Moura Bruno Pereira de, Colombo Bruna Priscila, Miranda Valter Paulo Neves, Caetano Isabella Toledo, Sasaki Jeffer Eidi, Amorim Paulo Roberto Dos Santos
Programa de Pós-Graduação em Ciências Médicas, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.
Programa de Pós-Graduação em Saúde da Família, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.
Sao Paulo Med J. 2025 Jun 6;143(3):e2024215. doi: 10.1590/1516-3180.2024.0215.R1.27112024. eCollection 2025.
Physical activity (PA) and sedentary behavior (SB) are key determinants of health outcomes in individuals living with type 1 diabetes (T1D). However, the influence of sociodemographic and clinical factors on engagement in these behaviors is not yet well understood.
This study aimed to analyze the associations of sociodemographic factors, body mass index, and both the duration and age at diagnosis of diabetes with SB, light-intensity physical activity (LPA), and moderate-to-vigorous physical activity (MVPA) in Brazilian adults.
A cross-sectional study was conducted at the Diabetes and Metabolism Service of a public secondary care unit in Rio de Janeiro.
One hundred adults diagnosed with T1D had their daily awake time spent in SB, LPA, and MVPA measured using triaxial accelerometers. Sociodemographic and clinical factors were assessed using questionnaires. Generalized Linear Models were used to analyze the relationships of these factors with SB, LPA, and MVPA.
Significant associations were found between age, education level, and employment status with SB and LPA, but not with MVPA. On average, each additional year of age was associated with decreased time in SB and increased time in LPA. Higher education levels and unemployment were linked to more SB and less time in LPA.
Age, education level, and employment status emerged as key sociodemographic predictors of SB and LPA in Brazilian adults living with T1D. These findings contribute to a better understanding of the sociodemographic determinants associated with SB and PA in individuals diagnosed with T1D.
身体活动（PA）和久坐行为（SB）是1型糖尿病（T1D）患者健康状况的关键决定因素。然而，社会人口统计学和临床因素对这些行为参与度的影响尚未得到充分理解。
本研究旨在分析巴西成年人中社会人口统计学因素、体重指数以及糖尿病诊断时的病程和年龄与久坐行为、轻度身体活动（LPA）和中度至剧烈身体活动（MVPA）之间的关联。
在里约热内卢一家公立二级医疗机构的糖尿病与代谢科进行了一项横断面研究。
100名被诊断为T1D的成年人使用三轴加速度计测量其在久坐行为、LPA和MVPA中每天清醒时间的花费情况。使用问卷评估社会人口统计学和临床因素。采用广义线性模型分析这些因素与久坐行为、LPA和MVPA之间的关系。
发现年龄、教育水平和就业状况与久坐行为和LPA之间存在显著关联，但与MVPA无关。平均而言，年龄每增加一岁，久坐行为时间减少，LPA时间增加。较高的教育水平和失业与更多的久坐行为以及较少的LPA时间相关。
年龄、教育水平和就业状况成为巴西T1D成年患者久坐行为和LPA的关键社会人口统计学预测因素。这些发现有助于更好地理解与T1D患者久坐行为和身体活动相关的社会人口统计学决定因素。
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