Thursday, July 9, 2020

The good news about WFH: your long commute was killing you slowly...

How is your long commute killing you slowly?

 Legend says that Greek messenger Pheidippidies run 42.195 km (26.219 miles) from Marathon to Athens to report the victory over Persia in the Battle of Marathon, and then suddenly died. Since those times, circa 490 BC, the commute to work has changed a lot, it might look as it has improved from that tragic myth, however more and more research is pointing out that the modern long commute is indeed killing us. If you live in a big city, probably you commute around 30 min to 1 hour each way to work every day, if you are lucky you walk or bike, if not you have to suffer horrendous traffic, or crowded and unreliable public transportation, and all this stress affects your health.

Knott and collaborators, from the University of Cambridge, analyzed the “mental wellbeing” of 5.474 British commuters, aged 40-75, with a follow-up of 4,65 years. They reported that depression-asymptomatic commuters who transitioned from inactive to active commuting reported less severe depression symptoms than those who remained inactive, and a similar relationship was evident among commuters with pre-existing symptoms. Moreover, longer commutes were associated with worse depressive symptoms. “Shifting from exclusive car use towards more active commuting may help prevent and attenuate depressive symptoms in working adults”. (1)

 

Another study done in the UK by Flint and collaborators showed that individuals who transitioned from car commuting to active or public transportation had a decrease in body mass index (BMI) of -0.30 kg/m2, contrariwise, individuals who transitioned from active commuting to car had a BMI increase of 0.32 kg/m2. The take-home message is that increased levels of physical activity as part of the commute to work could reduce obesity among middle-aged adults. (2) Already in 2013, Laverty and collaborators reported that, in the UK, using public transport, walking, or cycling to work was associated with a lower likelihood of being overweight. Walking or cycling was associated with a lower likelihood of having diabetes, and walking was associated with a lower likelihood of having hypertension than private transport. (3)

In the USA, one out of every six commuters travels more than 45 min each way every weekday, and this long voyage makes people lonelier (4). Back in 2009, as part of the Gallup-Healthways Well-Being Index study, 173,581 employed adults were interviewed by the phone, and they reported that one in three employees with a commute of more than 90 minutes have had a neck or back condition that has caused recurrent pain; among those with commutes of 10 minutes or less, the figure drops to roughly one in four. Longer commuters are more likely to say they have been diagnosed with high cholesterol and are more likely to have a BMI that classifies them as obese. Their results point to a connection between commuting and emotional well-being. Among employees who take more than 90 minutes getting from home to work, 40% experienced worry for much of the previous day, significantly higher than the 28% among those with negligible commutes of 10 minutes or less. Conversely, workers with extremely long commutes were less likely to have experienced enjoyment for much of the previous day or that they felt well rested that day. (5) Behavioral economists Kahneman and Krueger tracked the emotional states of women in Texas during their daily activities and they found that respondents' ratio of positive to negative emotions was particularly low during the time spent commuting.

In Sweden, using longitudinal individual data from 1985 to 2008, Sandow and collaborators, modeled mortality through propensity score matching and Kaplan–Meyer estimates of survival among long-distance commuters, more than 50 km (31 miles) one way. The results indicate that women who have experienced long-distance commuting face a significantly higher mortality risk compared with women with short commutes to work. This seems to be driven by variations in income and education: for women with long-distance commuting experience, substantially lower survival rates are found among those with low education and low income. Surprisingly, for men mortality risks do not seem to be associated with long-distance commuting. Sandow findings suggest that men and women are subject to different mechanisms regarding the nexus between commuting and mortality. (6) In another study by Dr. Sandow in Sweden they stated the alarming connection of commuting and divorce rates: if one spouse commutes longer than 45 minutes that couple is 40% more likely to get divorced (7).

 

 

One solution is to work from home, as Tim Ferris, the author of the four hours work week, showed working from home can improve your productivity and increase efficiency by, for starters, not wasting time traveling. I used to work at a company where we were allowed to 20% of remote work time and this really improved the work life. More companies are adding this successful work practice because it enhances the employees’ happiness. The WHO set a minimum of 10.000 steps per day to keep your heart healthy, you can reach this goal by walking to work some days. If you can’t change the type and duration of your commute, you can always make it more productive, reading, playing a game or listening to an audio book or music that will make it “me time”.

 

 

 

 

 

References:

 

1- Knott CS, Panter J, Foley L, Ogilvie D. Changes in the mode of travel to work and the severity of depressive symptoms: a longitudinal analysis of UK Biobank. Prev Med. 2018 Mar 28;112:61-69. doi: 10.1016/j.ypmed.2018.03.018.

2- Flint E, Webb E, Cummins S. Change in commute mode and body-mass index: prospective, longitudinal evidence from UK Biobank. Lancet Public Health. 2016 Dec;1(2):e46-e55. doi: 10.1016/S2468-2667(16)30006-8.

3. Laverty AA, Mindell JS, Webb EA, Millett C. Active travel to work and cardiovascular risk factors in the United Kingdom. Am J Prev Med. 2013;45:282–288.

4 -https://www.newyorker.com/magazine/2007/04/16/

5-http://news.gallup.com/poll/142142/wellbeing-lower-among-workers-long-commutes.aspx

6- Sandow, Erika; Westerlund, Olle; Lindgren, Urban

Is your commute killing you?: On the mortality risks of long-distance commuting

Environment and planning A, Pion 2014, Vol. 46, (6) : 1496-1516

7-Erika Sandow. Volume: 51 issue: 3, page(s): 526-543 2014

https://doi.org/10.1177/0042098013498280

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