ArticleBMJ open2020
Active living environments, physical activity and premature cardiometabolic mortality in Canada: a nationwide cohort study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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.
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Who cites it
6 citing papers in PubMed.
- Pavements to Longevity: The Influence of Neighborhood Walkability on Mortality in Taiwan.Environmental health perspectives · 2025Article
- Tree-Based Machine Learning to Identify Predictors of Psoriasis Incidence at the Neighborhood Level: A Populational Study from Quebec, Canada.American journal of clinical dermatology · 2024Article
- Neighbourhood walkability and transportation and leisure physical activity by residency status: A cross-sectional analysis of nationally representative Canadian data.Journal of migration and health · 2024Article
- Influence of the Social Environment on Ideal Cardiovascular Health.Journal of the American Heart Association · 2023Article
- Observational
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Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo evaluate sex-specific and age-specific associations of active living environments (ALEs) with premature cardiometabolic mortality.
designPopulation-based retrospective cohort study.
settingResidential neighbourhoods (1000-metre circular buffers from the centroids of dissemination areas) across Canada for which the Canadian ALE Measure was derived, based on intersection density, points of interest and dwelling density.
participants249 420 survey respondents from an individual-level record linkage between the Canadian Community Health Survey (2000-2010) and the Canadian Mortality Database until 2011, comprised of older women (65-85 years), older men (65-81 years), middle-aged women (45-64 years) and middle-aged men (45-64 years). PRIMARY OUTCOME MEASURES: Premature cardiometabolic mortality and average daily energy expenditure attributable to walking. Multivariable proportional hazards regression models were adjusted for age, educational attainment, dissemination area-level median income, smoking status, obesity, the presence of chronic conditions, season of survey response and survey cycle.
resultsSurvey respondents contributed a total of 1 451 913 person-years. Greater walking was observed in more favourable ALEs. Walking was associated with lower cardiometabolic death in all groups except for middle-aged men. Favourable ALEs conferred a 22% reduction in death from cardiometabolic causes (HR 0.78, 95% CI 0.63 to 0.97) for older women.
conclusionsOn average, people walk more in favourable ALEs, regardless of sex and age. With the exception of middle-aged men, walking is associated with lower premature cardiometabolic death. Older women living in neighbourhoods that favour active living live longer.
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