Universidade Federal do Rio Grande do Norte, Desembargador José Gomes da Costa, 1884, Capim Macio. Natal, Rio Grande do Norte, 59082140, Brazil.
Universidade Federal do Vale do São Francisco, Paulo Afonso, Bahia, Brazil.
Sci Rep. 2021 Dec 14;11(1):24010. doi: 10.1038/s41598-021-03549-5.
This study estimated the biopsychosocial factors related to active physical behavior in the Brazilian population with and without chronic non-transmissible disease (NCD). Cross-sectional study of the National Health Survey (NHS) in Brazil, with 60,202 individuals in 2013. Participants were randomly selected by complex sampling. The outcome was physically active behavior measured by performing a minimum of 150 min of physical exercise per week. The independent variables were social and psychological characteristics, lifestyle and health. Cox regression was applied to estimate the prevalence ratio (PR). There are 29,666 (48.3%; 95% CI 47.0-50.0) participants reported having NCD. Not being a smoker or alcoholic, living in an urban area (PR = 1.44; CI95% 1.23-1.68/PR = 1.38; CI95% 1.08-1.75), having informal social support (PR = 1.26; CI95% 1.10-1.44/PR = 1.19; CI95% 1.05-1.34), A social class (PR = 0.43; CI95% 0.25-0.73/PR = 0.46; CI95% 0.26-0.80), high schooling (PR = 0.34; CI95% 0.23-0.51/PR = 0.33; CI95% 0.24-0.46) as well as paid work (PR = 0.87; CI95% 0.78-0.96/PR = 0.89; CI95% 0.79-0.99) are more associated with active lifestyle in both groups. However, only in the group without NCD, the male sex (PR = 1.42; CI95% 1.28-1.57), no having some disability (PR = 1.31; CI95% 1.03-1.66) and having private health insurance (PR = 1.26; CI95% 1.13-1.41) were more associated with active behavior, while in the group with NCD, being elderly (PR = 1.22; CI95% 1.05-1.42), not be white (PR = 0.85; CI95% 0.77-0.95) and not having restful sleep (PR = 1.23; CI95% 1.08-1.40) are associated with active lifestyle. People with and without NCD in Brazil have very close active behavior, however, some biopsychosocial factors such as: sex, age, lifestyle, socioeconomic level are unevenly associated with the active lifestyle in the groups. Thus, therapeutic or preventive proposals as well as public policies for health promotion must observe these distinctions when elaborating their actions.
本研究旨在评估与巴西有或无慢性非传染性疾病（NCD）人群的积极体力活动相关的生物心理社会因素。这是一项 2013 年巴西全国健康调查（NHS）的横断面研究，共纳入 60202 名参与者。参与者通过复杂抽样法随机选择。主要结局是每周至少进行 150 分钟的体育锻炼，以衡量身体活动行为。自变量为社会和心理特征、生活方式和健康。采用 Cox 回归估计患病率比（PR）。共有 29666 名（48.3%；95%CI 47.0-50.0）参与者报告患有 NCD。不吸烟或饮酒、居住在城市地区（PR=1.44；95%CI 1.23-1.68/PR=1.38；95%CI 1.08-1.75）、拥有非正式社会支持（PR=1.26；95%CI 1.10-1.44/PR=1.19；95%CI 1.05-1.34）、社会阶层（PR=0.43；95%CI 0.25-0.73/PR=0.46；95%CI 0.26-0.80）、高学历（PR=0.34；95%CI 0.23-0.51/PR=0.33；95%CI 0.24-0.46）以及有报酬工作（PR=0.87；95%CI 0.78-0.96/PR=0.89；95%CI 0.79-0.99）与两组人群的积极生活方式更为相关。然而，仅在无 NCD 的人群中，男性（PR=1.42；95%CI 1.28-1.57）、无残疾（PR=1.31；95%CI 1.03-1.66）和拥有私人医疗保险（PR=1.26；95%CI 1.13-1.41）与积极行为更为相关，而在有 NCD 的人群中，年龄较大（PR=1.22；95%CI 1.05-1.42）、非白人（PR=0.85；95%CI 0.77-0.95）和睡眠不佳（PR=1.23；95%CI 1.08-1.40）与积极生活方式相关。巴西有 NCD 和无 NCD 的人群具有非常相似的积极行为，但一些生物心理社会因素，如：性别、年龄、生活方式、社会经济水平在两组人群中与积极生活方式的相关性存在差异。因此，在制定治疗或预防方案以及促进健康的公共政策时，必须注意这些差异。
