THE USE OF BICYCLES AS A MEANS OF TRANSPORT IN A MOUNTAIN CITY, ACCORDING TO THE PHYSICAL CONDITION OF PEOPLE WHO ARE OVER 30 YEARS OLD JANAINA AMORIM DIAS1; MARCONI GOMES DA SILVA2; RODRIGO GOMES DA SILVA3. 1Arquiteta do Grupo TECTRAN, 2,3 Hospital das Clínicas – UFMG; 2Diretor da SPORTIF – Clínica do Exercício e do Esporte INTRODUCTION Figure 3 ‐ Altimetry The active urban mobility and its relation to the health of the population have encouraged the study of non‐motorized means of transportation. Therefore, we have proposed a study on the use of bicycles in the mountainous city of Belo Horizonte, located in Brazil, in the State of Minas Gerais. People in this city have not develop the habit of commuting by bicycle on a daily basis probably because, in the past, these vehicles were heavier and did not have the technology that is available today. OBJETIVE The aim of this study was to evaluate the changes in the participants’ clinical parameters during a predefined journey, using the bicycle as the means of transportation. People over 35 years old and with different functional capacities were studied, one group being formed by Going Return sedentary individuals and the other one by physically active individuals, according to criteria RESULTS used by the World Health Organization (WHO). WHO defines physical activity as any bodily Pre‐participation questionnaire movement produced by skeletal muscles that requires energy expenditure – including Figure 2 ‐ Factors that limit the use of bicycles in Belo Horizonte among participants activities undertaken while working, playing, carrying out household chores, travelling, and engaging in recreational pursuits. Physically active individuals should do at least 150 minutes of moderate‐intensity physical activity throughout the week. METHOD 22 volunteers: 11 subjects physically active and 11 sedentary subjects. The groups had similar characteristics. 0% 10% 20% Poor infrastructure Falta de Infraestrutura Table 1 – Participant group features 50% 60% Relief Relevo 70% Praticidade Praticidade 80% 90% 100% Poor fitness Condicionamento Físico Figure 3 ‐ Comparison of Heart Rate 100% % Heart rate (HR) 90% Minimum Maximum 40% Insecurity Insegurança Data along the path Sedentary (< 150 min per week) Average Minimum Maximum Avaerage Minimum Maximum All subjects average Anrhropometric measurements Physically active subjects (> 150min per week) 30% 80% 70% P < 0,05 P > 0,05 P < 0,05 60% P < 0,05 50% 40% 43,2 Age (years) 59 30 43,5 56 31 42,8 59 30 Weight (kg) 74,2 92 53 73 92 53 75,5 83 60 Height (meters) Body Mass Index (BMI) = W/H2 1,71 1,82 1,58 1,71 1,81 1,58 1,71 1,82 1,61 25,3 30,7 21,2 24,7 28,1 21,2 26,0 30,9 21,3 Time spent per week in physical activity (minutes per week) 153 360 0 253 360 150 51 120 0 30% P > 0,05 20% 10% 0% FC Repouso rest Heart rate at FC Subida 1 HR First measure FC Subidameasure 2 HR Second FC Subida 3 HR Third measure FC Chegada HR Final measure Todos os pares Ativos Sedentary Sedentários All Physically active subjects subjects Figure 4 ‐ Borg’s Scales of Perceived Exertion Average Borg’ Scale 5 Athletes and people who suffer from any severe cardiovascular disease were excluded. The 4 total length of the journey was 5.2 km, 3.8 km of which taking place on a bicycle path. The 3 volunteer participants made the same journey accompanied by a cyclist doctor and each of them carried a backpack of 3 kg to simulate the weight of a baggage of everyday use. It was performed a comparison of the physiological impact (heart rate, blood pressure, presented 2 1 0 (P < 0,05) Borg Subida 1 Borg First measure Ativos Physically active subjects symptoms) and of the modified Borg's scale of subjective perception. The participants filled in a questionnaire form before and after the completion of the course. Borg Subida 2 Borg Second measure Sedentary Sedentários Borg Third measure Borg Subida 3 Borg Final measure Borg Geral Todos os pares All subjects After participation questionnaire Figure 5 – After riding a bike, what is your opinion about riding a bike in Belo Horizonte? Figure 1 – Route Plan (5,2 km) Easier than Iimagined Feasible with acceptable effort Feasible with significant effort Physically active Hard, not feasible Sedentary CONCLUSION It can be concluded that the relief was not an impediment for most people to complete the course, no matter their different physical abilities. This reinforces the importance of stimulating the practice of physical exercises among all age groups. Recent studies have shown that active urban mobility not only promotes health benefits, but also makes cities healthier and more sustainable. New studies should be conducted with the aim of overcoming barriers related to the relief, as well as those related to age, that might discourage the use of bicycles in mountain cities. Figure 2 – Borg scale modified Not at all Very light light Moderate Somewhat hard Hard REFERENCES Very Hard Very very Hard ‐ maximal 1. ABRACICLO. Associação Brasileira dos Fabricantes de Motocicletas, Ciclomotores, Motonetas, Bicicletas e Similares. Disponível em: http://abraciclo.com.BR/imagens/stories/dados_setor/bicicletas/produo%20mundial2011.pdf 2. Bull FC, Armstrong TP et al. (2005) Comparative Quantification of Health Risks: Global and Regional Burden of Disease Attributable to Selected Major Risk Factors. Geneva: World Health Organization. 3. Laferrere G. (2002) Comparison of national cycling policy in European Countries. Association for European Transport. European Transport Conference 2002 Location: Homerton College, Cambridge, England Date: 2002‐9‐9 to 2002‐9‐11 Sponsors: MVA, Limited; Association for European Transport ISBN: 0860503402 4. VIGITEL Brasil (2012) ‐ Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no distrito federal em 2012. 5. World Health Organization (2010) Global recommendations on physical activity for health. 1.Exercise. 2.Life style. 3.Health promotion. 4.Chronic disease ‐ prevention and control. 5. National health programs. ISBN 978 92 4 159 997 http://www.who.int/dietphysicalactivity/factsheet_adults/en/ 6. World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. Geneva, Switzerland: World Health Organization; (2009). http://www.who.int/healthinfo/global_burden_disease/en/ Emails: [email protected] / [email protected]