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Cheah YK, Lim KK, Ismail H, Mohd Yusoff MF, Kee CC. Can the association between hypertension and physical activity be moderated by age? J Taibah Univ Med Sci 2023; 18:844-854. [PMID: 36852251 PMCID: PMC9957764 DOI: 10.1016/j.jtumed.2022.12.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Revised: 12/01/2022] [Accepted: 12/24/2022] [Indexed: 01/05/2023] Open
Abstract
Objectives Physical inactivity, hypertension and non-communicable diseases are major public concerns across the globe. To our knowledge, there is a lack of research that has investigated the moderating effect of age on the relationship between hypertension and physical activity in developing countries. This study had two objectives: (1) investigating hypertension and sociodemographic factors associated with physical activity and (2) investigating whether age moderates the relationship between hypertension and physical activity. Methods Nationally representative data of Malaysia were used to generate cross-sectional evidence. The sample size was 2156 respondents. An ordered probit regression was utilized to assess factors associated with the practice of physical activity. Results Respondents aged 40-49 years with hypertension were 7.3% less likely to participate in high-level physical activity when compared to those without hypertension. The probability of having a low level of physical activity was 12.3% higher among hypertensive patients aged ≥60. Males, married individuals, less-educated adults, low-income earners, and individuals who were aware of their BMI, had a higher tendency to indulge in a highly active lifestyle than others. Conclusion The effect of hypertension on physical activity was moderated by age. Factors influencing physical activity levels among adults were income, gender, marital status, education, employment status, and BMI awareness.
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Affiliation(s)
- Yong Kang Cheah
- School of Economics, Finance and Banking, College of Business, Universiti Utara Malaysia, Sintok, Kedah, Malaysia,Corresponding address. School of Economics, Finance and Banking, College of Business, Universiti Utara Malaysia, 06010, Sintok, Kedah, Malaysia
| | - Kuang Kuay Lim
- Centre for Occupational Health Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia
| | - Hasimah Ismail
- Centre for Non-Communicable Diseases Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Shah Alam, Selangor, Malaysia
| | - Muhammad Fadhli Mohd Yusoff
- Centre for Non-Communicable Diseases Research, Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia Shah Alam, Selangor, Malaysia
| | - Chee Cheong Kee
- Sector for Biostatistics and Data Repository, National Institutes of Health, Ministry of Health Malaysia Shah Alam, Selangor, Malaysia
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2
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Martins Neto C, Confortin SC, Lima ABS, Mouzinho LSN, Oliveira BLCAD. Association between perceived discrimination and physical activity among adolescents. CIENCIA & SAUDE COLETIVA 2022. [DOI: 10.1590/1413-812320222710.05992022en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Perceived discrimination is a major producer of stress and social trauma and can have negative effects on the physical and mental health of those exposed to it. This study aims to analyze the direct and indirect association between perceived discrimination and physical activity, mediated by common mental disorders in adolescents. This is a cross-sectional study with 2,484 adolescents (aged 18 and 19 years old) from a cohort in São Luís, Maranhão. Structural equation models were used to verify the direct effect of perceived discrimination on physical activity (PA) and its indirect effect mediated by common mental disorders (CMD). The potential of sex to act as an effect-modifying variable was also tested. Discrimination was associated with higher levels of PA in women (SC - Standardized Coefficient direct =0.105, p-value=0.005), and indirectly associated with lower PA via CMT among men (SCindirect =-0.024, p-value=0.017) and women (SCindirect =-0.024, p-value=0.015). Our findings show the association between perceived discrimination and PA in this population of adolescents, attesting that its effects can alter health behaviors and that gender can modify the relation between these variables.
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Martins Neto C, Confortin SC, Lima ABS, Mouzinho LSN, Oliveira BLCAD. Association between perceived discrimination and physical activity among adolescents. CIENCIA & SAUDE COLETIVA 2022; 27:4003-4013. [PMID: 36134806 DOI: 10.1590/1413-812320222710.05992022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 06/08/2022] [Indexed: 11/22/2022] Open
Abstract
Perceived discrimination is a major producer of stress and social trauma and can have negative effects on the physical and mental health of those exposed to it. This study aims to analyze the direct and indirect association between perceived discrimination and physical activity, mediated by common mental disorders in adolescents. This is a cross-sectional study with 2,484 adolescents (aged 18 and 19 years old) from a cohort in São Luís, Maranhão. Structural equation models were used to verify the direct effect of perceived discrimination on physical activity (PA) and its indirect effect mediated by common mental disorders (CMD). The potential of sex to act as an effect-modifying variable was also tested. Discrimination was associated with higher levels of PA in women (SC - Standardized Coefficient direct =0.105, p-value=0.005), and indirectly associated with lower PA via CMT among men (SCindirect =-0.024, p-value=0.017) and women (SCindirect =-0.024, p-value=0.015). Our findings show the association between perceived discrimination and PA in this population of adolescents, attesting that its effects can alter health behaviors and that gender can modify the relation between these variables.
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Affiliation(s)
- Carlos Martins Neto
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Maranhão. R. Barão de Itapary 155, Centro. 65020-070 São Luís MA Brasil.
| | - Susana Cararo Confortin
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Maranhão. R. Barão de Itapary 155, Centro. 65020-070 São Luís MA Brasil.
| | - Alice Bianca Santana Lima
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Maranhão. R. Barão de Itapary 155, Centro. 65020-070 São Luís MA Brasil.
| | - Leandro Saldanha Nunes Mouzinho
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Maranhão. R. Barão de Itapary 155, Centro. 65020-070 São Luís MA Brasil.
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Christofoletti M, Streit IA, Garcia LMT, Mendonça G, Benedetti TRB, Papini CB, Borges LJ, Binotto MA, Silva-Júnior FLE. Barriers and facilitators for physical activity domains in Brazil: a systematic review. CIENCIA & SAUDE COLETIVA 2022. [DOI: 10.1590/1413-81232022279.04902022en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract This study aimed to systematically review scientific evidence on the barriers and facilitators of physical activity (PA) among the Brazilian population, considering different domains (leisure, travel, work/study, and household). The search was conducted in the MEDLINE/PubMed, ISI Web of Science, SCOPUS, BIREME/LILACS, and APA PsycNET databases and was limited to papers published between 2010 and 2020. A manual search of the Brazilian Journal of Physical Activity & Health was also conducted. The selection process consisted of screening titles and abstracts, followed by the analysis of full texts. Each paper was assessed by two independent reviewers, and when discrepancies arose, a third reviewer was consulted. Leisure, environmental barriers and facilitators were the most investigated domains in the 78 included studies. There was consistency in the positive associations between six different intrapersonal and social facilitators for leisure PA and one environmental factor for travel. There have been a small number of investigations on the work/study and household domains, and future investigations on intrapersonal and social barriers and facilitators in the travel domain are important.
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Christofoletti M, Streit IA, Garcia LMT, Mendonça G, Benedetti TRB, Papini CB, Borges LJ, Binotto MA, Silva-Júnior FLE. Barriers and facilitators for physical activity domains in Brazil: a systematic review. CIENCIA & SAUDE COLETIVA 2022; 27:3487-3502. [PMID: 36000639 DOI: 10.1590/1413-81232022279.04902022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Accepted: 05/16/2022] [Indexed: 11/22/2022] Open
Abstract
This study aimed to systematically review scientific evidence on the barriers and facilitators of physical activity (PA) among the Brazilian population, considering different domains (leisure, travel, work/study, and household). The search was conducted in the MEDLINE/PubMed, ISI Web of Science, SCOPUS, BIREME/LILACS, and APA PsycNET databases and was limited to papers published between 2010 and 2020. A manual search of the Brazilian Journal of Physical Activity & Health was also conducted. The selection process consisted of screening titles and abstracts, followed by the analysis of full texts. Each paper was assessed by two independent reviewers, and when discrepancies arose, a third reviewer was consulted. Leisure, environmental barriers and facilitators were the most investigated domains in the 78 included studies. There was consistency in the positive associations between six different intrapersonal and social facilitators for leisure PA and one environmental factor for travel. There have been a small number of investigations on the work/study and household domains, and future investigations on intrapersonal and social barriers and facilitators in the travel domain are important.
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Affiliation(s)
- Marina Christofoletti
- Departamento de Educação Física, Universidade Federal de Santa Catarina. Campus Universitário, Trindade. 88040-900 Florianópolis SC Brasil.
| | - Inês Amanda Streit
- Faculdade de Educação Física e Fisioterapia. Universidade Federal do Amazonas. Manaus AM Brasil
| | | | - Gerfeson Mendonça
- Instituto de Educação Física e Esporte, Universidade Federal de Alagoas. Curso de Educação Física, Centro Universitário CESMAC. Maceió AL Brasil
| | - Tânia Rosane Bertoldo Benedetti
- Departamento de Educação Física, Universidade Federal de Santa Catarina. Campus Universitário, Trindade. 88040-900 Florianópolis SC Brasil.
| | - Camila Bosquiero Papini
- Departamento de Ciências do Esporte, Universidade Federal do Triângulo Mineiro. Uberaba MG Brasil
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Fang P, Sun L, Shi SS, Ahmed Laar R, Lu Y. Influencing Factors Related to Female Sports Participation Under the Implementation of Chinese Government Interventions: An Analysis Based on the China Family Panel Studies. Front Public Health 2022; 10:875373. [PMID: 35719610 PMCID: PMC9201213 DOI: 10.3389/fpubh.2022.875373] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 04/04/2022] [Indexed: 11/17/2022] Open
Abstract
Objectives Regular sports participation is a gendered phenomenon in China. Women have reported much higher constraints than men on time, partner, psychology, knowledge, and interest. This study explores personal, family, lifestyle, and health factors associated with sports participation. Study Design This study is a cross-sectional study. Methods Data were collected from the national reprehensive China Family Panel Studies (CFPS) database (2018) to analyze personal information, family background, lifestyle, and health in relation to women's sports participation. Multiple classification logistic regression was used to quantify the association between independent variables and sports time. Results Women with high personal income and education, who were unmarried, in faster economic development areas have more awareness and more time for sports participation. Women who were overweight and self-rated as unattractive spent less time on sports participation. Women with a small family population and no children have more time for sports participation. Less time on the internet and moderate sleep contribute to active sports participation. Women with chronic diseases and high medical costs are less likely to participate in sports. Conclusions Negative body aesthetic perception, the burden of family environment, modernization of lifestyle, and the normalization of sub-health are essential factors affecting women's sports participation. The government should understand the inner and outer barriers to women's participation in sports, develop policies and regulations to protect and support women's sports participation, and guide and monitor the effective implementation of women's sports activities.
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Affiliation(s)
- Ping Fang
- School of Sports Science, Nanjing Normal University, Nanjing, China
| | - Lei Sun
- School of Sports Science, Nanjing Normal University, Nanjing, China
| | - Shu Sheng Shi
- School of Sports Science, Nanjing Normal University, Nanjing, China
| | - Rizwan Ahmed Laar
- College of Physical Education, Hubei Normal University, Huangshi, China
| | - Yan Lu
- School of Sports Science, Nanjing Normal University, Nanjing, China
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Clark SGF, Guilherme RC, Motter FR, Vasconcelos FND, Lira PICD, Canuto R. Cardiovascular risk behavior among industrial workers in the Northeast of Brazil: a cluster analysis. CIENCIA & SAUDE COLETIVA 2022; 27:1403-1412. [PMID: 35475821 DOI: 10.1590/1413-81232022274.07122021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Accepted: 06/01/2021] [Indexed: 11/21/2022] Open
Abstract
This research aimed to investigate the occurrence of clusters of cardiovascular risk behaviors and their association with social demographic and occupational characteristics in a population of industrial workers in the metropolitan area of Recife, Brazil. It was a transversal study with 727 workers of both genders. We identified cluster distribution from the variables: smoking, alcohol consumption, physical activity and waist circumference, by a combination of hierarchical and non-hierarchical analysis. We later tested the association with the social demographic and occupational variables with a multi-varied analysis. We have identified a protection cluster (sufficient physical activity, moderate alcohol consumption) and a risk cluster (high waist circumference, sedentarism, smoking, excessive alcohol consumption). The protection cluster was positively associated with night shift or variable shift work (RP: 1.66, IC95%: 1.26-2.17), and the risk cluster was associated with women (RP: 1.15, IC95%: 1.01-1.31). Cluster analysis allowed to identify that, for day shift workers and women, the shortest daytime outside the work environment can influence the adoption of cardiovascular risk behaviors.
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Affiliation(s)
- Sabrina Gomes Ferreira Clark
- Programa de Pós-Graduação em Nutrição, Universidade Federal de Pernambuco (UFPE). Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil.
| | | | - Fabiane Raquel Motter
- Programa de Pós-Graduação em Ciências Farmacêuticas, Universidade de Sorocaba. Sorocaba SP Brasil
| | - Fábio Nogueira de Vasconcelos
- Programa de Pós-Graduação em Nutrição, Universidade Federal de Pernambuco (UFPE). Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil.
| | - Pedro Israel Cabral de Lira
- Programa de Pós-Graduação em Nutrição, Universidade Federal de Pernambuco (UFPE). Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil.
| | - Raquel Canuto
- Programa de Pós-Graduação em Nutrição, Universidade Federal de Pernambuco (UFPE). Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil.
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Matos SMA, Amorim LDAF, Pitanga FJG, Patrão AL, Barreto SM, Chor D, Cardoso LDO, Molina MDCB, Barreto ML, Aquino EML. Social position and anthropometric status among adults in the ELSA-Brasil study: a latent class analysis. CAD SAUDE PUBLICA 2021; 37:e00168918. [PMID: 34669771 DOI: 10.1590/0102-311x00168918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2018] [Accepted: 11/27/2020] [Indexed: 11/22/2022] Open
Abstract
The objective of the present study was to evaluate the association between social position and anthropometric status in women and men Brazilian adult. This was a cross-sectional study that used baseline data collected from 2008 to 2010 for the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil, in Portuguese), in the six major Brazilian state capital cities. A total of 15,105 active and retired civil servants aged from 35 to 74 years. Two latent variables were defined by latent class analysis, social position and anthropometric status. Both constructs and the analyses were separately evaluated by sex. Associations were assessed using multivariate logistic regression analysis with adjustment for age, self-reported skin color/race, and marital status. Around 44% of the women and 26% of the men were classified as overweight or obese. Social position tended to be lower in women (43.2%) and higher among men (40.4%). Heavier women were more likely to be black and brown-skinned, whereas slimmer women were more likely to be white. After adjustment, women's weight increased as social position decreased (OR = 1.52; 95%CI: 1.36-1.70), whereas in men weight decreased as social position decreased (OR = 0.87; 95%CI: 0.76-0.99). Social position affected the anthropometric status of women and men differently, with body patterns also being affected by ethnicity/skin color, showing the potentiality of taking the intersectional perspective when investigating the possible social determinants of the phenomenon.
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Affiliation(s)
| | | | | | - Ana Luísa Patrão
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil
| | | | - Dora Chor
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | | | | | - Estela M L Aquino
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil
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Verzani RH, Serapião ABDS. [Technological contributions for health: outlook on physical activity]. CIENCIA & SAUDE COLETIVA 2021; 25:3227-3238. [PMID: 32785556 DOI: 10.1590/1413-81232020258.19742018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2017] [Accepted: 11/15/2018] [Indexed: 11/21/2022] Open
Abstract
The scope of this paper sought to analyze the potential of using Internet technologies of wearable accessories and devices and the possible interventions in physical activities, seeking improvements with respect to physical inactivity and Chronic Non-Communicable Diseases (CNCDs). By means of a bibliographical review, it was revealed that there is great concern regarding physical inactivity and CNCDs as well as the increasing research focus on these technological strategies. The amount of data collected in real time is one of the strengths of the devices, which can assist in longitudinal research, interventions in patients and also in physical activities performed, revolutionizing relationships and interventions in the area.
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Affiliation(s)
- Renato Henrique Verzani
- Departamento de Educação Física, Instituto de Biociências, Universidade Estadual Paulista Júlio de Mesquita Filho. Av. 24A 1515, Bela Vista. 13500-060 Rio Claro SP Brasil.
| | - Adriane Beatriz de Souza Serapião
- Departamento de Estatística, Matemática Aplicada e Computação, Instituto de Geociências e Ciências Exatas. UNESP Rio Claro SP Brasil
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Alvim Matos SM, Duncan BB, Bensenor IM, Mill JG, Giatti L, Molina MDCB, Mendes da Fonseca MDJ, Schmidt MI, Lotufo PA, Griep RH, Barreto SM, Almeida MDCC. Incidence of excess body weight and annual weight gain in women and men: Results from the ELSA-Brasil cohort. Am J Hum Biol 2021; 34:e23606. [PMID: 33909940 DOI: 10.1002/ajhb.23606] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 04/07/2021] [Accepted: 04/08/2021] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE To estimate annual weight gain and the incidence of overweight and obesity, stratified according to gender and socioeconomic factors. METHODS From the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), we included 13 625 women and men aged 35-74 (2008-2010) who attended a follow-up visit after a mean 3.8-years. Standardized questionnaires were used to record sociodemographic data, and height and weight were measured on all participants during in-person visits at research centers. The incidence rate to overweight was calculated among those not having excess weight at baseline, and incident obesity among those not having this condition at baseline. We evaluated the incidence of overweight and obesity in men and women, adjusted by age, through Poisson regression with robust variance. Large annual weight gain by gender was being defined as ≥90th percentile in the cohort. RESULTS A global incidence of 7.7% for overweight and 10.6% for obesity was observed, with higher levels seen among black woman (28.5%), young men (21.1%) and woman with low educational level (35.0%). The proportions of overweight and obesity increased with age at both time points, more commonly among those with the lowest levels of per capita income and fewer years of schooling. Large annual weight gain was greater among participants with an intermediate level of education and those who self-identified as black. CONCLUSIONS A high overall risk of becoming overweight/obese was found, especially among women. The roles of race and education level are fundamental to understanding the effects produced by social inequalities in rates of excess weight.
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Affiliation(s)
| | - Bruce B Duncan
- Postgraduate Program in Epidemiologia and Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Isabela M Bensenor
- Center for Clinical and Epidemiologic Research, Hospital Universitário, University of São Paulo, São Paulo, Brazil
| | - José Geraldo Mill
- Department of Physiological Sciences, Federal University of Espírito Santo, Vitória, Brazil
| | - Luana Giatti
- Faculty of Medicine & Clinical Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Maria Del Carmen B Molina
- Postgraduate Program in Health and Nutrition - Federal University of Ouro Preto - Brazil and Postgraduate Program in Nutrition and Health - Federal University of Espírito Santo, Brazil
| | | | - Maria Inês Schmidt
- Postgraduate Program in Epidemiologia and Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Paulo A Lotufo
- Center for Clinical and Epidemiologic Research, Hospital Universitário, University of São Paulo, São Paulo, Brazil
| | - Rosane Harter Griep
- Laboratory of Health and Environment Education, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Sandhi Maria Barreto
- Faculty of Medicine & Clinical Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil
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Loch MR, Guerra PH. [Laziness as the single explanation for physical inactivity: commentary and reflections on discrepancies between scientific evidence and media discourse]. CAD SAUDE PUBLICA 2018; 34:e00223017. [PMID: 30517320 DOI: 10.1590/0102-311x00223017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2017] [Accepted: 08/17/2018] [Indexed: 11/21/2022] Open
Abstract
This essay aims to suggest food for thought on discrepancies between scientific evidence on physical inactivity and the associated factors and determinants and information communicated by the media on this topic. We specifically examine a case in which "laziness" was used as the "explanatory" factor for the high levels of physical inactivity in the Brazilian population. We use as examples a scientific article published in Nature and two news stories published in mainstream Brazilian media channels (Veja magazine and O Globo newspaper) that commented on the former. There were important inconsistencies between the scientific content in the Nature article and the news stories, which took a simplistic approach to a real and complex problem (high levels of physical inactivity in Brazil), suggesting that "laziness" explains why Brazil ranks so poorly in the world in terms of physical activity. We highlight the need for mass communications media to better contextualize the information they republish, because otherwise the impact can be more negative than positive, especially when they build or reinforce misconceptions. This is particularly serious in the case of physical inactivity, since such news coverage can lend legitimacy to the lack of investments in measures to deal adequately with the problem. If physical inactivity is interpreted merely as a matter of "laziness", it makes much less sense to invest in modifying various determinants of this serious public health problem.
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Affiliation(s)
- Mathias Roberto Loch
- Programa de Pós-graduação em Saúde Coletiva, Universidade Estadual de Londrina, Londrina, Brasil
| | - Paulo Henrique Guerra
- Universidade Federal da Fronteira Sul, Chapecó, Brasil.,Grupo de Estudos e Pesquisas Epidemiológicas em Atividade Física e Saúde, Universidade de São Paulo, São Paulo, Brasil
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12
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de Matos SMA, Pitanga FJG, Almeida MDCC, Queiroz CO, dos Santos CA, de Almeida RT, da Silva ITM, Griep RH, Amorim LDAF, Patrão AL, Aquino EML. What Factors Explain Bicycling and Walking for Commuting by ELSA-Brasil Participants? Am J Health Promot 2017; 32:646-656. [DOI: 10.1177/0890117117738400] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Purpose: To analyze the factors associated with commuting by bicycling and walking in adult participants from ELSA-Brasil (Longitudinal Study of Adult Health). Design: Cross-sectional. Setting: Six teaching/research institutions throughout Brazil. Participants: A total of 15 105 civil servants. Measures: Commuting by bicycling and walking was analyzed using the long-form International Physical Activity Questionnaire. Analysis: A hierarchical model containing possible factors associated with commuting by bicycling and walking was constructed. Crude and adjusted odds ratios were calculated using multinomial logistic regression. Results: Considering the 2 forms of commuting, 66% of the participants were being considered inactive or insufficiently active. In women, being “heavier,” feeling unsafe practicing physical activity, and being a former smoker were factors negatively associated with commuting by bicycling and walking. In men, active commuting was less common among those who were overweight or had abdominal obesity, those with a negative perception of safety, and those reporting that there was nowhere suitable in the neighborhood to practice physical activity. Conclusion: Obesity and negative perceptions in the neighborhood are associated with inactive or insufficiently active commuting. The relevance of this finding for public health is reinforce developing policies aimed at promoting health in Brazil and in other countries with similar characteristics.
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Affiliation(s)
| | | | | | | | - Clarice Alves dos Santos
- Institute of Collective Health, Federal University of Bahia (UFBA), Salvador, Bahia, Brazil
- Department of Biological Sciences, State University of Southwestern Bahia (UESB), Jequié, Bahia, Brazil
| | - Rogerio Tosta de Almeida
- Institute of Collective Health, Federal University of Bahia (UFBA), Salvador, Bahia, Brazil
- Department of Health, State University of Feira de Santana (UEFS), Feira de Santana, Bahia, Brazil
| | | | - Rosane Harter Griep
- Laboratory of Education in Environment and Health, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | | | - Ana Luísa Patrão
- Institute of Collective Health, Federal University of Bahia (UFBA), Salvador, Bahia, Brazil
| | - Estela M. L. Aquino
- Institute of Collective Health, Federal University of Bahia (UFBA), Salvador, Bahia, Brazil
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13
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Patrão AL, Almeida MDC, Matos SMA, Chor D, Aquino EML. Gender and psychosocial factors associated with healthy lifestyle in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort: a cross-sectional study. BMJ Open 2017; 7:e015705. [PMID: 28851775 PMCID: PMC5724152 DOI: 10.1136/bmjopen-2016-015705] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
OBJECTIVES It has been estimated that over 50% of the premature deaths occurring in Western countries can be attributed to causes rooted in lifestyle. In turn, leading a healthy lifestyle has also been associated with a wide range of psychosocial factors. Today, it is known that these differ among men and women. The present article aimed to identify, from a gender-based perspective, the psychosocial factors associated with healthy lifestyles in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort, the largest study concerning adult health conducted in Latin America to date. DESIGN This cross-sectional study was conducted using ELSA-Brasil baseline data, collected between 2008 and 2010. SETTING Six Brazilian public higher education and research institutions. PARTICIPANTS The ELSA-Brasil cohort consists of approximately 15 000 employees (8218 women and 6887 men), both currently working and retired. MAIN OUTCOME MEASURES The lifestyle indicator was constructed by summing the scores attributed to four different behaviours. RESULTS The women of the ELSA-Brasil cohort have healthier lifestyles than men. In women, strong associations were found between a healthy lifestyle and age 60 years or older, Asian race and university level of education or higher. In men, being 60 years or older, of Asian or Caucasian race, having a high-school equivalent level of education or higher, being retired, having a housekeeper, having a good or very good self-perception of health and being satisfied with body image were the psychosocial factors associated with leading a healthy lifestyle. CONCLUSIONS The factors that influenced healthy lifestyles were found to differ among men and women, a fact that must be addressed when developing programmes designed to promote health.
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Affiliation(s)
- Ana Luísa Patrão
- Institute of Collective Health, Universidade Federal da Bahia, Salvador, Brazil
| | | | | | - Dora Chor
- FIOCRUZ, Oswaldo Cruz Foundation, National School of Public Health, Rio de Janeiro, Brazil
| | - Estela M L Aquino
- Institute of Collective Health, Universidade Federal da Bahia, Salvador, Brazil
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Pitanga FJG, Almeida MCC, Queiroz CO, Aquino EMLD, Matos SMA. Physical activity in Brazil: lessons from ELSA-Brasil. Narrative review. SAO PAULO MED J 2017; 135:391-395. [PMID: 28767993 PMCID: PMC10015998 DOI: 10.1590/1516-3180.2017.0023190317] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2017] [Accepted: 03/19/2017] [Indexed: 11/22/2022] Open
Abstract
CONTEXT AND OBJECTIVE: The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) was conducted among civil servants at six higher education institutions located in six Brazilian state capitals. The objective of this review was to identify the publications produced within the scope of ELSA-Brasil that analyzed the participants' physical activity. DESIGN AND SETTING: Review study using baseline data from ELSA-Brasil. METHODS: Narrative review of Brazilian studies on physical activity produced using data from ELSA-Brasil participants. RESULTS: The prevalence of leisure-time physical activity (LTPA) among ELSA-Brasil participants was low (44.1% among men and 33.8% among women). The main factors associated were social (higher schooling and family income), environmental (living in places with conditions and opportunities for physical activity) and individual (not being obese, being retired, not smoking and positive perception of body image). The perception of facilities for walking in the neighborhood was positively associated with both LTPA and commuting-related physical activity. An active lifestyle was a protective factor against several cardiometa-bolic variables (hypertension, diabetes, lipid abnormalities and cardiovascular risk over the next 10 years). Comparison between LTPA and commuting-related physical activity showed that only LTPA had a protective effect against arterial hypertension. CONCLUSIONS: The prevalence of physical activity among ELSA-Brasil participants was low. The main determinants were social, environmental and personal. LTPA had a greater protective efect on cardio-metabolic outcomes than did commuting-related physical activity.
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Affiliation(s)
- Francisco José Gondim Pitanga
- PhD. Associate Professor, Department of Physical Education, School of Education, Universidade Federal da Bahia (UFBA), Salvador (BA), Brazil
| | | | - Ciro Oliveira Queiroz
- MSc. Assistant Professor, Escola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador (BA), Brazil
| | - Estela Maria Leão de Aquino
- MD, PhD. Full Professor, Institute of Public Health, Universidade Federal da Bahia (UFBA), Salvador (BA), Brazil
| | - Sheila Maria Alvim Matos
- PhD. Associate Professor, Instituto de Saúde Coletiva, Universidade Federal da Bahia (UFBA), Salvador (BA), Brazil
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