While it is already established that a physically active lifestyle helps reduce the likelihood of diabetes, high blood pressure and obesity, it is unclear whether these risk factors for heart disease and stroke are affected by how you get to work.
A Japanese study compared bus/train commuters, walkers/bikers and drivers and adjusted for other factors such as age, gender, smoking, and others.
Compared to drivers, public transportation users were 44 per cent less likely to be overweight, 27 per cent less likely to have high blood pressure and had 34 per cent less reduced risk of diabetes.
The researchers suggested that one explanation could be that these commuters actually walked farther to and from the train or bus station than walkers or bikers travelled to and from work.
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"If it takes longer than 20 minutes one-way to commute by walking or cycling, many people seem to take public transportation or a car in urban areas of Japan," said lead author Hisako Tsuji, director of the Moriguchi City Health Examination Centre in Japan.
"People should consider taking public transportation instead of a car, as a part of daily, regular exercise," Tsuji said.
Study participants included 5,908 adults who, in 2012, received an annual health examination offered by Moriguchi City in Japan.
Participants answered questions about their physical activity at work and how they got to work.
Most of the drivers were men, while more women than men used public transportation or walked or biked to get to work.
In each commuting group, the average age was between 49 and 54 years old.
Researchers noted that it is impossible to determine whether taking public transportation improved participants' health, or whether public-transportation users already were healthier than others studied.