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Open Access Highly Accessed Review

The relationship between active travel to school and health-related fitness in children and adolescents: a systematic review

David R Lubans1*, Colin A Boreham3, Paul Kelly2 and Charlie E Foster2

Author Affiliations

1 School of Education, University of Newcastle, Callaghan Campus, Australia

2 Department of Public Health, University of Oxford, UK

3 Institute for Sport and Health, University College Dublin, Ireland

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International Journal of Behavioral Nutrition and Physical Activity 2011, 8:5  doi:10.1186/1479-5868-8-5

Published: 26 January 2011

Abstract

Background

Active travel to school (ATS) has been identified as an important source of physical activity for youth. However, the relationship between ATS and health-related fitness (HRF) among youth remains unclear.

Methods

A systematic search of seven electronic databases (EMBASE, OVID MEDLINE, PsycINFO, PubMed, Scopus, SPORTDiscus and TRIS on line) was conducted in December 2009 and studies published since 1980 were considered for inclusion.

Results

Twenty seven articles were identified that explored the relationship between ATS and the following aspects of HRF: weight status/body composition, cardiorespiratory fitness, muscular fitness and flexibility. Forty-eight percent of the studies that examined the relationship between ATS and weight status/body composition reported significant associations, this increased to 55% once poor quality studies were removed. Furthermore, the findings from five studies, including one longitudinal study, indicate that ATS is positively associated with cardiorespiratory fitness in youth. However, the evidence for the relationships between ATS and muscular fitness or flexibility is equivocal and limited by low study numbers.

Conclusions

There is some evidence to suggest that ATS is associated with a healthier body composition and level of cardiorespiratory fitness among youth. Strategies to increase ATS are warranted and should be included in whole-of-school approaches to the promotion of physical activity.