Background Active commuting to school (walking or biking) may be an important opportunity for children to accumulate adequate physical activity for improved cardiovascular risk factors, enhanced bone health, and psychosocial well-being and also decreased rates of metabolic complications and cardiovascular disease in later life.

Methods This article presents the results of a systematic review of the association between active commuting to school and health related outcomes.

Results Researches shows that Childhood obesity and physical inactivity and sedentary life are increasing dramatically in worldwide. physical inactivity is closely linked to bone health, cardiovascular disease, fitness and psychological factors. Recent studies have pointed out positive effects of active commuting on physical inactivity, overweight, obesity, survivors of childhood cancer, particularly brain tumors and acute lymphoblastic leukemia also demonstrate reducing in metabolic complications and cardiovascular disease in later life.

Conclusion Physical inactivity is a risk behavior for cardiovascular and some metabolic disorder, also Active school transport (AST) may be an important and easy source of children’s physical activity (PA). Schools can promote public health by educating, planning and encouraging physical activity among children.