Active transportation to school in Canadian youth: should injury be a concern?

Kathleen Gropp, Ian Janssen, William Pickett, Kathleen Gropp, Ian Janssen, William Pickett

Abstract

Active transportation to school provides a means for youth to incorporate physical activity into their daily routines, and this has obvious benefits for child health. Studies of active transportation have rarely focused on the negative health effects in terms of injury. This cross-sectional study is based on the 2009/10 Canadian Health Behaviour in School-Aged Children survey. A sample of children aged 11-15 years (n=20 076) was studied. Multi-level logistic regression was used to examine associations between walking or bicycling to school and related injury. Regular active transportation to school at larger distances (approximately >1.6 km; 1.0 miles) was associated with higher relative odds of active transportation injury (OR: 1.52; 95% CI 1.08 to 2.15), with a suggestion of a dose-response relationship between longer travel distances and injury (p=0.02). Physical activity interventions for youth should encourage participation in active transportation to school, while also recognising the potential for unintentional injury.

Conflict of interest statement

Competing interests: None.

References

    1. Sallis JF, Frank LD, Saelens BE, et al. Active transportation and physical activity: opportunities for collaboration on transportation and public health research. Transport Res A-Pol 2004;38:249–68
    1. Dollman J, Lewis NR. Active transport to school as part of a broader habit of walking and cycling among South Australian youth. Pediatr Exerc Sci 2007;19:436–43
    1. Lubans DR, Boreham CA, Kelly P, et al. The relationship between active travel to school and health-related fitness in children and adolescents: a systematic review. Int J Behav Nutr Phys Act 2011;8 (accessed 22 Dec 2011).
    1. Lee MC, Orenstein MR, Richardson MJ. Systematic review of active commuting to school and childrens physical activity and weight. J Phys Act Health 2008;5:930–49
    1. Health Protection Branch, Health Canada Canadian Injury Data. Ottawa, ON: Health Canada, 1999;11 (accessed 22 Dec 2011).
    1. Griebler R, Molchol M, Samdal O, et al. Health Behaviour in School-Aged Children (HBSC) Study Protocol: Background, Methodology and Mandatory Items for the 2009/10 Survey. Edinburgh: Child and Adolescent Health Research Unit; Vienna: Ludwig Boltzmann Institute of Health Promotion Research, 2010
    1. Mecredy G, Janssen I, Pickett W. Neighbourhood street connectivity and injury in youth: a national study of built environments in Canada. Inj Prev 2012;18:81–7
    1. Snijders TAB, Bosker RJ. Multilevel Analysis: An Introduction to Basic and Advanced Multilevel Modeling. London: SAGE Publications, 1999:224–5
    1. Greenland S, Rothman KJ. Introduction to categorical statistics. In: Rothman KJ, Greenland S, Lash T, eds. Modern Epidemiology. 3rd edn Philadelphia PA: Lippincott, Williams, and Wilkins, 2008:261–3
    1. Webb P, Bain C, Pirozzo S. Essential Epidemiology: An Introduction for Students and Health Professionals. Cambridge, UK: Cambridge University Press, 2005:108
    1. Chillon P, Evenson KR, Vaughn A, et al. A systematic review of interventions for promoting active transportation to school. Int J Behav Nutr Phys Act 2011;8 (accessed 22 Dec 2011).
    1. Pedestrian and Bicycle Information Center Starting a Walking School Bus. 2005. (accessed 22 Dec 2011).
    1. Boarnet MG, Anderson CL, Day K, et al. Evaluation of the California Safe Routes to School Legislation: urban form changes and children's active transportation to school. Am J Prev Med 2005;28(Suppl 2):134–40

Source: PubMed

Подписаться