Abstract
It has been several years now that research coming from various disciplines such as sports science, medicine, urban planning and transport planning has provided strong evidence that sustainable urban mobility (SUM) is not only beneficial to the function of the city but to the human body too. As SUM includes not merely public transport but physical activity (walking, cycling, etc.) and as these can be further combined with exercise, an active urban environment can be created that can contribute to human health. The World Health Organization (WHO) has developed the Health Economic Assessment Tool (HEAT), a software which includes an algorithm designed to estimate the long–term health and economic benefit of a given population’s cycling or walking. This paper shows how the HEAT has been applied to the case of the city of Trikala, Greece. It is based on bicycle traffic measurements recorded on September 2016, in Trikala, in the context of the SPACE Erasmus+ EU Programme. The result shows how and how much the increase of bicycle traffic (distance, hours, frequency of use) in the future can increase life expectancy and reduce health care costs, thus being a beneficial investment. The paper, also includes several ‘what if scenarios’ related to walking, so as to provide a broader picture of a possible urban active environment in the city.
The preparation of this paper was co-financed by the Erasmus+ Programme of the European Union.
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Notes
- 1.
The ‘burden of disease’ is the impact of a health problem on a given area, and can be measured using a variety of indicators such as mortality, morbidity or financial cost.
- 2.
- 3.
Population Attributable Fractions (PAFs) can measure the fraction of each disease that is attributable to physical activity.
- 4.
Int$: An international dollar has the same purchasing power as the U.S. dollar has in the United States. Costs in local currency units are converted to international dollars using purchasing power parity (PPP) exchange rates. …. An international dollar is, therefore, a hypothetical currency http://www.who.int/choice/costs/ppp/en/ [12].
- 5.
For more information on this project and on Trikala, see www.activeenvironments.eu [13].
- 6.
A later (2012) survey by “Public Issue” showed increased cycling usage up to 15% [11].
- 7.
For the full set of specifications used in this case study see: http://activeenvironments.eu/media/SPAcE-Output-3-Measuring-the-Value-of-an-Urban-Active-Environment-using-HEAT.pdf [13].
References
Dimitriou, H., Ward, J., Wright, P.: Mega transport projects - Beyond the ‘iron triangle’: findings from the OMEGA research programme. Prog. Plan. 86, 1–43 (2013)
Skayannis, P., Goudas, M., Rodakinias, P.: Sustainable mobility and physical activity: a meaningful marriage. Transp. Res. Procedia 24C, 81–88 (2017)
American College of Sports Medicine (ACSM): Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidelines for prescribing exercise. Med. Sci. Sports Exerc. 43, 1334–1359 (2011)
Cavill, N., et al.: Environments for physical activity in Europe. A review of evidence and examples of practice (2016). www.activeenvironments.eu. Accessed 14 Feb 2018
Lee, I.M., Shiroma, E.J., Lobelia, F., Puska, P., Blair, S.R., Katzmarzyk, P.T.: Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 380, 219–229 (2012)
Healthknowledge.org (n.d): Measures of disease burden (event-based and time-based) and population attributable risks including identification of comparison groups appropriate for public health. http://www.healthknowledge.org.uk/public-health-textbook/research-methods/1a-epidemiology/measures-disease-burden. Accessed 23 Nov 2016
Ding, D., et al.: The Economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lanset 388(10051), 1311–1324 (2016)
Sallis, J.F., Bull, F., Guthold, R., Heath, G.W., Inoue, S., Kelly, P., Oedema, A.L., Perez, L.G., Richards, J., Hallal, P.: Physical activity 2016: progress and challenges. Progress in physical activity over the Olympic quadrennium. Lancet 388, 1325–1336 (2016)
Kahlmeier, S., Kelly, P., Foster, C., Götschi, T., Cavill, N., Dinsdale, H., et al.: Health economic assessment tolls (HEAT) for walking and cycling. Methodology and user guide (2014). http://www.euro.who.int/en/health-topics/environment-and-health/Transport-and-health/publications/2011/health-economic-assessment-tools-heat-for-walking-and-for-cycling.-methodology-and-user-guide.-economic-assessment-of-transport-infrastructure-and-policies.-2014-update. Accessed 21 Nov 2016
Braki, E.: Light electric vehicles for sustainable urban mobility: the case of Trikala. In: Intelligent Transport Systems Hellas 3rd Conference, 23–24 January 2018
Public Issue: Η χρήση του ποδηλάτου στην Ελλάδα (2012). Bicycle use in Greece (2012). http://www.publicissue.gr/wp-content/uploads/2013/01/gsi2013001_podilato.pdf. Accessed 20 Sept 2016
http://www.who.int/about/definition/en/print.html. Accessed 21 Nov 2016. http://www.who.int/choice/costs/ppp/en/. Accessed 14 Feb 2018
www.activeenvironments.eu. Accessed 14 Feb 2018
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Skayannis, P., Goudas, M., Crone, D., Cavill, N., Kahlmeier, S., Mitsiadi, V. (2019). Health Related Benefits of Non-motorised Transport: An Application of the Health Economic Assessment Tool of the World Health Organisation to the Case of Trikala, Greece. In: Nathanail, E., Karakikes, I. (eds) Data Analytics: Paving the Way to Sustainable Urban Mobility. CSUM 2018. Advances in Intelligent Systems and Computing, vol 879. Springer, Cham. https://doi.org/10.1007/978-3-030-02305-8_95
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