scholarly journals Multimorbidity and leisure-time physical activity over the life course: a population-based birth cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Natan Feter ◽  
Jayne S. Leite ◽  
Daniel Umpierre ◽  
Eduardo L. Caputo ◽  
Airton J. Rombaldi

Abstract Background We aimed to test which life course model best described the association between leisure-time physical activity (LTPA) and multimorbidity at age 55. We analyzed data from birth to age 55 using the database from the 1958 National Child Development Survey. Methods Multimorbidity was considered as the presence of more than one chronic condition. LTPA was measured through questionnaires from 1965 (age 7) to 2013 (age 55), which were applied in eight different occasions. We compared the fit of a series of nested adjusted logistic regression models (representing either the critical, accumulation or sensitive period models) with a fully saturated model. Data were reported as odds ratio (OR) and 95% confidence interval (CI). Results From an eligible sample of 15,613 cohort members, 9137 were interviewed in the latest sweep (58.5%). Men were more physically active than women at ages 11, 16, and 23 (p < 0.001). LTPA every day in the week was more frequent in women than men in ages 33, 42, and 50 (p < 0.001). The prevalence of multimorbidity at age 55 was 33.0% (n = 2778). The sensitive analysis revealed that LTPA during adolescence (OR: 0.83; 95% CI: 0.70, 0.98) and mid adult life (age 50 and 55; OR: 0.82; 95%CI: 0.69, 0.98) have a stronger effect on the risk for multimorbidity at age 55 considering all other life stages in the model. Also, adolescence showed a critical independent effect on the risk for multimorbidity (OR: 0.82; 95%CI: 0.70, 0.97). No difference was found between those models. Conclusions These data support the notion of a protective physical activity “legacy” at early ages of childhood against multimorbidity at older ages. We highlight the need for LTPA promotion through intervention tailored especially on schooling and older ages in order to reduce the burden of multimorbidity.

2020 ◽  
Author(s):  
Natan Feter ◽  
Jayne S Leite ◽  
Daniel Umpierre ◽  
Eduardo L Caputo ◽  
Airton J Rombaldi

Abstract Background: We aimed to test which life course model best described the association between leisure-time physical activity (LTPA) and multimorbidity at age 55. We analyzed data from birth to age 55 using the database from the 1958 National Child Development Survey. Methods: Multimorbidity was considered as the presence of more than one chronic condition. LTPA was measured through questionnaires from 1965 (age 7) to 2013 (age 55), which were applied in eight different occasions. We compared the fit of a series of nested adjusted logistic regression models (representing either the critical, accumulation or sensitive period models) with a fully saturated model. Data were reported as odds ratio (OR) and 95% confidence interval (CI).Results: From the initial sample of 17,415 cohort members, 9,134 were interviewed in the latest sweep (49.2%). Men were more physically active than women at ages 11, 16, and 23 (p<0.001). LTPA every day in the week was more frequent in women than men in ages 33, 42, and 50 (p<0.001). The sensitive analysis revealed that LTPA during adolescence (OR: 0.72; 95% CI: 0.57, 0.92) and late adult life (OR: 0.71; 95%CI: 0.55, 0.91) have a stronger effect on the risk for multimorbidity at age 55 considering all other life stages in the model. Also, adolescence showed a critical independent effect on the risk for multimorbidity (OR: 0.74; 95%CI: 0.59, 0.92). No difference was found between those models. Conclusions: These data support the notion of a protective physical activity “legacy” at early ages of childhood against multimorbidity at older ages. We highlight the need for LTPA promotion through intervention tailored especially on schooling and older ages in order to reduce the burden of multimorbidity.


2019 ◽  
Vol 2 (3) ◽  
pp. e190355 ◽  
Author(s):  
Pedro F. Saint-Maurice ◽  
Diarmuid Coughlan ◽  
Scott P. Kelly ◽  
Sarah K. Keadle ◽  
Michael B. Cook ◽  
...  

Author(s):  
Andrea Wendt ◽  
Luiza I.C. Ricardo ◽  
Caroline S. Costa ◽  
Alan G. Knuth ◽  
Maria C.M. Tenório ◽  
...  

Background: This study aims to describe changes in gender and wealth inequalities in leisure-time physical activity (PA) of Brazilians during a 6-year interval. It also aims to evaluate inequalities regarding PA public programs awareness, participation, and access to public spaces for PA. Methods: Data from 2 population-based surveys conducted in 2013 and 2019 were used. Leisure-time PA prevalence was assessed considering those reporting ≥150 minutes per week. The authors evaluated gender inequalities calculating differences and ratios, and wealth inequalities using the slope index of inequality and the concentration index— assessing changes over time. Results: National levels of leisure-time PA increased from 2013 to 2019, and an increase in inequalities was observed; women and the poorest groups still presented lower prevalence. A decline in socioeconomic inequalities was observed from 2013 to 2019 regarding the availability of public spaces and awareness about public programs. However, outcomes remained more common among the richest group. Inequalities did not vary for participation in public programs. Conclusion: Although leisure-time PA increased from 2013 to 2019 at a national level, there were no improvements in gender inequalities, and wealth inequalities worsened over time. Indicators of public strategies for PA increased for the population, but inequalities remain.


2019 ◽  
Vol 96 (5) ◽  
pp. 682-691 ◽  
Author(s):  
Amanda Cristina de Souza Andrade ◽  
Sueli Aparecida Mingoti ◽  
Dário Alves da Silva Costa ◽  
César Coelho Xavier ◽  
Fernando Augusto Proietti ◽  
...  

2009 ◽  
Vol 33 (11) ◽  
pp. 1211-1218 ◽  
Author(s):  
T Leskinen ◽  
S Sipilä ◽  
M Alen ◽  
S Cheng ◽  
K H Pietiläinen ◽  
...  

2019 ◽  
Vol 125 ◽  
pp. 49-54 ◽  
Author(s):  
Katrine M. Owe ◽  
Nathalie Støer ◽  
Borgny H. Wold ◽  
Maria C. Magnus ◽  
Wenche Nystad ◽  
...  

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Pascal M. Mutie ◽  
Isabel Drake ◽  
Ulrika Ericson ◽  
Stanley Teleka ◽  
Christina-Alexandra Schulz ◽  
...  

Abstract Background While a dose-response relationship between physical activity and risk of diabetes has been demonstrated, few studies have assessed the relative importance of different measures of physical activity on diabetes risk. The aim was to examine the association between different self-reported measures of physical activity and risk of type 2 diabetes in a prospective cohort study. Methods Out of 26,615 adults (45–74 years, 60% women) in the population-based Swedish Malmö Diet and Cancer Study cohort, 3791 type 2 diabetes cases were identified from registers during 17 years of follow-up. Leisure-time (17 activities), occupational and domestic physical activity were assessed through a questionnaire, and these and total physical activity were investigated in relation to type 2 diabetes risk. Results All physical activity measures showed weak to modest associations with type 2 diabetes risk. The strongest association was found in the lower end of leisure-time physical activity in dose-response analysis at levels approximately below 22 MET-hrs/week (300 min/week) representing around 40% of the population. Compared with the lowest quintile, the moderate leisure-time physical activity category had a 28% (95% CI: 0.71, 0.87) decreased risk of type 2 diabetes. Total physical activity showed a similar, but weaker, association with diabetes risk as to that of leisure-time physical activity. Domestic physical activity was positively and linearly related to diabetes risk, HR = 1.11 (95% CI: 0.99, 1.25) comparing highest to lowest quintile. There was no association between occupational physical activity and diabetes risk. Conclusion A curvilinear association was observed between leisure-time physical activity and risk of diabetes. Beyond a threshold level of approximately 22 MET-hrs/week or 300 min/week, no additional risk reduction was observed with increase in physical activity.


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