Climate Change, Air Pollution, and Physical Inactivity: Is Active Transportation Part of the Solution?

Active transportation is defined as self-propelled, human-powered transportation modes, such as walking and bicycling. In this article, we review the evidence that reliance on gasoline-powered transportation is contributing to global climate change, air pollution, and physical inactivity and that this is harmful to human health. Global climate change poses a major threat to human health and in the future could offset the health gains achieved over the last 100 yr. Based on hundreds of scientific studies, there is strong evidence that human-caused greenhouse gas emissions are contributing to global climate change. Climate change is associated with increased severity of storms, flooding, rising sea levels, hotter climates, and drought, all leading to increased morbidity and mortality. Along with increases in atmospheric CO2, other pollutants such as nitrogen dioxide, ozone, and particulate matter (e.g., PM2.5) are released by combustion engines and industry, which can lead to pulmonary and cardiovascular diseases. Also, as car ownership and vehicle miles traveled have increased, the shift toward motorized transport has contributed to physical inactivity. Each of these global challenges has resulted in, or is projected to result in, millions of premature deaths each year. One of the ways that nations can mitigate the health consequences of climate change, air pollution, and chronic diseases is through the use of active transportation. Research indicates that populations that rely heavily on active transportation enjoy better health and increased longevity. In summary, active transportation has tremendous potential to simultaneously address three global public health challenges of the 21st century.

A faith-based mind-body intervention to improve psychosocial well-being among rural adults.

Churches are well positioned to promote better mental health outcomes in underserved populations, including rural adults. Mind-body (MB) practices improve psychological well-being yet are not widely adopted among faith-based groups due to conflicting religious or practice beliefs. Thus, "Harmony & Health" (HH) was developed as a culturally adapted MB intervention to improve psychosocial health in urban churchgoers and was adapted and implemented in a rural church. The purpose of this study was to explore the feasibility, acceptability, and efficacy of HH to reduce psychosocial distress in rural churchgoers. HH capitalized on an existing church partnership to recruit overweight or obese (body mass index [BMI] ≥25.0 kg/m2) and insufficiently active adults (≥18 years old). Eligible adults participated in an 8 week MB intervention and completed self-reported measures of perceived stress, depressive symptoms, anxiety, and positive and negative affect at baseline and postintervention. Participants (mean [M] age = 49.1 ± 14.0 years) were mostly women (84.8%), non-Hispanic white (47.8%) or African American (45.7%), high socioeconomic status (65.2% completed ≥bachelor degree and 37.2% reported an annual household income ≥$80,000), and obese (M BMI = 32.6 ± 5.8 kg/m2). Participants reported lower perceived stress (t = -2.399, p = .022), fewer depressive symptoms (t = -3.547, p = .001), and lower negative affect (t = -2.440, p = .020) at postintervention. Findings suggest that HH was feasible, acceptable, and effective at reducing psychosocial distress in rural churchgoers in the short-term. HH reflects an innovative approach to intertwining spirituality and MB practices to improve physical and psychological health in rural adults, and findings lend to our understanding of community-based approaches to improve mental health outcomes in underserved populations.

Results of Walking in Faith: A Faith-Based Physical Activity Program for Clergy.

Clergy are disproportionately affected by obesity and chronic disease. Physical activity (PA) offers a viable option for addressing the health of clergy. The purpose of this study was to evaluate the effectiveness of a culturally tailored PA program for clergy. Clergy (N = 44) were randomly assigned to an intervention group or wait-list control group. Baseline and follow-up measures included PA behavior and psychosocial measures. Analyses revealed a significant effect of the intervention on sedentary behavior, PA behavior, self-efficacy for PA, and outcome expectations for PA. Culturally tailored PA programs could potentially influence PA behavior and psychosocial mediators of PA among clergy.

Association of workplace supports with active commuting.

INTRODUCTION: Active commuting is associated with a reduced risk of several chronic diseases, but few studies have considered institutional factors that influence it. We examined the association between cultural and physical workplace supports for active commuting and employee active commuting behavior. METHODS: Data were collected from employees (N = 375) in Manhattan, Kansas, via an online survey. Physical and cultural supports for active commuting in the workplace were measured separately. Active commuting frequency was dichotomized as 0 trips versus at least 1 trip per week by foot or bicycle. Binomial logistic regression was used to predict the likelihood of commuting actively at least once per week, according to the number and type of cultural and physical workplace supports. Analyses were conducted by sex and age and for the full sample. RESULTS: Among the full sample, employees who reported more physical and cultural supports in the workplace for active commuting were more likely to walk or bicycle to work at least once per week. Significant, positive relationships between cultural and physical supports and active commuting were observed for women but not for men. Both younger and older adults who reported 2 or more physical supports in the workplace were more likely to actively commute, but no relationship was observed for cultural supports. The most influential types of individual supports were perceiving that other coworkers actively commute and the presence of bicycle parking and a bicycle storage policy at the workplace. CONCLUSION: The presence of workplace physical and cultural supports is related to more active commuting behavior and may especially encourage active commuting among women.