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Bicycling to Work and Primordial Prevention of Cardiovascular Risk : A Cohort Study Among Swedish Men and Women

Grøntved, Anders (author)
Koivula, Robert W (author)
Johansson, Ingegerd (author)
Umeå universitet,Institutionen för odontologi
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Wennberg, Patrik (author)
Umeå universitet,Allmänmedicin
Østergaard, Lars (author)
Hallmans, Göran (author)
Umeå universitet,Enheten för biobanksforskning,Näringsforskning
Renström, Frida (author)
Umeå universitet,Enheten för biobanksforskning,Department of Clinical Sciences, Genetic and Molecular Epidemiology Unit, Lund University Skåne University Hospital Malmö, Malmö, Sweden
Franks, Paul W (author)
Umeå universitet,Enheten för biobanksforskning,Medicin,Department of Clinical Sciences, Genetic and Molecular Epidemiology Unit, Lund University Skåne University Hospital Malmö, Malmö, Sweden
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 (creator_code:org_t)
Wiley-Blackwell, 2016
2016
English.
In: Journal of the American Heart Association. - : Wiley-Blackwell. - 2047-9980. ; 5:11
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • BACKGROUND: Bicycling to work may be a viable approach for achieving physical activity that provides cardiovascular health benefits. In this study we investigated the relationship of bicycling to work with incidence of obesity, hypertension, hypertriglyceridemia, and impaired glucose tolerance across a decade of follow-up in middle-aged men and women.METHODS AND RESULTS: We followed 23 732 Swedish men and women with a mean age of 43.5 years at baseline who attended a health examination twice during a 10-year period (1990-2011). In multivariable adjusted models we calculated the odds of incident obesity, hypertension, hypertriglyceridemia, and impaired glucose tolerance, comparing individuals who commuted to work by bicycle with those who used passive modes of transportation. We also examined the relationship of change in commuting mode with incidence of these clinical risk factors. Cycling to work at baseline was associated with lower odds of incident obesity (odds ratio [OR]=0.85, 95% CI 0.73-0.99), hypertension (OR=0.87, 95% CI 0.79-0.95), hypertriglyceridemia (OR=0.85, 95% CI 0.76-0.94), and impaired glucose tolerance (OR=0.88, 95% CI 0.80-0.96) compared with passive travel after adjusting for putative confounding factors. Participants who maintained or began bicycling to work during follow-up had lower odds of obesity (OR=0.61, 95% CI 0.50-0.73), hypertension (OR=0.89, 95% CI 0.80-0.98), hypertriglyceridemia (OR=0.80, 95% CI 0.70-0.90), and impaired glucose tolerance (OR=0.82, 95% CI 0.74-0.91) compared with participants not cycling to work at both times points or who switched from cycling to other modes of transport during follow-up.CONCLUSIONS: These data suggest that commuting by bicycle to work is an important strategy for primordial prevention of clinical cardiovascular risk factors among middle-aged men and women.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Keyword

cardiovascular disease prevention
cycling; hypertension
impaired glucose tolerance
obesity
physical exercise
type 2 diabetes mellitus

Publication and Content Type

ref (subject category)
art (subject category)

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