Department of Physical Education, Midwestern Parana State University, Guarapuava 85040-167, PR, Brazil.
Graduate Program in Health Sciences, Center of Health Sciences, State University of Londrina, Londrina 86039-440, PR, Brazil.
Int J Environ Res Public Health. 2022 Jan 3;19(1):502. doi: 10.3390/ijerph19010502.
Marital status mediates an association between physical activity (PA) and TV time with health outcomes. However, population-based studies have revealed that the health effect of marriage or divorce is age-dependent and differs between women and men. The study aimed to identify the age and sex-related associations between marital status with PA and TV time. We used data from Vigitel, an annual telephone survey started in 2006 in Brazil. We applied a complex sample logistic regression model to estimate the odds for PA and TV time comparing marital statuses according to age and sex subgroups, independent of obesity, hypertension, diabetes, self-assessed poor health, and smoking. Our sample included 561,837 individuals from 18 to 99 years, with a TV time > 3 h/day (prevalence = 25.2%) and PA > 150 min/week (prevalence = 35%). Later, we divided our sample in seven age groups by marital status and sex. Compared to single individuals, married men and women were less likely to watch TV more than 3 h/day in participants >30 years old. When compared to single, married participants were less likely to do more than 150 min of PA/week at younger age groups. Married women older than 40 years were more likely to do more than 150 min of PA/week than the single ones, while there were no differences among married men by age group. In conclusion, our study suggests that the investments in public policies to encourage the practice of PA and reduction of TV time could be based on the marital status, sex, and age, prioritizing less active groups.
婚姻状况调节了身体活动（PA）和看电视时间与健康结果之间的关联。然而，基于人群的研究表明，婚姻或离婚的健康影响是年龄依赖性的，并且在女性和男性之间存在差异。本研究旨在确定婚姻状况与 PA 和看电视时间之间与年龄和性别相关的关联。我们使用了来自 Vigitel 的数据，这是一项始于 2006 年的巴西年度电话调查。我们应用复杂样本逻辑回归模型，根据年龄和性别亚组比较了婚姻状况与 PA 和看电视时间的比值，独立于肥胖、高血压、糖尿病、自我评估的健康状况不佳和吸烟。我们的样本包括 18 至 99 岁的 561837 人，他们每天看电视时间超过 3 小时（患病率=25.2%），每周进行 PA 超过 150 分钟（患病率=35%）。之后，我们根据婚姻状况和性别将我们的样本分为七个年龄组。与单身个体相比，30 岁以上的已婚男性和女性不太可能每天看电视超过 3 小时。与单身个体相比，年轻年龄段的已婚参与者每周进行超过 150 分钟 PA 的可能性较小。40 岁以上的已婚女性比单身女性更有可能每周进行超过 150 分钟的 PA，而不同年龄段的已婚男性则没有差异。总之，我们的研究表明，鼓励进行 PA 和减少看电视时间的公共政策投资可以基于婚姻状况、性别和年龄，优先考虑不活跃的群体。
