Macroeconomic, demographic and human developmental correlates of physical activity and sitting time among South American
- PDF / 1,462,241 Bytes
- 13 Pages / 595.276 x 790.866 pts Page_size
- 107 Downloads / 199 Views
RESEARCH
Open Access
Macroeconomic, demographic and human developmental correlates of physical activity and sitting time among South American adults André O. Werneck1* , Kabir P. Sadarangani2,3, Robinson Ramírez-Vélez4, Se-Sergio Baldew5, Thayse N. Gomes6, Gerson Ferrari7, Célia L. Szwarcwald8, J. Jaime Miranda9,10, Danilo R. Silva6 and on behalf of the South American Physical Activity and Sedentary Behavior Network (SAPASEN) collaborators
Abstract Background: Our aim was to investigate the association of macroeconomic, human development, and demographic factors with different domains of physical activity and sitting time among South American adults. Methods: We used data from nationally representative samples in Argentina (n = 26,932), Brazil (n = 52,490), Chile (n = 3866), Colombia (n = 14,208), Ecuador (n = 19,883), Peru (n = 8820), and Uruguay (n = 2403). Our outcomes included leisure time (≥150 min/week), transport (≥10 min/week), occupational (≥10 min/week), and total (≥150 min/week) physical activity, as well as sitting time (≥4 h/day), which were collected through self-reported questionnaires. As exposures, gross domestic product, total population, population density, and human development index indicators from the most updated national census of each country were used. Age and education were used as covariates. Multilevel logistic regressions with harmonized random effect meta-analyses were conducted, comparing highest vs. lowest (reference) tertiles. Results: Higher odds for transport physical activity were observed among the highest tertiles of total population (ORmen: 1.41; 95% CI: 1.23–1.62), ORwomen: 1.51; 95% CI:1.32–1.73), population density (ORmen: 1.36; 95% CI: 1.18–1.57, ORwomen: 1.49; 95% CI: 1.30–1.70), and gross domestic product (ORmen: 1.16; 95% CI: 1.00–1.35, ORwomen: 1.39; 95% CI: 1.20–1.61). For leisure physical activity, women living in departments with higher human development index presented 18% higher odds for being active, and for total physical activity a similar estimate in both sexes was observed among those who live in more populated areas. No consistent associations were found for occupational physical activity and sitting time. Conclusion: Macroeconomic, demographic and human development indicators are associated with different domains of physical activity in the South American context, which can in turn guide policies to promote physical activity in the region. Keywords: Latin America, Transportation, Physical activity, Environment, Epidemiology, Global Health
* Correspondence: [email protected] 1 Center for Epidemiological Research in Nutrition and Health, Department of Nutrition, School of Public Health, Universidade de São Paulo (USP), Av. Dr. Arnaldo, 715 - Cerqueira César, São Paulo, SP 01246-904, Brazil Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction
Data Loading...
