| Texto completo | |
| Autor(es): |
Miranda, Andreia Alexandra Machado
;
Onita, Bianca Mitie
;
Hallal, Pedro C.
;
Florindo, Alex Antonio
Número total de Autores: 4
|
| Tipo de documento: | Artigo Científico |
| Fonte: | JOURNAL OF PHYSICAL ACTIVITY & HEALTH; v. N/A, p. 8-pg., 2025-12-01. |
| Resumo | |
Background: Access to green and recreational areas has been linked to cardiovascular health, but evidence from low- and middle-income megacities remains limited. This study investigated the prospective association between public open spaces (POSs) and incident hypertension in adults living in S & atilde;o Paulo, Brazil and whether leisure-time physical activity (LTPA) mediates this relationship. Methods: Data from 1056 participants free of hypertension at baseline were analyzed, collected through the "Health Survey of S & atilde;o Paulo: Physical Activity and Environment" cohort (2014-2021). Exposure to POSs, including parks, squares, outdoor gyms, and bike paths, was assessed using geographic information systems within 500-m buffers around participants' residences. The number of types of POSs was categorized as 0, 1 to 2, or 3 to 4. Hypertension was self-reported, and LTPA was measured via the long-form International Physical Activity Questionnaire. Poisson regression models estimated the relative risks of developing hypertension, and mediation was tested using Sobel and bootstrap methods. Results: Living near 3 or 4 types of POSs was associated with a lower risk of hypertension (relative risk: 0.93; 95% CI, 0.87-0.99). LTPA significantly mediated this association. Among individuals engaging in >= 150 minutes per week of LTPA, proximity to 3 or 4 POSs types was associated with an even lower risk (relative risk: 0.88; 95% CI, 0.79-0.98), while no effect was observed among inactive participants. Conclusions: A greater variety of POSs near home is associated with a reduced risk of hypertension, partly explained by increased LTPA. These findings support urban planning strategies that enhance diverse recreational environments to promote cardiovascular health in middle-income urban cities. (AU) | |
| Processo FAPESP: | 24/07376-0 - Associações entre indicadores do ambiente construído com a prática de atividade física no tempo de lazer e como forma de transporte em adultos que vivem no município de São Paulo. |
| Beneficiário: | Andreia Alexandra Machado Miranda |
| Modalidade de apoio: | Bolsas no Brasil - Pós-Doutorado |
| Processo FAPESP: | 17/17049-3 - Ambiente construído, atividade física e estado nutricional em adultos: um estudo longitudinal |
| Beneficiário: | Alex Antonio Florindo |
| Modalidade de apoio: | Auxílio à Pesquisa - Temático |