Active Transportation and Obesity Indicators in Adults from Latin America: ELANS Multi-Country Study

Int J Environ Res Public Health. 2020 Sep 24;17(19):6974. doi: 10.3390/ijerph17196974.

Abstract

Purpose: The aim of this study was to determine the association between active transportation and obesity indicators in adults from eight Latin American countries.

Methods: Data from the ELANS study, an observational multi-country study (n: 8336; 18-65 years), were used. Active transportation (walking and cycling) and leisure time physical activity was assessed using the International Physical Activity Questionnaire (long version). The obesity indicators considered were: body mass index, and waist and neck circumference.

Results: In the total sample, the average time dedicated to active transportation was 24.3 min/day, with the highest amount of active transportation being Costa Rica (33.5 min/day), and the lowest being Venezuela (15.7 min/day). The countries with the highest proportion of active transportation were Ecuador (71.9%), and the lowest was Venezuela (40.5%). Results from linear regression analyses suggest that active transportation was significantly and independently associated with a lower body mass index (β: -0.033; 95% CI: -0.064; -0.002), but not with waist circumference (β: -0.037; 95% CI: -1.126; 0.390 and neck circumference (β: -0.007; 95% CI: -0.269; 0.130).

Conclusions: Active transportation is significantly associated with a lower body mass index. Governments should incentivize this type of transportation as it could help to reduce the obesity pandemic in Latin America.

Keywords: Latin America; active transportation; body mass index; obesity; physical activity; waist circumference.

Publication types

  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Body Mass Index
  • Cross-Sectional Studies
  • Ecuador
  • Female
  • Humans
  • Latin America / epidemiology
  • Male
  • Obesity* / epidemiology
  • Transportation*
  • Waist Circumference