Associations of public transport accessibility with walking, obesity, metabolic syndrome and diabetes

Barr, A, Bentley, R, Simpson, J, Scheurer, J, Thornton, L, Krnjacki, L and Kavanagh, A 2016, 'Associations of public transport accessibility with walking, obesity, metabolic syndrome and diabetes', Journal of Transport and Health, vol. 3, no. 2, pp. 141-153.


Document type: Journal Article
Collection: Journal Articles

Title Associations of public transport accessibility with walking, obesity, metabolic syndrome and diabetes
Author(s) Barr, A
Bentley, R
Simpson, J
Scheurer, J
Thornton, L
Krnjacki, L
Kavanagh, A
Year 2016
Journal name Journal of Transport and Health
Volume number 3
Issue number 2
Start page 141
End page 153
Total pages 13
Publisher Elsevier Ltd
Abstract Objective To examine associations of public transport system accessibility with walking, obesity, metabolic syndrome and diabetes/impaired glucose regulation. Methods Associations of public transport accessibility with self-reported walking for transport or recreation and measured biomarkers of chronic disease risk were estimated in 5241 adult residents of 42 randomly selected areas in Australia in 2004/05, drawn from the second wave of a population-based cohort study (AusDiab). Public transport accessibility was objectively measured using an adaptation of the Public Transport Accessibility Levels (PTAL) methodology, comprising both GIS derived spatial and temporal accessibility measures. Logistic regression models were adjusted for individual and environmental level covariates and clustering within areas. Results Above median public transport accessibility was positively associated with a walking time of more than the median 90 min per week (OR=1.28, 95%CI 1.03, 1.60) and walking above the recommended 150 min per week (OR=1.35, 95%CI 1.11, 1.63). There were no associations of public transport accessibility with obesity (OR=1.05, 95%CI 0.85, 1.30), the metabolic syndrome (OR=1.09, 95%CI 0.91, 1.31) nor diabetes/impaired glucose regulation (OR=1.11, 95%CI 0.94, 1.30). Findings were similar for a subgroup reporting no vigorous recreational physical activity. Conclusions In this Australian sample, public transport accessibility was positively associated with walking at recommended levels, including for people who are not otherwise vigorously active. Significance Walking is crucial for increasing physical activity levels and population health, as well as maximising public transport system efficiency. Building evidence on public transport accessibility and walking will enable governments to exploit this important synergy.
Subject Public Health and Health Services not elsewhere classified
Keyword(s) Diabetes
Metabolic syndrome
Obesity
Physical activity
Public transport
Walking
DOI - identifier 10.1016/j.jth.2016.01.006
Copyright notice © 2016 Elsevier Ltd.
ISSN 2214-1405
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