Macroeconomic, demographic and human developmental correlates of physical activity and sitting time among South American adults

Author(s)

Werneck, Andre O. ^[1] ; Sadarangani, Kabir P. ^{[2, 3]} ; Ramirez-Velez, Robinson ^[4] ; Baldew, Se-Sergio ^[5] ; Gomes, Thayse N. ^[6] ; Ferrari, Gerson ^[7] ; Szwarcwald, Celia L. ^[8] ; Miranda, J. Jaime ^{[9, 10]} ; Silva, Danilo R. ^[6] ; Physical, South Amer

Affiliation

^[1] Univ Sao Paulo, Ctr Epidmiol Res Nutr & Hlth, Dept Nutr, Sch Publ Hlth, Ave Dr Arnaldo 715, BR-01246904 Sao Paulo, SP - Brazil

^[2] Univ Autonoma Chile, Escuela Kinesiol, Santiago - Chile

^[3] Univ Diego Portales, Fac Salud & Odontol, Escuela Kinesiol, Santiago - Chile

^[4] Univ Publ Navarra, Complejo Hosp Navarra, IDISNA Navarras Hlth Res Inst, Dept Hlth Sci, Navarrabiomed Biomed Res Ctr, C Irunlarrea 3, Navarra 31008 - Spain

^[5] Anton de Kom Univ Suriname, Fac Med Sci, Dept Phys Therapy, Paramaribo - Suriname

^[6] Fed Univ Sergipe UFS, Dept Phys Educ, Sao Cristovao - Brazil

^[7] Univ Santiago Chile, Lab Ciencias Actividad Fis Deporte & Salud, USACH, Santiago - Chile

^[8] Fundacao Oswaldo Cruz Fiocruz, ICICT, Rio De Janeiro - Brazil

^[9] Univ Peruana Cayetano Heredia, CRONICAS Ctr Excellence Chron Dis, Lima - Peru

^[10] Univers Peruana Cayetano Heredia, Sch Med, Lima - Peru

• Document type: Journal article
• Source: International Journal of Behavioral Nutrition and Physical Activity; v. 17, n. 1 DEC 14 2020.
• Web of Science Citations: 0

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. (AU)

• FAPESP's process: 19/24124-7 - Prospective association of ultra-processed food consumption and physical inactivity in the prediction of depressive symptoms among adults
• Grantee: André de Oliveira Werneck
• Support Opportunities: Scholarships in Brazil - Doctorate