Sedentary behaviour is associated with diabetes mellitus in adults: findings of a cross-sectional analysis from the Brazilian National Health System

Author(s)

Lemes, Italo Ribeiro ^[1] ; Sui, Xuemei ^[2] ; Turi-Lynch, Bruna Camilo ^[3] ; Lee, Duck-chul ^[4] ; Blair, Steven N. ^[2] ; Fernandes, Romulo Araujo ^[5] ; Codogno, Jamile Sanches ^[5] ; Monteiro, Henrique Luiz ^[6]

Affiliation

^[1] Sao Paulo State Univ UNESP, Sch Sci & Technol, Dept Physiotherapy, Physiotherapy, 305 Roberto Simonsen, BR-19060900 Presidente Prudente - Brazil

^[2] Univ South Carolina, Arnold Sch Publ Hlth, Dept Exercise Sci, Publ Hlth Res Ctr 229, 921 Assembly St, Columbia, SC 29208 - USA

^[3] Fac Dracena UNIFADRA, Dept Phys Educ, 332 Bahia St, BR-17900000 Dracena - Brazil

^[4] Iowa State Univ, Dept Kinesiol, 103 H Forker Bldg, 534 Wallace Rd, Ames, IA 50011 - USA

^[5] Sao Paulo State Univ UNESP, Sch Sci & Technol, Dept Phys Educ, 305 Roberto Simonsen, BR-19060900 Presidente Prudente - Brazil

^[6] Sao Paulo State Univ UNESP, Sch Sci, Dept Phys Educ, 14-01 Luiz Edmundo Carrijo Coube Ave, BR-17033360 Bauru, SP - Brazil

• Document type: Journal article
• Source: JOURNAL OF PUBLIC HEALTH; v. 41, n. 4, p. 742-749, DEC 2019.
• Web of Science Citations: 4

Abstract

Background Sedentary behaviour (SB) may contribute to the development of several chronic diseases, such as hypertension, diabetes mellitus (DM) and all-cause mortality. The aim of this study is to investigate the association between different domains of SB with diabetes among adult users of the Brazilian National Health System (NHS). Methods Cross-sectional study from the primary care system of the Brazilian NHS in the city of Bauru, Brazil. SB, physical activity (PA), DM and other chronic diseases were assessed by face-to-face interviews and medical records. As potential confounders in the adjusted model, we used gender, age, economic status, smoking status, hypertension, hypercholesterolaemia and PA. Results The study was composed of 147 men and 410 women. The fully adjusted model showed that Brazilian adults spending >= 3 h per day in television viewing (OR = 1.61 {[}95% CI: 1.11-2.33]) and overall SB (OR = 1.60 {[}95% CI: 1.09-2.36]) had increased prevalence of DM compared to those spending <3 h per day. Conclusions TV viewing and overall SB was associated with higher prevalence of DM in Brazilian adults from the NHS, even after controlling for potential confounders including PA. (AU)

• FAPESP's process: 15/17777-3 - Physical activity, risk factors for metabolic syndrome and healthcare expenditures among users of the Brazilian national health system: 8-year longitudinal study
• Grantee: Ítalo Ribeiro Lemes
• Support Opportunities: Scholarships in Brazil - Doctorate
• FAPESP's process: 16/11140-6 - Physical activity, obesity and risk factors for metabolic syndrome in the brazilian public health system: a longitudinal study
• Grantee: Ítalo Ribeiro Lemes
• Support Opportunities: Scholarships abroad - Research Internship - Doctorate