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Bertuol C, da Silveira MHC, Krug RDR, Kupske JW, Mielke GI, Del Duca GF. Use of electronic devices in leisure time modifies the prevalence and factors associated with sedentary behavior derived exclusively from excessive television viewing among Brazilian adults. BMC Public Health 2023; 23:1602. [PMID: 37608246 PMCID: PMC10463304 DOI: 10.1186/s12889-023-16517-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 08/12/2023] [Indexed: 08/24/2023] Open
Abstract
The growing interest in the study of sedentary behavior is justified by its increasing presence in people's daily lives, particularly in leisure time. The aim of this study was to compare the prevalence and factors associated with sedentary behavior derived exclusively from TV time and from its combination with the time spent using other electronic devices among Brazilian adults (n = 52,443). This cross-sectional study used data from the Vigitel survey (2019), which included subjects ≥ 18 years old who resided in the capitals of the 26 Brazilian states and Federal District. High TV time (≥ 4 h/day), and its combination with computer, tablet, or cell phone use (≥ 4 h/day), as well as sociodemographic, behavioral, and health characteristics were self-reported. Adjusted logistic regression was used to estimate odds ratios and 95% confidence intervals (95%CI). The prevalence of high sedentary behavior almost tripled when TV viewing was added to the time spent using other electronic devices (from 12.2%; 95%CI: 11.6; 12.8, to 34.7%; 95%CI: 33.8; 35.6), notably among the youngest (32.0 percentage points). Individuals living without a partner, who smoked, consumed alcohol and processed foods excessively, were physically inactive, and had hypertension were more likely to have both outcomes than their counterparts. Older and less educated individuals were more likely to spend excessive time watching TV and less likely to have high use of other electronic devices in addition to TV viewing than their peers. Including computer, tablet, or cell phone led to an increase in the prevalence of high sedentary behavior. The magnitude and direction of the associations of age and education with high sedentary behavior varied according to the method how high sedentary behavior was defined. Projects, programs, and policies must consider the different indicators of sedentary behavior in monitoring and promoting a healthier lifestyle.
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Affiliation(s)
- Cecília Bertuol
- Graduate Program in Physical Education, Federal University of Santa Catarina, Campus Universitário Reitor João David Ferreira Lima, Florianópolis, SC, 88040-900, Brazil.
| | - Murilo Henrique Corrêa da Silveira
- Graduate Program in Physical Education, Federal University of Santa Catarina, Campus Universitário Reitor João David Ferreira Lima, Florianópolis, SC, 88040-900, Brazil
| | - Rodrigo de Rosso Krug
- Graduate Program in Integrative Health Care, University of Cruz Alta, Cruz Alta, RS, 98020-290, Brazil
| | - Juliedy Waldow Kupske
- Graduate Program in Human Movement Science, Federal University of Rio Grande do Sul, Rua Felizardo 750, Porto Alegre, RS, 90690-200, Brazil
| | - Grégore Iven Mielke
- School of Public Health, The University of Queensland, Brisbane, QLD, 4006, Australia
| | - Giovani Firpo Del Duca
- Graduate Program in Physical Education, Federal University of Santa Catarina, Campus Universitário Reitor João David Ferreira Lima, Florianópolis, SC, 88040-900, Brazil
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de Araújo MDESC, da Conceição Chagas de Almeida M, Matos SMA, de Jesus Mendes da Fonseca M, Pitanga CPS, Pitanga FJG. Combined Effect of Leisure-Time Physical Activity and Sedentary Behavior on Abdominal Obesity in ELSA-Brasil Participants. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6501. [PMID: 37569041 PMCID: PMC10418396 DOI: 10.3390/ijerph20156501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Revised: 07/26/2023] [Accepted: 07/30/2023] [Indexed: 08/13/2023]
Abstract
INTRODUCTION Abdominal obesity is a pattern of obesity that has been considered a public health problem. Physical activity is considered an important factor for the prevention of abdominal obesity. Increased time in sedentary behavior has been associated with negative health outcomes, including abdominal obesity. OBJECTIVE The aim of this study was to investigate which combination of leisure-time physical activity and sedentary behavior contributes most to the prevention of abdominal obesity in adults participating in ELSA-Brasil (Longitudinal Study of Adult Health). METHODS The study was cross-sectional and participants from the first follow-up of the ELSA-Brasil cohort (2012-2014) were analyzed. The independent variables were physical activity, assessed by IPAQ, and sedentary behavior, assessed by a standard questionnaire applied in ELSA-Brasil; the dependent variable was abdominal obesity, determined by waist circumference. The covariates analyzed were the following: age, education, binge drinking, smoking and menopause. The associations between the dependent variable and the independent variables were analyzed using logistic regression. The odds ratio with 95 CI% was estimated. RESULTS For men, the combinations were more significant when they were more physically active and spent less time on the sedentary behaviors analyzed, on both a weekday and a weekend day. For menopausal women, both younger and older, all associations of the combinations between sufficient leisure-time physical activity and little time spent in sedentary behaviors contributed to the prevention of abdominal obesity. In non-menopausal women, positive associations were observed in almost all combinations between leisure-time physical activity and sedentary behaviors, with some results that were not statistically significant among younger women. CONCLUSIONS Our results showed that being sufficiently active and reducing the time spent in sedentary behavior was the combination that contributed the most to the prevention of abdominal obesity, both in men and women.
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Affiliation(s)
| | | | | | | | | | - Francisco José Gondim Pitanga
- Postgraduate Program in Rehabilitation Sciences, Multidisciplinary Institute for Rehabilitation and Health, Federal University of Bahia (UFBA), Salvador 40110-170, BA, Brazil;
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Barros ACF, Damasceno AIMC, Fagundes BM, Barbalho MTM, d’Angelis MDF, Silva TK, Oliveira MVMD. Astenopia em docentes universitários durante a pandemia da COVID-19. REVISTA BRASILEIRA DE OFTALMOLOGIA 2022. [DOI: 10.37039/1982.8551.20220007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Cavazzotto TG, de Lima Stavinski NG, Queiroga MR, da Silva MP, Cyrino ES, Serassuelo Junior H, Vieira ER. Age and Sex-Related Associations between Marital Status, Physical Activity and TV Time. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:502. [PMID: 35010761 PMCID: PMC8744982 DOI: 10.3390/ijerph19010502] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 12/31/2021] [Accepted: 01/01/2022] [Indexed: 02/04/2023]
Abstract
Marital status mediates an association between physical activity (PA) and TV time with health outcomes. However, population-based studies have revealed that the health effect of marriage or divorce is age-dependent and differs between women and men. The study aimed to identify the age and sex-related associations between marital status with PA and TV time. We used data from Vigitel, an annual telephone survey started in 2006 in Brazil. We applied a complex sample logistic regression model to estimate the odds for PA and TV time comparing marital statuses according to age and sex subgroups, independent of obesity, hypertension, diabetes, self-assessed poor health, and smoking. Our sample included 561,837 individuals from 18 to 99 years, with a TV time > 3 h/day (prevalence = 25.2%) and PA > 150 min/week (prevalence = 35%). Later, we divided our sample in seven age groups by marital status and sex. Compared to single individuals, married men and women were less likely to watch TV more than 3 h/day in participants >30 years old. When compared to single, married participants were less likely to do more than 150 min of PA/week at younger age groups. Married women older than 40 years were more likely to do more than 150 min of PA/week than the single ones, while there were no differences among married men by age group. In conclusion, our study suggests that the investments in public policies to encourage the practice of PA and reduction of TV time could be based on the marital status, sex, and age, prioritizing less active groups.
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Affiliation(s)
| | - Natã Gomes de Lima Stavinski
- Graduate Program in Health Sciences, Center of Health Sciences, State University of Londrina, Londrina 86039-440, PR, Brazil
| | - Marcos Roberto Queiroga
- Department of Physical Education, Midwestern Parana State University, Guarapuava 85040-167, PR, Brazil
| | - Michael Pereira da Silva
- Graduate Program in Public Health, Faculty of Medicine, Federal University of Rio Grande, Rio Grande 96203-900, RIG, Brazil
| | - Edilson Serpeloni Cyrino
- Department of Physical Education, Faculty of Physical Education and Sport, State University of Londrina, Londrina 86057-970, PR, Brazil
| | - Helio Serassuelo Junior
- Department of Sports Science at the State University of Londrina, Londrina 86057-970, PR, Brazil
| | - Edgar Ramos Vieira
- Department of Physical Therapy, Florida International University, Miami, FL 33179, USA
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Barbosa BCR, Parajára MDC, de Paula W, Machado EL, Meireles AL. Age, skin color, self-rated health, and depression associated with co-occurrence of obesogenic behaviors in university students: a cross-sectional study. SAO PAULO MED J 2022; 141:e2022301. [PMID: 36541955 PMCID: PMC10065088 DOI: 10.1590/1516-3180.2022.0301.r1.10102022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 10/10/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The university context plays an important role in the health-disease process since students are potentially vulnerable to obesogenic behaviors that can influence long-term health. OBJECTIVE To estimate the prevalence of and factors associated with the co-occurrence of obesogenic behaviors among university students. DESIGN AND SETTING This was a cross-sectional study at a Brazilian public university. METHODS This study was conducted with all university students in the first and second semesters of 2019 at Universidade Federal de Ouro Preto, Minas Gerais, Brazil. Data were collected between April and September 2019, using a self-administered questionnaire. The outcome was the co-occurrence of obesogenic behaviors, measured as the sum of three risk behaviors: inadequate eating practices, leisure-time physical inactivity, and sedentary behavior. A Venn diagram was used to evaluate the simultaneous occurrence of risk behaviors. Pearson's chi-square test and multivariate logistic regression were used for statistical analyses. RESULTS A total of 351 students participated in the study. Inadequate eating practices constituted the most prevalent isolated risk behavior (80.6%), which was also the most prevalent when combined with sedentary behavior (23.6%). University students aged 20 years or younger, with non-white skin color, poor self-rated health, and symptoms of depression had increased chances of simultaneous occurrence of obesogenic behaviors. CONCLUSION These findings highlight the importance of developing and implementing actions to reduce combined obesogenic behaviors in the university environment. Institutions should focus on creating an environment that promotes health-protective behaviors such as physical activity and healthy eating.
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Affiliation(s)
- Bruna Carolina Rafael Barbosa
- MSc. Doctoral Student, Postgraduate Program in Health and
Nutrition, School of Nutrition, Universidade Federal de Ouro Preto (UFOP), Ouro
Preto (MG), Brazil
| | - Magda do Carmo Parajára
- MSc. Doctoral Student, Postgraduate Program in Health and
Nutrition, School of Nutrition, Universidade Federal de Ouro Preto (UFOP), Ouro
Preto (MG), Brazil
| | - Waléria de Paula
- MSc. Doctoral Student, Postgraduate Program on Pharmaceutical
Sciences, School of Pharmacy, Universidade Federal de Ouro Preto (UFOP), Ouro
Preto (MG), Brazil
| | - Elaine Leandro Machado
- PhD. Professor, Department of Preventive and Social Medicine,
Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte
(MG), Brazil
| | - Adriana Lúcia Meireles
- PhD. Professor, Department of Clinical and Social Nutrition,
School of Nutrition, Universidade Federal de Ouro Preto (UFOP), Ouro Preto (MG),
Brazil
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