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巴西老年人健康与衰老纵向研究(ELSA-Brasil)参与者休闲时间身体活动的相关因素:生态模型

Factors associated with leisure time physical activity among ELSA-Brasil participants: Ecological model.

作者信息

Pitanga Francisco José Gondim, Matos Sheila Maria Alvim, Almeida Maria da Conceição, Molina Maria Del Carmen Bisi, Aquino Estela M L

机构信息

Departamento de Educação Física. Faculdade de Educação. Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.

Instituto de Saúde Coletiva. Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.

出版信息

Prev Med. 2016 Sep;90:17-25. doi: 10.1016/j.ypmed.2016.06.020. Epub 2016 Jun 23.

DOI:10.1016/j.ypmed.2016.06.020
PMID:27343402
Abstract

The main objective of the study was identify the prevalence and factors associated with leisure time physical activity (LTPA) in adult participants of the Longitudinal Study of Adult Health (ELSA-Brasil). The LTPA was measured using the International Physical Activity Questionnaire (IPAQ), long version. A hierarchical ecological model was built with the possible factors associated with LTPA distributed across blocks. We estimated crude and adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs) using logistic regression. In men, being more educated, having a high family income, living in environments with conditions and opportunities for PA, being retired and being overweight were positively associated, while current smoking, obesity and abdominal obesity were associated negatively with the LTPA. Among women, being over 60years old, being more educated, having a high family income, living in an environment with conditions and opportunities for PA practice and being retired were positively associated, while being overweight, obese and having abdominal obesity were associated negatively with the LTPA. The proposed ecological model explains the LTPA through the social, physical and personal environment and highlights gender differences in physical activity.

摘要

该研究的主要目的是确定成人健康纵向研究(ELSA-Brasil)成年参与者中休闲时间身体活动(LTPA)的患病率及其相关因素。使用国际身体活动问卷(IPAQ)长版来测量LTPA。构建了一个分层生态模型,将与LTPA相关的可能因素分布在不同模块中。我们使用逻辑回归估计了粗比值比(OR)和调整后的比值比以及95%置信区间(95%CI)。在男性中,受教育程度较高、家庭收入高、生活在有身体活动条件和机会的环境中、退休以及超重呈正相关,而当前吸烟、肥胖和腹型肥胖与LTPA呈负相关。在女性中,60岁以上、受教育程度较高、家庭收入高、生活在有进行身体活动条件和机会的环境中以及退休呈正相关,而超重、肥胖和腹型肥胖与LTPA呈负相关。所提出的生态模型通过社会、身体和个人环境来解释LTPA,并突出了身体活动中的性别差异。

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