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Teresa Senserrick, PhD; Michael R. Elliott, PhD; Flaura K. Winston, MD, PhD

Arch Pediatr Adolesc Med. 2008;162(9):898.

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In reply

The Center for Injury Research and Prevention strongly supports initiatives that increase the health outcomes of children and young adults, including increased walking and cycling in safe environments. Obesity is indeed at epidemic proportions in the United States, including among children and youth, increasing the risk of a range of health conditions and diseases.¹

A key concept in Mr McGettigan's letter, however, is "better-arranged communities." Encouraging walking and cycling on roads that are poorly designed for these activities could actually increase risk, even above that faced as a passenger in a vehicle, where some level of occupant protection is afforded.

Crashes involving primary school–aged pedestrians and cyclists often occur close to home and on trips to and from school, local shops, and recreational areas.^2-3 Both young pedestrians and drivers can behave inappropriately and fail to see . . . [Full Text of this Article]

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RELATED LETTER

Reduce Risk by Reducing Driving
Michael McGettigan
Arch Pediatr Adolesc Med. 2008;162(9):898.
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