Active school commuting in adolescents from 28 countries across Africa, the Americas, and Asia: a temporal trends study

Abstract Background Evidence examining trends in active school commuting among adolescents are mainly single-country studies, and principally focused on high-income countries. Thus, the present study aims to examine temporal trends in adolescents’ active school commuting and to examine if there are...

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Main Authors: Mireia Felez-Nobrega, André O. Werneck, Adrian Bauman, Josep Maria Haro, Ai Koyanagi
Format: Article
Language:English
Published: BMC 2023-01-01
Series:International Journal of Behavioral Nutrition and Physical Activity
Subjects:
Online Access:https://doi.org/10.1186/s12966-022-01404-y
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author Mireia Felez-Nobrega
André O. Werneck
Adrian Bauman
Josep Maria Haro
Ai Koyanagi
author_facet Mireia Felez-Nobrega
André O. Werneck
Adrian Bauman
Josep Maria Haro
Ai Koyanagi
author_sort Mireia Felez-Nobrega
collection DOAJ
description Abstract Background Evidence examining trends in active school commuting among adolescents are mainly single-country studies, and principally focused on high-income countries. Thus, the present study aims to examine temporal trends in adolescents’ active school commuting and to examine if there are differences in such trends by sex. We used nationally representative samples of 28 countries, which were predominantly low- and middle-income countries (LMICs), covering 5 different WHO regions. Methods Data from the Global School-based Student Health Survey 2004–2017 were analyzed in 177,616 adolescents [mean (SD) age: 13.7 (1.0) years; 50.7% girls]. Active school commuting was self-reported (frequency of walking or riding a bike to and from school in the past 7 days). The prevalence and 95%CI of active school commuting (i.e., ≥ 3 days/week) was calculated for the overall sample and by sex for each survey. Crude linear trends in active school commuting were assessed by linear regression models. Interaction analyses were conducted to examine differing trends among boys and girls. Results Trends in active school commuting were heterogeneous across countries, with results showing stable patterns for the majority (16/28), decreasing trends for some (7/28) and increasing trends over time for a few (5/28). The majority of countries showed no differences in active school commuting trends between girls and boys. Conclusions The quantification of changes in adolescents’ active school commuting over time, together with a deeper understanding of local determinants for such behaviors will provide valuable evidence to inform the development of tailored and context-specific actions.
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spelling doaj.art-b31efe398ca04ac6bb52f8a8e3c8ceff2023-01-08T12:21:05ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682023-01-0120111310.1186/s12966-022-01404-yActive school commuting in adolescents from 28 countries across Africa, the Americas, and Asia: a temporal trends studyMireia Felez-Nobrega0André O. Werneck1Adrian Bauman2Josep Maria Haro3Ai Koyanagi4Research and Development Unit, Parc Sanitari Sant Joan de DéuDepartment of Nutrition, School of Public Health, Universidade de Sao Paulo (USP)School of Public Health, Faculty of Medicine and Health, The University of SydneyResearch and Development Unit, Parc Sanitari Sant Joan de DéuResearch and Development Unit, Parc Sanitari Sant Joan de DéuAbstract Background Evidence examining trends in active school commuting among adolescents are mainly single-country studies, and principally focused on high-income countries. Thus, the present study aims to examine temporal trends in adolescents’ active school commuting and to examine if there are differences in such trends by sex. We used nationally representative samples of 28 countries, which were predominantly low- and middle-income countries (LMICs), covering 5 different WHO regions. Methods Data from the Global School-based Student Health Survey 2004–2017 were analyzed in 177,616 adolescents [mean (SD) age: 13.7 (1.0) years; 50.7% girls]. Active school commuting was self-reported (frequency of walking or riding a bike to and from school in the past 7 days). The prevalence and 95%CI of active school commuting (i.e., ≥ 3 days/week) was calculated for the overall sample and by sex for each survey. Crude linear trends in active school commuting were assessed by linear regression models. Interaction analyses were conducted to examine differing trends among boys and girls. Results Trends in active school commuting were heterogeneous across countries, with results showing stable patterns for the majority (16/28), decreasing trends for some (7/28) and increasing trends over time for a few (5/28). The majority of countries showed no differences in active school commuting trends between girls and boys. Conclusions The quantification of changes in adolescents’ active school commuting over time, together with a deeper understanding of local determinants for such behaviors will provide valuable evidence to inform the development of tailored and context-specific actions.https://doi.org/10.1186/s12966-022-01404-yAdolescentsLongitudinalCohortActive travelWalkingCycling
spellingShingle Mireia Felez-Nobrega
André O. Werneck
Adrian Bauman
Josep Maria Haro
Ai Koyanagi
Active school commuting in adolescents from 28 countries across Africa, the Americas, and Asia: a temporal trends study
International Journal of Behavioral Nutrition and Physical Activity
Adolescents
Longitudinal
Cohort
Active travel
Walking
Cycling
title Active school commuting in adolescents from 28 countries across Africa, the Americas, and Asia: a temporal trends study
title_full Active school commuting in adolescents from 28 countries across Africa, the Americas, and Asia: a temporal trends study
title_fullStr Active school commuting in adolescents from 28 countries across Africa, the Americas, and Asia: a temporal trends study
title_full_unstemmed Active school commuting in adolescents from 28 countries across Africa, the Americas, and Asia: a temporal trends study
title_short Active school commuting in adolescents from 28 countries across Africa, the Americas, and Asia: a temporal trends study
title_sort active school commuting in adolescents from 28 countries across africa the americas and asia a temporal trends study
topic Adolescents
Longitudinal
Cohort
Active travel
Walking
Cycling
url https://doi.org/10.1186/s12966-022-01404-y
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