Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, RS, Brazil.
Rev Saude Publica. 2010 Jun;44(3):457-67. doi: 10.1590/s0034-89102010000300009.
To estimate the prevalence and identify correlates of physical activity among adolescents.
Cross-sectional study nested within a cohort of 4,325 subjects from the city of Pelotas, Southern Brazil, aged 14-15 years in 2008. Physical activity was analyzed using three different approaches: (1) prevalence of any leisure-time physical activity; (2) prevalence of any active commuting to school; and (3) prevalence of engaging in at least 300 minutes per week of both (1) and (2) combined. Independent variables included sociodemographic, behavioral, social, and biological characteristics, and number of different leisure-time physical activities practiced. Statistical analyses were carried out using Poisson regression.
The proportion of adolescents involved in any type of leisure-time physical activity was 75.6%, while 73.4% displayed some form of active commuting to school. Prevalence of total physical activity score (>300 min/week) was 48.2%, being greater among boys (62.6%) than among girls (34.5%). Furthermore, prevalence increased along with the number of physical activity modalities practiced (p<0.001). Factors associated with greater physical activity (leisure+commuting) at the recommended levels were: nonwhite skin color, having failed at school, and playing videogames. Lower socioeconomic status, more time spent on the computer, and parental physical activity were associated with the outcome only among girls.
Less than half the adolescents reached recommended levels of physical activity, and this proportion tended to decrease among subjects with higher socioeconomic level. Associated factors were different for leisure-time and commuting. Engaging in a wide variety of physical activities should be encouraged already during childhood.
评估青少年身体活动的流行率,并确定其相关因素。
这是一项嵌套在巴西南部皮奥伊州佩洛塔斯市队列研究中的横断面研究,研究对象为 2008 年时年龄在 14-15 岁的 4325 名青少年。使用三种不同方法分析身体活动:(1)任何闲暇时间身体活动的流行率;(2)任何主动上学交通方式的流行率;(3)每周至少进行 300 分钟(1)和(2)组合的活动的流行率。自变量包括社会人口学、行为、社会和生物学特征,以及所进行的不同闲暇时间身体活动的数量。采用泊松回归进行统计分析。
参与任何类型闲暇时间身体活动的青少年比例为 75.6%,而有 73.4%的青少年采用某种形式的主动上学交通方式。总身体活动得分(>300 分钟/周)的流行率为 48.2%,男生(62.6%)高于女生(34.5%)。此外,随着身体活动方式数量的增加,流行率也随之增加(p<0.001)。与达到推荐水平的闲暇+上学交通方式相关的因素是:非白色皮肤、学业失败和玩电子游戏。较低的社会经济地位、更多的时间花在电脑上和父母的身体活动仅与女孩有关。
不到一半的青少年达到了推荐的身体活动水平,而这一比例在社会经济地位较高的人群中呈下降趋势。相关因素在闲暇时间和上学交通方式上有所不同。应在儿童时期就鼓励进行各种各样的身体活动。