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Active transportation modes, such as bicycling, walking and using public transit, are much more commonly used in Europe than in North America or Australia. These modes require more physical exertion than driving, which suggests that they might offer health benefits such as weight control. This study investigates whether variation in active transportation are related to international differences in the prevalence of obesity. Raw data from national surveys of travel behavior and health indicators from government sources, along with summary data from published reports, were used in a cross-sectional study. Data for Australia, Canada, United States, and 14 European countries were compared. The findings indicate that countries where active travel is most common have the lowest obesity rates. Countries with the highest rates of automobile use have the highest obesity rates. In general, European countries had both the highest rate of active travel and the lowest rates of obesity.
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