Acosta Tania, Tuesca Rafael, Florez Karen, Barengo Noël C, Anillo Luis, Flórez-García Victor, Acosta Jorge, Carvajal Liliana, de la Rosa Sandra, Pachón María Julieta, Aschner Pablo
Departamento de Salud Pública, Universidad del Norte, Barranquilla, Colombia.
Departamento de Matemáticas y Estadística, Universidad del Norte, Barranquilla, Colombia.
Front Public Health. 2021 Jan 14;8:589484. doi: 10.3389/fpubh.2020.589484. eCollection 2020.
Low level of physical activity is a risk factor for chronic non-communicable diseases. Specifically, people at risk of Type 2 Diabetes (T2D) have shown to benefit from being physically active. The objective of this study was to explore what factors were associated with low physical activity in people at high risk of T2D living in Bogota and Barranquilla, Colombia. Cross-sectional study using baseline data from a quasi-experimental clinical trial (PREDICOL Project). The study included 1,135 participants of Bogota and Barranquilla that presented a high risk of developing T2D according to the Finnish Diabetes Risk Score (>12 points) and who underwent an oral glucose tolerance test. The main outcome variable was the level of physical activity assessed by the International Physical Activity Questionnaire. Unadjusted and adjusted logistic regression analysis were used to calculate odds ratios (OR) and the corresponding 95% confidence intervals (CI). In total, 72.5% of the study participants had low level of physical activity. Participants in the age group between 45 and 54 years showed 74% greater odds of having low physical activity compared with the youngest age group (OR 1.74, 95% CI 1.1 -2.8). People living in Barranquilla were eight times more likely to have low physical activity compared with those in Bogotá D.C. (OR 8.1, 95% CI 5.7 to 11.4). A large proportion of the population at risk of developing D2T in two large cities of Colombia have a sedentary lifestyle. Interventions should be designed and implemented in order to increase physical activity in these populations.
低水平的身体活动是慢性非传染性疾病的一个风险因素。具体而言,2型糖尿病(T2D)高危人群已被证明能从身体活动中获益。本研究的目的是探讨在哥伦比亚波哥大和巴兰基亚生活的T2D高危人群中,哪些因素与低身体活动有关。使用来自一项准实验性临床试验(PREDICOL项目)的基线数据进行横断面研究。该研究纳入了1135名来自波哥大和巴兰基亚的参与者,根据芬兰糖尿病风险评分(>12分),他们有患T2D的高风险,并且接受了口服葡萄糖耐量试验。主要结局变量是通过国际身体活动问卷评估的身体活动水平。采用未调整和调整后的逻辑回归分析来计算比值比(OR)和相应的95%置信区间(CI)。总体而言,72.5%的研究参与者身体活动水平较低。45至54岁年龄组的参与者与最年轻年龄组相比,身体活动水平低的几率高74%(OR 1.74,95% CI 1.1 - 2.8)。与居住在哥伦比亚特区波哥大的人相比,居住在巴兰基亚的人身体活动水平低的可能性高出八倍(OR 8.1,95% CI 5.7至11.4)。在哥伦比亚两个大城市中,很大一部分有患D2T风险的人群久坐不动。应设计并实施干预措施,以增加这些人群的身体活动。