New research presented at this year’s European Congress on Obesity in Glasgow, Scotland shows that individuals with obesity who commute by car have a 32% higher risk of death, from any cause, compared with those individuals with a normal weight and commute via cycling and walking. The study is by Edward Toke-Bjolgerud, University of Glasgow, UK, and colleagues.
Previous work, using UK Biobank data, has shown that active commuting, mainly cycling, was associated with a 50% lower risk of death, from any cause, and heart disease compared to car commuting. Since 57% of men and 66% of women in the UK are overweight or obese - a condition linked with a range of poor health outcomes - the authors of this new research aimed to investigate how different modes of active commuting (car, cycling, walking, mixed-mode) might alter the association between obesity and adverse health outcomes.
Dr Carlos Celis, from the British Heart Foundation Glasgow Cardiovascular Research Centre at the University of Glasgow and lead investigator of this work, reported that during the follow-up a total of 2,425 participants died and 7,973 developed heart disease. Compared with having a healthy body weight and reported mixed active commuting (walking and cycling to and from work; reference group), being obese combined with car commuting was associated with a 32% higher risk for premature death, a doubling of risk of heart disease mortality and a 59% increase in risk non-fatal heart diseases.
The authors conclude: “Our findings, if causal, suggest that people with overweight or obesity could potentially decrease the risk of premature mortality if they engage in active commuting.”