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Physical activity and it´s association with the environment in elder residents of Ermelino Matarazzo district, east side of São Paulo.

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Author(s):
Emanuel Péricles Salvador
Total Authors: 1
Document type: Master's Dissertation
Press: São Paulo.
Institution: Universidade de São Paulo (USP). Faculdade de Saúde Pública (FSP/CIR)
Defense date:
Examining board members:
Alex Antonio Florindo; Carlos Augusto Monteiro; Rodrigo Siqueira Reis
Advisor: Alex Antonio Florindo
Abstract

ABSTRACT Introduction: International studies show that the environment is associated with the levels of physical activity in adults and elder people. However, there are no studies that have evaluated this association in the elder population of Brazil. Objective: To study the association between leisure and transportation physical activity and the environment variables in elder residents of Ermelino Matarazzo district in the east side of São Paulo city. Methods: 380 elderly (60 years and over) participated on the cross-sectional study of domiciliary base. The evaluation of the level of the leisure and the transportation physical activities were used the IPAQ (International physical activity questionnaire) long version and for evaluation of the household and work physical activities was used the VIGITEL questionnaire (Surveillance of risk factors for chronic diseases through telephone interviews), and other questions included specifically for this study. The evaluation of the perceived environment was made through a suitable perception scale adapted from the NEWS scale (Neighborhood Environmental Walkability Scale). For the statistical analyses, six models of analysis of multiple logistic regression were created to study the association of the different physical activity models (dependent variables: leisure physical activity; transportation physical activity; walk in the leisure or transportation) with the perception of the environment variable (independent variables), controlled by sex, age, marital status, smoking, education, work and the presence of pain. Results: The proportion of physically active elderly was of 35.4%, 14.7% and 43.2% for physical activity in transportation, physical activity in leisure and walking for leisure or for transportation, respectively. The presence of nearby parks, receiving invitation from relatives to practice physical activities and the traffic not being barrier for the practicing of physical activities was associated with the 150 minutes per week of the transportation physical activity. The presence of churches, a walk up to 10 minutes to the drugstore and the presence of good public illumination in the streets were associated with some practice (from 10 to 149 minutes per week) of the transportation physical activity. The presence of the sidewalks was associated with the some practice (from 10 to 149 minutes per week) of the leisure physical activity. The presence of the drugstore, the presence of good public illumination in the streets and a walk of up to 10 minutes to the bus stop were associated with some practice (from 10 to 149 minutes per week) of the walk in the transportation or leisure. Conclusion: Programs for physical activity promotion for the elderly population must consider the variables related to the constructed environment (presence of a sidewalk), the natural environment (green parks and green areas), the security, the traffic, the public illumination and the presence of services, points of social conviviality and social support of the family. (AU)

FAPESP's process: 06/53767-3 - Physical activity and its association with the environment in elder residents of Ermelino Matarazzo district, east side of São Paulo
Grantee:Emanuel Péricles Salvador
Support Opportunities: Scholarships in Brazil - Master