But if nothing changes, people will keep padding on calories they
should burn off, setting themselves up for diseases of obesity such as
diabetes and heart conditions, the researchers say.
The bleak prognosis follows a series of reports on America's preference
for cars over walking or biking. Researchers see the trade of horsepower
for footpower as just one way in which the nation has engineered healthful
physical activity out of normal living. They say the time has come to
engineer its return.
"What we are trying to get people to understand here is the environment
could create better choices for them to achieve a healthier lifestyle,"
said Richard Killingsworth, director of Active Living by Design, a
community planning program based at the University of North Carolina,
Chapel Hill.
But re-engineering won't be easy. It took decades to make things bad,
and change will require "having the will of the people to do this for
decades out," Killingsworth said.
Killingsworth is a co-author of a study that compared car-dependent
sprawled communities with compact, foot-friendly cities. Weight went up as
the degree of sprawl rose, the study said.
The most sprawling counties had a greater proportion of adults with
high blood pressure and obesity, said Reid Ewing, an urban planner with
the National Center for Smart Growth at the University of Maryland. He
completed his research while at Rutgers University. Ewing was lead author
of the report in the September/October issue of the American Journal of
Health Promotion.
America is not biker- or walker-friendly. "It's 23 times more dangerous
to walk a mile than to ride a mile in a car," said John Pucher, another
researcher and an urban design professor at Rutgers.
Federal statistics show that in 2000, some 4,598 pedestrians and 740
bicyclists died.
American pedestrians also are about three times more likely to get
killed than German pedestrians, and over six times more likely than Dutch
pedestrians, even though Europeans bike and walk more, said Pucher's
report in the September issue of the American Journal of Public Health.
Biking and walking account for half of all urban trips in the
Netherlands, a third of German trips, but less than a tenth of all trips
in American cities, the study said.
One reason: Europe makes such trips easy but America makes them
difficult, Pucher said. At least 20 years ago, European political leaders
took steps that encouraged walking and cycling while dramatically reducing
fatality and injury rates, he said.
The Europeans poured money into such things as bike paths and bike-only
traffic lanes, pedestrian refuge islands for crossing wide streets, and
clearly marked, raised crosswalks, Pucher said.
European drivers have empathy for bikers and walkers, Pucher said.
"Even people who drive a high percentage of the time are also walking and
cycling at other times," he said.
Walkers and bikers also are voters, and their numbers are large enough
to make politicians pay attention, Pucher said. "In the United States, so
many drivers never get on a bike and rarely walk, and see the world just
through the windshield of a car," he said.
Urban planners think Americans can lose some of their love of the
internal combustion engine and get around more under their own steam.
"People are beginning to understand why it is so important," said Julie
Mercer Matlick, a community program manager with the Washington state
Department of Transportation.
Health officials are working diligently to turn things around at the
local and state levels, Matlick said. "But transportation dollars start at
the top, at the federal level, and that's not as strongly supported," she
said. "It isn't important to congressmen."