Device-measured and self-reported active travel associations with cardiovascular disease risk factors in an ethnically diverse sample of adults
Journal article
Crist, Katie, Benmarhnia, Tarik, Zamora, Steven, Yang, Jiue-An, Sears, Dorothy D., Natarajan, Loki, Dillon, Lindsay, Sallis, James F. and Jankowska, Marta M.. (2021). Device-measured and self-reported active travel associations with cardiovascular disease risk factors in an ethnically diverse sample of adults. International Journal of Environmental Research and Public Health. 18(8), p. 3909. https://doi.org/10.3390/ijerph18083909
Authors | Crist, Katie, Benmarhnia, Tarik, Zamora, Steven, Yang, Jiue-An, Sears, Dorothy D., Natarajan, Loki, Dillon, Lindsay, Sallis, James F. and Jankowska, Marta M. |
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Abstract | Active travel (AT) provides an opportunity to alleviate the physical inactivity and climate crises contributing to the global chronic disease burden, including cardiovascular diseases (CVD). Though AT shows promising links to reduced CVD risk, prior studies relied on self-reported AT assessment. In the present study, device-measured and self-reported AT were compared across population subgroups and relationships with CVD risk biomarkers were evaluated for both measures. The study recruited an ethnically diverse sample (N = 602, mean age 59 years, 42% Hispanic/Latino ethnicity) from neighborhoods that varied by walkability and food access. AT was assessed using concurrently collected accelerometer and GPS data and self-report data from a validated survey. Relationships with body mass index (BMI), triglycerides, high-density lipoprotein (HDL) cholesterol, blood pressure (BP), and moderate-to-vigorous physical activity (MVPA) were modeled using multivariable linear regression. Devices captured more AT than did self-report. We found differences in AT measures by population subgroups, including race, ethnicity, education, income, vehicle access, and walkability. Men had more accelerometer-measured MVPA, though women self-reported more daily minutes. Both device and survey AT measures were positively associated with total accelerometer-measured MVPA, though the relationship was stronger with device-measured AT. Device-measured AT was associated with lower BMI. No other CVD risk biomarker was associated with either AT measure. No effect modification by Hispanic/Latino ethnicity was detected. Further studies with device-based measures are warranted to better understand the relationship between AT and cardiovascular health. |
Keywords | transportation; walking; biking; accelerometer; GPS; obesity; blood pressure; lipids; glucose; physical activity |
Year | 2021 |
Journal | International Journal of Environmental Research and Public Health |
Journal citation | 18 (8), p. 3909 |
Publisher | MDPI AG |
ISSN | 1661-7827 |
Digital Object Identifier (DOI) | https://doi.org/10.3390/ijerph18083909 |
Scopus EID | 2-s2.0-85103828918 |
Open access | Published as ‘gold’ (paid) open access |
Research or scholarly | Research |
Page range | 1-16 |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 08 Apr 2021 |
Publication process dates | |
Accepted | 02 Apr 2021 |
Deposited | 09 Aug 2021 |
https://acuresearchbank.acu.edu.au/item/8w900/device-measured-and-self-reported-active-travel-associations-with-cardiovascular-disease-risk-factors-in-an-ethnically-diverse-sample-of-adults
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Publisher's version
OA_Crist_2021_Device_measured_and_self_reported_active.pdf | |
License: CC BY 4.0 | |
File access level: Open |
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