From cars to bikes - the feasibility and effect of using e-bikes, longtail bikes and traditional bikes for transportation among parents of children attending kindergarten: design of a randomized cross-over trial

Helga Birgit Bjørnarå, Sveinung Berntsen, Saskia J Te Velde, Liv Fegran, Aslak Fyhri, Benedicte Deforche, Lars Bo Andersen, Elling Bere, Helga Birgit Bjørnarå, Sveinung Berntsen, Saskia J Te Velde, Liv Fegran, Aslak Fyhri, Benedicte Deforche, Lars Bo Andersen, Elling Bere

Abstract

Background: The present study aims to increase bicycling and level of physical activity (PA), and thereby promote health in parents of toddlers, by giving access to different bicycle types. There is a need for greater understanding of e-bikes and their role in the transportation network, and further effects on PA levels and health. Moreover, longtail bikes could meet certain practical needs not fulfilled by e-bikes or traditional bikes, hence increased knowledge regarding their feasibility should be obtained. No previous studies have investigated whether providing an e-bike or a longtail bike over an extended period in a sample of parents of toddlers influence objectively assessed amount of bicycling and total PA level, transportation habits, cardiorespiratory fitness, body composition and blood pressure.

Methods: A randomized cross-over trial will be performed, entailing that participants in the intervention group (n = 18) complete the following intervention arms in random order: (i) three months access to an e-bicycle with trailer for child transportation (n = 6), (ii) three months access to a longtail bicycle (n = 6), and (iii) three months access to a regular bicycle with trailer (n = 6), in total nine months. Also, a control group (n = 18) maintaining usual transportation and PA habits will be included. A convenience sample consisting of 36 parents of toddlers residing in Kristiansand municipality, Southern Norway, will be recruited. Total amount of bicycling (distance and time), total level of PA, and transportation habits will be measured at baseline and in connection to each intervention arm. Cardiorespiratory fitness, body composition and blood pressure will be measured at baseline and post-intervention. Main outcome will be bicycling distance and time spent cycling.

Discussion: New knowledge relevant for the timely issues of public health and environmental sustainability will be provided among parents of toddlers, representing a target group of greatest importance. There is a call for research on the influence of e-bikes and longtail bikes on travel behavior and PA levels, and whether voluntary cycling could improve health. If the present study reveals promising results, it should be replicated in larger and more representative samples. Eventually, inclusion in national public health policies should be considered.

Trial registration: ID NCT03131518 , made public 26.04.2017.

Keywords: Active transportation; Bicycling distance; Bicycling time; Body composition; Cargo bike; E-bike; Fitness; Physical activity.

Conflict of interest statement

Ethics approval and consent to participate

The protocol for the present study was approved by the Norwegian Social Science Data Services, Data Protection Official for Research, 06/04/2017, reference 52,964. Informed consent was obtained from all participants.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

    1. World Health Organization. Global recommendations on physical activity for health. 2010.
    1. Hallal PC, Andersen LB, Bull FC, et al. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012;380:247–257. doi: 10.1016/S0140-6736(12)60646-1.
    1. Loyen A, Clarke-Cornwell AM, Anderssen SA, et al. Sedentary time and physical activity surveillance through accelerometer pooling in four European countries. Sports Med. 2016:1–15.
    1. Goenka S, Andersen LB. Our health is a function of where we live. Lancet. 2016;387:2168–2170. doi: 10.1016/S0140-6736(16)00348-2.
    1. Lieberman LS. Evolutionary and anthropological perspectives on optimal foraging in obesogenic environments. Appetite. 2006;47:3–9. doi: 10.1016/j.appet.2006.02.011.
    1. Lee IM, Shiroma EJ, Lobelo F, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380:219–229. doi: 10.1016/S0140-6736(12)61031-9.
    1. de Nazelle A, Nieuwenhuijsen MJ, Anto JM, et al. Improving health through policies that promote active travel: a review of evidence to support integrated health impact assessment. Environ Int. 2011;37:766–777. doi: 10.1016/j.envint.2011.02.003.
    1. Foley L, Panter J, Heinen E, Prins R, Ogilvie D. Changes in active commuting and changes in physical activity in adults: a cohort study. Int J Behav Nutr Phys Act. 2015;12:161. doi: 10.1186/s12966-015-0323-0.
    1. Hamer M, Chida Y. Active commuting and cardiovascular risk: a meta-analytic review. Prev Med. 2008;46:9–13. doi: 10.1016/j.ypmed.2007.03.006.
    1. Matthews CE, Jurj AL, Shu XO, et al. Influence of exercise, walking, cycling, and overall nonexercise physical activity on mortality in Chinese women. Am J Epidemiol. 2007;165:1343–1350. doi: 10.1093/aje/kwm088.
    1. Andersen LB, Schnohr P, Schroll M, Hein HO. All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work. Arch Intern Med. 2000;160:1621–1628. doi: 10.1001/archinte.160.11.1621.
    1. Saunders LE, Green JM, Petticrew MP, Steinbach R, Roberts H. What are the health benefits of active travel? A systematic review of trials and cohort studies. PLoS One. 2013;8:e69912. doi: 10.1371/journal.pone.0069912.
    1. Laverty AA, Mindell JS, Webb EA, Millett C. Active travel to work and cardiovascular risk factors in the United Kingdom. Am J Prev Med. 2013;45:282–288. doi: 10.1016/j.amepre.2013.04.012.
    1. Bassett DR, Jr, Pucher J, Buehler R, Thompson DL, Crouter SE. Walking, cycling, and obesity rates in Europe, North America, and Australia. J Phys Act Health. 2008;5:795–814. doi: 10.1123/jpah.5.6.795.
    1. Skreden M, Overby NC, Sagedal LR, et al. Change in active transportation and weight gain in pregnancy. Int J Behav Nutr Phys Act. 2016;13:10. doi: 10.1186/s12966-016-0332-7.
    1. Andersen LB. Active commuting: an easy and effective way to improve health. Lancet Diabetes Endocrinol. 2016;4:381–382. doi: 10.1016/S2213-8587(16)00077-2.
    1. Flint E, Cummins S. Active commuting and obesity in mid-life: cross-sectional, observational evidence from UK biobank. Lancet Diabetes Endocrinol. 2016;4:420–435. doi: 10.1016/S2213-8587(16)00053-X.
    1. Oldridge NB. Economic burden of physical inactivity: healthcare costs associated with cardiovascular disease. Eur J Cardiovasc Prev Rehabil. 2008;15:130–139. doi: 10.1097/HJR.0b013e3282f19d42.
    1. Sælensminde K. Positive helseeffekter av fysisk aktivitet En konkretisering av veien mot mer fullstendige samfunnsøkonomiske analyser. Rapport IS-1562. 2008;6:2008.
    1. Samferdselsdepartementet. Stortingsmelding nr. 26 (2012-2013) Nasjonal transportplan (2014–2023). Oslo, Norway: Samferdselsdepartementet, 2012–2013.
    1. Woodcock J, Edwards P, Tonne C, et al. Public health benefits of strategies to reduce greenhouse-gas emissions: urban land transport. Lancet. 2009;374:1930–1943. doi: 10.1016/S0140-6736(09)61714-1.
    1. Abagnale C, Cardone M, Iodice P, Strano S, Terzo M, Vorraro G. Power requirements and environmental impact of a pedelec. A case study based on real-life applications. Environ Impact Assess Rev. 2015;53:1–7. doi: 10.1016/j.eiar.2015.02.003.
    1. COP21. United nations conference on climate change. Paris 2015. . Assessed 20 Dec 2015.
    1. Institutt T. Den nasjonale reisevaneundersøkelsen 2013/2014. Transportøkonomisk institutt: Oslo; 2014.
    1. Department for Transport. National Travel Survey 2012. London, 2013.
    1. Craigie AM, Lake AA, Kelly SA, Adamson AJ, Mathers JC. Tracking of obesity-related behaviours from childhood to adulthood: a systematic review. Maturitas. 2011;70:266–284. doi: 10.1016/j.maturitas.2011.08.005.
    1. Biddle SJ, Pearson N, Ross GM, Braithwaite R. Tracking of sedentary behaviours of young people: a systematic review. Prev Med. 2010;51:345–351. doi: 10.1016/j.ypmed.2010.07.018.
    1. The NS. Suchindran C, North KE, Popkin BM, Gordon-Larsen P. Association of adolescent obesity with risk of severe obesity in adulthood. JAMA. 2010;304:2042–2047.
    1. Starc G, Strel J. Tracking excess weight and obesity from childhood to young adulthood: a 12-year prospective cohort study in Slovenia. Public Health Nutr. 2011;14:49–55. doi: 10.1017/S1368980010000741.
    1. Sallis JF, Prochaska JJ, Taylor WCA. Review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32:963–975. doi: 10.1097/00005768-200005000-00014.
    1. Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults' participation in physical activity: review and update. Med Sci Sports Exerc. 2002;34:1996–2001. doi: 10.1097/00005768-200212000-00020.
    1. Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJF, Martin BW. Correlates of physical activity: why are some people physically active and others not. Lancet. 2012;380:258–271. doi: 10.1016/S0140-6736(12)60735-1.
    1. Weiss M, Dekker P, Moro A, Scholz H, Patel MK. On the electrification of road transportation - a review of the environmental, economic, and social performance of electric two-wheelers. Transport Res D-Tr E. 2015;41:348–366. doi: 10.1016/j.trd.2015.09.007.
    1. Fishman E, Cherry C. E-bikes in the mainstream: reviewing a decade of research. Transp Rev. 2016;36:72–91. doi: 10.1080/01441647.2015.1069907.
    1. Kroesen M. To what extent do e-bikes substitute travel by other modes? Evidence from the Netherlands. Transp Res Part D: Transp Environ. 2017;53:377–387. doi: 10.1016/j.trd.2017.04.036.
    1. Fyhri A, Heinen E, Fearnley N, Sundfør HBA. Push to cycling - exploring the e-bike's role in overcoming barriers to bicycle use with a survey and an intervention study. International Journal of Sustainable Transportation. 2017;11:681–695. doi: 10.1080/15568318.2017.1302526.
    1. Fyhri A, Fearnley N. Effects of e-bikes on bicycle use and mode share. Transport Res D-Tr E. 2015;36:45–52. doi: 10.1016/j.trd.2015.02.005.
    1. Astegiano P, Tampère CM, Beckx CA. Preliminary analysis over the factors related with the possession of an electric bike. Transportation Research Procedia. 2015;10:393–402. doi: 10.1016/j.trpro.2015.09.089.
    1. Shephard RJ. The exercising commuter: is commuting a healthy way to be active? Curr Cardiovasc Risk Rep. 2012;6:299–306. doi: 10.1007/s12170-012-0240-6.
    1. Riggs W. Cargo bikes as a growth area for bicycle vs. auto trips: exploring the potential for mode substitution behavior. Transport Res F: Traffic Psychol Behav. 2016;43:48–55. doi: 10.1016/j.trf.2016.09.017.
    1. Schwartz J and Riggs W. PAPER No. 17–06482. The Impact of Cargo Bikes on the Travel Patterns of Women. Transportation Research Board. Washington D.C, 2017.
    1. Simons M, Van Es E, Hendriksen I. Electrically assisted cycling: a new mode for meeting physical activity guidelines. Med Sci Sports Exerc. 2009;41:2097–2102. doi: 10.1249/MSS.0b013e3181a6aaa4.
    1. Gojanovic B, Welker J, Iglesias K, Daucourt C, Gremion G. Electric bicycles as a new active transportation modality to promote health. Med Sci Sports Exerc. 2011;43:2204–2210. doi: 10.1249/MSS.0b013e31821cbdc8.
    1. Sperlich B, Zinner C, Hébert-Losier K. Born D-P and Holmberg H-C. Biomechanical, cardiorespiratory, metabolic and perceived responses to electrically assisted cycling. Eur J Appl Physiol. 2012;112:4015–4025. doi: 10.1007/s00421-012-2382-0.
    1. Haskell WL, Lee I-M, Pate RR, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007;116:1081. doi: 10.1161/CIRCULATIONAHA.107.185649.
    1. Berntsen S, Malnes L, Langåker A, Bere E. Physical activity when riding an electric assisted bicycle. Int J Behav Nutr Phys Act. 2017;14:55. doi: 10.1186/s12966-017-0513-z.
    1. De Geus B, Kempenaers F, Lataire P, Meeusen R. Influence of electrically assisted cycling on physiological parameters in untrained subjects. European journal of sport science. 2013;13:290–294. doi: 10.1080/17461391.2011.606845.
    1. Malnes LH. Can cycling with an E-bike improve fitness? Kristiansand: University of Agder, Faculty of Health and Sports. Sciences. 2016;
    1. Peterman JE, Morris KL, Kram R, Byrnes WC. Pedelecs as a physically active transportation mode. Eur J Appl Physiol. 2016;116:1565–1573. doi: 10.1007/s00421-016-3408-9.
    1. Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J. An ecological approach to creating active living communities. Annu Rev Public Health. 2006;27:297–322. doi: 10.1146/annurev.publhealth.27.021405.102100.
    1. Albert B. Social foundations of thought and action: a social cognitive-theory. NY: Prentice-Hall; 1986.
    1. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;55:68. doi: 10.1037/0003-066X.55.1.68.
    1. Cairns S, Behrendt F, Raffo D, Harmer C. A24 electrically-assisted bikes: understanding the health potential. Journal of Transport & Health. 2015;2:S17. doi: 10.1016/j.jth.2015.04.512.
    1. Fishman E. Bikeshare: a review of recent literature. Transp Rev. 2016;36:92–113. doi: 10.1080/01441647.2015.1033036.
    1. Langford B, Cherry C, Yoon T, Worley S, Smith D. North America'sfirst E-Bikeshare: a year of experience. Transportation Research Record: Journal of the Transportation Research Board. 2013:120–8.
    1. Fishman E, Washington S, Haworth N. Bike share’s impact on car use: evidence from the United States, great Britain, and Australia. Transp Res Part D: Transp Environ. 2014;31:13–20. doi: 10.1016/j.trd.2014.05.013.
    1. Fishman E, Washington S, Haworth N. Bikeshare’s impact on active travel: evidence from the United States, great Britain, and Australia. Journal of Transport & Health. 2015;2:135–142. doi: 10.1016/j.jth.2015.03.004.
    1. Woodcock J, Tainio M, Cheshire J, O’Brien O, Goodman A. Health effects of the London bicycle sharing system: health impact modelling study. BMJ. 2014;348:g425. doi: 10.1136/bmj.g425.
    1. Wen LM, Kite J, Rissel CI. There a role for workplaces in reducing employees' driving to work? Findings from a cross-sectional survey from inner-west Sydney, Australia. BMC Public Health. 2010;10:50. doi: 10.1186/1471-2458-10-50.
    1. Bopp M, Child S, Campbell M. Factors associated with active commuting to work among women. Women Health. 2014;54:212–231. doi: 10.1080/03630242.2014.883663.
    1. Yang L, Hipp JA, Adlakha D, Marx CM, Tabak RG, Brownson RC. Choice of commuting mode among employees: do home neighborhood environment, worksite neighborhood environment, and worksite policy and supports matter? Journal of Transport & Health. 2015;2:212–218. doi: 10.1016/j.jth.2015.02.003.
    1. Johnson M, Rose G. Extending life on the bike: electric bike use by older Australians. Journal of Transport & Health. 2015;2:276–283. doi: 10.1016/j.jth.2015.03.001.
    1. Deci EL, Ryan RM. The" what" and" why" of goal pursuits: human needs and the self-determination of behavior. Psychol Inq. 2000;11:227–268. doi: 10.1207/S15327965PLI1104_01.
    1. Moons P, Budts W, De Geest S. Critique on the conceptualisation of quality of life: a review and evaluation of different conceptual approaches. Int J Nurs Stud. 2006;43:891–901. doi: 10.1016/j.ijnurstu.2006.03.015.
    1. Ward DS, Evenson KR, Vaughn A, Rodgers AB, Troiano RP. Accelerometer use in physical activity: best practices and research recommendations. Med Sci Sports Exerc. 2005;37:S582–S588. doi: 10.1249/01.mss.0000185292.71933.91.
    1. Scheers T, Philippaerts R, Lefevre J. Variability in physical activity patterns as measured by the SenseWear armband: how many days are needed? Eur J Appl Physiol. 2012;112:1653–1662. doi: 10.1007/s00421-011-2131-9.
    1. Garber CE, Blissmer B, Deschenes MR, et al. American college of sports medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43:1334–1359. doi: 10.1249/MSS.0b013e318213fefb.
    1. Edvardsen E, Scient C, Hansen BH, Holme IM, Dyrstad SM, Anderssen SA. Reference values for cardiorespiratory response and fitness on the treadmill in a 20- to 85-year-old population. Chest. 2013;144:241–248. doi: 10.1378/chest.12-1458.
    1. Edvardsen E, Hem E, Anderssen SA. End criteria for reaching maximal oxygen uptake must be strict and adjusted to sex and age: a cross-sectional study. PLoS One. 2014;9:e85276. doi: 10.1371/journal.pone.0085276.
    1. Measurements HFB. Of adiposity and body composition. Obesity. Epidemiology. 2008;416:53–83.
    1. Albanese CV, Diessel E, Genant HK. Clinical applications of body composition measurements using DXA. J Clin Densitom. 2003;6:75–85. doi: 10.1385/JCD:6:2:75.
    1. Malterud K. Fokusgrupper som forskningsmetode for medisin og helsefag. Oslo: Universitetsforlaget; 2012.
    1. Twisk J, Proper K. Evaluation of the results of a randomized controlled trial: how to define changes between baseline and follow-up. J Clin Epidemiol. 2004;57:223–228. doi: 10.1016/j.jclinepi.2003.07.009.
    1. Kvale S, Brinkmann S. InterViews: learning the craft of qualitative research interviewing. Thousands Oaks: Sage Publications; 2015.
    1. Samferdselsdepartementet. Meld. St. 33 (2016-2017), Nasjonal Transportplan 2018–2029. Oslo: Samferdselsdepartementet, 2017.
    1. Helse- og omsorgsdepartementet. Meld. St. 19 (2014-2015) Folkehelsemeldingen. Mestring og muligheter Oslo: Helse- og omsorgsdepartementet, 2015.
    1. Helsedirektoratet. Anbefalinger om kosthold, ernæring og fysisk aktivitet. Oslo: Helsedirektoratet, 2014.
    1. Courneya KS. Efficacy, effectiveness, and behavior change trials in exercise research. Int J Behav Nutr Phys Act. 2010;7:81. doi: 10.1186/1479-5868-7-81.

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