scholarly journals Mix Of Destinations And Sedentary Behavior Among Brazilian Adults: A Cross Sectional Study 

2020 ◽  
Author(s):  
Alex Antonio Florindo ◽  
Gavin Turrel ◽  
Leandro Martin Totaro Garcia ◽  
Joao Paulo dos Anjos Souza Barbosa ◽  
Michele Santos Cruz ◽  
...  

Abstract Background: Sedentary behavior is influenced by contextual, social and individual factors, including the built environment. However, associations between the built environment and sitting time have not been extensively investigated in countries with economies in transition such as Brazil. The objective of this study is to examine the relationship between sitting-time and access to a mix of destinations for adults from Sao Paulo city, Brazil. Methods: This study uses data from the Sao Paulo Health Survey. Sedentary behavior was assessed by questionnaire using two questions: total sitting time in minutes on a usual weekday; and on a usual weekend day. Mix of destinations was measured by summing the number of facilities (comprising bus stops, train/subway stations, parks, squares, public recreation centres, bike paths, primary health care units, supermarkets, food stores, bakeries, and coffee-shops) within 500m of each participant’s residence. Minutes of sitting time in a typical weekday and weekend day were the outcomes and mix of destinations score in 500m buffers was the exposure variable. Associations between mix of destinations and sitting time were examined using multilevel linear regression: these models accounted for clustering within census tracts and households and adjusted for environmental, sociodemographic, and health-related factors. Results: After adjustment for covariates, mix of destinations was inversely associated with minutes of sitting time on a weekday (β=-8.8, p=0.001) and weekend day (β=-6.1, p=0.022). People who lived in areas with a greater mix of destinations had shorter average sitting times. Conclusion: Greater mix of destinations within 500m of peoples’ residences were inversely associated with sitting time on a typical weekday and weekend day. In Latin American cities like Sao Paulo built environments more favorable for walking may contribute to reducing sedentary behavior and prevent associated chronic disease.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alex Antonio Florindo ◽  
Gavin Turrell ◽  
Leandro Martin Totaro Garcia ◽  
João Paulo dos Anjos Souza Barbosa ◽  
Michele Santos Cruz ◽  
...  

Abstract Background Sedentary behavior is influenced by contextual, social, and individual factors, including the built environment. However, associations between the built environment and sitting time have not been extensively investigated in countries with economies in transition such as Brazil. The objective of this study is to examine the relationship between sitting-time and access to a mix of destinations for adults from Sao Paulo city, Brazil. Methods This study uses data from the Health Survey of Sao Paulo. Sedentary behavior was assessed by a questionnaire using two questions: total sitting time in minutes on a usual weekday; and on a usual weekend day. The mix of destinations was measured by summing the number of facilities (comprising bus stops, train/subway stations, parks, squares, public recreation centres, bike paths, primary health care units, supermarkets, food stores, bakeries, and coffee-shops) within 500 m of each participant’s residence. Minutes of sitting time in a typical weekday and weekend day were the outcomes and the mix of destinations score in 500 m buffers was the exposure variable. Associations between the mix of destinations and sitting time were examined using multilevel linear regression: these models accounted for clustering within census tracts and households and adjusted for environmental, sociodemographic, and health-related factors. Results After adjustment for covariates, the mix of destinations was inversely associated with minutes of sitting time on a weekday (β=− 8.8, p=0.001) and weekend day (β=− 6.1, p=0.022). People who lived in areas with a greater mix of destinations had shorter average sitting times. Conclusion Greater mix of destinations within 500 m of peoples’ residences was inversely associated with sitting time on a typical weekday and weekend day. In Latin American cities like Sao Paulo built environments more favorable for walking may contribute to reducing sedentary behavior and prevent associated chronic disease.


2020 ◽  
Author(s):  
Alex Antonio Florindo ◽  
Gavin Turrel ◽  
Leandro Martin Totaro Garcia ◽  
Joao Paulo dos Anjos Souza Barbosa ◽  
Michele Santos Cruz ◽  
...  

Abstract Background: Sedentary behavior is influenced by contextual, social and individual factors, including the built environment. However, associations between the built environment and sitting time have not been extensively investigated in countries with economies in transition such as Brazil. The objective of this study is to examine the relationship between sitting-time and access to a mix of destinations for adults from Sao Paulo city, Brazil. Methods: This study uses data from the Sao Paulo Health Survey. Sedentary behavior was assessed by questionnaire using two questions: total sitting time in minutes on a usual weekday; and on a usual weekend day. Mix of destinations was measured by summing the number of facilities (comprising bus stops, train/subway stations, parks, squares, public recreation centres, bike paths, primary health care units, supermarkets, food stores, bakeries, and coffee-shops) within 500m of each participant’s residence. Minutes of sitting time in a typical weekday and weekend day were the outcomes and mix of destinations score in 500m buffers was the exposure variable. Associations between mix of destinations and sitting time were examined using multilevel linear regression: these models accounted for clustering within census tracts and households and adjusted for environmental, sociodemographic, and health-related factors. Results: After adjustment for covariates, mix of destinations was inversely associated with minutes of sitting time on a weekday (β=-8.8, p=0.001) and weekend day (β=-6.1, p=0.022). People who lived in areas with a greater mix of destinations had shorter average sitting times. Conclusion: Greater mix of destinations within 500m of peoples’ residences were inversely associated with sitting time on a typical weekday and weekend day. In Latin American cities like Sao Paulo built environments more favorable for walking may contribute to reducing sedentary behavior and prevent associated chronic disease.


2020 ◽  
Author(s):  
Alex Antonio Florindo ◽  
Gavin Turrel ◽  
Leandro Martin Totaro Garcia ◽  
Joao João Paulo dos Anjos Souza Barbosa ◽  
Michele Santos Cruz ◽  
...  

Abstract Background: Sedentary behavior is influenced by contextual, social and individual factors, including the built environment. However, associations between the built environment and sitting time have not been extensively investigated in countries with economies in transition such as Brazil. The objective of this study is to examine the relationship between sitting-time and access to a mix of destinations for adults from Sao Paulo city, Brazil. Methods: This study uses data from the Sao Paulo Health Survey (n=3,145). Sedentary behavior was assessed by questionnaire using two questions: total sitting time in minutes on a usual weekday; and on a usual weekend day. Mix of destinations was measured by summing the number of facilities (comprising bus stops, train/subway stations, parks, squares, public recreation centres, bike paths, primary health care units, supermarkets, food stores, bakeries, and coffee-shops) within 500m of each participant’s residence. Minutes of sitting time in a typical weekday and weekend day were the outcomes and mix of destinations score in 500m buffers was the exposure variable. Associations between mix of destinations and sitting time were examined using multilevel linear regression: these models accounted for clustering within census tracts and households and adjusted for environmental, sociodemographic, and health-related factors. Results: After adjustment for covariates, mix of destinations was inversely associated with minutes of sitting time on a weekday (β=-8.8, p=0.001) and weekend day (β=-6.1, p=0.022). People who lived in areas with a greater mix of destinations had shorter average sitting times. Conclusion: Greater mix of destinations within 500m of peoples’ residences were inversely associated with sitting time on a typical weekday and weekend day. In Latin American cities like Sao Paulo built environments more favorable for walking may contribute to reducing sedentary behavior and prevent associated chronic disease.


2020 ◽  
Author(s):  
Alex Antonio Florindo ◽  
Gavin Turrel ◽  
Leandro Martin Totaro Garcia ◽  
Joao João Paulo dos Anjos Souza Barbosa ◽  
Michele Santos Cruz ◽  
...  

Abstract Background: Sedentary behavior is influenced by contextual, social and individual factors, including the built environment. However, the associations between the built environment and sitting time have not been extensively investigated in countries with economies in transition such as Brazil. The objective of this study is to examine the relationship between sitting-time and access to a mix of destinations for adults from Sao Paulo city, Brazil. Methods: This study uses data from the Sao Paulo Health Survey (n=3,145). Sedentary behavior was assessed by questionnaire using two questions: total sitting time in minutes on a usual weekday; and on a usual weekend day. Mix of destinations was measured by summing the number of facilities (comprising bus stops, train/subway stations, parks, squares, public recreation centres, bike paths, primary health care units, supermarkets, food stores, bakeries, and coffee-shops) within 500m of each participant’s residence. Linear and categorical (<4, ≥4 hours/day) measures of sitting time were derived and analyzed using linear and logistic multilevel regression. Models accounted for clustering within census-tracts and households, were stratified by gender, and adjusted for environmental, sociodemographic, and health-related factors. Results: Average minutes of sitting, and the likelihood of sitting for more than four hours, were significantly higher among males, younger people, the more educated, single persons, smokers, those who engaged in low levels of physical activity, the obese and those with chronic disease, and those who owned a private motor vehicle. Among females, mix of destinations was inversely related with minutes of sitting time on a weekday (β= -11 minutes; p=0.001) and weekend day (β= -8 minutes; p=0.012). Females who had a higher mix of destinations within their residential catchment had a significantly lower likelihood of sitting for four hours or more on weekdays (OR=0.66 IC95%0.47-0.94). No significant associations were found for males. Conclusion: This is the first-known study to examine the relationship between mix of destinations and sedentary behavior among adults in Sao Paulo City, Brazil. Our results suggest that health promotion and policy should focus on reducing sedentary behavior in the whole population, and especially those groups who engage in higher-levels of sitting time.


2018 ◽  
Vol 33 (1) ◽  
pp. 33
Author(s):  
Gabriella Barreto Soares ◽  
Carlos Eduardo Gomes Siqueira ◽  
Lorena Estrada-Martinez ◽  
Cléa Adas Saliba Garbin ◽  
Artênio José Ísper Garbin

OBJECTIVE: This study aimed at investigating the relationships between health and work-related musculoskeletal disorders (WMSDs) in dentists, and the relationship with socio-demographic, work and health variables.METHODS: We conducted a cross-sectional study of 204 dentists who work in public clinics in the state of São Paulo, Brazil. We used a self-administered survey that included questions on sociodemographic and health aspects, work-related factors, and the Nordic questionnaire.RESULTS: WMSDs were often reported in the neck, shoulder, lower back, and hand/wrists. Logistic regression analysis revealed that there was a correlation between reports of WMSD in the neck and age (OR = 9.48) and health problems (OR = 6.71). Moreover, strong associations were found between MSDs in the shoulders, gender (OR = 5.88) and breaks between appointments (OR = 4.17).CONCLUSION: We concluded that the health problems diagnosed, work-related activities and gender contributed to musculoskeletal disorders in dentists in this clinic.


2018 ◽  
Vol 23 ◽  
pp. 1-9
Author(s):  
Roberval Pizano ◽  
Christianne de Faria Coelho Ravagnani ◽  
Robert Weaver ◽  
Maria Sylvia Vitalle

The aim of this cross-sectional study was to examine the association between city of residence and other factors related to sitting time in adolescents. Students (n = 1,089), between 14 and 18 years, completed self-reported questionnaires to collect data about sitting time, general fitness, physical education and sport participation, socio-economic stratum and householder ́s education in Botucatu (SP), Cáceres (MT) and São Paulo (SP). The choice of municipalities occurred for convenience and the selection of schools and students was performed randomly. Multi-level mixed linear regression models were used to estimate the relationship between the independent variables and sitting time (min.day-1) during weekdays and weekend days. Hierarchal models were estimated to account for the nested nature of student within schools. Regarding cities of residence, there was no association with sitting time on both weekday (São Paulo, β = 36.87, CI: 25.6; 233.62 and Cáceres, β = 66.94, CI: 22.1; 156.01) and weekend (São Paulo, β = 104.01, CI: 64.5;138.20 and Cáceres, β = 90.23, CI: 33.2; 213.64), when compared to Botucatu. Socio economic indicators were related to sitting time in different ways considering week or weekend. Students with higher householder education degrees had more sitting time on weekdays. On weekend students in higher levels of socioeconomic stratum presented less sitting time. Adolescents with very good perception of general fitness had -65.29 minutes of sitting time on weekday and -70.1 minutes of sitting time on weekend. In the present study, city of residence was not related to sitting time in adolescents. However, other factors such as gender, socioeconomic stratum and educational status, participation in sports and physical education and perceptions of fitness were related to students sitting time.


Assessment ◽  
2021 ◽  
pp. 107319112110176
Author(s):  
Gerson Ferrari ◽  
Marianella Herrera-Cuenca ◽  
Ioná Zalcman Zimberg ◽  
Viviana Guajardo ◽  
Georgina Gómez ◽  
...  

The purpose of this study was to examine the associations between self-reported and device-based measures of sedentary behavior (SB) with obesity markers in adults from Latin American countries. Sitting time and total time spent in different SBs were self-reported using two different questionnaires. Accelerometers were used to assess total sedentary time. Body mass index, waist, and neck circumferences were assessed. The highest self-reported sitting time was in Argentina, the highest total time spent in different SBs was in Brazil and Costa Rica, and the highest device-based sedentary time was observed in Peru. Neither self-reported sitting time, total time spent in different SBs or device-based sedentary time were associated with body mass index. Device-based sedentary time was positively associated with waist circumference and self-reported sitting time was positively associated with neck circumference. Caution is warranted when comparing the associations of self-reported and device-based assessments of SB with anthropometric variables.


2018 ◽  
Vol 26 (5) ◽  
pp. 338-341 ◽  
Author(s):  
Eduardo Ramalho de Moraes ◽  
Gustavo Gonçalves Arliani ◽  
Paulo Henrique Schmidt Lara ◽  
Eli Henrique Rodrigues da Silva ◽  
Jorge Roberto Pagura ◽  
...  

ABSTRACT Purpose: The purpose is to compare the incidence and characteristics of injuries sustained in two consecutive seasons of the São Paulo State Football Championship. Methods: Prospective study performed using an electronic form previously developed by the Medical Committee of the São Paulo State Football Federation, sent to the physicians responsible for the tournament's series A1 and A2 teams, after each round. Results: 17.63 injuries sustained per 1000 hours of matches in the A1 series and 14.91 injuries sustained per 1000 hours of matches in the A2 series. Incidence of injuries per 1000 hours of matches decreased from 24.16 to 17.63 in the A1 series (p<0.037) and from 19.10 to 14.01 in the A2 series (p<0.064). External defenders suffered most injuries, while muscular injuries were most common and lower limbs, the most affected areas. Most injuries occurred between 30 and 45 minutes of the match and only 11.9% of the injuries required surgery. Conclusions: Prevalence and frequency of injuries decreased between seasons. Most injuries were sustained in the lower limbs; strains were the most common injuries, followed by strains and contusions; MRIs were the most frequently requested exams and most injuries were classified as moderate (8-28 days). Level of evidence III, Cross-Sectional Study.


2021 ◽  
Author(s):  
Isaac Rêgo Purificação ◽  
Allêh Kauãn Santos Nogueira ◽  
Matheus Araújo de Souza ◽  
Camila de Almeida Costa Alencar ◽  
Sancha Mohana Brito Goes Rios

Background: Cerebrovascular disease (CVD) is the world 2nd death cause and the main cause of disability. Nevertheless, there is a lack of information regarding the mortality profile for this etiology in the last decade. Objective and Methods: Using prospectively collected data available in TabNet (DataSUS) platform, a descriptive and cross-sectional study was conducted. The primary objective is to access the demographic information most associated with DCV mortality in individuals older than 50 years-old, in São Paulo (SP), from 2010 to 2019. Results: The highest mortality in the state of SP was in 2019 (16,945 deaths), according to the growing trend; in the 2010-2019 period, the annual mean by city of deaths (± standard deviation [SD]) was 14,885 (± 1,341). During these years, the number of deaths was higher in the municipality of São Paulo (57,013; 31%). The annual mean deaths (± SD) in the capital and in the interior cities were, respectively: 4,684 (± 269) and 31 (± 58). The age groups from 70 to 79 years and over 80 years were the most affected. Caucasian race represents 71% of deaths. Individuals with 1 to 3 years of school were more affected (38%). The ratio of male deaths to female deaths was 1.02. Conclusion: In the last decade, there was an increasing mortality by CVD among the elderly population, and the city of São Paulo leads the number of cases.


2021 ◽  
pp. 1-25
Author(s):  
Alexandre Faisal-Cury ◽  
Maria Alvim Leite ◽  
Maria Mercedes Loureiro Escuder ◽  
Renata Bertazzi Levy ◽  
Maria Fernanda Tourinho Peres

Abstract Objective: To investigate the association between ultra-processed food (UPF) consumption and Internalizing Symptoms (IS) among adolescents. Design: It is a cross-sectional study. Paper-pencil survey was completed in classroom with information on UPF consumption, IS and selected covariates. IS were assessed with the Internalizing Symptoms sub-scale from the Social Behaviour Questionnaire (ISs-SBQ). UPF was evaluated with a food frequency questionnaire extracted from the Brazilian National School Health Survey. Crude and adjusted association between UPF and IS was investigated with Structural Equation Models. Setting: São Paulo, SP, Brazil. Participants: n= 2,680 students, Mage= 14.85; CI95% 14.81-14.88. Results: UPF consumption was associated with higher scores in IS in the crude (ß=0.14; p<0.001) and adjusted (ß=0.12; p<0.001) models. The higher the consumption of UPF, the higher the IS score. The following variables were associated with a lower risk of UPF consumption: male gender, public school and having more meals with parents. The change in the magnitude of the standardized score was almost negligible, but the model was significantly improved with the inclusion of covariates. Conclusions: Our results provide evidence about the positive association between UPF consumption and IS among adolescents. The association, despite its low magnitude, remained significant after adjusting for potential confounders. These results are relevant considering the increase in UPF consumption worldwide and in low- and middle-income countries. Also, our study emphasizes the importance of a healthy diet with a reduction in UPF consumption among adolescents.


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