ArticleJournal of the American Heart Association2019
Association Between Active Commuting and Incident Cardiovascular Diseases in Chinese: A Prospective Cohort Study.
Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 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.
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.
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Health Benefits of Different Sports: a Systematic Review and Meta-Analysis of Longitudinal and Intervention Studies Including 2.6 Million Adult Participants.Sports medicine - open · 2024Pooled it
- Sex Differences in Physical Activity and Incident Stroke: A Systematic Review.Clinical therapeutics · 2022Pooled it
- The effect of leisure time physical activity and sedentary behaviour on the health of workers with different occupational physical activity demands: a systematic review.The international journal of behavioral nutrition and physical activity · 2021Pooled it
- Mediation effect of TyG-BMI, LDL-C, and CRP on physical activity-stroke risk relationship.Scientific reports · 2026Article
- Active commuting and atherosclerosis in a population-based sample of middle-aged adults: the Swedish CArdioPulmonary bioImage study (SCAPIS).British journal of sports medicine · 2026Article
- Network-Wide GIS Mapping of Cycling Vibration Comfort: From Methodology to Real-World Implementation.Sensors (Basel, Switzerland) · 2025Article
- Active Commuting as a Factor of Cardiovascular Disease Prevention: A Systematic Review with Meta-Analysis.Journal of functional morphology and kinesiology · 2024Review
- Dietary and other lifestyle factors and their influence on non-communicable diseases in the Western Pacific region.The Lancet regional health. Western Pacific · 2024Review
- Influencing Factors on Cardiovascular Health in China.Journal of geriatric cardiology : JGC · 2024Article
- Changes in physical activity and risk of ischemic stroke: The ARIC study.International journal of stroke : official journal of the International Stroke Society · 2023Article
- Association between physical activity energy expenditure and cardiometabolic risk factor clustering among Chinese adults in 2015.Sports medicine and health science · 2022Article
- Article
- Correlates of bike share use and its association with weight status at an urban university.PloS one · 2022Article
- Benefits of active commuting on cardiovascular health modified by ambient fine particulate matter in China: A prospective cohort study.Ecotoxicology and environmental safety · 2021Article
- Commute patterns, residential traffic-related air pollution, and lung cancer risk in the prospective UK Biobank cohort study.Environment international · 2021Article
- Observational
- Associations of Walking Activity With Hypertensive Mediated Organ Damage in Community-Dwelling Elderly Chinese: The Northern Shanghai Study.Frontiers in cardiovascular medicine · 2021Article
- Associations of socioeconomic factors with cause-specific Mortality and burden of cardiovascular diseases: findings from the vital registration in urban Shanghai, China, during 1974-2015.BMC public health · 2020Article
- Association Between Active Commuting and Incident Cardiovascular Diseases in Chinese: A Prospective Cohort Study.Journal of the American Heart Association · 2019Article
Corrections and comments
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Authors and funding
16 authors at 8 institutions in 3 countries.
Funding
Abstract
Background Active commuting is related to a higher level of physical activity but more exposure to ambient air pollutants. With the rather serious air pollution in urban China, we aimed to examine the association between active commuting and risk of incident cardiovascular disease in the Chinese population. Methods and Results A total of 104 170 urban commuters without major chronic diseases at baseline were included from China Kadoorie Biobank. Self-reported commuting mode was defined as nonactive commuting, work at home or near home, walking, and cycling. Multivariable Cox regression was used to examine associations between commuting mode and cardiovascular disease. Overall, 47.2% of the participants reported nonactive commuting, 13.4% reported work at home or work near home, 20.1% reported walking, and 19.4% reported cycling. During a median follow-up of 10 years, we identified 5374 incidents of ischemic heart disease, 664 events of hemorrhagic stroke, and 4834 events of ischemic stroke. After adjusting for sex, socioeconomic status, lifestyle factors, sedentary time, body mass index, comorbidities, household air pollution, passive smoking, and other domain physical activity, walking (hazard ratio, 0.90; 95% CI, 0.84-0.96) and cycling (hazard ratio, 0.81; 95% CI, 0.74-0.88) were associated with a lower risk of ischemic heart disease than nonactive commuting. Cycling was associated with a lower risk of ischemic stroke (hazard ratio, 0.92; 95% CI, 0.84-1.00). No significant association was found of walking or cycling with hemorrhagic stroke. The associations of commuting mode with major cardiovascular disease were consistent among men and women and across different levels of other domain physical activity. Conclusions In urban China, cycling was associated with a lower risk of ischemic heart disease and ischemic stroke. Walking was associated with a lower risk of ischemic heart disease.
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Registered trials
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.