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Martins LCG, Lopes MVDO, Diniz CM, Guedes NG. The factors related to a sedentary lifestyle: A meta-analysis review. J Adv Nurs 2020; 77:1188-1205. [PMID: 33368524 DOI: 10.1111/jan.14669] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 10/03/2020] [Accepted: 11/05/2020] [Indexed: 12/21/2022]
Abstract
AIMS To compare factors associated with the sedentary lifestyle described in the literature with the factors listed in NANDA International. DESIGN Systematic review with meta-analysis of factors associated with a sedentary lifestyle in adolescents, adults and older people. DATA SOURCES An electronic search of PubMed, Scopus, CINAHL and Latin America and the Caribbean Literature on Health and Science databases conducted in May 2016. REVIEW METHODS Descriptive data were extracted according to a standardized form. The odds ratios for each etiological factor associated with a sedentary lifestyle were extracted directly from the articles or calculated from the data described therein. The meta-analysis was conducted for factors that were investigated in more than one study. RESULTS Thirty-five articles were included. The statistically significant factors were: lack of social support, of physical space, of time, of motivation, of sports skills and of interest in physical activity, intolerance to activity, being retired, living in a low-income country, laziness, not having a job/studying, low socioeconomic status and level of knowledge about physical activity, female gender, living in an urban area, negative self-perception of health, using public transportation, being in the oldest age group in the study and perceived physical disability. CONCLUSION The new factors associated with a sedentary lifestyle and those already included in the NANDA International classification will lead to better clinical guidance for nurses. IMPACT Knowledge about these factors can contribute directly to public health policies.
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Affiliation(s)
| | | | - Camila Maciel Diniz
- Federal University of Ceará, 1115 Alexandre Baraúna St, Rodolfo Teófilo, Fortaleza, 60430-160, Brazil
| | - Nirla Gomes Guedes
- Federal University of Ceará, 1115 Alexandre Baraúna St, Rodolfo Teófilo, Fortaleza, 60430-160, Brazil
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Piola TS, Bacil EDA, Pacífico AB, Camargo EMD, Campos WD. Nível insuficiente de atividade física e elevado tempo de tela em adolescentes: impacto de fatores associados. CIENCIA & SAUDE COLETIVA 2020; 25:2803-2812. [DOI: 10.1590/1413-81232020257.24852018] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2018] [Accepted: 10/03/2018] [Indexed: 11/22/2022] Open
Abstract
Resumo Verificar o impacto de fatores associados ao nível insuficiente de atividade física e elevado tempo de tela em adolescentes. Estudo transversal, representativo, com 899 alunos de ensino médio da rede pública de São José dos Pinhais, Paraná, Brasil. Foram mensurados o nível de atividade física e o tempo de tela e classificados respectivamente de acordo com as recomendações da Organização Mundial da Saúde e da American Academy of Pediatrics. Os fatores associados para o nível insuficiente de atividade física e tempo de tela foram: sexo, maturação sexual, apoio social e autoeficacia para a prática de atividade física. As associações foram testadas com a regressão de Poisson. E o impacto dos fatores associados ao nível insuficiente de atividade física e do elevado tempo de tela foram calculadas pela fração atribuível populacional (FAP) e a redução relativa do risco (RRR). Na presença combinada do nível insuficiente de atividades físicas com o elevado tempo de tela, o sexo feminino apresentou uma FAP = 13,04, o estágio pós-púbere FAP = 9,91 e o apoio social apresentou uma RRR = 31,00. Os achados sugerem sexo feminino e estar no estágio pós-púbere como fatores de risco, e apoio social como fator protetor a presença combinada do nível insuficiente de atividade física e do elevado tempo de tela.
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Silva JD, Andrade A, Capistrano R, Lisboa T, Andrade RD, Felden ÉPG, Beltrame TS. Níveis insuficientes de atividade física de adolescentes associados a fatores sociodemográficos, ambientais e escolares. CIENCIA & SAUDE COLETIVA 2018; 23:4277-4288. [DOI: 10.1590/1413-812320182312.30712016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2016] [Accepted: 12/11/2016] [Indexed: 11/21/2022] Open
Abstract
Resumo Este estudo investigou as associações entre o nível de atividade física com os fatores sociodemográficos, ambientais e escolares de adolescentes. Participaram 2.545 jovens de 14 a 18 anos dos municípios da Grande Florianópolis. Foi utilizada a versão curta do Questionário Internacional de Atividade Física (IPAQ). A prevalência de jovens inativos foi de 48,6%, sendo maior no sexo feminino (53,9%). Para as moças, a inatividade física esteve associada com a falta de lugares apropriados e gratuitos para a prática de atividade física (OR = 1,30 IC95%1,05-1,82), independente da influência das outras variáveis. Já para os rapazes, aqueles que não possuíam atividade profissional (OR = 1,54 IC95%1,14-2,08), mães de menor instrução (OR = 0,41 IC95% 0,27-0,75) ou mães com ensino superior (OR = 0,35 IC95% 0,17- 0,73), pertencentes a cidades de grande porte (OR = 1,64 IC95%1,17-2,31) e classificação socioeconômica baixa quando comparada à média (OR = 0,69 IC95% 0,49-0,97), apresentaram maior chance de inatividade física. Observou-se que as variáveis sociodemográficas estiveram associadas ao comportamento inativo dos rapazes e às variáveis ambientais se associaram a inatividade física das moças. Já dentre os fatores escolares, apenas a reprovação escolar foi associada com inatividade, e somente para as moças.
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Regis MF, Oliveira LMFTD, Santos ARMD, Leonidio ADCR, Diniz PRB, Freitas CMSMD. Urban versus rural lifestyle in adolescents: associations between environment, physical activity levels and sedentary behavior. EINSTEIN-SAO PAULO 2017; 14:461-467. [PMID: 28076591 PMCID: PMC5221370 DOI: 10.1590/s1679-45082016ao3788] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Accepted: 10/25/2016] [Indexed: 11/21/2022] Open
Abstract
Objective To analyze the levels of physical activity and sedentary behavior in adolescents living in urban and rural areas. Methods An epidemiological, cross-section study with quantitative design, carried out at the regional level. The sample comprised 6,234 students aged 14 to 19 years, selected using random cluster sampling. The χ2 test and binary logistic regression were used in the analysis. Results A total of 74.5% of adolescents lived in urban areas. After adjustment, rural residents spent less time watching television (odds ratio - OR: 0.45; 95% confidence interval - 95%CI: 0.39-0.52), using a computer and/or playing video games (OR: 0.30; 95%CI: 0.22-0.42), or sitting down (OR: 0.66; 95%CI: 0.54-0.80); chose passive leisure less often (OR: 0.83; 95%IC: 0.72-0.95) and were less likely to be classified as insufficiently active (OR: 0.88; 95%IC: 0.78-0.99) when compared to urban residents, regardless of sex or age. The fact that adolescents living in rural areas who did not work were more likely to be classified as insufficiently active (OR: 2.59; 95%CI: 2.07-3.24) emphasized the significant role of occupation in physical activity levels in this group. Conclusion Adolescents living in rural areas were less exposed to the sedentary behaviors, chose more active leisure, and had higher levels of physical activity. Place of residence and occupation may play a major role in youth lifestyle. Objetivo Analisar os níveis de atividade física e o comportamento sedentário em adolescentes das áreas urbanas e rurais. Métodos Estudo epidemiológico, transversal, com abordagem quantitativa e abrangência estadual, cuja amostra foi constituída por 6.234 estudantes (14 a 19 anos), selecionados por meio de uma estratégia de amostragem aleatória de conglomerados. As análises foram realizadas por meio do teste χ2 e da regressão logística binária. Resultados Na amostra, 74,5% dos adolescentes eram residentes em área urbana. Após o ajuste, constatou-se que os adolescentes oriundos da área rural usavam menos televisão (odds ratio - OR: 0,45; intervalo de confiança de 95% - IC95%: 0,39-0,52), computador e/ou videogame (OR: 0,30; IC95%: 0,22-0,42), passavam menos tempo sentados (OR: 0,66; IC95%: 0,54-0,80), optaram menos pelo lazer passivo (OR: 0,83; IC95%: 0,72-0,95) e tinham menos chances de serem classificados como insuficientes ativos (OR: 0,88; IC95%: 0,78-0,99), quando comparados àqueles que residiam na área urbana, independentemente do sexo e da idade. Os adolescentes da área rural que não trabalhavam apresentaram mais chances de serem classificados como insuficientemente ativos (OR: 2,59; IC95%: 2,07-3,24), mostrando que a ocupação tinha um papel importante no nível de atividade física deste grupo. Conclusão Os adolescentes residentes na área rural estiveram menos expostos aos comportamentos sedentários, optaram mais por um lazer ativo e apresentaram um melhor nível de atividade física, podendo a zona de domicílio e a ocupação influenciar no estilo de vida deles.
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Guerra PH, de Farias JC, Florindo AA. Sedentary behavior in Brazilian children and adolescents: a systematic review. Rev Saude Publica 2016; 50:9. [PMID: 27007685 PMCID: PMC4794779 DOI: 10.1590/s1518-8787.2016050006307] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2015] [Accepted: 07/28/2015] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVE To describe the methodological characteristics of the studies selected and assess variables associated with sedentary behavior in Brazilian children and adolescents. METHODS For this systematic review, we searched four electronic databases: PubMed, Web of Knowledge, LILACS, SciELO. Also, electronic searches were applied in Google Scholar. A supplementary search was conducted in the references lists of the included articles and in non-indexed journals. We included observational studies with children and adolescents aged from three to 19 years developed in Brazil, presenting analyses of associations based on regression methods and published until September 30, 2014. RESULTS Of the 255 potential references retrieved by the searches, 49 met the inclusion criteria and composed the descriptive synthesis. In this set, we identified a great number of cross-sectional studies (n = 43; 88.0%) and high methodological variability on the types of sedentary behavior assessed, measurement tools and cut-off points used. The variables most often associated with sedentary behavior were "high levels of body weight" (in 15 out of 27 studies; 55.0%) and "lower level of physical activity" (in eight out of 16 studies; 50.0%). CONCLUSIONS The findings of this review raise the following demands to the Brazilian agenda of sedentary behavior research geared to children and adolescents: development of longitudinal studies, validation of measuring tools, establishment of risk cut-offs, measurement of sedentary behavior beyond screen time and use of objective measures in addition to questionnaires. In the articles available, the associations between sedentary behavior with "high levels of body weight" and "low levels of physical activity" were observed in different regions of Brazil.
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Affiliation(s)
- Paulo Henrique Guerra
- Escola de Artes, Ciências e Humanidades. Universidade de São Paulo. São Paulo, SP, Brasil
- Grupo de Estudos e Pesquisas Epidemiológicas em Atividade Física e Saúde. Universidade de São Paulo. São Paulo, SP, Brasil
| | - José Cazuza de Farias
- Departamento de Educação Física. Centro de Ciências da Saúde. Universidade Federal da Paraíba. João Pessoa, PB, Brasil
| | - Alex Antonio Florindo
- Escola de Artes, Ciências e Humanidades. Universidade de São Paulo. São Paulo, SP, Brasil
- Grupo de Estudos e Pesquisas Epidemiológicas em Atividade Física e Saúde. Universidade de São Paulo. São Paulo, SP, Brasil
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Sherar LB, Griffin TP, Ekelund U, Cooper AR, Esliger DW, van Sluijs EMF, Bo Andersen L, Cardon G, Davey R, Froberg K, Hallal PC, Janz KF, Kordas K, Kriemler S, Pate RR, Puder JJ, Sardinha LB, Timperio AF, Page AS. Association between maternal education and objectively measured physical activity and sedentary time in adolescents. J Epidemiol Community Health 2016; 70:541-8. [PMID: 26802168 PMCID: PMC4893139 DOI: 10.1136/jech-2015-205763] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2015] [Accepted: 12/14/2015] [Indexed: 11/24/2022]
Abstract
Background Investigating socioeconomic variation in physical activity (PA) and sedentary time is important as it may represent a pathway by which socioeconomic position (SEP) leads to ill health. Findings on the association between children's SEP and objectively assessed PA and/or sedentary time are mixed, and few studies have included international samples. Objective Examine the associations between maternal education and adolescent's objectively assessed PA and sedentary time. Methods This is an observational study of 12 770 adolescents (10–18 years) pooled from 10 studies from Europe, Australia, Brazil and the USA. Original PA data were collected between 1997 and 2009. The associations between maternal education and accelerometer variables were examined using robust multivariable regression, adjusted for a priori confounders (ie, body mass index, monitor wear time, season, age and sex) and regression coefficients combined across studies using random effects meta-analyses. Analyses were conducted in March 2014. Results Adolescents of university educated mothers spent more time sedentary (9.5 min/day, p=0.005) and less time in light activity (10 min/day, p<0.001) compared with adolescents of high school educated mothers. Pooled analysis across two studies from Brazil and Portugal (analysed separately because of the different coding of maternal education) showed that children of higher educated mothers (tertiary vs primary/secondary) spent less time in moderate to vigorous PA (MVPA) (6.6 min/day, p=0.001) and in light PA (39.2 min/day: p<0.001), and more time sedentary (45.9 min/day, p<0.001). Conclusions Across a number of international samples, adolescents of mothers with lower education may not be at a disadvantage in terms of overall objectively measured PA.
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Affiliation(s)
- Lauren B Sherar
- National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK NIHR Leicester - Loughborough Diet, Lifestyle, and Physical Activity Biomedical Research Unit, Leicester, UK
| | - Tom P Griffin
- Centre for Exercise, Nutrition and Health Sciences/School of Social and Community Medicine, University of Bristol, Bristol, UK
| | - Ulf Ekelund
- Norwegian School for Sport Science, Oslo, Norway MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| | - Ashley R Cooper
- Centre for Exercise, Nutrition and Health Sciences/School for Policy Studies, University of Bristol, Bristol, UK
| | - Dale W Esliger
- National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK NIHR Leicester - Loughborough Diet, Lifestyle, and Physical Activity Biomedical Research Unit, Leicester, UK
| | - Esther M F van Sluijs
- MRC Epidemiology Unit, University of Cambridge, Cambridge, UK Centre of Diet and Activity Research, Unicersity of Cambridge, Cambridge, UK
| | - Lars Bo Andersen
- Norwegian School for Sport Science, Oslo, Norway Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Greet Cardon
- Department of Movement and Sport Sciences, Ghent University, Ghent, Belgium
| | - Rachel Davey
- Centre for Research & Action in Public Health, University of Canberra, Canberra, Australia
| | - Karsten Froberg
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | | | - Kathleen F Janz
- Department of Health and Human Physiology, Department of Epidemiology, University of Iowa, Iowa City, Iowa, USA
| | - Katarzyna Kordas
- School of Social and Community Medicine, University of Bristol, Bristol, UK
| | - Susi Kriemler
- Epidemiology, Biostatistics and Prevention Institute, University of Zürich, Zürich, Switzerland
| | - Russell R Pate
- Department of Exercise Science at the University of South Carolina, South Carolina, USA
| | - Jardena J Puder
- Service of Endocrinology, Diabetes and Metabolism, University Hospital, CHUV, Lausanne, Switzerland
| | - Luis B Sardinha
- Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
| | - Anna F Timperio
- School of Exercise and Nutrition Sciences/Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Victoria, Australia
| | - Angie S Page
- Centre for Exercise, Nutrition and Health Sciences/School for Policy Studies, University of Bristol, Bristol, UK
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Bergmann MLDA, Graup S, Bergmann GG. Pressão arterial elevada em adolescentes e fatores associados: um estudo de base escolar em Uruguaiana, Rio Grande do Sul, 2011. REVISTA BRASILEIRA DE SAÚDE MATERNO INFANTIL 2015. [DOI: 10.1590/s1519-38292015000400002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/14/2023]
Abstract
Resumo Objetivos: identificar a prevalência de pressão arterial (PA) elevada e seus fatores associados em adolescentes de Uruguaiana (RS), 2011. Métodos: amostra probabilística composta por adolescentes de 10 a 17 anos de escolas públicas. A PA foi aferida pelo método auscultatório e classificada em normal ou elevada (PA acima do percentil 90). Fatores sociodemográficos, psicossociais, comportamentais, estado nutricional e aptidão física foram analisados. Foi realizada uma análise de regressão logística considerando um modelo teórico hierárquico. Resultados: participaram do estudo 1455 adolescentes (741 do sexo feminino). A prevalência de PA sistólica e PA diastólica elevadas foram de 16,4% (IC95%: 14,4-18,4) e de 18,5% (IC95%: 16,4-20,6), respectivamente. Permaneceram associados à PA sistólica e diastólica elevadas no modelo final: se perceber menos em forma que seus pares (sistólica OR: 2,27; IC95%: 1,22-4,23; diastólica OR: 2,99; IC95%: 1,34-6,70) e o sobrepeso e obesidade (sistólica OR: 9,29; IC95%: 4,89-17,69; diastólica OR: 4,70; IC95%: 2,61-8,45). Ainda, adolescentes do sexo feminino (OR: 1,39; IC95%: 1,02-1,90) e de maior nível socioeconômico (OR: 2,39; IC95%: 1,31- 4,36) têm mais chance de apresentarem PA sistólica elevada. Conclusões: a prevalência de PA elevada encontrada entre os adolescentes é alta. Para sua prevenção, programas de combate ao excesso de peso considerando características sociodemográficas como o sexo e nível socioeconômico devem ser elaboradas
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