Evidence map›Paper›PMID 30728007›Full record

Observational studyInternational journal of health geographics2019

Household income, active travel, and their interacting impact on body mass index in a sample of urban Canadians: a Bayesian spatial analysis.

Hui Luan, Dana Ramsay, Daniel Fuller

Abstract readObservational Study
In one paragraph

Observational study in International journal of health geographics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hui LuanSchool of Geodesy and Geomatics, Wuhan University, Wuhan, 430079, Hubei, China.ORCID 0000-0001-9884-8509
Dana RamsaySchool of Public Health, University of Saskatchewan, Saskatoon, SK, Canada.
Daniel FullerCanada Research Chair in Population Physical Activity, School of Human Kinetics and Recreation, Physical Education Building, Memorial University of Newfoundland, St. John's, NF, A1C 5S7, Canada. dfuller@mun.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundActive travel for utilitarian purposes contributes to total physical activity and may help counter the obesity epidemic. However, the evidence linking active travel and individual-level body weight is equivocal. Statistical modeling that accounts for spatial autocorrelation and unmeasured spatial predictors has not yet used to explore whether the health benefits of active travel are shared equally across socioeconomic groups.

methodsBayesian hierarchical models with spatial random effects were developed using travel survey data from Saskatoon, Canada (N = 4625). Differences in log-transformed body mass index (BMI) were estimated for levels of active travel use (vehicular travel only, mixed vehicular/active travel, and active travel only), household income, and neighbourhood deprivation after controlling for sociodemographic and physical activity variables. The modifying effect of household income on the association between active travel and BMI was also evaluated.

resultsSignificant and meaningful decreases in BMI were observed for mixed (β = - 0.02, CrI - 0.036 to - 0.004) and active only (β = - 0.043, CrI - 0.06 to - 0.025) compared to vehicular only travelers. BMI was significantly associated with levels of household income and neighbourhood deprivation. Accounting for the interaction between travel mode and household income, decreases in BMI were observed for active only compared to vehicular only travellers in the highest income category (β = - 0.061, CrI - 0.115 to - 0.007).

conclusionStrategies to increase active travel use can support healthy weight loss and maintenance, but the opportunity to benefit from active travel use may be limited by low income. Considerations should be given to how interventions to increase active transportation might exacerbate social inequalities in BMI. Spatial statistical models are needed to account for unmeasured but spatially structured neighbourhood factors.

Indexed as

Body Mass IndexFamily CharacteristicsIncomeUrban PopulationAdultAgedBayes TheoremCross-Sectional StudiesExerciseFemaleHumansMaleMiddle AgedResidence CharacteristicsSaskatchewanSocioeconomic FactorsActive travelBayesian spatial modelingBody mass index (BMI)Multi-level modelSocioeconomic deprivation

Identifiers

PMID30728007
PMCPMC6366056

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.