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Modes of commuting to school among 5th and 6th grade schoolchildren

Modos de deslocamento para a escola em crianças do 5º e 6º ano de escolaridade

Abstract

Active commuting (walking/cycling) is seen as a strategy to promote active behaviors in children’s daily school life. This study aimed to analyze the modes of commuting and perceptions of children in relation to the possibility of active commuting to school according to sex. Overall, 101 students (M=11.39/SD=1.22) enrolled in the 5th and 6th grades from two public elementary schools in the state of Maranhão, Brazil, participated in this study. Data were collected through a questionnaire administered to students. The results showed that 21.8% of respondents had active commuting (19.8% on foot / 2% bicycle), without statistically significant differences; however, boys were more predisposed to walking and cycling in relation to girls. As positive justifications, respondents evidenced the ‘home-school proximity’ and ‘fun/pleasure’ provided during the journey, and ‘distance’ and ‘traffic / insecurity’ as barriers to the possibility of walking or cycling to school.

Key words
Bicycling; Child; Exercise; Healthy lifestyle; Walking

Resumo

Vislumbra-se o deslocamento ativo (a pé/bicicleta) como uma estratégia de promoção de comportamentos ativos no cotidiano escolar de crianças. Este estudo objetivou analisar os modos de deslocamento e percepções de crianças em relação à possibilidade do deslocamento ativo para a escola de acordo com o sexo. Participaram 101 alunos (xx=11,39/DP=1,22) do 5º e 6º ano de escolaridade de duas escolas públicas do estado do Maranhão,Brasil. Os dados foram coletados através de um questionário administrado aos alunos. Os resultados demonstraram que 21,8% dos inquiridos se deslocaram ativamente (19,8% a pé/2% bicicleta), sem diferenças estatisticamente significativas, contudo, os meninos apresentaram maior predisposição à caminhada e utilização da bicicleta em relação às meninas. Como justificativas positivas os inquiridos evidenciaram a ‘Proximidade casa-escola’ e ‘Diversão/prazer’ proporcionadas durante o trajeto e, a ‘distância’ e a ‘insegurança trânsito/geral’ como barreiras frente a possibilidade em realizar o percurso a pé ou de bicicleta para a escola.

Palavras-chave
Atividade física; Caminhada; Ciclismo; Criança; Estilo de vida saudável

INTRODUCTION

Active commuting (walking / cycling) to school has been understood as a strategy to promote active behaviors in the daily lives of children11 Pereira BO, Silva IP, Monteiro RJF, Farenzena R, Rosário R. Transporte ativo nas rotinas de vida das crianças: estudo em escola urbana. In: Pereira BO, Silva AN, Cunha AC, Nascimento JV, editors. Atividade Física, Saúde e Lazer Olhar e pensar sobre o corpo. 1a ed. Florianópolis: Tribo da Ilha; 2014. p. 193-204., since it can cumulatively collaborate for the fulfillment of international daily levels of physical activity recommendations (60 min)22 Organization WH. Global recommendations on physical activity for health. Geneva, Switzerland. 2010..

Studies have evidenced the association between modes of active commuting to school and reduced obesity33 Drake KM, Beach ML, Longacre MR, MacKenzie T, Titus LJ, Rundle AG, et al. Influence of Sports, Physical Education, and Active Commuting to School on Adolescent Weight Status. Pediatrics 2012;130(2):e296-e304., improved cognitive performance44 Martínez-Gómez D, Veiga OL, Gomez-Martinez S, Zapatera B, Calle ME, Marcos A. Behavioural correlates of active commuting to school in Spanish adolescents: the AFINOS (physical activity as a preventive measure against overweight, obesity, infections, allergies, and cardiovascular disease risk factors in adolescents) study. Public Health Nutr 2011;14(10):1779-86., increased cardiovascular fitness55 Larouche R, Saunders TJ, John Faulkner GE, Colley R, Tremblay M. Associations between active school transport and physical activity, body composition, and cardiovascular fitness: a systematic review of 68 studies. J Phys Act Health 2014;11(1):206-27., increased level of physical activity in children who go to school walking or by bicycle66 Lee MC, Orenstein MR, Richardson MJ. Systematic review of active commuting to school and childrens physical activity and weight. J Phys Act Health 2008;5(6):930-49. and promotion of autonomy and independent mobility77 Sabbag GM, Kuhnen A, Vieira ML. A mobilidade independente da criança em centros urbanos. Interações 2015; 16(2):433-40..

However, the literature shows different prevalence of active commuting to school in children aged 10-12 years. For example, studies in the United States88 Schlossberg M, Greene J, Phillips PP, Johnson B, Parker B. School Trips: Effects of Urban From and Distance on Travel Mode. J Am Plan Assoc 2006;72(3):337-46. show prevalence of 20%, Australia99 Curtis C, Babb C, Olaru D. Built environment and children's travel to school. Transp Policy 2015;42:21-33. 42%, Portugal1010 Matos AP, Pereira B, Souza S, Silva A, Coelho E. O trajeto casa-escola: estudo em crianças dos 10 aos 16 anos. In: Azevedo F, Vieira H, Fernandes N, Pereira B, editors. Estudos da Criança: Diversidade de olhares. Braga: Universidade do Minho. Centro de Investigação em Estudos da Criança (CIEC); 2018. p. 199-214. 23%, Belgium1111 Van Dyck D, Cardon G, Deforche B, De Bourdeaudhuij I. Lower neighbourhood walkability and longer distance to school are related to physical activity in Belgian adolescents. Prev Med 2009;48(6):516-8. 78% and Spain1212 Chillón P, Pulido-Martos M, Villén-Contreras R, Ruiz J. Desplazamiento activo al colegio, salud positiva y estrés en niños españoles. Sport TK: Rev Euroam Cienc Deporte 2017;6(1):117-24. 50.5%, among others. These differences, even recognizing the existence of methodological peculiarities, suggest that the use of active commuting is relative to the specificities (environmental, intrapersonal, political, etc.) of each context.

In Brazil, although there is little research on this topic in relation to international production1313 Rech RR, Rosa COd, Avrela PR, Halpern R, Costanzi CB, Bergmann ML, et al. Fatores associados ao deslocamento ativo em escolares. Rev Bras Ativi Fís Saúde 2013;18(3):332-8., different prevalences of active commuting have been found among children of similar ages, such as studies1313 Rech RR, Rosa COd, Avrela PR, Halpern R, Costanzi CB, Bergmann ML, et al. Fatores associados ao deslocamento ativo em escolares. Rev Bras Ativi Fís Saúde 2013;18(3):332-8.,1414 Hallal PC, Bertoldi AD, Gonçalves H, Victora CG. Prevalência de sedentarismo e fatores associados em adolescentes de 10-12 anos de idade. Cad Saúde Pública 2006;22(6):1277-87. conducted in the southern region with levels of 72.4% and 58% respectively, and in the northeastern region1515 Silva KS, Lopes AS, Silva FM. Atividade física no deslocamento à escola e no tempo livre em crianças e adolescentes da cidade de João Pessoa, PB, Brasil. Rev Bras Ciênc Mov 2007;15:61-70., with results of 70.4%. In the State of Maranhão, where this study was carried out, a study conducted in São Luís/MA with students from the 2nd to the 9th grades1616 Oliveira TC, Silva AAM, Santos CJN, Sousa J, Conceição SIO. Atividade física e sedentarismo em escolares da rede pública e privada de ensino em São Luís. Rev Saúde Pública 2010;44(6):996-1004. showed approximately 55% of active commuting to school.

In this perspective, there is current evidence of a decline in the active modes of commuting of children to school 1717 Sá TH, Rezende LFM, Rabacow FM, Monteiro CA. Aumento no uso de transporte motorizado privado no deslocamento das crianças para a escola na Região Metropolitana de São Paulo, Brasil, 1997-2012. Cad Saúde Pública 2016;32(5):1-6., which can be explained by the influence of several factors (environmental, intrapersonal, political and the perceived home-school route context). Thus, this study aimed to analyze the modes of commuting and perceptions of children enrolled in the 5th and 6th grades of elementary school in relation to the possibility of active commuting to school according to sex.

METHODOLOGICAL PROCEDURES

Study characterization and participants

This is a cross-sectional descriptive study. A total of 101 students from the 5th to 6th grades aged 9-16 years ( = 11.39 / SD = 1.122) from two public schools of the municipalities of São Luís and São José de Ribamar, Maranhão, Brazil, were selected by convenience criterion. The majority of participants (85%) were children aged 9-12 years.

Data collection instrument

For data collection, a questionnaire was used1818 Matos AP, Coelho EM, Pereira B, Souza S. Reprodutibilidade do questionário Transporte Ativo e rotinas em adolescentes portugueses Retos [Internet]. 2018; 33(33):[152-6 pp.]. Available from: https://recyt.fecyt.es/index.php/retos/article/view/58765/35840.
https://recyt.fecyt.es/index.php/retos/a...
, addressing aspects related to the modes of commuting to school, perceptions and possible factors that can influence the options and decisions regarding the possibilities of active commuting to school. The questionnaire contains open and closed questions and is subdivided into six dimensions: 1) Sociobiographic data; 2) Characterization of modes of commuting, home-school distance and time required; 3) Use of bicycle, walking, peers and family; 4) Safety Bike; 5) Health and Autonomy; 6) Environment and Savings.

Procedures and ethical issues

Subsequent to the fulfillment of ethical formalities such as institutional authorizations, approval by pedagogical managers and Free and Informed Consent Form (TCLE) signed by parents / guardians, the questionnaire was administered to students in the classroom context in the presence of the teacher.

The following inclusion criteria were adopted: students enrolled and attending the 5th or 6th grades of elementary school and TCLE signed by parents. Those who did not deliver the signed TCLE and were unable to respond to the questionnaire at the time of application were excluded. This study was developed in accordance with the specific norms that involve research with human beings (CNS Resolution 466/2012) and approved by the Ethics Research Committee of the Federal University of Maranhão (CEP / UFMA) under protocol No. 2.166.038.

Variables

Sociobiographical data were collected from questions inserted in dimension 1 of the questionnaire. To determine the modes of commuting used, students were asked “What is the main means of transport used in your home-school trip?” Answers options were: walking, automobile, bus, van, motorcycle, bicycle and others. Subsequently, responses were dichotomized in: 1) Active commuting (walking / bicycle) and 2) Passive commuting (car, bus, etc.). Participants reported only the main mode of commuting without specifying the direction (going to school / coming back from school), thus discarding multimodal modes of travel such as going by car and walking back home.

The home-school distance was evaluated by specific question and had the following answer options: up to 1km, 1.1 to 3km, 3.1 to 5km, 5.1 to 7km, 7.1 to 10km and 10km or more. Subsequently, answers were grouped for association analysis into 1) Up to 1km; 2) 1.1 to 3km and 3) More than 3km, considering that literature presents distance of 3-3.2km as the distance favorable for active commuting.

In order to describe and analyze factors that could influence modes of commuting, participants were asked about the preferences and possibilities of the active commuting to school and asked to justify their responses that were later categorized as positive and negative.

Data analysis

Data were initially analyzed by descriptive statistics techniques (mean, standard deviation and frequency distribution). Qualitative information obtained from open questions was analyzed from the structuring and systematization of categories based on the analysis of the Thematic Categorical content1919 Bardin L. Análise de Conteúdo. Lisboa: Edições 70; 2015.. The Chi-square test (χ2) was used to analyze possible associations among variables. Data were tabulated and analyzed in the Statistical Package for Social Science statistical software (SPSS) V.22 and the statistical significance level was adopted when p-value was lower than 0.05.

RESULTS

The sample of this study was mostly composed of females (53.5%) enrolled in the 6th grade (64.4%). The results did not present statistically significant differences in relation to sex.

Based on the results analyzed (Table 1), it was verified that the percentage of students who actively commuted to school was 21.8%, the majority using the walking mode (19.8%) and only two boys (2.0%) used the bicycle as a mode of commuting to school. The most commonly used means of transport was bus (52.5%), followed by car (20.8%) and walking.

Regarding the school-home distance, 46.5% of students reported to live up to 3km away from the school. The results did not show statistically significant differences between sex and modes of commuting; however, it was observed that boys were more active and users of bicycle as a way of commuting compared to girls.

Table 1
Modes of commuting and home-school distance according to sex (n = 101)

Regarding preferences on the modes of commuting to school, the results showed that 75.2% of students reported that they preferred to go using active modes, and the majority of them were more positive in the use of the bicycle (68.3%) to the detriment of the walking mode (6.9%). Although the results did not show significant differences, boys were more positive to the walking mode and girls more positive to the use of the bicycle as a mode of commuting.

Participants were also asked if they perceived the possibility of walking or cycling to school and back from school. The results did not present statistically significant differences in relation to sex; however, in general, 54.5% showed positive perception regarding this possibility, with greater emphasis on boys than on girls (Table 2).

Table 2
Preferences and perceptions regarding the active commuting to school according to sex

Table 3 presents the justifications regarding the perception about the possibility of actively commuting to school. The results, for both students who answered positively and those who answered negatively, did not present statistically significant differences in relation to sex.

Table 3
Justifications about the possibility of performing the home-school route by active modes according to sex

It was verified that the ‘home-school proximity’, followed by ‘fun / pleasure’ on the way, were the most cited aspects to those who positively answered regarding the possibility of commuting to school walking or cycling. Of students who answered in a negative way, the ‘long distance’, ‘Insecurity / general’ and ‘Insecurity / traffic’ were the most cited aspects. Girls showed greater concern about distance and traffic insecurity and boys about general insecurity during the home-school trip.

DISCUSSION

The results showed disparities between how students effectively go to school and how they would like to go to school in their school routine. It has been found that approximately 22% of students go to school in active modes, mostly walking, with only two boys reporting using the bicycle.

Regarding the relationship between modes of commuting and the sex of participants, the results were not significant, and results were similar to another Brazilian study1313 Rech RR, Rosa COd, Avrela PR, Halpern R, Costanzi CB, Bergmann ML, et al. Fatores associados ao deslocamento ativo em escolares. Rev Bras Ativi Fís Saúde 2013;18(3):332-8.; however, boys were more active in their commuting to school.

These results are in agreement with other studies55 Larouche R, Saunders TJ, John Faulkner GE, Colley R, Tremblay M. Associations between active school transport and physical activity, body composition, and cardiovascular fitness: a systematic review of 68 studies. J Phys Act Health 2014;11(1):206-27.,1414 Hallal PC, Bertoldi AD, Gonçalves H, Victora CG. Prevalência de sedentarismo e fatores associados em adolescentes de 10-12 anos de idade. Cad Saúde Pública 2006;22(6):1277-87., in which boys were more active in commuting to school than girls. On the other hand, two Brazilian studies1515 Silva KS, Lopes AS, Silva FM. Atividade física no deslocamento à escola e no tempo livre em crianças e adolescentes da cidade de João Pessoa, PB, Brasil. Rev Bras Ciênc Mov 2007;15:61-70.,2020 Santos CM, Júnior RSW, Barros SSH, Farias Júnior JC, Barros MVG. Prevalência e fatores associados à inatividade física nos deslocamentos para escola em adolescentes. Cad Saúde Pública 2010;26(7):1419-30. identified greater participation of girls in the use of active modes of commuting to school.

In relation to the percentage of active commuting, our results are in agreement with two studies11 Pereira BO, Silva IP, Monteiro RJF, Farenzena R, Rosário R. Transporte ativo nas rotinas de vida das crianças: estudo em escola urbana. In: Pereira BO, Silva AN, Cunha AC, Nascimento JV, editors. Atividade Física, Saúde e Lazer Olhar e pensar sobre o corpo. 1a ed. Florianópolis: Tribo da Ilha; 2014. p. 193-204.,1010 Matos AP, Pereira B, Souza S, Silva A, Coelho E. O trajeto casa-escola: estudo em crianças dos 10 aos 16 anos. In: Azevedo F, Vieira H, Fernandes N, Pereira B, editors. Estudos da Criança: Diversidade de olhares. Braga: Universidade do Minho. Centro de Investigação em Estudos da Criança (CIEC); 2018. p. 199-214. carried out with children in northern Portugal where, respectively, 21% and 23% of students walked to school. However, some studies1414 Hallal PC, Bertoldi AD, Gonçalves H, Victora CG. Prevalência de sedentarismo e fatores associados em adolescentes de 10-12 anos de idade. Cad Saúde Pública 2006;22(6):1277-87.,1515 Silva KS, Lopes AS, Silva FM. Atividade física no deslocamento à escola e no tempo livre em crianças e adolescentes da cidade de João Pessoa, PB, Brasil. Rev Bras Ciênc Mov 2007;15:61-70. performed in Brazil presented higher results, respectively, 72.4% and 70% of the use of active commuting. Another research1616 Oliveira TC, Silva AAM, Santos CJN, Sousa J, Conceição SIO. Atividade física e sedentarismo em escolares da rede pública e privada de ensino em São Luís. Rev Saúde Pública 2010;44(6):996-1004., carried out in the same region as this one, identified the use of active commuting by 58.4% of children aged 9-16 years.

Regarding modes of commuting, the use of passive modes prevailed, bus followed by car and a very small use of the bicycle. These results converge with literature1717 Sá TH, Rezende LFM, Rabacow FM, Monteiro CA. Aumento no uso de transporte motorizado privado no deslocamento das crianças para a escola na Região Metropolitana de São Paulo, Brasil, 1997-2012. Cad Saúde Pública 2016;32(5):1-6.,2121 De Meester F, Van Dyck D, De Bourdeaudhuij I, Cardon G. Parental perceived neighborhood attributes: associations with active transport and physical activity among 10-12 year old children and the mediating role of independent mobility. BMC Public Health 2014;14:1316-39., which has evidenced a decline of active modes to the detriment of the growth of the use of passive modes of commuting to school.

Regarding the low use of bicycle, it is noteworthy that most students, when asked how they would like to go to school, chose the bicycle as preferred mode of commuting. The results suggest that students’ preferences are not really effective, probably because parents / guardians are the real decision makers of how their students should go to school2121 De Meester F, Van Dyck D, De Bourdeaudhuij I, Cardon G. Parental perceived neighborhood attributes: associations with active transport and physical activity among 10-12 year old children and the mediating role of independent mobility. BMC Public Health 2014;14:1316-39..

Other studies carried out in Brazil also identified low use of bicycle as a mode of commuting to school. An investigation carried out with children and adolescents from the city of Curitiba/PR2222 Beraldo LM, Modesto JD, Ulbricht L, Guimaraes IA. Transporte ativo escolar e fatores intervenientes em sua adoção: um estudo com adolescentes de Curitiba -PR. Saúde Pesq 2015; 8:19-30. showed that only 1.7% of students interviewed used the bicycle in their school routine, results that resemble the study carried out in Pelotas/RS1414 Hallal PC, Bertoldi AD, Gonçalves H, Victora CG. Prevalência de sedentarismo e fatores associados em adolescentes de 10-12 anos de idade. Cad Saúde Pública 2006;22(6):1277-87., which identified the use of the bicycle as a mode of commuting of 6% of students surveyed.

The results showed that the majority of students (54.5%) think that it is possible to carry out the home-school route walking and / or by bicycle. Their justifications clarify the importance of environmental factors in the process of perception, decision and choice by active commuting.

The home-school distance was the most relevant justification presented by both students who showed to be positive and those who showed to be negative about the possibility of going to school through active commuting.

Distance has been understood as one of the most significant factors associated with active commuting, where children who live closer to school are more likely to walk or cycle to school, considerably reducing this possibility from the distance of 3.2km (2 miles) between home and school2323 Easton S, Ferrari E. Children's travel to school—the interaction of individual, neighbourhood and school factors. Transp Policy 2015;44:9-18.. A study2424 Broberg A, Sarjala S. School travel mode choice and the characteristics of the urban built environment: The case of Helsinki, Finland. Transp Policy 2015;37:1-10. with Finnish children found that 97% of children who lived up to 1km from school actively commuted to school (74.4% walking and 22.8% cycling) and among those who lived more than 3 km away, only 2.9 % actively commuted to school.

Another relevant aspect highlighted by participants refers to the perceived environment, especially the safety concerns in the home-school route, whether related to traffic or in general.

Facts related to harassment, assaults, constraints, presence of strangers, among others, during the journey have been understood as aspects that negatively influence active commuting88 Schlossberg M, Greene J, Phillips PP, Johnson B, Parker B. School Trips: Effects of Urban From and Distance on Travel Mode. J Am Plan Assoc 2006;72(3):337-46.. On the other hand, aspects that provide greater safety perception along the way, such as greater residential / commercial density2525 Carlson JA, Sallis JF, Kerr J, Conway TL, Cain K, Frank LD, et al. Built environment characteristics and parent active transportation are associated with active travel to school in youth age 12–15. Br J Sports Med 2014;48(22):1634-9., presence of friends / neighbors who can monitor or follow their children2626 Carver A, Salmon J, Campbell K, Baur L, Garnett S, Crawford D. How Do Perceptions of Local Neighborhood Relate to Adolescents' Walking and Cycling? Am J Health Promot 2005;20(2):139-47., among others, increase the probability of active commuting to school.

It is understood that the safety perceptions of students and their parents / guardians regarding the home-school way may be related to the social context of the environment, city and region where students live. Data from the Brazilian Yearbook of Public Security – 20162727 Lima RS, Bueno S, Martins C, Marques D, Pröglhöf P-N, Astolfi R, et al. Anuário Brasileiro de Segurança Pública -2016 São Paulo: Fórum Brasileiro de Segurança Pública; 2016. Available from: http://www.forumseguranca.org.br/atividades/anuario/.
http://www.forumseguranca.org.br/ativida...
showed that in 2015, Brazil registered 58,467 intentional violent deaths and, compared to war situations, registered more victims in five years (279,567) than the War in Syria, which registered 256,124 victims in the period from 2011 to 2015.

Other data regarding violence in Brazil and referenced in this document2727 Lima RS, Bueno S, Martins C, Marques D, Pröglhöf P-N, Astolfi R, et al. Anuário Brasileiro de Segurança Pública -2016 São Paulo: Fórum Brasileiro de Segurança Pública; 2016. Available from: http://www.forumseguranca.org.br/atividades/anuario/.
http://www.forumseguranca.org.br/ativida...
deserve to be highlighted because they are directly related to the context investigated, in which 50% of Brazilian students and 59% of Maranhão students attend the 9th grade in schools located in risk areas of violence, and 11.5% of them reported to have lost classes due to lack of safety on the home-school route. In Maranhão, this was reported by 10.2% of students.

Concerns about traffic safety during the home-school route were also reported by participants as negative justifications for the possibility of active commuting to school. These results converge with literature, which has emphasized that aspects such as presence of pedestrian lanes and traffic lights2525 Carlson JA, Sallis JF, Kerr J, Conway TL, Cain K, Frank LD, et al. Built environment characteristics and parent active transportation are associated with active travel to school in youth age 12–15. Br J Sports Med 2014;48(22):1634-9., measures of traffic intensity and the presence of traffic guards55 Larouche R, Saunders TJ, John Faulkner GE, Colley R, Tremblay M. Associations between active school transport and physical activity, body composition, and cardiovascular fitness: a systematic review of 68 studies. J Phys Act Health 2014;11(1):206-27., connectivity and density of streets2424 Broberg A, Sarjala S. School travel mode choice and the characteristics of the urban built environment: The case of Helsinki, Finland. Transp Policy 2015;37:1-10., infrastructure for walking and cycling2828 Kerr J, Rosenberg D, Sallis JF, Saelens BE, Frank LD, Conway TL. Active commuting to school: Associations with environment and parental concerns. Med Sci Sports Exerc 2006;38(4):787-94., behavior of drivers2929 Christian HE, Klinker CD, Villanueva K, Knuiman MW, Foster SA, Zubrick SR, et al. The Effect of the Social and Physical Environment on Children's Independent Mobility to Neighborhood Destinations. J Phys Act Health 2015;12(6 Suppl 1):S84-93., among others, have been associated as determinant factors to the active commuting of children to school. It is well known that cities and their respective mobility spaces, for the most part, have been structured and restructured for cars at the expense of people, creating a daily dependence on motorized commuting and this has directly influenced the ways children commute to school.

As a study limitation, it was a study based on a convenience sample, using only perceived and transversal measures, which made it impossible to establish causal relationships among variables investigated. However, this study presented relevant and original results in view of the few studies conducted on the subject in the region investigated.

CONCLUSION

The results of this study evidenced low utilization of active modes of commuting to school. Variable sex was not significant; however, boys were more active than girls in commuting to school.

Motorized means were the most used and a very small number of male students declared to use the bicycle to commute to school. These results clarify a disparity between the real and the desired, since most students were interested in cycling to school.

Home-school distance and aspects related to traffic safety were relevant for students when asked about the perception of the possibility of actively carrying out the home-school route. This fact is important for interventions to promote active commuting of children to school. Thus, it is understood that interventions aimed at promoting active commuting and the daily level of physical activities should be structured and implemented at various levels (political, environmental, social, cultural, etc.) with the participation of the main actors involved.

How to cite this article

  • Souza S, Carvalho W, Matos AP, Silva A, Oliveira E, Soares I, Bezerra S, Pereira B. Modes of commuting to school among 5th and 6th grade schoolchildren. Rev Bras Cineantropom Desempenho Hum 2019, 21:e55564. DOI: http://dx.doi.org/10.5007/1980-0037.2019v21e55564

COMPLIANCE WITH ETHICAL STANDARDS

  • Funding
    This research has received specific grant from Fundação de Amparo à Pesquisa e ao Desenvolvimento Científico e Tecnológico do Maranhão/Brasil (FAPEMA, BD-05074/15).
  • Ethical approval
    Ethical approval was obtained from the local Human Ethics Research Committee – Federal University of Maranhão (No. 2.166.038), and the protocol was written in accordance with the standards set by the Declaration of Helsinki.

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    Martínez-Gómez D, Veiga OL, Gomez-Martinez S, Zapatera B, Calle ME, Marcos A. Behavioural correlates of active commuting to school in Spanish adolescents: the AFINOS (physical activity as a preventive measure against overweight, obesity, infections, allergies, and cardiovascular disease risk factors in adolescents) study. Public Health Nutr 2011;14(10):1779-86.
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    Larouche R, Saunders TJ, John Faulkner GE, Colley R, Tremblay M. Associations between active school transport and physical activity, body composition, and cardiovascular fitness: a systematic review of 68 studies. J Phys Act Health 2014;11(1):206-27.
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    Sabbag GM, Kuhnen A, Vieira ML. A mobilidade independente da criança em centros urbanos. Interações 2015; 16(2):433-40.
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    Schlossberg M, Greene J, Phillips PP, Johnson B, Parker B. School Trips: Effects of Urban From and Distance on Travel Mode. J Am Plan Assoc 2006;72(3):337-46.
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    Curtis C, Babb C, Olaru D. Built environment and children's travel to school. Transp Policy 2015;42:21-33.
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Publication Dates

  • Publication in this collection
    30 May 2019
  • Date of issue
    2019

History

  • Received
    28 Feb 2018
  • Accepted
    19 Aug 2018
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