Association Between Active Commuting and Incident Cardiovascular Diseases in Chinese: A Prospective Cohort Study
Background Active commuting is related to a higher level of physical activity but more exposure to ambient air pollutants. With the rather serious air pollution in urban China, we aimed to examine the association between active commuting and risk of incident cardiovascular disease in the Chinese pop...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-10-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.119.012556 |
| _version_ | 1811217187034103808 |
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| author | Mengyu Fan Jun Lv Canqing Yu Yu Guo Zheng Bian Songchun Yang Ling Yang Yiping Chen Yuelong Huang Biyun Chen Lei Fan Junshi Chen Zhengming Chen Lu Qi Liming Li |
| author_facet | Mengyu Fan Jun Lv Canqing Yu Yu Guo Zheng Bian Songchun Yang Ling Yang Yiping Chen Yuelong Huang Biyun Chen Lei Fan Junshi Chen Zhengming Chen Lu Qi Liming Li |
| author_sort | Mengyu Fan |
| collection | DOAJ |
| description | Background Active commuting is related to a higher level of physical activity but more exposure to ambient air pollutants. With the rather serious air pollution in urban China, we aimed to examine the association between active commuting and risk of incident cardiovascular disease in the Chinese population. Methods and Results A total of 104 170 urban commuters without major chronic diseases at baseline were included from China Kadoorie Biobank. Self‐reported commuting mode was defined as nonactive commuting, work at home or near home, walking, and cycling. Multivariable Cox regression was used to examine associations between commuting mode and cardiovascular disease. Overall, 47.2% of the participants reported nonactive commuting, 13.4% reported work at home or work near home, 20.1% reported walking, and 19.4% reported cycling. During a median follow‐up of 10 years, we identified 5374 incidents of ischemic heart disease, 664 events of hemorrhagic stroke, and 4834 events of ischemic stroke. After adjusting for sex, socioeconomic status, lifestyle factors, sedentary time, body mass index, comorbidities, household air pollution, passive smoking, and other domain physical activity, walking (hazard ratio, 0.90; 95% CI, 0.84–0.96) and cycling (hazard ratio, 0.81; 95% CI, 0.74–0.88) were associated with a lower risk of ischemic heart disease than nonactive commuting. Cycling was associated with a lower risk of ischemic stroke (hazard ratio, 0.92; 95% CI, 0.84–1.00). No significant association was found of walking or cycling with hemorrhagic stroke. The associations of commuting mode with major cardiovascular disease were consistent among men and women and across different levels of other domain physical activity. Conclusions In urban China, cycling was associated with a lower risk of ischemic heart disease and ischemic stroke. Walking was associated with a lower risk of ischemic heart disease. |
| first_indexed | 2024-04-12T06:49:51Z |
| format | Article |
| id | doaj.art-0c31b241f05e4561a8677a33cf4ec79f |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-04-12T06:49:51Z |
| publishDate | 2019-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-0c31b241f05e4561a8677a33cf4ec79f2022-12-22T03:43:21ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802019-10-0182010.1161/JAHA.119.012556Association Between Active Commuting and Incident Cardiovascular Diseases in Chinese: A Prospective Cohort StudyMengyu Fan0Jun Lv1Canqing Yu2Yu Guo3Zheng Bian4Songchun Yang5Ling Yang6Yiping Chen7Yuelong Huang8Biyun Chen9Lei Fan10Junshi Chen11Zhengming Chen12Lu Qi13Liming Li14Department of Epidemiology and Biostatistics School of Public Health Peking University Health Science Center Beijing ChinaDepartment of Epidemiology and Biostatistics School of Public Health Peking University Health Science Center Beijing ChinaDepartment of Epidemiology and Biostatistics School of Public Health Peking University Health Science Center Beijing ChinaChinese Academy of Medical Sciences Beijing ChinaChinese Academy of Medical Sciences Beijing ChinaDepartment of Epidemiology and Biostatistics School of Public Health Peking University Health Science Center Beijing ChinaClinical Trial Service Unit & Epidemiological Studies Unit (CTSU) Nuffield Department of Population Health University of Oxford United KingdomClinical Trial Service Unit & Epidemiological Studies Unit (CTSU) Nuffield Department of Population Health University of Oxford United KingdomHunan Center for Disease Control and Prevention Hunan ChinaHunan Center for Disease Control and Prevention Hunan ChinaHenan Center for Disease Control and Prevention Henan ChinaChina National Center for Food Safety Risk Assessment Beijing ChinaClinical Trial Service Unit & Epidemiological Studies Unit (CTSU) Nuffield Department of Population Health University of Oxford United KingdomDepartment of Epidemiology School of Public Health and Tropical Medicine Tulane University New Orleans LADepartment of Epidemiology and Biostatistics School of Public Health Peking University Health Science Center Beijing ChinaBackground Active commuting is related to a higher level of physical activity but more exposure to ambient air pollutants. With the rather serious air pollution in urban China, we aimed to examine the association between active commuting and risk of incident cardiovascular disease in the Chinese population. Methods and Results A total of 104 170 urban commuters without major chronic diseases at baseline were included from China Kadoorie Biobank. Self‐reported commuting mode was defined as nonactive commuting, work at home or near home, walking, and cycling. Multivariable Cox regression was used to examine associations between commuting mode and cardiovascular disease. Overall, 47.2% of the participants reported nonactive commuting, 13.4% reported work at home or work near home, 20.1% reported walking, and 19.4% reported cycling. During a median follow‐up of 10 years, we identified 5374 incidents of ischemic heart disease, 664 events of hemorrhagic stroke, and 4834 events of ischemic stroke. After adjusting for sex, socioeconomic status, lifestyle factors, sedentary time, body mass index, comorbidities, household air pollution, passive smoking, and other domain physical activity, walking (hazard ratio, 0.90; 95% CI, 0.84–0.96) and cycling (hazard ratio, 0.81; 95% CI, 0.74–0.88) were associated with a lower risk of ischemic heart disease than nonactive commuting. Cycling was associated with a lower risk of ischemic stroke (hazard ratio, 0.92; 95% CI, 0.84–1.00). No significant association was found of walking or cycling with hemorrhagic stroke. The associations of commuting mode with major cardiovascular disease were consistent among men and women and across different levels of other domain physical activity. Conclusions In urban China, cycling was associated with a lower risk of ischemic heart disease and ischemic stroke. Walking was associated with a lower risk of ischemic heart disease.https://www.ahajournals.org/doi/10.1161/JAHA.119.012556physical activitycommutingcyclingwalkingcardiovascular disease |
| spellingShingle | Mengyu Fan Jun Lv Canqing Yu Yu Guo Zheng Bian Songchun Yang Ling Yang Yiping Chen Yuelong Huang Biyun Chen Lei Fan Junshi Chen Zhengming Chen Lu Qi Liming Li Association Between Active Commuting and Incident Cardiovascular Diseases in Chinese: A Prospective Cohort Study Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease physical activity commuting cycling walking cardiovascular disease |
| title | Association Between Active Commuting and Incident Cardiovascular Diseases in Chinese: A Prospective Cohort Study |
| title_full | Association Between Active Commuting and Incident Cardiovascular Diseases in Chinese: A Prospective Cohort Study |
| title_fullStr | Association Between Active Commuting and Incident Cardiovascular Diseases in Chinese: A Prospective Cohort Study |
| title_full_unstemmed | Association Between Active Commuting and Incident Cardiovascular Diseases in Chinese: A Prospective Cohort Study |
| title_short | Association Between Active Commuting and Incident Cardiovascular Diseases in Chinese: A Prospective Cohort Study |
| title_sort | association between active commuting and incident cardiovascular diseases in chinese a prospective cohort study |
| topic | physical activity commuting cycling walking cardiovascular disease |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.119.012556 |
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