Association between Leisure-Time and Commute Physical Activity and Pre-Diabetes and Diabetes in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).

Autor:	Sánchez-Martínez Y; Center for Clinical and Epidemiologic Research, University Hospital, University of São Paulo, São Paulo 05508-000, Brazil., Goulart AC; Center for Clinical and Epidemiologic Research, University Hospital, University of São Paulo, São Paulo 05508-000, Brazil., de Almeida-Pititto B; Department of Preventive Medicine, Federal University of São Paulo, São Paulo 04023-062, Brazil., Duncan BB; Postgraduate Program in Epidemiology, School of Medicine and Hospital de Clínicas, Federal University of Rio Grande do Sul, Porto Alegre 90035-003, Brazil., Schmidt MI; Postgraduate Program in Epidemiology, School of Medicine and Hospital de Clínicas, Federal University of Rio Grande do Sul, Porto Alegre 90035-003, Brazil., Santos IS; Center for Clinical and Epidemiologic Research, University Hospital, University of São Paulo, São Paulo 05508-000, Brazil., Lotufo PA; Center for Clinical and Epidemiologic Research, University Hospital, University of São Paulo, São Paulo 05508-000, Brazil., Tebar WR; Center for Clinical and Epidemiologic Research, University Hospital, University of São Paulo, São Paulo 05508-000, Brazil., Benseñor IM; Center for Clinical and Epidemiologic Research, University Hospital, University of São Paulo, São Paulo 05508-000, Brazil.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2023 Jan 01; Vol. 20 (1). Date of Electronic Publication: 2023 Jan 01.
DOI:	10.3390/ijerph20010806
Abstrakt:	Background: Diabetes is an important public health problem due to its health impairments and high costs for health services. We analyzed the relationship between the domains of physical activity at leisure-time (LTPA) and at commuting (CPA) with diabetes and pre-diabetes in an ELSA-Brasil study. Methods: Data from 11,797 participants (52.5% women, 49.1 ± 7.2 years) were analyzed. LTPA and CPA were measured using the International Physical Activity Questionnaire. Diabetes and pre-diabetes were defined by medical history, medication use to treat diabetes or blood glucose. Logistic regression models were performed to estimate the association between LTPA and CPA with diabetes and pre-diabetes after adjustment for sociodemographic and cardiovascular risk factors. Results: The prevalence of LTPA and CPA was 24.4% and 34%, respectively. Physically active participants at LTPA were less likely to have pre-diabetes (OR = 0.86 [95% CI = 0.77-0.95]) and diabetes (OR = 0.80 [95% CI = 0.69-0.93]), compared with inactive participants. No association between CPA and diabetes/pre-diabetes was observed. LTPA was inversely associated with diabetes among men (OR = 0.73 [95% CI = 0.60-0.89]), but was not associated among women. Women who were active (OR = 0.78 [95% CI = 0.67-0.90]) (OR = 0.79 [95% CI = 0.65-0.95]) at LTPA were less likely to have pre-diabetes, than inactive women. Conclusion: LTPA was inversely associated with diabetes and pre-diabetes in the ELSA-Brasil participants. A different behavior was observed between genders.
Databáze:	MEDLINE
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