Physical activity patterns in a representative sample of adolescents from the largest city in Latin America: a cross-sectional study in Sao Paulo

Ferrari, Gérson; Rezende, Leandro F. M.; Wagner, Gabriela Arantes; Florindo, Alex Antônio; Peres, Maria Fernanda Tourinho

doi:10.1136/bmjopen-2020-037290

Cited by 12 publications

(25 citation statements)

References 34 publications

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“…5 27 28 In comparison with several countries, the prevalence of selected behavioural and metabolic risk factors in India was much lower among adolescents. [29][30][31] The prevalence of binge drinking among those aged 10-19 years was 56% in Denmark, 35% in European countries, 17.7% in the USA, 10.3% in Korea, 8% in Iceland and 7.1% in Hong Kong. 29 More than 70% of boys and girls aged 10-19 years were doing insufficient physical activity across the world.…”

Section: Discussionmentioning

confidence: 99%

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Baseline risk factor prevalence among adolescents aged 15–17 years old: findings from National Non-communicable Disease Monitoring Survey (NNMS) of India

et al. 2021

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ObjectiveTo generate national estimates of key non-communicable disease (NCD) risk factors for adolescents (15–17 years) identified in the National NCD Monitoring Framework and, study the knowledge, attitudes and practices towards NCD risk behaviours among school-going adolescents.Design and settingA community-based, national, cross-sectional survey conducted during 2017–2018. The survey was coordinated by the Indian Council of Medical Research—National Centre for Disease Informatics and Research with 10 reputed implementing research institutes/organisations across India in urban and rural areas.ParticipantsA multistage sampling design was adopted covering ages between 15 and 69 years—adolescents (15–17 years) and adults (18–69 years). The sample included 12 000 households drawn from 600 primary sampling units. All available adolescents (15–17 years) from the selected households were included in the survey.Main outcome measuresKey NCD risk factors for adolescents (15–17 years)—current tobacco and alcohol use, dietary behaviours, insufficient physical activity, overweight and obesity.ResultsOverall, 1402 households and 1531 adolescents completed the survey. Prevalence of current daily use of tobacco was 3.1% (95% CI: 2.0% to 4.7%), 25.2% (95% CI: 22.2% to 28.5%) adolescents showed insufficient levels of physical activity, 6.2% (95% CI: 4.9% to 7.9%) were overweight and 1.8% (95% CI: 1.0% to 2.9%) were obese. Two-thirds reported being imparted health education on NCD risk factors in their schools/colleges.ConclusionThe survey provides baseline data on NCD-related key risk factors among 15–17 years in India. These national-level data fill information gaps for this age group and help assess India’s progress towards NCD targets set for 2025 comprehensively. Though the prevalence of select risk factors is much lower than in many developed countries, this study offers national evidence for revisiting and framing appropriate policies, strategies for prevention and control of NCDs in younger age groups.

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Section: Discussionmentioning

confidence: 99%

“… 30 The prevalence of obesity was 21% in the USA, 15% in the United Arab Emirates, 9% in the UK and China. 31 However, aggressive redressal to modify these unhealthy behavioural indices in India when at much lower proportions could have major benefits in controlling and tackling NCDs before they attain higher proportions in adulthood.…”

Section: Discussionmentioning

confidence: 99%

Baseline risk factor prevalence among adolescents aged 15–17 years old: findings from National Non-communicable Disease Monitoring Survey (NNMS) of India

et al. 2021

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“…Moreover, similar to other megacities in low- and middle-income countries, Sao Paulo has faced a fast-paced an unplanned urban growth 7 , 8 . These changes in the city’s urban environment are likely to impact physical activity 9 , 10 , as demonstrated by our previous study which showed that only 12.7% of adolescents from Sao Paulo engaged in sufficient physical activity 9 .…”

Section: Introductionmentioning

confidence: 92%

School environment and physical activity in adolescents from São Paulo city

Ferrari

Rezende

Florindo

et al. 2021

Sci Rep

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We examined the association of physical activity (PA) facilities and access to school with total PA and domain-specific PA in adolescents. We enrolled 2610 adolescents (mean: 14.9 years) from Sao Paulo city. The number and presence of sports courts, swimming pools, locker rooms, running/athletics tracks, entrance accessible for student cyclists, bike racks, speed limit signal around the school, and pedestrian crossing were assessed in each school. All participants responded to a questionnaire about frequency and duration of physical education classes, leisure time, and active commuting. Total PA was obtained by adding up all PA domains. Presence of three or more (OR: 1.62; 95% CI: 1.15 to 2.30) sports courts, swimming pool available in usable conditions (OR: 1.45; 95% CI: 1.01 to 2.10), running/athletics tracks (OR: 2.35; 95% CI: 1.07 to 5.18), and bike racks (OR: 1.38; 95% CI: 1.07 to 1.78) were positively associated with total PA. Number of sports courts, swimming pool available in usable conditions, speed limit signals around the school, and pedestrian crossings were positively associated with physical education classes. The bike racks, speed limit signs around the school, and pedestrian crossings were positively associated with active commuting. School environment was associated with increased PA. Our findings should be considered in future epidemiologic studies and for educational and health policy makers.

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“…São Paulo has been described as a metropolis with a large and disorganized urban expansion. In recent years, there has been an increase in violence and a reduction of open public spaces 5,9 . These facts may explain the higher prevalence of physical inactivity in its population compared to other regions 18 .…”

Section: Discussionmentioning

confidence: 99%

“…Compliance with current PA recommendations, or even PA performance in continuous periods of at least 10 minutes per week, is absolutely essential to improve health and prevent chronic non-communicable diseases in all age groups, ethnicities and levels of schooling 1 . However, evidence 4,5 has shown that some population strata have greater opportunities to reach the recommendations for the practice of PA. In Brazil, the Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey (VIGITEL) has revealed that men, and those with 9 years or more of schooling, practice more leisure PA than women and those with 8 or less years of schooling 4 .…”

Section: Introductionmentioning

confidence: 99%

Changes in total physical activity, leisure and commuting in the largest city in Latin America, 2003-2015

Figueiredo

Aguiar

Florindo

et al. 2021

Rev. bras. epidemiol.

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Objective: To analyze the prevalence of physical inactivity and the average time of practice of total physical activity and by domains (leisure and commuting), according to gender, age group and schooling, between 2003 and 2015, in residents of the urban area of the city of São Paulo. Methods: Data from Household Health Surveys in the Municipality of São Paulo (2003: n = 2,514; 2015: n = 4,043). The International Physical Activity Questionnaire was used to measure total, leisure, and commuting physical activity. Results were presented in < 10 minute/week periods, physical inactivity and minutes/week, according to evaluation period, sex, age and schooling. Results: Prevalence of < 10 minutes/week periods in 2003 and 2015 were: 22.5 and 28.9% for the total; 56.7 and 58.3% for leisure; and 35.2 and 39.9% for commuting, with significant change only in the total item, among adolescents (10.3 to 18.8%). For physical inactivity, prevalence rates were: 54.9 and 61.6% (total); 78.2 and 78.9% (leisure); and 72 and 79.9% (commuting), with significant changes only for commuting among adults (67.8 to 77.4%). For the average in minutes per week, in total, there was a significant decrease for female adolescents (138.2 minute/week) and adults with 0–8 (122.6 minutes/week) and 9–11 years (96.7 minutes/week) years of schooling; in commuting, there was a reduction for female adolescents (95 minutes/week); and male adults (95 minutes/week) and female adults (82 minutes/week). Conclusions: There were no reductions in the prevalence of < 10 min/week periods or leisure physical inactivity. Commuting physical inactivity has become even more common.

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Physical activity patterns in a representative sample of adolescents from the largest city in Latin America: a cross-sectional study in Sao Paulo

Cited by 12 publications

References 34 publications

Baseline risk factor prevalence among adolescents aged 15–17 years old: findings from National Non-communicable Disease Monitoring Survey (NNMS) of India

Baseline risk factor prevalence among adolescents aged 15–17 years old: findings from National Non-communicable Disease Monitoring Survey (NNMS) of India

School environment and physical activity in adolescents from São Paulo city

Changes in total physical activity, leisure and commuting in the largest city in Latin America, 2003-2015

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