1
|
Araujo RHO, Werneck AO, Glenn Weaver R, Tassitano RM, Szwarcwald CL, Jesus GM, Malta DC, Brazo-Sayavera J, Mielke GI, Tremblay MS, Silva DRP. No or Low Moderate-to-Vigorous Physical Activity: Focusing on the Least Active as an Additional Approach for Physical Activity Surveillance. J Phys Act Health 2024; 21:536-540. [PMID: 38484725 DOI: 10.1123/jpah.2023-0654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 01/15/2024] [Accepted: 02/07/2024] [Indexed: 03/22/2024]
Affiliation(s)
- Raphael H O Araujo
- Graduation Program in Health Sciences, Londrina State University (UEL), Londrina, Brazil
- School of Public Health, The University of Queensland, Brisbane, Australia
| | - André O Werneck
- Department of Nutrition, Center for Epidemiological Research in Nutrition and Health, School of Public Health, Universidade de São Paulo (USP), Sao Paulo, Brazil
| | - R Glenn Weaver
- Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Rafael M Tassitano
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL, USA
| | - Célia L Szwarcwald
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (ICICT), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Brazil
| | - Gilmar M Jesus
- Department of Health, State University of Feira de Santana (UEFS), Feira de Santana, BA, Brazil
- Public Health Post-Graduate Program, State University of Feira de Santana, Feira de Santana, Brazil
| | - Deborah C Malta
- Programa de Pós-graduação em Saúde Pública, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Javier Brazo-Sayavera
- Department of Sports and Computer Science, Universidad Pablo de Olavide (UPO), Seville, Spain
| | - Grégore I Mielke
- School of Public Health, The University of Queensland, Brisbane, Australia
| | - Mark S Tremblay
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- Department of Pediatrics, University of Ottawa, Ottawa, ON, Canada
- Department of Health Sciences, Carleton University, Ottawa, ON, Canada
| | - Danilo R P Silva
- Department of Physical Education, Federal University of Sergipe (UFS), São Cristóvão, Brazil
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
| |
Collapse
|
2
|
de Jesus GM, Dias LA, Barros AKC, Araujo LDMDS, Schrann MMF. Do girls wash dishes and boys play sports? Gender inequalities in physical activity and in the use of screen-based devices among schoolchildren from urban and rural areas in Brazil. BMC Public Health 2024; 24:196. [PMID: 38229021 PMCID: PMC10792968 DOI: 10.1186/s12889-024-17672-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 01/04/2024] [Indexed: 01/18/2024] Open
Abstract
OBJECTIVE The aim of the study was to analyze gender inequalities in types of physical activity (PA) and in the use of screen-based devices among schoolchildren from both urban and rural areas in Brazil. METHODS Data from two population-based surveys conducted in 2019 (urban areas: n = 2,479; 52.6% girls; age = 9.2 ± 1.51 years) and 2022 (rural areas: n = 979; 42.6% girls; age = 9.4 ± 1.52 years) were used. PA (active play, nonactive play, home chores, and structured physical activities) and the use of screen-based devices (TV, cellphone, videogame, and computer) were self-reported in a previous-day-recall online questionnaire (Web-CAAFE). Absolute gender inequalities were evaluated and presented as equiplots. Relative gender inequalities were evaluated by the prevalence ratio (PR) and respective 95% confidence intervals (95% CI), which were estimated by Poisson regression, with adjustments for age and BMI z scores. RESULTS Girls from urban and rural areas presented a lower prevalence of active play and a higher prevalence of home chores. The prevalence of nonactive play among girls from urban areas was also lower; however, their prevalence of structured physical activities was higher, especially among girls aged seven to nine years. Girls in both urban and rural areas presented a higher prevalence of TV viewing and lower use of video games. CONCLUSION The gender inequalities observed in the types of physical activities and in the use of screen-based devices could be considered potential correlates of the likelihood of girls' and boys' compliance with the physical activity guidelines.
Collapse
Affiliation(s)
- Gilmar Mercês de Jesus
- Public Health Post-Graduate Program, State University of Feira de Santana, Travessa Pássaro Vermelho,32, Santa Mônica II, CEP: 44082- 320, Feira de Santana, Brazil.
| | - Lizziane Andrade Dias
- Public Health Post-Graduate Program, State University of Feira de Santana, Travessa Pássaro Vermelho,32, Santa Mônica II, CEP: 44082- 320, Feira de Santana, Brazil
| | - Anna Karolina Cerqueira Barros
- Public Health Post-Graduate Program, State University of Feira de Santana, Travessa Pássaro Vermelho,32, Santa Mônica II, CEP: 44082- 320, Feira de Santana, Brazil
| | - Lara Daniele Matos Dos Santos Araujo
- Public Health Post-Graduate Program, State University of Feira de Santana, Travessa Pássaro Vermelho,32, Santa Mônica II, CEP: 44082- 320, Feira de Santana, Brazil
| | - Mayva Mayana Ferreira Schrann
- Public Health Post-Graduate Program, State University of Feira de Santana, Travessa Pássaro Vermelho,32, Santa Mônica II, CEP: 44082- 320, Feira de Santana, Brazil
| |
Collapse
|
3
|
Wendt A, Knuth AG, Nunes BP, de Azevedo MR, Gonçalves H, Hallal PC, Crochemore-Silva I. Leisure-Time Physical Activity in a Southern Brazilian City (2004-2021): Applying an Equity Lens to Time-Trend Analyses. J Phys Act Health 2024; 21:94-102. [PMID: 37922898 DOI: 10.1123/jpah.2023-0259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 07/18/2023] [Accepted: 09/25/2023] [Indexed: 11/07/2023]
Abstract
BACKGROUND This study aimed to verify leisure-time physical activity trends over 15 years and monitor inequalities according to gender, self-reported skin color, and socioeconomic position in a Southern Brazilian city. A secondary aim is to evaluate intersectionalities in physical activity. METHODS Trend analysis using 3 population-based surveys carried out in 2004, 2010, and 2021. Main outcome assessed was the prevalence of physical activity according to recommendations (150 min/wk). Inequalities dimensions measured were sex, self-reported skin color, and wealth. Intersectionalities were evaluated using Jeopardy index combining all inequality dimensions. Trend analysis was performed using least-squares weighted regression. RESULTS We included data from 3090, 2656, and 5696 adults in 2004, 2010, and 2021, respectively. Prevalence of physical activity remains stable around 25% in the 3 years. In the 3 periods evaluated, men presented a prevalence in average 10 percentage points higher than women (SII2004 = -11.1 [95% confidence interval, CI, -14.4 to -7.8], SII2021 = -10.7 [95% CI, -13.7 to -7.7]). Skin color inequalities did not present a clear pattern. Richest individuals, in general presented a prevalence of leisure-time physical activity level 20pp higher than poorest ones (SII2004 = 20.5 [95% CI, 13.7 to 27.4]; SII2021 = 16.7 [95% CI, 11.3 to 22.0]). Inequalities were widely marked, comparing the most privileged group (represented by men, the wealthiest, and White) and the most socially vulnerable group (represented by women, the poorest, and Black/Brown). The Slope Index of Inequality for intersectionalities was -24.5 (95% CI, -31.1 to -17.9) in 2004 and -18.8 in 2021 (95% CI, -24.2 to -13.4). CONCLUSIONS Our analysis shows that women, Black/Brown, and poor present lower leisure-time physical activity level. This group is often neglected regarding other health and social outcomes.
Collapse
Affiliation(s)
- Andrea Wendt
- Programa de Pós-Graduação em Tecnologia em Saúde, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil
| | - Alan G Knuth
- Post-Graduate program in Public Health, Federal University of Rio Grande, Rio Grande, RS, Brazil
| | - Bruno P Nunes
- Post-Graduate program in Nursing, Federal University of Pelotas, Pelotas, RS, Brazil
- Post-Graduate program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil
| | - Mario Renato de Azevedo
- Post-Graduate program in Physical Education, Federal University of Pelotas, Pelotas, RS, Brazil
| | - Helen Gonçalves
- Post-Graduate program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil
| | - Pedro C Hallal
- Post-Graduate program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil
- Post-Graduate program in Physical Education, Federal University of Pelotas, Pelotas, RS, Brazil
- College of Applied Health Sciences, Department of Kinesiology and Community Health, University of Illinois, Urbana, IL, USA
| | - Inácio Crochemore-Silva
- Post-Graduate program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil
- Post-Graduate program in Physical Education, Federal University of Pelotas, Pelotas, RS, Brazil
| |
Collapse
|
4
|
Pereira ZS, da Silva AS, Melo JCDN, Dos Santos JC, Sewo Sampaio PY, Silva RJDS, Araújo RHDO, Sampaio RAC. Differential Factors Are Associated with Physical Activity in Older Adults in Brazil with and without Non-Communicable Chronic Diseases: A Cross-Sectional Analysis of the 2019 National Health Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6329. [PMID: 37510562 PMCID: PMC10379033 DOI: 10.3390/ijerph20146329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2023] [Revised: 06/29/2023] [Accepted: 07/07/2023] [Indexed: 07/30/2023]
Abstract
This study analyzed whether sociodemographic factors, health perception, dietary habits, and screen time are related to physical activity (PA) in older people with and without non-communicable chronic diseases (NCDs). This cross-sectional study analyzed data from the 2019 Brazilian National Health Survey; the sample was older adults (≥60 years old; n = 22,726). The outcome of this study was being physically active or inactive during leisure time, and NCD was used as a moderating variable. The correlates investigated were sociodemographic and health-related variables. According to the logistic regression analysis, it was observed that being male had an association only in the group with NCDs (OR = 1.25 (1.05-1.48)), as well as residing in the northeastern region (OR = 1.26 (1.04-1.53)). On the other hand, high levels of education (OR = 4.09 (2.92-5.2); OR = 1.92 (1.48-2.49)) and income (OR = 1.64 (1.09-2.48); OR = 1.86 (1.33-2.60)) were associated with PA in both groups, as well as dietary habits (OR = 1.03 (1.01-1.05); (OR = 1.05 (1.04-1.07)). Advanced age (OR = 0.96 (0.94-0.97); OR = 0.97 (0.96-0.98)) and reporting a regular health perception (OR = 0.53 (0.43-0.66); OR = 0.61 (0.52-0.73)) were factors associated with physical inactivity in both groups. Gender, education, and income were unequally associated with an active lifestyle in both groups, and therefore, barriers to PA may arise.
Collapse
Affiliation(s)
- Zainovan Serrão Pereira
- Graduate Program in Physical Education, Federal University of Sergipe, Sao Cristovao 49100-000, Brazil
| | - Amanda Santos da Silva
- Graduate Program in Physical Education, Federal University of Sergipe, Sao Cristovao 49100-000, Brazil
| | | | | | | | | | | | | |
Collapse
|