ArticleBMJ open2017
The relationship between bicycle commuting and perceived stress: a cross-sectional study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Domain-specific physical activity and mental health: an updated systematic review and multilevel meta-analysis in a combined sample of 3.3 million people.British journal of sports medicine · 2026Pooled it
- Neighbourhood Built Environment Influences on Physical Activity among Adults: A Systematized Review of Qualitative Evidence.International journal of environmental research and public health · 2018Pooled it
- Associations of Domain-Specific Physical Activity With Mental Health Symptoms Among Finnish Employed Adults: A Population-Based Study.European journal of sport science · 2026Article
- Active Travel Commuting and Autonomic Stress Recovery in Urban Populations.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Bionic Intelligent Interaction Helmet: A Multifunctional-Design Anxiety-Alleviation Device Controlled by STM32.Sensors (Basel, Switzerland) · 2025Article
- ADHD and autism in Neurocognitive Mismatch Theory: distinct neurodevelopmental incompatibilities with the market-based system.Frontiers in psychology · 2025Article
- Climate protection, health and other motives for active transport - results of a cross-sectional survey in Germany.BMC public health · 2024Article
- Active mobility and mental health: A scoping review towards a healthier world.Global mental health (Cambridge, England) · 2024Article
- Mobility Infrastructures and Health: Scoping Review of studies in Europe.Public health reviews · 2024Article
- Benefits, risks, barriers, and facilitators to cycling: a narrative review.Frontiers in sports and active living · 2023Review
- Barriers and enablers to local active travel during COVID-19: A case study of Streetspace interventions in two London boroughs.Wellcome open research · 2023Article
- The health benefits of bicycling to school among adolescents in China: A propensity score matching study.Frontiers in public health · 2023Article
- Health and well-being benefits of e-bike commuting for inactive, overweight people living in regional Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2022Article
- Estimating the Health Effects of Adding Bicycle and Pedestrian Paths at the Census Tract Level: Multiple Model Comparison.JMIR public health and surveillance · 2022Article
- The Association between Active Mobility and Subjective Wellbeing during COVID-19 in MENA Countries.Healthcare (Basel, Switzerland) · 2022Article
- Characteristics of Electric Scooter and Bicycle Injuries After Introduction of Electric Scooter Rentals in Oslo, Norway.JAMA network open · 2022Article
- Physical Activity Behavior, Motivation and Active Commuting: Relationships with the Use of Green Spaces in Italy.International journal of environmental research and public health · 2022Article
- Perceived stress in Chinese patients with coronary heart disease: a cross-sectional study.BMJ open · 2022Article
- Chronic stress, behavioral tendencies, and determinants of health behaviors in nurses: a mixed-methods approach.BMC public health · 2022Article
- Healthy Behavior and Environmental Behavior Correlate with Bicycle Commuting.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionActive commuting - walking and bicycling for travel to and/or from work or educational addresses - may facilitate daily, routine physical activity. Several studies have investigated the relationship between active commuting and commuting stress; however, there are no studies examining the relationship between solely bicycle commuting and perceived stress, or studies that account for environmental determinants of bicycle commuting and stress. The current study evaluated the relationship between bicycle commuting, among working or studying adults in a dense urban setting, and perceived stress.
methodsA cross-sectional study was performed with 788 adults who regularly travelled to work or study locations (excluding those who only commuted on foot) in Barcelona, Spain. Participants responded to a comprehensive telephone survey concerning their travel behaviour from June 2011 through to May 2012. Participants were categorised as either bicycle commuters or non-bicycle commuters, and (based on the Perceived Stress Scale, PSS-4) as either stressed or non-stressed. Multivariate Poisson regression with robust variance models of stress status based on exposures with bicycle commuting were estimated and adjusted for potential confounders.
resultsBicycle commuters had significantly lower risk of being stressed than non-bicycle commuters (Relative Risk; RR (95% CI)=0.73 (0.60 to 0.89), p=0.001). Bicycle commuters who bicycled 4 days per week (RR (95% CI)=0.42 (0.24 to 0.73), p=0.002) and those who bicycled 5 or more days per week (RR (95% CI)=0.57 (0.42 to 0.77), p<0.001) had lower risk of being stressed than those who bicycled less than 4 days. This relationship remained statistically significant after adjusting for individual and environmental confounders and when using different cut-offs of perceived stress.
conclusionsStress reduction may be an important consequence of routine bicycle use and should be considered by decision makers as another potential benefit of its promotion.
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