Association Between 24-Hour Movement Behaviors and Noncommunicable Chronic Diseases Among Adult and Older Adult Users of the Brazilian Community Health Promotion Program.

Noncommunicable diseases (NCDs) are the leading causes of global mortality among adults. The aim of this study was to examine the association between adherence to 24 h movement behavior guidelines and the diagnosis of NCDs. This cross-sectional study was conducted with users of the Health Academy Program in Brazil. The sample consisted of 1212 individuals (92.9% female), aged 18 years or older. Dependent variables included self-reported hypertension, diabetes, hypercholesterolemia, and cardiovascular disease based on previous medical diagnosis. Independent variables (physical activity, screen time, and sleep) were self-reported. Binary and multinomial logistic regressions were performed and adjusted for sex, age, educational level, body mass index, and marital status. Participants who did not meet any of the 24 h movement behavior recommendations had higher odds of hypertension (OR: 1.35; 95% CI: 1.15-1.77), diabetes (OR: 1.07; 95% CI: 1.03-2.01), and having two (OR: 1.29; 95% CI: 1.09-2.91) or three or more NCDs (OR: 1.40; 95% CI: 1.11-2.13). Not meeting the physical activity recommendation was associated with higher odds of hypercholesterolemia (OR: 1.37; 95% CI: 1.06-1.76). In contrast, meeting the physical activity guideline alone (OR: 0.32; 95% CI: 0.11-0.85) or in combination with adequate sleep (OR: 0.32; 95% CI: 0.11-0.90) was associated with lower odds of cardiovascular disease. All of these results remained significant after adjustments for multiple comparisons. Not meeting any of the 24 h movement behavior guidelines, especially those related to physical activity, was associated with a higher occurrence of NCDs.