Garcia Leandro Martin Totaro, da Silva Kelly Samara, Del Duca Giovâni F, da Costa Filipe Ferreira, Nahas Markus Vinicius
School of Public Health, University of São Paulo, São Paulo, SP, Brazil.
J Phys Act Health. 2014 Nov;11(8):1622-34. doi: 10.1123/jpah.2012-0423. Epub 2014 Apr 11.
Our purpose was to examine the association of television viewing (hours/day), sedentary work (predominantly sitting at work), passive transportation to work (car or motorcycle), and the clustering of these behaviors ("sedentary lifestyle"), as well as leisure-time physical inactivity (LTPI), with chronic diseases (hypertension, hypercholesterolemia, type 2 diabetes, obesity, and clustering of chronic diseases) in Brazilian workers.
Cross-sectional study conducted from 2006 to 2008 in 24 Brazilian federal units (n = 47,477). A questionnaire was applied. Descriptive statistics, binary and multinomial logistic regressions were used.
Magnitude of association with chronic diseases varied greatly across domains and gender. Sedentariness at work was the most consistent behavior associated with chronic diseases, especially in men (OR hypertension = 1.10, 95% CI: 1.01-1.20; OR hypercholesterolemia = 1.34, 95% CI: 1.21-1.48; OR obesity = 1.27, 95% CI: 1.15-1.41; OR1 chronic disease = 1.17, 95% CI: 1.09-1.26; OR ≥ 2 chronic diseases = 1.61, 95% CI: 1.46-1.78) compared with women (OR hypercholesterolemia = 1.15, 95% CI: 1.01-1.31; OR obesity = 1.24, 95% CI: 1.04-1.48). LTPI was associated with all diseases in men (except type 2 diabetes), but only with obesity in women.
Adverse health consequences may be differently associated according to behavior domain and gender. Sedentary work and LTPI were consistently associated with chronic disease in Brazilian workers, especially in men.
我们的目的是研究巴西工人中看电视时间（小时/天）、久坐工作（主要是工作时坐着）、被动上班交通方式（汽车或摩托车）以及这些行为的聚集情况（“久坐生活方式”），还有休闲时间身体活动不足（LTPI）与慢性病（高血压、高胆固醇血症、2型糖尿病、肥胖症以及慢性病聚集）之间的关联。
2006年至2008年在巴西24个联邦单位开展了横断面研究（n = 47477）。应用了一份问卷。采用了描述性统计、二元和多项逻辑回归分析。
各领域和性别与慢性病的关联程度差异很大。工作时久坐是与慢性病关联最一致的行为，男性尤其如此（高血压的比值比[OR] = 1.10，95%置信区间[CI]：1.01 - 1.20；高胆固醇血症的OR = 1.34，95% CI：1.21 - 1.48；肥胖症的OR = 1.27，95% CI：1.15 - 1.41；患1种慢性病的OR = 1.17，95% CI：1.09 - 1.26；患≥2种慢性病的OR = 1.61，95% CI：1.46 - 1.78），而女性中（高胆固醇血症的OR = 1.15，95% CI：1.01 - 1.31；肥胖症的OR = 1.24，95% CI：1.04 - 1.48）则不然。LTPI在男性中与所有疾病相关（2型糖尿病除外），但在女性中仅与肥胖症相关。
不良健康后果可能因行为领域和性别而有不同关联。久坐工作和LTPI与巴西工人的慢性病始终相关，男性尤其如此。
