information:
The CNHS was funded by the Chilean Ministry of Health. The study protocol was approved by the ethics research committee of the faculty of medicine at the Pontificia Universidad Católica de Chile. Inform consent was obtained from all participants.
Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2018/2
Y1 - 2018/2
N2 - Background There is limited evidence on potential health benefits of active travel, independently of leisure-time physical activity (PA), with metabolic syndrome (MetS) in Latin-America. Objective To investigate the relationship between active travel and metabolic syndrome (MetS) and its components in a national representative sample of Chilean adults. Methods Cross-sectional study of 2864 randomly selected adults' participants enrolled in the 2009–2010 Chilean National Health Survey (CNHS). Self-reported PA was obtained with the validated Global PA Questionnaire and classifying participants into insufficiently active (< 150 min/week) or active (≥ 150 min/week). MetS was diagnosed from the modified Adult Treatment Panel (ATP) III criteria with national-specific abdominal obesity cut points. Multilevel logistic regression analysis was applied to estimate associations of travel PA with MetS and its components at a regional level, adjusted for socio-demographic characteristics and other types of PA. Results 46.2% of the sample engaged in 150 min/week of active travel and the prevalence of MetS was 33.7%. Mets was significantly lower among active travel participants. Active travel was associated with lower odds of MetS (OR 0.72; 95%CI 0.61–0.86), triglycerides (OR 0.77; 95%CI 0.64–0.92) and abdominal obesity (OR 0.82; 95%CI 0.69–0.97) after controlling for socio-demographics and other types of PA. Conclusion Active travel was negatively associated with MetS, triglycerides and abdominal obesity. Efforts to increase regional active travel should be addressed as a measure to prevent and reduce the prevalence of MetS and disease burden in middle income countries.
AB - Background There is limited evidence on potential health benefits of active travel, independently of leisure-time physical activity (PA), with metabolic syndrome (MetS) in Latin-America. Objective To investigate the relationship between active travel and metabolic syndrome (MetS) and its components in a national representative sample of Chilean adults. Methods Cross-sectional study of 2864 randomly selected adults' participants enrolled in the 2009–2010 Chilean National Health Survey (CNHS). Self-reported PA was obtained with the validated Global PA Questionnaire and classifying participants into insufficiently active (< 150 min/week) or active (≥ 150 min/week). MetS was diagnosed from the modified Adult Treatment Panel (ATP) III criteria with national-specific abdominal obesity cut points. Multilevel logistic regression analysis was applied to estimate associations of travel PA with MetS and its components at a regional level, adjusted for socio-demographic characteristics and other types of PA. Results 46.2% of the sample engaged in 150 min/week of active travel and the prevalence of MetS was 33.7%. Mets was significantly lower among active travel participants. Active travel was associated with lower odds of MetS (OR 0.72; 95%CI 0.61–0.86), triglycerides (OR 0.77; 95%CI 0.64–0.92) and abdominal obesity (OR 0.82; 95%CI 0.69–0.97) after controlling for socio-demographics and other types of PA. Conclusion Active travel was negatively associated with MetS, triglycerides and abdominal obesity. Efforts to increase regional active travel should be addressed as a measure to prevent and reduce the prevalence of MetS and disease burden in middle income countries.
KW - Active commuting
KW - Chile
KW - Latin-America
KW - Metabolic risk
KW - Metabolic syndrome
KW - Physical activity
UR - http://www.scopus.com/inward/record.url?scp=85038879127&partnerID=8YFLogxK
U2 - 10.1016/j.ypmed.2017.12.005
DO - 10.1016/j.ypmed.2017.12.005
M3 - Article
C2 - 29246415
AN - SCOPUS:85038879127
VL - 107
SP - 8
EP - 13
JO - Preventive Medicine
JF - Preventive Medicine
SN - 0091-7435
ER -