Children with adequate sleep duration were more likely to actively commute to school, and adolescents who consumed breakfast daily were more likely to commute independently to school, suggesting preceding behaviours may influence school commuting patterns.
Key Findings
Results
Children with adequate sleep duration were more likely to actively commute to school.
OR: 2.98, 95% CI: 1.06 to 8.40
Sample included 226 children aged 6-11 years
Cross-sectional study conducted in 27 schools from 11 Spanish cities
Multilevel mixed-effects logistic regression was used to examine associations
Sleep duration was self-reported and categorized as adequate or non-adequate
Results
The association between adequate sleep duration and active commuting to school was stronger in boys than in the overall child sample.
OR for boys: 6.26, 95% CI: 1.32 to 29.8
This was a gender-stratified secondary analysis
The overall association for all children was OR: 2.98 (95% CI: 1.06 to 8.40)
No corresponding significant association was reported for girls
Results
Adolescents who consumed breakfast daily were more likely to commute independently to school.
OR: 1.47, 95% CI: 1.05 to 2.07
Sample included 1155 adolescents aged 12-17 years
Independent mobility to school was self-reported as yes/no
Daily breakfast consumption was self-reported as yes/no
No significant association was found between breakfast consumption and active commuting mode in adolescents
Results
No significant associations were found between sleep duration and independent mobility in children, or between sleep duration and commuting behaviors in adolescents.
All non-significant results had p > 0.05
Associations were examined separately for children (6-11 years) and adolescents (12-17 years)
Analyses were also conducted separately by gender
Multilevel mixed-effects logistic regression accounted for the clustered school structure
Results
No significant association was found between daily breakfast consumption and active commuting to school in either children or adolescents.
All p > 0.05 for non-significant findings
Breakfast consumption was only significantly associated with independent mobility in adolescents, not with mode of commuting
Analyses were stratified by both age group and gender
The study design was cross-sectional, limiting causal inference
Methods
The study was cross-sectional in design, involving 1381 Spanish youth across 27 schools in 11 cities.
226 children aged 6-11 years and 1155 adolescents aged 12-17 years participated
All key variables (commuting mode, independent mobility, sleep duration, breakfast consumption) were self-reported
Multilevel mixed-effects logistic regression was used to account for school-level clustering
Analyses were conducted for all participants and separately by gender
What This Means
This research suggests that certain morning habits — specifically getting enough sleep and eating breakfast — may be linked to how children and teenagers travel to school. Among younger children (ages 6-11), those who got adequate sleep were about three times more likely to walk or cycle to school rather than being driven. This effect was particularly strong in boys, who were more than six times as likely to use active travel when they slept enough. Among teenagers (ages 12-17), those who ate breakfast every day were about 1.5 times more likely to travel to school independently, without adult supervision.
The study involved over 1,300 children and adolescents across 27 schools in 11 Spanish cities. All information was collected through self-reported questionnaires, and the researchers used statistical methods that accounted for differences between schools. Because this was a snapshot study (cross-sectional), it cannot prove that sleep or breakfast directly causes children to commute differently — only that these habits tend to occur together.
This research suggests that promoting healthy sleep habits and regular breakfast eating among young people could be connected to broader patterns of active and independent living, including how they get to school. Families, schools, and communities may all play a role in supporting these behaviors. However, many other associations tested in the study — such as the link between breakfast and active commuting, or sleep and independent travel — did not reach statistical significance, indicating the relationships are complex and may differ by age and gender.
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Ramírez-Osuna A, Huertas-Delgado F, Aibar-Solana A, Chillón P, Campos-Garzón P. (2026). Are sleep and breakfast behaviours predictors of active or independent commuting to school in Spanish youth?. BMC public health. https://doi.org/10.1186/s12889-026-29160-9