scholarly journals Physical activity in Brazil: lessons from ELSA-Brasil. Narrative review

2017 ◽  
Vol 135 (4) ◽  
pp. 391-395 ◽  
Author(s):  
Francisco José Gondim Pitanga ◽  
Maria Conceição Chagas Almeida ◽  
Ciro Oliveira Queiroz ◽  
Estela Maria Leão de Aquino ◽  
Sheila Maria Alvim Matos

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.

Author(s):  
Aline Araújo Nobre ◽  
Marilia Sá Carvalho ◽  
Rosane Härter Griep ◽  
Maria De Jesus Mendes da Fonseca ◽  
Enirtes Caetano Prates Melo ◽  
...  

OBJECTIVE To compare two methodological approaches: the multinomial model and the zero-inflated gamma model, evaluating the factors associated with the practice and amount of time spent on leisure time physical activity. METHODS Data collected from 14,823 baseline participants in the Longitudinal Study of Adult Health (ELSA-Brasil – Estudo Longitudinal de Saúde do Adulto ) have been analysed. Regular leisure time physical activity has been measured using the leisure time physical activity module of the International Physical Activity Questionnaire. The explanatory variables considered were gender, age, education level, and annual per capita family income. RESULTS The main advantage of the zero-inflated gamma model over the multinomial model is that it estimates mean time (minutes per week) spent on leisure time physical activity. For example, on average, men spent 28 minutes/week longer on leisure time physical activity than women did. The most sedentary groups were young women with low education level and income CONCLUSIONS The zero-inflated gamma model, which is rarely used in epidemiological studies, can give more appropriate answers in several situations. In our case, we have obtained important information on the main determinants of the duration of leisure time physical activity. This information can help guide efforts towards the most vulnerable groups since physical inactivity is associated with different diseases and even premature death.


2019 ◽  
Vol 7 ◽  
pp. 205031211982708 ◽  
Author(s):  
Francisco José Gondim Pitanga ◽  
Sheila Maria Alvim Matos ◽  
Maria da Conceição C. Almeida ◽  
Ana Luísa Patrão ◽  
Maria del Carmen Bisi Molina ◽  
...  

Objectives: To assess associations, both individually and in combination, between leisure-time physical activity and sedentary behavior, and cardiometabolic health. Methods: This cross-sectional study included 13,931 civil servants participating in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Leisure-time physical activity was analyzed using the leisure-time domain of the long-form International Physical Activity Questionnaire, while questions related to cumulative sitting time and leisure-based screen time on a weekday and on one day on the weekend were used to establish sedentary behavior. Data analysis was performed using multivariate logistic regression. Results: Following adjustment for confounding variables, high levels of leisure-time physical activity and low levels of sedentary behavior were both associated with favorable cardiometabolic health markers in both genders. When these two factors were analyzed in conjunction, taking the combination of low levels of leisure-time physical activity and high levels of sedentary behavior as the reference, the inverse associations with cardiometabolic variables became even more significant. Conclusion: High levels of leisure-time physical activity and low levels of sedentary behavior were both inversely associated with the cardiometabolic variables analyzed; however, the two variables when evaluated in conjunction appear to produce more consistent associations, particularly when sedentary behavior is evaluated according to leisure-based screen time.


2009 ◽  
Vol 34 (4) ◽  
pp. 707-715 ◽  
Author(s):  
Shirley N. Bryan ◽  
Peter T. Katzmarzyk

The purpose of this study was to determine the proportion of Canadian adults (aged 18–55 years) who met the guidelines for moderate and vigorous physical activity set out in Canada’s Physical Activity Guide to Healthy Active Living. Leisure-time physical activity energy expenditure from moderate- and vigorous-intensity activities was calculated using data from the National Population Health Surveys (1994–1998) and the Canadian Community Health Surveys (2001–2007). The prevalence was estimated for no leisure-time physical activity, meeting only the moderate guideline, meeting both the moderate and vigorous guidelines, and meeting the guidelines through a combination of moderate and vigorous activities. Logistic regression was used to determine the odds of meeting the guidelines by various demographic characteristics. The prevalence of no activity did not change appreciably over time, ranging from 6.5% to 10%, depending on the survey year. Reporting of no activity was more prevalent among older adults, those in lower income groups, and those with a body mass index (BMI) ≥30 kg·m–2. Overall, 65% of adults met the guidelines for physical activity in 2007, which has increased from 54% in 1994–1995. Men, younger adults, those with a higher income, and those with a lower BMI more often met the guidelines. Among all subgroups, meeting the guidelines was most often accomplished through participation in moderate-intensity activities. These findings should be considered when designing and implementing public health interventions that promote participation in daily physical activity.


2006 ◽  
Vol 14 (2) ◽  
pp. 154-168 ◽  
Author(s):  
Roland J. Thorpe ◽  
Regina A. Kreisle ◽  
Lawrence T. Glickman ◽  
Eleanor M. Simonsick ◽  
Anne B. Newman ◽  
...  

Pet ownership among older adults was investigated to determine whether dog owners were more likely to engage in physical activity than non-dog-pet or non–pet owners. The relationship between pet ownership and physical activity was examined using data from the Health ABC study. After age, race, education level, number of assets, family income, and site were adjusted for dog owners were more likely than non–pet owners to have engaged in non-exercise-related walking in the preceding week but did not differ from non–pet owners in walking for exercise or any physical activity. In contrast, non-dog-pet owners did not differ from non–pet owners in non-exercise-related walking in the preceding week and were less likely than non–pet owners to have engaged in walking for exercise or any physical activity in the preceding week. The activity-related benefits of pet ownership in older adults were limited to dog owners, who engaged in greater overall physical activity—non-exercise-related walking, in particular. Whether pet-related physical activity is sufficient to provide health benefits requires longitudinal investigation.


Author(s):  
Maria Claudia Martins Ribeiro ◽  
Adriana Sañudo ◽  
Luiz Roberto Ramos

ABSTRACT Populational aging led to the emergence of chronic diseases, all potentially incapacitating, thus affecting functional capacity (FC) of elders. Despite health evidences in favour of having regular physical activity, the majority of elders are not sufficiently active. Baseline data of an urban elder cohort in Brazil showed that only 28% were active and 68% had some functional loss, a figure that went up to 73% among the inactives. FC was associated with a network of sociodemographic, health and behavioral factors. In a multivariate analysis, the inactives showed twice the odds of being severely dependent when compared to the actives. Noteworthy that inactivity is as a modifiable factor that might prevent FC loss. Longitudinal studies are needed to verify.


2015 ◽  
Vol 20 (2) ◽  
pp. 174 ◽  
Author(s):  
Taiguara Costa ◽  
Luciana Ribeiro ◽  
Anita Neri

<p>Leisure-time physical activity (LTPA) is an important factor in promoting and maintaining adequate health status and quality of life in old age. Here we aimed to identify the prevalence and factors associated with different modalities of LTPA among 3,478 older adults (mean age: 72.96 ± 6.01 years; 67.7% female) from seven cities of different regions of Germany. We compared categorical variables (gender, age and family income) between groups using the Chi-square test or Fisher’s exact test. Walking was the most commonly reported activity undertaken by participants (43.4%). Men reported performing a larger number of LTPA modalities than women. Outdoor gymnastics and water gymnastics were the most commonly cited LTPA by women. Younger age and higher income correlated with higher levels of physical activity. Our findings indicate that a physically active behavior is closely related to the living conditions, social roles and physical health of this population. Thus, public policies encouraging LTPA among older adults should take their gender, age and social status, as well as the type of activities to be offered, into consideration.</p>


2009 ◽  
Vol 21 (4) ◽  
pp. 450-461 ◽  
Author(s):  
Trish Gorely ◽  
Stuart Biddle ◽  
Simon Marshall ◽  
Noel Cameron ◽  
Louise Cassey

The purpose of this research was to investigate the relationship between distance to school and levels of physical activity and sedentary behavior in UK adolescents. Participants were 1385 adolescents (boys n = 531; mean age 14.7 years). Boys living within two miles of school and girls living within 5 miles of school were more likely to report high levels (≥60 min per day) of weekday leisure time physical activity. Differences in weekday leisure time physical activity were accounted for by active travel time. There were no differences in sedentary behavior time by distance to school. Journeys, whether active or motorized, most often took place with friends. Further research should investigate wider physical and social environmental influences on active travel.


2020 ◽  
Vol 86 (1) ◽  
pp. 66-80
Author(s):  
Ali Ziaee ◽  
Najaf Aghaei ◽  
Marjan Saffari ◽  
Reza Yousefi Zenouz ◽  
Ivo van Hilvoorde

AbstractPhysical activity can contribute to societal health and prevent antisocial behaviors. This study explored the driving forces facilitating these goals in Iran’s socio-cultural context. Through a literature review, investigation of available political documents, interviews with experts and consensus of the research team, seventy-three driving forces were explored from different domains and then categorised via the STEEPV framework. This framework considers drivers from Social, Technological, Environmental, Economic, Political, and Value/Cultural dimensions. The “sport/sport sciences” domain was also considered as an additional domain. In the next step, a questionnaire with an answer scale of 1 to 7 was distributed among experts. The fuzzy Delphi method was used to analyse the collected data. Results showed eighteen drivers from five domains (social, environmental, economic, technological and sport/sports sciences) dramatically influenced leisure time physical activity (LTPA) in Iran. “Physical activity opportunities for vulnerable groups” was identified as the most important driver for participation in LTPA. Results suggest the need for a multidimensional and thorough consideration by organisations, leisure managers and policymakers to discover methods to promote health-related physical activities in the future.


2018 ◽  
Vol 23 ◽  
pp. 1-8
Author(s):  
Francisco José Gondim Pitanga ◽  
Sheila Maria Alvim Matos ◽  
Maria da Conceição Almeida ◽  
Rosane Härter Griep ◽  
Maria Carmem Viana ◽  
...  

The main objective was to identify the prevalence and factors associated with sedentary behavior (SB). The study comprising a total of 13,765 individuals of both sexes participating in the Longitudinal Study of Adult Health (ELSA-Brasil) assessed in the second wave (2012-2014). e SB was measured using questions related to sitting time during the week and weekend. e associated factors were assessed by face-to-face interviews, with blocks of questionnaires and anthropometric measurements. A hierarchical ecological model was built with all possible factors associated with SB: sociodemographic environment (age and level of education; economic status); behavioral environment (leisure time physical activity, commuting physical activity, beer consumption, current smoking); and biological environment (overweight, obesity and abdominal obesity). Crude and adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs) were estimated using logistic regression. Among men and women, higher education, current smoking and abdominal obesity were positively associated with SB, while being over 51 years old and being physically active were negatively associated with SB. The proposed ecological model explains the SB through the sociodemographic, behavioral and biological environment.


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