Association of commuting mode with dyslipidemia and its components after accounting for air pollution in the working population of Beijing, China

Abstract

Background Evidence of the association between dyslipidemia and its components with commuting mode after adjusting for air pollution is limited. This study aimed to explore the association of dyslipidemia and its components with the modes used to commute to and from work after accounting for air pollution and other potential confounding factors. Methods This cross–sectional study was based on data collected from a working population of 69 functional communities in Beijing in 2016. A final sample of 8090 adults aged 18–65 years (mean age: 38.36 ± 9.75 years) was enrolled in the study. Risk estimates and their corresponding 95% confidence intervals (CIs) for the associations of dyslipidemia and its components with commuting mode were determined using multivariate logistic regression models. Results Of the 8090 subjects, 2419 (29.90%) met the criteria for dyslipidemia. Compared with car or taxi commuters, walking (OR 0.79, 95% CI 0.64 to 0.97), cycling (OR 0.71, 95% CI 0.58 to 0.86) and bus-riding commuters (OR 0.78, 95% CI 0.66 to 0.91) had a lower risk for dyslipidemia. Compared with car or taxi commuting, walking, cycling and bus-riding commuting were also associated with a lower risk for some components of dyslipidemia. Among the walking, cycling and bus-riding commuters, a dose-response trend of the association between dyslipidemia, some of its components and commuting mode by commuting time was also observed. Conclusions Walking, cycling and bus-riding commuting can reduce the risk for dyslipidemia and some of its components. Education on the prevention of dyslipidemia should be emphasized among higher-risk people who usually commute by car or taxi. Population-wide health may be improved by policies that encourage active commuting, particularly cycling and walking. Electronic supplementary material The online version of this article (10.1186/s12889-019-6887-x) contains supplementary material, which is available to authorized users.

Obesity, lifestyle behaviors and dyslipidemia among Chinese adults aged 45 and older

“…A cross sectional study involving 25,697 Chinese individuals found that 38.5% of those receiving lipid lowering treatment did not achieve the treatment goal for low density lipoprotein, which is similar to the results of other studies from China (12)(13)(14). Previous research found that lifestyle changes including increased physical activity and decreased body mass index (BMI) had profound effects on preventing dyslipidemia (15)(16)(17)(18). These findings, together with ones from observational and clinical studies, suggested that combination therapy in controlling dyslipidemia was very important; no obesity and healthy lifestyle behavior would be focused to help the treatment of dyslipidemia (16,(19)(20)(21)(22).…”

Changing trajectories of serum uric acid and risk of non-alcoholic fatty liver disease: a prospective cohort study

“…This cohort was built using data from the Health Management Cohort (BHMC). The BHMC is a large-scale longitudinal cohort study that investigates the development of metabolic disorders in healthy individuals from urban areas of Beijing [8,9]. There were 11,585 participants who were recruited to undergo a physical examination in 2012.…”