Protective Effect on Mortality of Active Commuting to Work: A Systematic Review and Meta-analysis
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SYSTEMATIC REVIEW
Protective Effect on Mortality of Active Commuting to Work: A Systematic Review and Meta‑analysis Frédéric Dutheil1,2 · Séverine Pélangeon3 · Martine Duclos4 · Philippe Vorilhon5 · Martial Mermillod6,7 · Julien S. Baker8 · Bruno Pereira9 · Valentin Navel10
© Springer Nature Switzerland AG 2020
Abstract Background Sedentary behaviour is a major risk of mortality. However, data are contradictory regarding the effects of active commuting on mortality. Objectives To perform a systematic review and meta-analysis on the effects of active commuting on mortality. Methods The PubMed, Cochrane Library, Embase, and Science Direct databases were searched for studies reporting mortality data and active commuting (walking or cycling) to or from work. We computed meta-analysis stratified on type of mortality, type of commuting, and level of commuting, each with two models (based on fully adjusted estimates of risks, and on crude or less adjusted estimates). Results 17 studies representing 829,098 workers were included. Using the fully adjusted estimates of risks, active commuting decreased all-cause mortality by 9% (95% confidence intervals 3–9%), and cardiovascular mortality by 15% (3–27%) (p
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