Abstract
In this longitudinal study, we aimed to describe time trends of physical activity (PA) in different domains from 2010 to 2014 among users of the Brazilian National Health System, taking into account the effects of sex, age and economic status (ES). Longitudinal study conducted in five primary care units in Bauru (SP), Brazil. The sample was composed of 620 men and women who were interviewed in 2010, 2012 and 2014. The same group of researchers conducted the interviews, using the questionnaire developed by Baecke et al. Scores for occupational, exercise/sport, leisure-time/transportation and overall PA were considered in this longitudinal survey. Time trends of PA over the four years of follow-up were assessed according to sex, age and ES. We found that after four years of follow-up, the reduction in overall PA (-13.6%; 95% confidence interval, CI = -11.9 to -15.3) was statistically significant. Additionally, declines in the occupational domain and exercise/sports participation were affected by age, while the reduction in overall PA was affected by sex, age and ES. Overall PA decreased significantly from 2010 to 2014 among these outpatients of the Brazilian National Health System, and age and male sex were important determinants of PA in its different domains.
Highlights
Development of new technologies and characteristics within the environment have continued to reduce the amount of energy expenditure on a daily basis.[1]
Data from the Global Burden of Disease (GBD) study published in 2015 found discordant trends for low physical activity according to sex, such that the overall summary exposure value for men increased by 2.4%, whereas the same indicator for women declined by 1.5%
We called each of the 1,915 individuals identified in the primary healthcare unit (PHU) lists to invite them for a baseline assessment between August and December 2010; 963 (50.3%) agreed to take part in the longitudinal study
Summary
Development of new technologies and characteristics within the environment have continued to reduce the amount of energy expenditure on a daily basis.[1] Physical inactivity is an important risk factor for health, contributing substantially to the worldwide epidemic of non-communicable diseases (NCDs). These cause 5.3 million deaths per year[2] and lead to significant economic losses in developed and developing countries.[3,4,5,6,7]. Data from the Global Burden of Disease (GBD) study published in 2015 found discordant trends for low physical activity according to sex, such that the overall summary exposure value for men increased by 2.4%, whereas the same indicator for women declined by 1.5%.9
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