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Su J, Yu J, Qin Y, Tao R, Yang J, Lu S, Zhou J, Wu M. Trends in the rate of regular exercise among adults: results from chronic disease and risk factor surveillance from 2010 to 2018 in Jiangsu, China. Front Public Health 2023; 11:1089587. [PMID: 37397784 PMCID: PMC10308382 DOI: 10.3389/fpubh.2023.1089587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 05/25/2023] [Indexed: 07/04/2023] Open
Abstract
Objective The aims of this study were to estimate the rates of regular exercise and its trends among the adult population in Jiangsu, from 2010 to 2018, China, and to assess associations with sociodemographic factors. Methods Chronic disease and risk factor surveillance data from adults aged ≥18 years were gathered in Jiangsu Province from 2010 to 2018. Rates of regular exercise were calculated after post-stratification weighting, and time trends were compared among participants with different characteristics, including gender, age, urban-rural region, educational level, occupation, annual household income, body mass index (BMI), baseline self-reported chronic diseases, smoking status, alcohol consumption, and region. Multivariable logistic regression analyses were performed to assess the associations of sociodemographic characteristics with regular exercise. Results A total of 33,448 participants aged 54.05 ± 14.62 years and 55.4% female (8,374 in 2010, 8,302 in 2013, 8,372 in 2015, and 8,400 in 2018) were included in this study. The weighted rate of regular exercise was 12.28% (95% confidence interval [CI]: 9.11-15.45%) in 2010 and 21.47% (95% CI, 17.26-25.69%) in 2018, showing an overall increasing trend (P for trend = 0.009). Nevertheless, stratification analysis showed that the regular exercise rate decreased from 33.79% in 2010 to 29.78% in 2018 among retired adults. Significant associations were observed between regular exercise and age >45 years (45- < 60 years, odds ratio [OR]: 1.24, 95% CI: 1.14-1.34; ≥60 years, OR: 1.20, 95% CI: 1.08-1.34), urban residence (OR: 1.43, 95% CI: 1.32-1.54), higher education (primary, OR: 1.30, 95% CI: 1.16-1.46; secondary, OR: 2.00, 95% CI: 1.79-2.25; college or higher, OR: 3.21, 95% CI: 2.77-3.72), occupation (manual work, OR: 1.52, 95% CI: 1.33-1.73; non-manual work, OR: 1.69, 95% CI: 1.54-1.85; not working, OR: 1.22, 95% CI: 1.03-1.44; retired, OR: 2.94, 95% CI: 2.61-3.30), higher income (¥30,000- < ¥60,000, OR: 1.16, 95% CI: 1.06-1.28; ≥¥60,000, OR: 1.20, 95% CI: 1.10-1.32), higher BMI (overweight, OR: 1.12, 95% CI: 1.05-1.20), self-reported chronic disease at baseline (OR: 1.24, 95% CI:1.16-1.33), former smoking (OR: 1.15, 95% CI: 1.01-1.31) and ever (30 days ago) drinking (OR: 1.20, 95% CI: 1.11-1.29). Conclusion The rate of regular exercise among adults in Jiangsu Province was low, but this rate increased by 9.17% from 2010 to 2018, showing an upward trend. There were differences in the rate of regular exercise among different sociodemographic factors.
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Affiliation(s)
- Jian Su
- Department of Non-communicable Chronic Disease Control, Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China
| | - Jinxin Yu
- Department of Epidemiology, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, China
| | - Yu Qin
- Department of Non-communicable Chronic Disease Control, Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China
| | - Ran Tao
- Department of Non-communicable Chronic Disease Control, Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China
| | - Jie Yang
- Department of Non-communicable Chronic Disease Control, Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China
| | - Shurong Lu
- Department of Non-communicable Chronic Disease Control, Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China
| | - Jinyi Zhou
- Department of Non-communicable Chronic Disease Control, Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China
| | - Ming Wu
- Department of Non-communicable Chronic Disease Control, Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China
- Department of Epidemiology, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, China
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Beldo SK, Aars NA, Christoffersen T, Furberg AS, Halvorsen PA, Hansen BH, Horsch A, Sagelv EH, Syed S, Morseth B. Criterion validity of the Saltin-Grimby Physical Activity Level Scale in adolescents. The Fit Futures Study. PLoS One 2022; 17:e0273480. [PMID: 36048815 PMCID: PMC9436064 DOI: 10.1371/journal.pone.0273480] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 08/10/2022] [Indexed: 11/23/2022] Open
Abstract
Background The Saltin-Grimby Physical Activity Level Scale (SGPALS) is commonly used to measure physical activity (PA) in population studies, but its validity in adolescents is unknown. This study aimed to assess the criterion validity of the SGPALS against accelerometry in a large sample of adolescents. A secondary aim was to examine the validity across strata of sex, body mass index (BMI), parental educational level, study program and self-reported health. Methods The study is based on data from 572 adolescents aged 15–17 years who participated in the Fit Futures Study 2010–11 in Northern Norway. The participants were invited to wear an accelerometer (GT3X) attached to their hip for seven consecutive days. We used Spearman’s rho and linear regression models to assess the validity of the SGPALS against the following accelerometry estimates of PA; mean counts/minute (CPM), steps/day, and minutes/day of moderate-to-vigorous physical activity (MVPA). Results The SGPALS correlated with mean CPM (ρ = 0.40, p<0.01), steps/day (ρ = 0.35, p<0.01) and MVPA min/day (ρ = 0.35, p<0.01). We observed no differences between correlations within demographic strata (all p>0.001). Higher scores on SGPALS were associated with a higher CPM, higher number of steps per day and more minutes of MVPA per day, with the following mean differences in PA measurements between the SGPALS ranks: CPM increased by 53 counts (95% CI: 44 to 62), steps/day increased by 925 steps (95% CI: 731 to 1118), and MVPA by 8.4 min/day (95% CI: 6.7 to 10.0). Mean difference between the highest and lowest SGPALS category was 2947 steps/day (6509 vs. 9456 steps/day) and 26.4 min/day MVPA (35.2 minutes vs 61.6 minutes). Conclusion We found satisfactory ranking validity of SGPALS measured against accelerometry in adolescents, which was fairly stable across strata of sex, BMI, and education. However, the validity of SGPALS in providing information on absolute physical activity levels seem limited.
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Affiliation(s)
- Sigurd K. Beldo
- School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Alta/Tromsø, Norway
- * E-mail:
| | | | - Tore Christoffersen
- Finnmark Hospital Trust, Alta, Norway
- Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Alta/Tromsø, Norway
| | - Anne-Sofie Furberg
- Department of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway
- Faculty of Health Sciences and Social Care, Molde University College, Molde, Norway
| | - Peder A. Halvorsen
- Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Bjørge Herman Hansen
- Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway
| | - Alexander Horsch
- Department of Computer Science, UiT The Arctic University of Norway, Tromsø, Norway
| | - Edvard H. Sagelv
- School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Alta/Tromsø, Norway
| | - Shaheen Syed
- Department of Computer Science, UiT The Arctic University of Norway, Tromsø, Norway
| | - Bente Morseth
- School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Alta/Tromsø, Norway
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Calatayud J, Morera Á, Casaña J, Del Pozo Cruz B, Andersen LL, López-Bueno R. Occupational physical activity trends from 1987 to 2017: A nationally representative sample of 160,509 Spanish adults. Eur J Sport Sci 2022; 23:851-858. [PMID: 35332838 DOI: 10.1080/17461391.2022.2058418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
AIMS To estimate temporal and updated trends of OPA among Spanish adult population during the period between 1987 and 2017. METHODS We used all available rounds of the Spanish National Health Survey (160,509 adults, mean age 44.6 years [SD 16.6], 50.3% women) and multivariate regressions to determine temporal trends of high OPA from 1987 to 2017 in the general working population of Spain. RESULTS The highest OPA prevalence was observed for participants aged 31-49 years in the 2003 survey. The prevalence of high OPA was generally low, but increased slightly over time in the 18-30, 50-64, and 65-75 years old (p<0.001 for trend). In contrast, a general reduction in OPA was observed in the 16-17 years old (p<0.001 for trend). Men consistently showed higher OPA prevalence than women. CONCLUSIONS This study reports an increase in OPA prevalence in Spain from 1987 to 2017, which is low and significant in most socio-demographic groups, but small in absolute terms. The youngest group had a marked decreased in OPA prevalence over the course of the study. Men consistently showed higher OPA prevalence than women, but differences have become smaller in recent years. Our results may assist in the establishment of interventional strategies and future policies among specific subgroups.Highlights: There is an increase in OPA prevalence in Spain from 1987 to 2017.The youngest group had a marked decreased in OPA prevalence over the course of the study.Men consistently showed higher OPA prevalence than women, but differences have become smaller in recent years.Frequent national surveillance of OPA to monitor long-term development of the working environment should be mandatory.
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Affiliation(s)
- Joaquín Calatayud
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain.,National Research Centre for the Working Environment, Copenhagen, Denmark
| | - Álvaro Morera
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain
| | - José Casaña
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain
| | - Borja Del Pozo Cruz
- Centre for Active and Healthy Ageing, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Lars L Andersen
- National Research Centre for the Working Environment, Copenhagen, Denmark.,Sport Sciences, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
| | - Rubén López-Bueno
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain.,National Research Centre for the Working Environment, Copenhagen, Denmark.,Department of Physical Medicine and Nursing, University of Zaragoza, Zaragoza, Spain
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Neonatal Outcomes of Embryos Cultured in a Time-Lapse Incubation System: an Analysis of More Than 15,000 Fresh Transfer Cycles. Reprod Sci 2021; 29:1524-1530. [PMID: 34406638 DOI: 10.1007/s43032-021-00714-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 08/05/2021] [Indexed: 10/20/2022]
Abstract
In the past 5 years, the time-lapse culture system (TLS) has gradually been applied to the field of assisted reproduction. However, there are few reports on the comparison between this system and the conventional culture system (CS) on the outcome of newborns. As a new model in embryo culture, we should pay attention to its neonatal outcomes. We examined 15,252 fresh transfer cycles processed between January 2016 and December 2019. After propensity score matching, embryos in two groups, TLS and CS, had similar rates of miscarriages, ectopic pregnancy, and live delivery (P > 0.05). Embryos in the TLS group achieved higher clinical pregnancy and implantation rates (P < 0.05). Of the perinatal and neonatal outcomes, singletons and twins were analyzed separately. No significant differences were observed in gestational age, preterm deliveries, birth weight, and sex ratio (P > 0.05). Incidences of malformations of babies delivered from CS and TLS groups were also similar between the two groups. Embryos cultured in a TLS are as safe as CS with regard to neonatal outcomes, including congenital malformations.
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López-Bueno R, Smith L, Tully MA, Shin JI, Calatayud J, López-Sánchez GF, Andersen LL, Casajús JA. Increase in Regular Leisure-Time Physical Activity in Spanish Adults Between 1987 and 2017. Am J Prev Med 2021; 61:e73-e79. [PMID: 33785277 DOI: 10.1016/j.amepre.2021.02.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Revised: 01/13/2021] [Accepted: 02/03/2021] [Indexed: 11/17/2022]
Abstract
INTRODUCTION The prevalence of leisure-time physical activity has increased in recent decades, but values differ significantly among countries. Owing to the improvement of living standards, a higher frequency of leisure-time physical activity is expected in Western countries such as Spain, but there is a lack of research involving large, representative samples during a prolonged temporal frame to confirm this tendency. METHODS Individual representative data from the 1987, 1993, 1995, 1997, 2001, 2011, and 2017 rounds of the Spanish National Health Survey were used. Statistical analyses were conducted from April 9, 2020 to May 5, 2020. RESULTS A total of 114,813 participants (aged 43.9 [SD=16.7] years, 51.8% women) were included in the study. Crude linear trends in regular monthly and weekly leisure-time physical activity were estimated together using linear regression models across the survey years, which also served to estimate the regression coefficients (β) and 95% CIs for every year change. All age groups experienced significantly increased prevalence of regular leisure-time physical activity-either several times a month or several times a week-over time (p<0.001 for trend). Participants aged 16-17 years had the highest increase in the annual prevalence of regular leisure-time physical activity (β=0.8, 95% CI=0.7, 1.0). Additional adjusted multivariable logistic regression confirmed these trends. CONCLUSIONS This study shows an increase in regular leisure-time physical activity among the adult Spanish population during the period from 1987 to 2017. Younger participants consistently presented higher prevalence levels than older participants.
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Affiliation(s)
- Rubén López-Bueno
- Department of Physical Medicine and Nursing, University of Zaragoza, Zaragoza, Spain; National Research Centre for the Working Environment, Copenhagen, Denmark.
| | - Lee Smith
- Cambridge Centre for Sport and Exercise Science, Anglia Ruskin University, Cambridge, United Kingdom
| | - Mark A Tully
- Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Belfast, Northern Ireland
| | - Jae Il Shin
- Department of Pediatrics, College of Medicine, Yonsei University, Seoul, Republic of Korea
| | - Joaquín Calatayud
- National Research Centre for the Working Environment, Copenhagen, Denmark; Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain
| | | | - Lars L Andersen
- National Research Centre for the Working Environment, Copenhagen, Denmark
| | - José A Casajús
- Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
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Rittirong J, Bryant J, Aekplakorn W, Prohmmo A, Sunpuwan M. Obesity and occupation in Thailand: using a Bayesian hierarchical model to obtain prevalence estimates from the National Health Examination Survey. BMC Public Health 2021; 21:914. [PMID: 33985465 PMCID: PMC8117309 DOI: 10.1186/s12889-021-10944-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2020] [Accepted: 04/29/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Like many developing countries, Thailand has experienced a rapid rise in obesity, accompanied by a rapid change in occupational structure. It is plausible that these two trends are related, with movement into sedentary occupations leading to increases in obesity. National health examination survey data contains information on obesity and socioeconomic conditions that can help untangle the relationship, but analysis is challenging because of small sample sizes. METHODS This paper explores the relationship between occupation and obesity using data on 10,127 respondents aged 20-59 from the 2009 National Health Examination Survey. Obesity is measured using waist circumference. Modelling is carried out using an approach known as Multiple Regression with Post-Stratification (MRP). We use Bayesian hierarchical models to construct prevalence estimates disaggregated by age, sex, education, urban-rural residence, region, and occupation, and use census population weights to aggregate up. The Bayesian hierarchical model is designed to protect against overfitting and false discovery, which is particularly important in an exploratory study such as this one. RESULTS There is no clear relationship between the overall sedentary nature of occupations and obesity. Instead, obesity appears to vary occupation by occupation. For instance, women in professional occupations, and men who are agricultural or fishery workers, have relatively low rates of obesity. CONCLUSION Bayesian hierarchical models plus post-stratification offers new possibilities for using surveys to learn about complex health issues.
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Affiliation(s)
- Jongjit Rittirong
- Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon, Nakhorn Pathom, 73170 Thailand
| | - John Bryant
- Bayesian Demography Limited, 9 Buscot Gate, Christchurch, 8042 New Zealand
| | - Wichai Aekplakorn
- Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Aree Prohmmo
- Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon, Nakhorn Pathom, 73170 Thailand
| | - Malee Sunpuwan
- Institute for Population and Social Research, Mahidol University, Salaya, Phutthamonthon, Nakhorn Pathom, 73170 Thailand
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Sagelv EH, Ekelund U, Hopstock LA, Aars NA, Fimland MS, Jacobsen BK, Løvsletten O, Wilsgaard T, Morseth B. Do declines in occupational physical activity contribute to population gains in body mass index? Tromsø Study 1974-2016. Occup Environ Med 2020; 78:oemed-2020-106874. [PMID: 33277383 DOI: 10.1136/oemed-2020-106874] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 11/11/2020] [Accepted: 11/16/2020] [Indexed: 02/06/2023]
Abstract
OBJECTIVE To examine whether occupational physical activity changes predict future body mass index (BMI) changes. METHODS This longitudinal cohort study included adult participants attending ≥3 consecutive Tromsø Study surveys (examinations 1, 2 and 3) from 1974 to 2016 (N=11 308). If a participant attended >3 surveys, the three most recent surveys were included. Occupational physical activity change (assessed by the Saltin-Grimby Physical Activity Level Scale) was computed from the first to the second examination, categorised into persistently inactive (n=3692), persistently active (n=5560), active to inactive (n=741) and inactive to active (n=1315). BMI change was calculated from the second to the third examination (height being fixed at the second examination) and regressed on preceding occupational physical activity changes using analysis of covariance adjusted for sex, birth year, smoking, education and BMI at examination 2. RESULTS Overall, BMI increased by 0.84 kg/m2 (95% CI 0.82 to 0.89). Following adjustments as described previously, we observed no differences in BMI increase between the occupational physical activity change groups (Persistently Inactive: 0.81 kg/m2, 95% CI 0.75 to 0.87; Persistently Active: 0.87 kg/m2, 95% CI 0.82 to 0.92; Active to Inactive: 0.81 kg/m2, 95% CI 0.67 to 0.94; Inactive to Active: 0.91 kg/m2, 95% CI 0.81 to 1.01; p=0.25). CONCLUSION We observed no prospective association between occupational physical activity changes and subsequent BMI changes. Our findings do not support the hypothesis that occupational physical activity declines contributed to population BMI gains over the past decades. Public health initiatives aimed at weight gain prevention may have greater success if focusing on other aspects than occupational physical activity.
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Affiliation(s)
- Edvard H Sagelv
- School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Troms, Norway
| | - Ulf Ekelund
- Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Oslo, Norway
- Department of Chronic Diseases and Ageing, Norwegian Institute of Public Health, Oslo, Oslo, Norway
| | - Laila A Hopstock
- Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Troms, Norway
| | - Nils Abel Aars
- Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Troms, Norway
| | - Marius Steiro Fimland
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Trøndelag, Norway
- Unicare Helsefort Rehabilitation Centre, Rissa, Trøndelag, Norway
| | - Bjarne Koster Jacobsen
- Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Troms, Norway
- Centre for Sami Health Research, Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Troms, Norway
| | - Ola Løvsletten
- Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Troms, Norway
| | - Tom Wilsgaard
- Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Troms, Norway
| | - Bente Morseth
- School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Troms, Norway
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Morseth B, Hopstock LA. Time trends in physical activity in the Tromsø study: An update. PLoS One 2020; 15:e0231581. [PMID: 32287319 PMCID: PMC7156055 DOI: 10.1371/journal.pone.0231581] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2019] [Accepted: 03/26/2020] [Indexed: 01/30/2023] Open
Abstract
Although the health benefits of physical activity are well documented, a large proportion of the population fails to meet current guidelines for physical activity. In order to develop evidence-based public health policies, surveillance of physical activity prevalence and trends is essential. The main aim of this study was to present updated data on physical activity trends in a Norwegian general population over the last decades. Data were collected from 40 690 individuals (50% men) aged ≥20 years participating in at least one of six surveys of the population-based Tromsø Study between 1979 and 2016. Age-standardized prevalences and trends in leisure-time and occupational physical activity were obtained from three questionnaires used in the different surveys. We observed an increase in the proportion engaging in exercise in leisure-time between 1994–95 and 2001 (p <0.001). Based on a different questionnaire, the age-standardized prevalence of engagement in exercise in leisure-time increased significantly from 16% in 2001 to 23% in 2007–08, and further to 28% in 2015–16 (p <0.001). The proportion who reported exercising approximately every day increased from 19% in 2007–08 to 28% in 2015–16 (p <0.001). The age-standardized prevalence of sedentary occupational activity increased from 53% in 2007–08 to 57% in 2015–16 (p <0.001), which extends the gradual increase from 36% in 1979-80.The present study extends previous findings from the Tromsø Study by demonstrating an increase in the proportion exercising regularly over the last three decades. This increase may partially counteract the gradual increase in the proportion with sedentary occupational activity.
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Affiliation(s)
- Bente Morseth
- School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
- * E-mail:
| | - Laila Arnesdatter Hopstock
- Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
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Acebes-Sánchez J, Diez-Vega I, Rodriguez-Romo G. Physical Activity among Spanish Undergraduate Students: A Descriptive Correlational Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E2770. [PMID: 31382503 PMCID: PMC6696045 DOI: 10.3390/ijerph16152770] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/19/2019] [Revised: 07/31/2019] [Accepted: 08/01/2019] [Indexed: 01/10/2023]
Abstract
Achieving the recommended levels of physical activity (PA) is associated with better health. Despite this, most undergraduate students report low levels of PA. This study aimed to assess the achievement of recommended PA levels in a wide sample of undergraduate students from Madrid (N = 2960). Overall PA and leisure-time PA (LTPA) were measured with the Global Physical Activity Questionnaire (GPAQ). Descriptive analyses and logistic regression were performed. It was revealed that 22.4% and 55.6% of overall PA and LTPA, respectively, did not achieve World Health Organization (WHO) recommendations. When PA was measured as overall PA, the achievement of the recommended level was positively predicted by male sex; a Body Mass Index (BMI) indicative of normal weight or being overweight; spending less time sitting or reclining; work; and studying health science, social sciences, engineering, or architecture (all p < 0.001; r2 = 0.075). Using LTPA, the positive predictors of achieving recommended PA levels were male sex, having a BMI indicative of normal weight or being overweight, work, studying at a public university, and studying health science (r2 = 0.048). These findings suggest that universities should implement strategies to promote PA.
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Affiliation(s)
- Jorge Acebes-Sánchez
- Faculty of Health Sciences, Universidad Francisco de Vitoria (UFV), Pozuelo de Alarcón, 28223 Madrid, Spain.
- Faculty of Physical Activity and Sport Sciences (INEF), Universidad Politécnica de Madrid (UPM), 28040 Madrid, Spain.
| | - Ignacio Diez-Vega
- Faculty of Sport Sciences, Universidad Europea de Madrid (UEM), Villaviciosa de Odón, 28670 Madrid, Spain
| | - Gabriel Rodriguez-Romo
- Faculty of Physical Activity and Sport Sciences (INEF), Universidad Politécnica de Madrid (UPM), 28040 Madrid, Spain
- Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable (CIBERFES), 28029 Madrid, Spain
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Hagger MS, Weed M. DEBATE: Do interventions based on behavioral theory work in the real world? Int J Behav Nutr Phys Act 2019; 16:36. [PMID: 31023328 PMCID: PMC6482531 DOI: 10.1186/s12966-019-0795-4] [Citation(s) in RCA: 119] [Impact Index Per Article: 23.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Accepted: 03/27/2019] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Behavioral scientists suggest that for behavior change interventions to work effectively, and deliver population-level health outcomes, they must be underpinned by behavioral theory. However, despite implementation of such interventions, population levels of both health outcomes and linked behaviors have remained relatively static. We debate the extent to which interventions based on behavioral theory work in the real world to address population health outcomes. DISCUSSION Hagger argues there is substantive evidence supporting the efficacy and effectiveness of interventions based on behavioral theory in promoting population-level health behavior change in the 'real world'. However, large-scale effectiveness trials within existing networks are relatively scarce, and more are needed leveraging insights from implementation science. Importantly, sustained investment in effective behavioral interventions is needed, and behavioral scientists should engage in greater advocacy to persuade gatekeepers to invest in behavioral interventions. Weed argues there is no evidence to demonstrate behavioral theory interventions are genuinely effective in real world settings in populations that are offered them: they are merely efficacious for those that receive them. Despite behavioral volatility that is a normal part of maintaining steady-state population behavior levels creating the illusion of effectiveness, interventions fail in shifting the curve of population behaviors because they focus on individuals rather than populations. Hagger responds that behavioral interventions work in the 'real world' in spite of, not because of, flux in health behaviors, and that the contention that behavioral theory focuses solely on individual behavior change is inaccurate. Weed responds that the focus on extending the controls of efficacy trials into implementation is impractical, uneconomic and futile, and this has squandered opportunities to conduct genuine effectiveness trials in naturalistic settings. Hagger contends that interventions based on behavioral theory are effective in changing population-level behavior in 'real world' contexts, but more evidence on how best to implement them and how to engage policymakers and practitioners to provide sustained funding is needed. Weed argues for a paradigm shift, away from aggregative attempts to effect individual behavior change towards a focus on disrupting social practices, underpinned by understanding social and economic causation of the distribution and acceptance of behaviors in a population.
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Affiliation(s)
- Martin S Hagger
- Psychological Sciences and Health Sciences Research Institute, University of California, Merced, USA.
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
- School of Applied Psychology, Griffith University, Brisbane, Australia.
- Health Psychology and Behavioral Medicine Research Group, School of Psychology, Curtin University, Perth, Australia.
| | - Mike Weed
- Centre for Sport, Physical Education & Activity Research (SPEAR), Canterbury Christ Church University, Canterbury, UK.
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11
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Cordero A, López-Palop R, Carrillo P, Núñez J, Frutos A, Bertomeu-González V, Yépez F, Alcantara N, Ribes F, Juskova M, Bertomeu-Martínez V. Prevalencia e incidencia tras el alta hospitalaria de neoplasias en pacientes con síndrome coronario agudo. Rev Esp Cardiol 2018. [DOI: 10.1016/j.recesp.2017.07.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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12
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Prevalence and Postdischarge Incidence of Malignancies in Patients With Acute Coronary Syndrome. REVISTA ESPANOLA DE CARDIOLOGIA (ENGLISH ED.) 2017; 71:267-273. [PMID: 29126971 DOI: 10.1016/j.rec.2017.07.020] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2017] [Accepted: 07/05/2017] [Indexed: 12/11/2022]
Abstract
INTRODUCTION AND OBJECTIVES Malignancies are the second cause of death in developed countries after cardiovascular disease and both share common risk factors. METHODS This prospective study assessed the prevalence and postdischarge incidence of malignancies in all consecutive patients admitted for an acute coronary syndrome. RESULTS A total of 1819 patients were included. On admission, the prevalence of malignancies was 3.4%, and 41.9% of the patients were considered disease-free; of the 1731 discharged patients, the incidence was 3.1% (53 cases) and the most common locations were the colon, lung, bladder, and pancreas. Patients with prevalent malignancies were older and had more comorbidities and complications. There were no differences in the revascularization rate, but implantation of drug-eluting stents was less frequent in patients with prevalent malignancies. During follow-up, the median time to diagnosis of incident malignancies was 25 months. On multivariate analysis, independent risk factors were age and current or former smoking. All-cause mortality was much higher in patients with incident (64.2%) or prevalent (40.0%) malignancies. Multivariate analysis showed that prevalent and incident malignancies increased the risk of all-cause mortality by 4-fold. CONCLUSIONS Among patients admitted for an acute coronary syndrome, 3.8% had a history of malignancy, with less than 50% considered cured. The incidence of new malignancies was 3.4% and both types of malignancies substantially impaired the long-term prognosis.
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Smith L, McCourt O, Sawyer A, Ucci M, Marmot A, Wardle J, Fisher A. A review of occupational physical activity and sedentary behaviour correlates. Occup Med (Lond) 2016; 66:185-92. [DOI: 10.1093/occmed/kqv164] [Citation(s) in RCA: 68] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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14
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Mielgo-Ayuso J, Aparicio-Ugarriza R, Castillo A, Ruiz E, Ávila JM, Aranceta-Batrina J, Gil Á, Ortega RM, Serra-Majem L, Varela-Moreiras G, González-Gross M. Physical Activity Patterns of the Spanish Population Are Mostly Determined by Sex and Age: Findings in the ANIBES Study. PLoS One 2016; 11:e0149969. [PMID: 26914609 PMCID: PMC4768005 DOI: 10.1371/journal.pone.0149969] [Citation(s) in RCA: 62] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2015] [Accepted: 02/08/2016] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Representative data for the Spanish population regarding physical activity (PA) behaviors are scarce and seldom comparable due to methodological inconsistencies. AIM Our objectives were to describe the PA behavior by means of the standardized self-reported International Physical Activity Questionnaire (IPAQ) and to know the proportion of the Spanish population meeting and not meeting international PA recommendations. MATERIAL AND METHODS PA was assessed using the IPAQ in a representative sample of 2285 individuals (males, 50.4%) aged 9-75 years and living in municipalities of at least 2,000 inhabitants. Data were analyzed according to: age groups 9-12, 13-17, 18-64, and 65-75 years; sex; geographical distribution; locality size and educational levels. RESULTS Mean total PA was 868.8±660.9 min/wk, mean vigorous PA 146.4±254.1 min/wk, and mean moderate PA 398.1±408.0 min/wk, showing significant differences between sexes (p<0.05). Children performed higher moderate-vigorous PA than adolescents and seniors (p<0.05), and adults than adolescents and seniors (p<0.05). Compared to recommendations, 36.2% of adults performed <150 min/week of moderate PA, 65.4% <75 min/week of vigorous PA and 27.0% did not perform any PA at all, presenting significant differences between sexes (p<0.05). A total of 55.4% of children and adolescents performed less than 420 min/week of MVPA, being higher in the later (62.6%) than in the former (48.4%). Highest non-compliance was observed in adolescent females (86.5%). CONCLUSION Sex and age are the main influencing factors on PA in the Spanish population. Males engage in more vigorous and light PA overall, whereas females perform more moderate PA. PA behavior differs between age groups and no clear lineal increase with age could be observed. Twenty-seven percent of adults and 55.4% of children and adolescents do not meet international PA recommendations. Identified target groups should be addressed to increase PA in the Spanish population.
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Affiliation(s)
- Juan Mielgo-Ayuso
- ImFINE Research Group, Department of Health and Human Performance, Technical University of Madrid, Madrid, Spain
| | - Raquel Aparicio-Ugarriza
- ImFINE Research Group, Department of Health and Human Performance, Technical University of Madrid, Madrid, Spain
| | | | - Emma Ruiz
- Spanish Nutrition Foundation (FEN), Madrid, Spain
| | | | - Javier Aranceta-Batrina
- Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain.,CIBEROBN (Physiopathology of Obesity and Nutrition CB12/03/30038), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Ángel Gil
- CIBEROBN (Physiopathology of Obesity and Nutrition CB12/03/30038), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.,Department of Biochemistry and Molecular Biology II, and Institute of Nutrition and Food Sciences, University of Granada, Granada, Spain
| | - Rosa M Ortega
- Department of Nutrition, Faculty of Pharmacy, Complutense University of Madrid, Madrid, Spain
| | - Lluis Serra-Majem
- CIBEROBN (Physiopathology of Obesity and Nutrition CB12/03/30038), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.,Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Department of Health Sciences, Las Palmas de Gran Canaria, Spain
| | - Gregorio Varela-Moreiras
- Spanish Nutrition Foundation (FEN), Madrid, Spain.,Department of Pharmaceutical and Health Sciences, Faculty of Pharmacy, CEU San Pablo University, Madrid, Spain
| | - Marcela González-Gross
- ImFINE Research Group, Department of Health and Human Performance, Technical University of Madrid, Madrid, Spain.,CIBEROBN (Physiopathology of Obesity and Nutrition CB12/03/30038), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
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15
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Peiró-Pérez R, Salas D, Vallés G, Abad-Fernandez MS, Vidal C, Sanchez-Contador Escudero C, Ascunce-Elizaga N, Zubizarreta R, Pedraz C, Pérez-Gómez B, Navarrete-Muñoz EM, Vioque J, Pollán M. Walking, biking or sport: how Spanish women attending breast cancer screening meet physical activity recommendations? Eur J Public Health 2015; 25:857-63. [PMID: 25767095 DOI: 10.1093/eurpub/cku248] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND The aim is to analyse physical activity (PA), the fulfillment recommendation of at least 150 min of moderate PA, through walking/biking (W&B), sport, both types of PA and the factors associated with inactivity by Spanish women who attended breast cancer screening programmes. METHODS The DDM-Spain is a multicentre cross-sectional study involving 3584 women, aged 45-68, attending screening in seven Spanish cities. Data were collected using a questionnaire, including age, socio-demographic and lifestyle characteristics, family burden and PA. PA was converted into metabolic equivalent of task (METs), categorized as low ≤ 600 METs min per week (m/w), moderate 600-3000 METs m/w and high ≥ 3000 METs m/w. A multivariate logistic regression was performed to identify variables associated with inactivity for each type of PA. RESULTS No women achieved a high level of PA through sport. 79.2% achieved a high or moderate level of PA by W&B. Lack of sport was associated with being overweight (odds ratio OR = 1.31; 95% confidence interval CI: 1.06 to 1.62), body mass index (BMI) ≥ 30 (OR = 1.85; 95% CI: 1.44 to 2.38), smoking (OR = 1.56; 95% CI: 1.22 to 2.00) and living with a disabled person (OR = 1.64; 95% CI: 1.0 to 2.81), whereas enough sport practice was associated with higher educational or socio-economic level (SEL). Regarding W&B, inactivity was associated with BMI ≥ 30 (OR = 1.91; 95% CI: 1.49 to 2.45) and living with someone >74 (OR = 1.96; 95% CI: 1.48 to 2.58). Inactivity for both types of exercise was associated with a BMI ≥ 30 (OR = 2.13; 95% CI: 1.63 to 2.8), smoking (OR = 1.41; 95% CI: 1.09 to 1.81) and living with someone >74 (OR = 1.69; 95% CI: 1.24 to 2.28). CONCLUSIONS Family burden and BMI ≥ 30 are inversely associated with both types of PA. W&B is the most common type of PA regardless of educational and SEL.
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Affiliation(s)
- Rosana Peiró-Pérez
- 1 Cancer and Public Health Area. Fundación Para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain 2 CIBER Epidemiología y Salud Pública (CIBERESP), ISCIII, Madrid, Spain 3 Breast Cancer Screening Programme, Valencian Public Health Directorate, Valencia, Spain
| | - Dolores Salas
- 1 Cancer and Public Health Area. Fundación Para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain 3 Breast Cancer Screening Programme, Valencian Public Health Directorate, Valencia, Spain
| | - Guillermo Vallés
- 1 Cancer and Public Health Area. Fundación Para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain
| | | | - Carmen Vidal
- 5 Cancer Prevention and Control Unit, Catalan Institute of Oncology (ICO), Barcelona, Spain
| | - Carmen Sanchez-Contador Escudero
- 6 Balearic Islands Breast Cancer Screening Programme, General Directorate Public Health and Consumer Affairs, Balearic Islands, Spain
| | - Nieves Ascunce-Elizaga
- 2 CIBER Epidemiología y Salud Pública (CIBERESP), ISCIII, Madrid, Spain 1 Cancer and Public Health Area. Fundación Para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain
| | - Raquel Zubizarreta
- 8 Galicia Breast Cancer Screening Programme, Regional Authority of Health, Galicia Regional Government, A Coruna, Spain
| | - Carmen Pedraz
- 9 Castilla-Leon Breast Cancer Screening Programme, General Directorate Public Health, Burgos, Spain
| | - Beatriz Pérez-Gómez
- 2 CIBER Epidemiología y Salud Pública (CIBERESP), ISCIII, Madrid, Spain 1 Cancer and Public Health Area. Fundación Para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain 11 Cancer and Environmental Epidemiology Unit, National Centre for Epidemiology, Carlos III Institute of Health, Madrid, Spain
| | - Eva María Navarrete-Muñoz
- 2 CIBER Epidemiología y Salud Pública (CIBERESP), ISCIII, Madrid, Spain 1 Cancer and Public Health Area. Fundación Para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain
| | - Jesús Vioque
- 2 CIBER Epidemiología y Salud Pública (CIBERESP), ISCIII, Madrid, Spain 1 Cancer and Public Health Area. Fundación Para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain
| | - Marina Pollán
- 2 CIBER Epidemiología y Salud Pública (CIBERESP), ISCIII, Madrid, Spain 1 Cancer and Public Health Area. Fundación Para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain 11 Cancer and Environmental Epidemiology Unit, National Centre for Epidemiology, Carlos III Institute of Health, Madrid, Spain
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Casado-Pérez C, Hernández-Barrera V, Jiménez-García R, Fernández-de-Las-Peñas C, Carrasco-Garrido P, Palacios-Ceña D. [Physical activity in adult working population: results from the European National Health Survey for Spain (2009)]. Aten Primaria 2015; 47:563-72. [PMID: 25746034 PMCID: PMC6983833 DOI: 10.1016/j.aprim.2015.01.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2014] [Revised: 12/19/2014] [Accepted: 01/14/2015] [Indexed: 11/13/2022] Open
Abstract
Objetivos 1) Describir la actividad física realizada por la población española trabajadora entre los 16 y los 70 años, y 2) determinar las variables sociodemográficas, la percepción del estado de salud y los hábitos relacionados con estilos de vida asociados a la actividad física en población adulta trabajadora. Diseño Estudio observacional, utilizando la Encuesta Europea de Salud en España. Emplazamiento Comunitario. Participantes Los sujetos con edades entre 16-70 años fueron 10.928 (5.628 mujeres, 5.300 hombres). Intervenciones No se aplicó ninguna intervención. Mediciones principales La actividad física y su intensidad fueron valoradas mediante preguntas incluidas en la encuesta. Se analizaron variables sociodemográficas, la percepción del estado de salud y variables de salud, utilizando modelos multivariados de regresión logística. Resultados No tener pareja (OR 1,44; p < 0,001), tener estudios universitarios (OR 1,62; p < 0,001), no fumar (OR 1,50; p < 0,001) y tomar medicación (OR 1,22; p < 0,5) eran predictores de actividad física intensa en los hombres. En las mujeres se asoció significativamente con los 3 primeros factores. Por el contrario, la obesidad (OR 0,58; p < 0,001) y tener 36-50 años (OR 0,68; p < 0,001) se asociaron con sedentarismo en los hombres. Tener ≥ 2 enfermedades (OR 1,30; p < 0,001), no fumar (OR 1,17; p < 0,5) y tener 36-50 años (OR 1,26; p < 0,01) estaban asociados a una actividad moderada en las mujeres. El estado mental positivo fue significativo para la actividad física intensa en ambos sexos (OR 1,01; p < 0,5). Conclusiones Se identifican factores que pueden influir en la actividad física de la población española trabajadora, con implicaciones para las estrategias y políticas de salud pública.
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Affiliation(s)
- Carmen Casado-Pérez
- Departamento de Medicina Preventiva y Salud Pública e Inmunología y Microbiología Médicas, Universidad Rey Juan Carlos, Madrid, España.
| | - Valentín Hernández-Barrera
- Departamento de Medicina Preventiva y Salud Pública e Inmunología y Microbiología Médicas, Universidad Rey Juan Carlos, Madrid, España
| | - Rodrigo Jiménez-García
- Departamento de Medicina Preventiva y Salud Pública e Inmunología y Microbiología Médicas, Universidad Rey Juan Carlos, Madrid, España
| | - Cesar Fernández-de-Las-Peñas
- Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física, Universidad Rey Juan Carlos, Madrid, España
| | - Pilar Carrasco-Garrido
- Departamento de Medicina Preventiva y Salud Pública e Inmunología y Microbiología Médicas, Universidad Rey Juan Carlos, Madrid, España
| | - Domingo Palacios-Ceña
- Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física, Universidad Rey Juan Carlos, Madrid, España
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Serrano-Sánchez JA, Bello-Luján LM, Auyanet-Batista JM, Fernández-Rodríguez MJ, González-Henríquez JJ. Lack of exercise of "moderate to vigorous" intensity in people with low levels of physical activity is a major discriminant for sociodemographic factors and morbidity. PLoS One 2014; 9:e115321. [PMID: 25522144 PMCID: PMC4270757 DOI: 10.1371/journal.pone.0115321] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2014] [Accepted: 11/21/2014] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION The aim is to examine the differences between participation at low and zero moderate to vigorous physical activity (MVPA) in relation to their trends and associations with known socio-demographic and health factors. We hypothesised that the number of people at zero MVPA level could be rising despite a parallel increase in the population meeting the recommended MVPA level. We also hypothesised that graded associations of sociodemographic and health factors exist across MVPA levels. METHODS Two independent population-based samples (n = 4320 [2004] and n = 2176 [1997]), were recruited with a stratified and random sampling procedure and interviewed at home by professional interviewers. The MVPA was assessed by validated questionnaire. The participants were classified into three MVPA levels: zero, low and recommended MVPA. The trend of each MVPA level was analysed with the standardized prevalence ratios. Correlates of low and zero MVPA levels were examined using multinomial logistic regression. RESULTS The population at zero and recommended MVPA levels rose between 1997-2004 by 12% (95% CI, 5-20%) and 7% (95% CI,-4-19%) respectively, while the population at low MVPA level decreased. At zero MVPA level, associative patterns were observed with sociodemographic and health factors which were different when compared to the population at low MVPA level. CONCLUSIONS Despite the slight increase of population meeting the recommended MVPA level, a higher trend of increase was observed at zero MVPA level. Both recommended and low MPVA levels increased their participation by absorbing participants from the low MVPA level. The sociodemographic profile of those with low MVPA was more similar to the population at recommended MVPA than at zero MVPA level. Methodological implications about the combination of light and moderate-intensity PA could be derived. The prevention of decline in actual low MVPA could change the trend of increase in the population at zero MVPA level, particularly among young adults.
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Affiliation(s)
- José A. Serrano-Sánchez
- Department of Physical Education and Sport Sciences, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
- Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - Luis M. Bello-Luján
- Directorate General of Public Health, Canary Island Health Service, Las Palmas de Gran Canaria, Spain
| | - Juan M. Auyanet-Batista
- Department of Primary Health Care, Canary Islands Health Service, Las Palmas de Gran Canaria, Spain
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Macías R, Garrido-Muñoz M, Tejero-González CM, Lucia A, López-Adán E, Rodríguez-Romo G. Prevalence of leisure-time sedentary behaviour and sociodemographic correlates: a cross-sectional study in Spanish adults. BMC Public Health 2014; 14:972. [PMID: 25239653 PMCID: PMC4177254 DOI: 10.1186/1471-2458-14-972] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2013] [Accepted: 09/15/2014] [Indexed: 11/14/2022] Open
Abstract
Background Being physically inactive has been linked to a higher mortality and poorer quality of life. This cross-sectional study examines the prevalence of leisure-time sedentary behaviour in a population of Spanish adults and its correlates with several sociodemographic variables. Methods Data were collected from 1,330 subjects living in Madrid (age: 18-65 years, 51.6% women) by telephone interview. The sampling error was ±2.7% for a 95.5% confidence level. Leisure-time sedentary behaviour was assessed using the Global Physical Activity Questionnaire (version 2). Further factors examined were: country of birth, sex, age, civil state, education level, employment and economic status and physical activity of parents. Results 76.3% of the subjects interviewed reported a mostly sedentary leisure-time lifestyle. The remaining subjects (23.7%) reported a moderate to high level of physical activity, meeting minimum recommendations. Logistic regression adjusted for all variables identified the following population subsets as showing a greater risk of sedentary behaviour: women (odds ratio (OR) = 2.14; 95% confidence interval (CI): 1.64, 2.79), participants aged 41-50 years (OR = 1.64; 95%CI:1.05, 2.51), those with a middle economic status (OR = 1.48; 95% CI: 1.04, 2.10) or not providing information about their income (OR = 1.97; 95% CI: 1.05, 3.67), and those whose father (OR = 1.53; 95% CI: 1.13, 2.07) and/or mother (OR = 1.41; 95% CI: 1.01, 1.97) were never physically active during leisure-time. Conclusions The high prevalence of self-reported sedentary behaviour recorded suggests the need for public health policies targeted at increasing leisure-time physical activity levels. Our data identified several population subsets as priority candidates for possible interventions pursuing this goal.
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Affiliation(s)
| | | | | | | | | | - Gabriel Rodríguez-Romo
- Facultad de Ciencias de la Actividad Física y del Deporte - INEF, Universidad Politécnica de Madrid, Madrid, Spain.
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Cordero A, Masiá MD, Galve E. Physical exercise and health. ACTA ACUST UNITED AC 2014; 67:748-53. [PMID: 25172071 DOI: 10.1016/j.rec.2014.04.005] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2014] [Accepted: 04/04/2014] [Indexed: 11/24/2022]
Abstract
Regular physical exercise is an established recommendation for preventing and treating the main modifiable cardiovascular risk factors, such as diabetes mellitus, hypertension, and dyslipidemia. Performing physical activity of moderate intensity for a minimum of 30 min 5 days a week or of high intensity for a minimum of 20 min 3 days a week improves functional capacity and is associated with reductions in the incidence of cardiovascular disease and mortality. Physical exercise induces physiological cardiovascular adaptations that improve physical performance, and only in extreme cases can these adaptations lead to an increased risk of physical exercise-associated complications. The incidence of sudden death or serious complications during physical exercise is very low and is concentrated in people with heart diseases or with pathological cardiac adaptation to exercise. Most of these cases can be detected by cardiology units or well-trained professionals.
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Affiliation(s)
- Alberto Cordero
- Departamento de Cardiología, Hospital Universitario de San Juan, San Juan de Alicante,, Alicante, Spain.
| | - M Dolores Masiá
- Departamento de Cardiología, Hospital Universitario de San Juan, San Juan de Alicante,, Alicante, Spain
| | - Enrique Galve
- Departamento de Cardiología, Hospital Universitari de la Vall d'Hebron, Barcelona, Spain
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Guessous I, Gaspoz JM, Theler JM, Kayser B. Eleven-year physical activity trends in a Swiss urban area. Prev Med 2014; 59:25-30. [PMID: 24252488 DOI: 10.1016/j.ypmed.2013.11.005] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2013] [Revised: 10/15/2013] [Accepted: 11/08/2013] [Indexed: 01/08/2023]
Abstract
OBJECTIVE Regular physical activity is a major health determinant. Little is known about physical activity trends. We evaluated whether adult physical activity levels are changing in a Swiss urban state (Geneva). METHOD We analyzed 11-year trends of physical activity indicators, including 3+MET-minutes per week and physical activity outside working hours, in population representative adults (n=9320, aged 35-74years, 50% women), relating declared physical activity to socioeconomic status, lifestyle, and clinical and blood markers. RESULTS Combining yearly cohorts from 1999 to 2009, we found a significant trend for increased physical activity levels. Weekly age and sex adjusted 3+MET-minutes per week increased from 3023 to 3752, between 1999 and 2009 (P=0.02). The increase also concerned physical activity outside working hours (+18kcal/day/year). There was a shift from low levels of physical activity levels towards higher activities. Physical activity indicators were associated with socioeconomic status, comorbidities, and biological and anthropometric measures. The trend for increased physical activity was more prominent over the latter 5years. CONCLUSION We found that physical activity levels have increased in an urban Swiss state. The increase is significant but small, and further efforts to promote physical activity are therefore warranted.
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Affiliation(s)
- Idris Guessous
- Unit of Population Epidemiology, Division of primary care medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals, Switzerland; Community Prevention Unit, Institute of Social and Preventive Medicine, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland.
| | - Jean-Michel Gaspoz
- Unit of Population Epidemiology, Division of primary care medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals, Switzerland.
| | - Jean-Marc Theler
- Unit of Population Epidemiology, Division of primary care medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals, Switzerland.
| | - Bengt Kayser
- Institute of sports sciences, University of Lausanne, Switzerland.
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Pintó X, Valdivielso P, Perez de Juan JM, Plana N, Garcia-Arias C, Fuentes FJ, Hernández-Mijares A, Mostaza JM. Predictive factors of achieving therapeutic goals of hypertriglyceridemia. Curr Med Res Opin 2014; 30:19-26. [PMID: 24083660 DOI: 10.1185/03007995.2013.850069] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES The aim of this study was to ascertain the factors associated with non-achievement of triglyceride (TG) goals in a cohort of hypertriglyceridemic patients attending the lipid clinics of the Spanish Arteriosclerosis Society (LC-SAS). METHODS Patients with high TG levels (>2.2 mmol/L; 200 mg/dL) were included in this multicenter, prospective, observational study and followed up for 1 year. The TG goal was ≤2.2 mmol/L (200 mg/dL). Main limitations of this study are that etiologic diagnosis of hypertriglyceridemia was not done under unified criteria and drug compliance was not evaluated. RESULTS From 1394 patients initially included in the study, 929 (age range: 50 ± 12 years, 26% women) were followed up for 1 year; 523 patients (56%) failed to reach the TG target. These patients were younger, had a higher body mass index (BMI), were more frequently smokers, hypertensive and diabetic and had more severe dyslipidemia. They were also more sedentary, their diet was of poorer quality and they had higher alcohol consumption. The independent predictors of treatment failure were hypertriglyceridemia severity, low high density lipoprotein cholesterol (HDL-C), and high non-HDL-C, alcohol consumption and a raised BMI, while drug treatment had no predictive power. CONCLUSION Independent predictors of failure to achieve hypertriglyceridemia treatment goals are inappropriate lifestyle, evidenced by insufficient weight loss, alcohol consumption and dyslipidemia severity.
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Affiliation(s)
- X Pintó
- Internal Medicine Department, Hospital Universitari de Bellvitge-IDIBELL, Barcelona University , CIBERobn ISCIII , Spain
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Royo-Bordonada MÁ, Lobos JM, Brotons C, Villar F, de Pablo C, Armario P, Cortés O, Gil Nuñez A, Lizcano Á, de Santiago A, Sans S. El estado de la prevención cardiovascular en España. Med Clin (Barc) 2014; 142:7-14. [DOI: 10.1016/j.medcli.2012.09.046] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2012] [Revised: 09/24/2012] [Accepted: 09/27/2012] [Indexed: 11/26/2022]
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Abstract
OBJECTIVE To estimate the prevalence and sociodemographic indicators associated with physical inactivity in leisure, commuting, work, and household in adults in Florianopolis, Brazil. METHODS Population-based cross-sectional study was conducted from September 2009 to January 2010, with adults between 20 to 59 years of age (n=1720). Sociodemographic indicators and physical inactivity in each domain were assessed by a validated questionnaire, applied through face-to-face interviews. RESULTS The prevalence of physical inactivity in each domain was: leisure (52.5%); commuting (50.4%); work (80.9%); and household (57.6%). Women were 27% more inactive in leisure, while men were significantly more inactive at commuting and household (p<0.001). Older adults were more inactive in leisure (p=0.04) and commuting (p=0.05). Physical inactivity in leisure was higher in black adults and those who living with a partner and with lower educational level and lower income. In commuting, those living with a partner and who had higher income were more inactive. Physical inactivity at work was higher in white or brown adults, who had higher educational level and higher income. Physical inactivity in household was found to be higher in adults with higher educational level and higher income. CONCLUSIONS Sociodemographic indicators presented different associations with physical inactivity in each domain.
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Serrano-Sanchez JA, Lera-Navarro A, Dorado-García C, González-Henriquez JJ, Sanchis-Moysi J. Contribution of individual and environmental factors to physical activity level among Spanish adults. PLoS One 2012; 7:e38693. [PMID: 22685598 PMCID: PMC3369927 DOI: 10.1371/journal.pone.0038693] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2011] [Accepted: 05/11/2012] [Indexed: 11/18/2022] Open
Abstract
Background Lack of physical activity (PA) is a major risk for chronic disease and obesity. The main aims of the present study were to identify individual and environmental factors independently associated with PA and examine the relative contribution of these factors to PA level in Spanish adults. Methodology/Principal Findings A population-based cross-sectional sample of 3,000 adults (18–75 years old) from Gran Canaria (Spain) was selected using a multistage stratified random sampling method. The participants were interviewed at home using a validated questionnaire to assess PA as well as individual and environmental factors. The data were analyzed using bivariate and multivariate logistic regression. One demographic variable (education), two cognitive (self-efficacy and perceived barriers), and one social environmental (organized format) were independently associated with PA in both genders. Odds ratios ranged between 1.76–2.07 in men and 1.35–2.50 in women (both p<0.05). Individual and environmental factors explained about one-third of the variance in PA level. Conclusions/Significance Self-efficacy and perceived barriers were the most significant factors to meet an adequate level of PA. The risk of insufficient PA was twofold greater in men with primary or lesser studies and who are employed. In women, living in rural environments increased the risk of insufficient PA. The promotion of organized PA may be an efficient way to increase the level of PA in the general population. Improvement in the access to sport facilities and places for PA is a prerequisite that may be insufficient and should be combined with strategies to improve self-efficacy and overcome perceived barriers in adulthood.
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Affiliation(s)
- José Antonio Serrano-Sanchez
- Departament of Physical Education, Campus Universitario de Tafira s/n, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.
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Cordova A, Villa G, Sureda A, Rodriguez-Marroyo JA, Sánchez-Collado MP. Physical activity and cardiovascular risk factors in Spanish children aged 11-13 years. Rev Esp Cardiol 2012; 65:620-6. [PMID: 22633280 DOI: 10.1016/j.recesp.2012.01.026] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2011] [Accepted: 01/27/2012] [Indexed: 10/28/2022]
Abstract
INTRODUCTION AND OBJECTIVES The prevalence of childhood obesity has increased in recent decades. The aim was to determine whether a 3-month intervention on daily physical activity at school could affect body weight and cardiovascular risk factors associated with childhood obesity. METHODS A total of 137 children (12[1] years old) volunteered to participate in an observational cross-sectional study. Children were allowed to join one of the following groups: a) sedentary group (2h/week of physical education at school); b) active group (2h/week of physical education at school plus 3h/week extra physical activity), and c) sports group (2h/week of physical education at school plus 5h/week extra physical activity). Anthropometric characteristics, blood pressure, physical condition (estimated by the Course-Navette test), and biochemical parameters related with cardiovascular risk factors were determined. RESULTS Body weight, body mass index, waist circumference, sum of skinfold thickness, body fat percentage, and fat mass index of children were decreased with high physical activity level, whereas body water content significantly increased with activity. Parameters related with cardiovascular risk -triglycerides, insulin, systolic blood pressure, and homeostatic model assessment index- presented lower values in the sports group. Maximal oxygen uptake and maximum heart rate (Course Navette test) progressively increased with activity. Children participating in a total of 7h/week of physical activity presented significantly lower odds ratio of having high levels of the following cardiovascular risk factors: waist circumference, fat mass index, and homeostatic model assessment index. CONCLUSIONS Physical activity is important for metabolic health in children. Children with higher levels of physical activity presented better anthropometric and biochemical profiles.
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Affiliation(s)
- Alfredo Cordova
- Departamento de Bioquímica, Biología Molecular y Fisiología, Facultad de Fisioterapia, Universidad de Valladolid, Soria, Spain.
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Guallar-Castillón P, Gil-Montero M, León-Muñoz LM, Graciani A, Bayán-Bravo A, Taboada JM, Banegas JR, Rodríguez-Artalejo F. Magnitude and management of hypercholesterolemia in the adult population of Spain, 2008-2010: The ENRICA Study. Rev Esp Cardiol 2012; 65:551-8. [PMID: 22483404 DOI: 10.1016/j.recesp.2012.02.005] [Citation(s) in RCA: 104] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2012] [Accepted: 02/16/2012] [Indexed: 11/17/2022]
Abstract
INTRODUCTION AND OBJECTIVES Only a few studies have reported nationwide population-based data on the magnitude and control of hypercholesterolemia. This work examines the prevalence and management of hypercholesterolemia in Spain. METHODS Cross-sectional study conducted from June 2008 to October 2010 on 11,554 individuals representative of the population aged ≥ 18 years in Spain. Study participants provided 12-h fasting blood samples, which were analyzed in a central laboratory with standardized methods. RESULTS In the whole population, 50.5% had hypercholesterolemia (total cholesterol ≥ 200 mg/dL or drug treatment) and 44.9% high levels of low-density lipoprotein cholesterol (≥ 130 mg/dL or drug treatment), with no substantial sex-related differences. Moreover, 25.5% of men showed high-density lipoprotein cholesterol < 40 mg/dL and 26.4% of women high-density lipoprotein cholesterol <50mg/dL. Also, 23.2% of men and 11.7% of women had triglycerides ≥ 150 mg/dL. Frequency of dyslipidemia increased up to 65 years, except for low high-density lipoprotein cholesterol which did not vary with age. Among those with high low-density lipoprotein cholesterol, 53.6% knew of it and 44.1% of them received lipid-lowering treatment; among the latter, 55.7% had a controlled level (13.2% of all hypercholesterolemics). Control of high low-density lipoprotein cholesterol increased with age and with the number of visits to the specialist physician, but was lower among diabetics (odds ratio=0.38; 95% confidence interval, 0.28-0.53) and patients with cardiovascular disease (odds ratio=0.55; 95% confidence interval, 0.33-0.92). CONCLUSIONS About half of the Spanish population has elevated serum cholesterol; moreover, cholesterol control is poor, particularly among those with highest cardiovascular risk, such as diabetics or patients with cardiovascular disease.
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Affiliation(s)
- Pilar Guallar-Castillón
- Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Autónoma de Madrid/IdiPAZ, Madrid, Spain.
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Alonso-Blanco C, Palacios-Ceña D, Hernández-Barrera V, Carrasco-Garrido P, Jiménez-García R, Fernández-de-Las-Peñas C. Trends in leisure time and work-related physical activity in the Spanish working population, 1987-2006. GACETA SANITARIA 2011; 26:223-30. [PMID: 22197322 DOI: 10.1016/j.gaceta.2011.07.027] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2011] [Revised: 07/15/2011] [Accepted: 07/18/2011] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To analyze time trends in the prevalence of leisure time (LTPA) and work-related (WRPA) physical activity between 1987 and 2006 in the Spanish working population. METHODS We analyzed data taken from the Spanish National Health Surveys for 1987 (n = 29,647), 1993 (n = 20,707), 1995-1997 (n = 12,800), 2001 (n = 21,058), 2003 (n = 21,650), and 2006 (n = 29,478). The main variables were LTPA and WRPA in working adults aged 18-64 years old. We analyzed sociodemographic characteristics, self-perceived health status, lifestyle habits and associated comorbidities using multivariate logistic regression models. RESULTS The prevalences of LTPA and WRPA were lower in women than in men (p < 0.05). The practice of LTPA (OR: 1.54, 95%CI: 1.32-1.80 for women; OR = 1.15, 95%CI: 1.02-1.31 for men) and WRPA (OR = 1.73, 95%CI: 1.38-2.19 for women; OR = 1.55, 95%CI: 1.44-1.91 for men) significantly increased from 1987 to 2006. In both genders, the variables associated with a higher likelihood of practicing LTPA were greater age, higher educational level and being an ex- or non-smoker, while negative predictors included being married, worse self-perceived health, and obesity. Factors that increased the probability of reporting WRPA were being married, worse self-rated health status, and sleeping > 8h per day. The only factor that reduced the probability of reporting WRPA was being an ex- or non-smoker. CONCLUSIONS We found an increase in LTPA and WRPA in the last 20 years in the Spanish working population. Several factors were associated with a higher or lower likelihood of practicing LTPA or WRPA in this population.
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Affiliation(s)
- Cristina Alonso-Blanco
- Department of Nursing, Obstetric, Gynecology, Pediatrics and Psychiatry, Universidad Rey Juan Carlos, Madrid, Spain
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Espelt A, Kunst AE, Palència L, Gnavi R, Borrell C. Twenty years of socio-economic inequalities in type 2 diabetes mellitus prevalence in Spain, 1987-2006. Eur J Public Health 2011; 22:765-71. [PMID: 22037802 DOI: 10.1093/eurpub/ckr158] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND To analyse trends in socio-economic inequalities in the prevalence of diabetes among men and women aged ≥35 years in Spain during the period 1987-2006. METHODS We analysed trends in the age-standardized prevalence of self-reported diabetes and obesity in relation to level of education using data from the Spanish National Health Survey for the years 1987, 1993, 1995, 1997, 2001, 2003 and 2006 (86 345 individuals aged ≥35 years). To assess the relationship between education level and diabetes and obesity, we computed the Slope Index of Inequality and the Relative Index of Inequality (RII) for each year. Additional models were fit to take into account mediator variables in socio-economic position (SEP) diabetes inequalities. RESULTS The prevalence of self-reported diabetes was higher among persons of low educational level, increasing more rapidly over time among people with lower education level (5.0-12.6% in men, and 8.4-13.1% in women between 1987 and 2006) than among those with higher education level (6.3-8.7% in men and 3.8-4.0% in women). Relative inequalities showed a weak tendency to increase. In women, the RII of self-reported diabetes increased from 3.04 (1.95-4.74) in 1987 to 4.28 (2.98-6.13) in 2006, while in men were constant since 1993. Trends in SEP inequalities in diabetes prevalence were attenuated when mediator variables were taken into account in women but not in men. CONCLUSION SEP inequalities in diabetes existed >20 years ago and have increased, especially among women. These patterns may be explained by trends in health behaviours and obesity, but only to a limited extent.
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Rodríguez-Artalejo F, Graciani A, Guallar-Castillón P, León-Muñoz LM, Zuluaga MC, López-García E, Gutiérrez-Fisac JL, Taboada JM, Aguilera MT, Regidor E, Villar-Álvarez F, Banegas JR. Justificación y métodos del estudio sobre nutrición y riesgo cardiovascular en España (ENRICA). Rev Esp Cardiol 2011; 64:876-82. [DOI: 10.1016/j.recesp.2011.05.019] [Citation(s) in RCA: 142] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2011] [Accepted: 05/17/2011] [Indexed: 10/17/2022]
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Rationale and Methods of the Study on Nutrition and Cardiovascular Risk in Spain (ENRICA). ACTA ACUST UNITED AC 2011. [DOI: 10.1016/j.rec.2011.05.023] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Redondo A, Subirana I, Ramos R, Solanas P, Sala J, Masiá R, Schröder H, Marrugat J, Elosua R. [Trends in leisure time physical activity practice in the 1995-2005 period in Girona]. Rev Esp Cardiol 2011; 64:997-1004. [PMID: 21945092 DOI: 10.1016/j.recesp.2011.06.020] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2011] [Accepted: 06/06/2011] [Indexed: 12/24/2022]
Abstract
INTRODUCTION AND OBJECTIVES The aims of the study were: to describe the distribution of physical activity practice; to determine the prevalence and trends of sedentary lifestyle in the population aged 35 to 74 years of Girona in the 1995-2005 period; and to identify the variables associated to sedentary lifestyle at the population level. METHODS Data from three independent population-based cross-sectional studies undertaken in 1995 (n=1419), 2000 (n=2499), and 2005 (n=5628) were analyzed. Physical activity was measured using the Minnesota Leisure Time Physical Activity questionnaire. Sedentary lifestyle was defined as an energy expenditure in moderate physical activity (4-5.5 METs) <675 kcal/week or <420 kcal/week in intense PA (≥ 6 METs). Logistic regression was used to determine the variables associated with sedentary lifestyle. RESULTS The age-standardized prevalence of sedentary lifestyle was 53.8%, 39.5%, and 32.6% in 1995, 2000, and 2005 respectively. The prevalence of sedentary lifestyle has decreased especially in women older than 50 years living in the urban areas. An increase in light and moderate physical activity practice in men older than 50 years and in light physical activity practice in women older than 50 years was observed. Female gender, age, smoking and lower educational level were associated with a higher prevalence of sedentary lifestyle. CONCLUSIONS Prevalence of sedentary lifestyle has decreased in the 1995-2005 period in Girona, especially in women, but is still high. Health promotion programs should include physical activity practice as a key element and should take into account gender and social inequalities.
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Affiliation(s)
- Ana Redondo
- Grupo de Epidemiología y Genética Cardiovascular, IMIM, Barcelona, España; Unidad Docente de Medicina Preventiva y Salud Pública (IMAS-UPF-ASPB), Barcelona, España.
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[Trends in Six Years Participation in Extracurricular Physical Activity in Adolescents. The AVENA and AFINOS Studies]. Rev Esp Cardiol 2011; 64:437-8. [PMID: 21458131 DOI: 10.1016/j.recesp.2011.01.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2011] [Accepted: 01/20/2011] [Indexed: 11/22/2022]
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