Peter Schantz

Contributions of Natural Environments to Physical Activity : Theory and Evidence Base

The link between modern lifestyles and increasing levels of chronic heart disease, obesity, stress and poor mental health is a concern across the world. The cost of dealing with these conditions pl ...

Sitting time in Germany: an analysis of socio-demographic and environmental correlates

BackgroundSedentary behaviour in general and sitting time in particular is an emerging global health concern. The aim of this study was to provide data on the prevalence of sitting time in German adults and to examine socio-demographic and environmental correlates of sitting time.MethodsA representative sample of German adults (n = 2000; 967 men, 1033 women; 49.3 ±17.6 years of age) filled in the Global Physical Activity Questionnaire, including one question on overall sitting time and answered questions about the neighbourhood environment, as well as concerning demographics. Daily sitting time was stratified by gender, age group, BMI, educational and income level, as well as physical activity (PA). To identify socio-demographic and environmental correlates of sitting time, we used a series of linear regressions.ResultsThe overall median was 5 hours (299 minutes) of sitting time/day and men sat longer than women (5 vs. 4 hours/day; p < 0.05). In both genders age and PA were negatively and the educational level positively associated with sitting time. The level of income was not a correlate of sitting time in multivariate analyses. Sitting time was significantly positively associated with higher neighbourhood safety for women. The variance of the multivariate model ranged from 16.5% for men to 8.9% for women.ConclusionsThe overall sitting time was unequally distributed in the German adult population. Our findings suggest implementing specific interventions to reduce sitting time for subgroups such as men, younger aged adults and adults with a higher education and lower PA. Future studies should enhance our understanding of the specific correlates of different types and domains of sitting in order to guide the development of effective public health strategies.

A criterion method for measuring route distance in physically active commuting.

PURPOSE There is a need for accurate, reliable, and feasible methods for determining route distances in physically active transportation. The aim of this study, therefore, was to scrutinize if distances of commuting routes drawn by physically active commuters and measured with a digital curvimetric distance measurement device could serve such a purpose. METHODS Participants were recruited when walking or bicycling in the inner urban area of Stockholm, Sweden. Questionnaires and individually adjusted maps were sent twice to the participants (n = 133). Commuting routes from home to work were drawn on the maps. These were measured using a digital curvimetric distance measurer that was carefully controlled for validity and reproducibility. Marked points of origin and destination were checked for validity and reproducibility using stated addresses and address geocoding systems. Nineteen participants were followed with a global positioning system (GPS) to control for validity of drawn routes. An analysis of the effect on distance measurements of any deviations between GPS route tracings and drawn routes was undertaken. RESULTS No order effects were noted on distance measurements, and the test-retest intraclass correlation coefficient was 0.999 (P <or= 0.001). The map markings of route origins and destinations were accurate and reproducible. GPS tracings of actual commuting routes taken (n = 19) as displayed in six cases had slight deviations from the routes drawn by the commuters on maps. However, these deviations played an insubstantial role (0.4%) for the distances measured. CONCLUSION When physically active commuters draw their commuting routes on maps, they create a valid and reproducible basis for route distance measurements. In combination with an accurate digital curvimetric distance-measuring device, a potential criterion method for measuring the commuting route distance is established.

Measuring children´s independent mobility : Comparing objective and self-report approaches

Measuring children´s independent mobility - Comparing objective and self-report approaches : Editorial

Contributions of Natural Environments to Physical Activity

The idea that nearby nature stimulates people to be more physically active is quite popular. In this chapter the literature regarding the link between physical activity and the residential environment is scrutinized. More specifically, after introducing the main concepts and a theoretical framework the evidence regarding three categories of activity is examined: physical activity in general, walking and cycling (mainly by adults), and outdoor play by children. Overall activity is deemed important because of its link to total energy expenditure, and thereby health. However, the other two categories are more likely to be linked to green aspects of the environment. Also attention is paid to the possibility that activity undertaken in a natural environment is especially beneficial for one’s health. At the end of the chapter conclusions are summarized, directions for future research are proposed and policy recommendations are given, as far as possible given the current state of affairs.

Impacts on air pollution and health by changing commuting from car to bicycle

Our study is based on individual data on peoples home and work addresses, as well as their age, sex and physical capacity, in order to establish realistic bicycle-travel distances. A transport model is used to single out data on commuting preferences in the County Stockholm. Our analysis shows there is a very large potential for reducing emissions and exposure if all car drivers living within a distance corresponding to a maximum of a 30min bicycle ride to work would change to commuting by bicycle. It would result in >111,000 new cyclists, corresponding to an increase of 209% compared to the current situation. Mean population exposure would be reduced by about 7% for both NOx and black carbon (BC) in the most densely populated area of the inner city of Stockholm. Applying a relative risk for NOx of 8% decrease in all-cause mortality associated with a 10μgm-3 decrease in NOx, this corresponds to >449 (95% CI: 340-558) years of life saved annually for the Stockholm county area with 2.1 million inhabitants. This is more than double the effect of the reduced mortality estimated for the introduction of congestion charge in Stockholm in 2006. Using NO2 or BC as indicator of health impacts, we obtain 395 (95% CI: 172-617) and 185 (95% CI: 158-209) years of life saved for the population, respectively. The calculated exposure of BC and its corresponding impacts on mortality are likely underestimated. With this in mind the estimates using NOx, NO2 and BC show quite similar health impacts considering the 95% confidence intervals.

Exploring Bikeability in a Suburban Metropolitan Area Using the Active Commuting Route Environment Scale (ACRES)

Background and Aim: Commuting by bicycle could contribute to public health, and route environments may influence this behaviour. Therefore, the aim of this study is to assess the potential associations between appraisals of the overall route environment as hindering or stimulating for bicycle commuting, with both perceptions of commuting route environmental factors in a suburban area and background factors. Methods: The Active Commuting Route Environment Scale (ACRES) was used for the assessment of bicycle commuters’ perceptions and appraisals of their route environments in the suburban parts of Greater Stockholm, Sweden. A simultaneous multiple regression analysis was used to assess the relationship between the outcome variable whether the overall route environment hinders or stimulates bicycle commuting and environmental factors (e.g., exhaust fumes, speeds of motor vehicles, greenery), as well as background factors (sex, age, education, income) as predictor variables. Results and Conclusions: The results indicate that in suburban areas, the factors aesthetics, greenery and bicycle paths seem to be, independently of each other, stimulating factors for bicycle commuting. On the other hand, flows of motor vehicles, noise, and low “directness” of the route seem to be hindering factors. A comparison of these results with those obtained from an inner urban area points to the importance of studying different types of built-up areas separately.

Distance, Duration, and Velocity in Cycle Commuting: Analyses of Relations and Determinants of Velocity

Background: The distance, duration, and velocity of cycling for transport purposes are used in health economic assessments, epidemiological studies, traffic modelling, and planning. It is therefore of value to determine relevant levels for them, and analyze how they relate, as well as to what extent other relevant variables may affect cycling velocities. 1661 cycle commuters (34% males) in Greater Stockholm, Sweden have been studied for that purpose. Methods: The participants were recruited with advertisements. They received questionnaires and individually adjusted maps to draw their normal cycling route. Route distances were measured by a criterion method. Age, sex, weight, height, and cycling durations to work were self-reported. The commuting routes were positioned in relation to inner urban and/or suburban–rural areas. Linear multiple regression analyses were used. Results: Cycling speeds were positively related to commuting distances or durations, being male, of younger age, having higher body weight but lower body mass index (BMI), and using the last digits 1–4 or 6–9 in duration reports (as compared to 0 and 5), as well as cycling in suburban (versus inner urban) areas. Conclusions: The study provides new knowledge about how distance and duration, as well as other factors, relate to the velocity of commuter cycling. It thereby enables the use of more appropriate input values in, for instance, health economic assessments and epidemiological health studies.

Active Commuting Behaviors in a Nordic Metropolitan Setting in Relation to Modality, Gender, and Health Recommendations

Active commuting between home and place of work or study is often cited as an interesting source of physical activity in a public health perspective. However, knowledge about these behaviors is meager. This was therefore studied in adult active commuters (n = 1872) in Greater Stockholm, Sweden, a Nordic metropolitan setting. They received questionnaires and individually adjusted maps to draw their normal commuting route. Three different modality groups were identified in men and women: single-mode cyclists and pedestrians (those who only cycle or walk, respectively) and dual-mode commuters (those who alternately walk or cycle). Some gender differences were observed in trip distances, frequencies, and velocities. A large majority of the commuting trip durations met the minimum health recommendation of at least 10-minute-long activity bouts. The median single-mode pedestrians and dual-mode commuters met or were close to the recommended weekly physical activity levels of at least 150 minutes most of the year, whereas the single-mode cyclists did so only during spring–mid-fall. A high total number of trips per year (range of medians: 231–389) adds to the value in a health perspective. To fully grasp active commuting behaviors in future studies, both walking and cycling should be assessed over different seasons and ideally over the whole year.

Physical Activity and the Perceived Neighbourhood Environment — Looking at the Association the Other Way Around

The association between physical activity (PA) and variables of the perceived environment mainly originate from cross-sectional studies that introduced the idea that the environment influences the PA level of residents. However, the direction of cause and effect has not been solved with finality. The aim of this study was to investigate whether residents’ perception of their proximate environment differs depending on their level of PA in transport and recreation. We conducted a cross-sectional survey with residents of six different parts of the city of Cologne, Germany. The sample of 470 adults (52.8% females; mean age = 35.5 ± 13.8 years) filled in the Global Physical Activity Questionnaire (GPAQ), as well as the European Environmental Questionnaire ALPHA. To distinguish between residents with “low” and “high” PA, we split the samples into two on the basis of the specific median in transport- and recreation-related PA. In the “high” vs. “low” PA group of the overall sample, we noted 4%–16% more “PA favourable” environmental perceptions in seven of the 15 environmental variables. Multiple linear regression analyses were performed to investigate associations of socio-demographic correlates and transport- and recreation-related PA on the dependent variables of the environmental perception. In this case, levels of PA were significant predictors for eight of the 15 items concerning environmental perceptions. Thus, the present study introduces the idea that residents with higher levels of transport and recreational PA may perceive their environment in a more “PA-favourable” way than residents with lower levels.