Physical inactivity and associated factors among the elderly in a southern city of Brazil: a cross-sectional study
Abstract
Introduction and objective: The present study aimed to evaluate the level of physical inactivity and associated factors among the elderly. Material and methods: This cross-sectional, home based, study was conducted with 282 elderly aged ≥60 years old in the city of Veranópolis-RS. Clinical examination and a structured questionnaire were applied. Physical activity was evaluated by the short-version of the IPAQ (International Physical Activity Questionnaire). Associations were evaluated by the chi-square or Mann-Whitney test, presented by frequency distributions. Uni- and multivariate analyses were performed, applying Poisson regression with robust variance in order to verify the association between the outcome and the independent variables. Results: The prevalence of physical inactivity among the elderly was 50.4%. In the multivariate analysis, higher age and quantity of self-reported health problems were associated with physical inactivity. Elderly aged ≥70 years presented 60% higher prevalence ratio (PR) of being inactive [1.602 (95% confidence interval ≥ 95%CI: 1.224 - 2.096)] when compared to those aged <70 years. Elderly that reported to have 3 or ≥4 different health problems showed, respectively, 270% (p=0.029) and 260% (p=0.040) higher PR of being inactive, in comparison to elderly without health problems. Discussion: Strategies to stimulate physical activity must be strengthened, among the elderly, especially in those with several health problems. Conclusion: It was detected a high prevalence of physical inactivity among the elderly, which was associated with age and quantity of health problems.
References
-Bazzanella, N.A.L.; Piccoli, J.C.J.; Quevedo, D.M. Qualidade De vida percebida e atividade física: um estudo em idosas acima de 80 anos participantes de um programa municipal de saúde da terceira idade na serra gaúcha, RS. Estudos Interdisciplinares sobre o Envelhecimento. Vol. 20. Num. 1. 2015. p. 249-270.
-Benedetti, T.R.B; Antunes, P.C.; Rodriguez-Añez, C.R.; Mazo, G.Z.; Petroski, E.L. Reprodutibilidade e validade do Questionário Internacional de Atividade Física (IPAQ) em homens idosos. Revista Brasileira de Medicina do Esporte. Vol. 13. Num. 1. 2007. p. 11-16.
-Bherer, L.; Erickson, K.I.; Liu-Ambrose, T. A review of the effects of physical activity and exercise on cognitive and brain functions in older adults. Journal of Aging Research. Vol. 2013. 2013.
-Brasil. DATASUS, Ministério da Saúde. Índice de gini da renda domiciliar per capita. Rio Grande do Sul. 2010. Disponível em: http://tanet.datasus.gov.br/cgi/ibge/cnv/ginirs.def. Acessado em 01/12/2017.
-Dumith, S.C.; Hallal, P.C.; Reis, R.S.; Kohl Iii, H.W. Worldwide prevalence of physical inactivity and its association with human development index in 76 countries. Preventive Medicine. Vol. 53. Num. 1-2. 2011. p. 24-28.
-Duncan, B.B.; Chor, D.; Aquino, E.M.; Bensenor, I.M.; Mill, J.G.; Schmidt, M.I. Chronic non-communicable diseases in Brazil: priorities for disease management and research. Revista de Saúde Pública. Vol. 46. Num. Suppl. 1. 2012. p. 126-134.
-FEE. Fundação de Economia e Estatística. Perfil socioeconômico dos municípios 2010. Disponível em: https://www.fee.rs.gov.br/perfilsocioeconômico/municipios/detalhe/?municipio=Veranópolis. Acessado em 19/11/2017.
-Galli, R.; Moriguchi, E.H.; Bruscato, N.M.; Horta, R.L.; Pattussi, M.P. Active aging is associated with low prevalence of depressive symptoms among Brazilian older adults. Revista Brasileira de Epidemiologia. Vol. 19. Num. 2. 2016. p. 307-316.
-Guigoz, Y.; Lauque, S.; Vellas, B.J. Identifying the elderly at risk for mal nutrition: the mini nutritional assessment. Clinics in Geriatriacs Medicine. Vol. 18. Num. 4. 2002. p. 737-757.
-Guthold, R.; Stevens, G.A.; Riley, L.M.; Bull, F.C. Worldwide trends in insufficient physical activity from2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants. The Lancet. Global Health. Vol. 6. Num. 10. 2018. p. e1077-e1086.
-Hallal, P.C.; Victora, C.G; Wells, J.C.K.; Lima, R.C. Physical inactivity: prevalence and associated variables in Brazilian adults. Medicine and science in sports and exercise. Vol. 35. Num. 11. 2003. p. 1894-900.
-Hallal, P.C.; Dumith, S.C.; Bastos, J.P.; Reichert, F.F.; Siqueira, F.V.; Azevedo, M.R. Evolution of the epidemiological research on physical activity in Brazil: a systematic review. Revista de Saúde Pública. Vol. 41. Num. 3. 2007. p. 453-460.
-Instituto Brasileiro de Geografia e Estatística. IBGE. Índice de Desenvolvimento Humano, 2010. Disponível em: http http://cidades.ibge.gov.br/xtras/temas.php?lang=&codmun=430610&idtema=118&search=rio-grande-do-sul|veranópolis|%C3%8Dndice-de-desenvolvimento-humano-municipal-idhm. Acessado em 19/11/2017.
-Instituto Brasileiro de Geografia e Estatística. IBGE. Relações entre as Alterações Históricas na Dinâmica Demográfica Brasileira e os Impactos Decorrentes do Processo de Envelhecimento da População, 2011A Disponível:<http://www.ibge.gov.br/home/estatistica/populacao/alteracoes_e_impactos/default.shtm > Acessado em 20/05/2019.
-Instituto Brasileiro de Geografia e Estatística. IBGE. Ministério do Planejamento, Orçamento e Gestão. Censo Demográfico 2010: Características da população e domicílios -resultados gerais. Rio de Janeiro, Brasil, 2011B.
-Instituto Brasileiro de Geografia e Estatística. IBGE. População rural e urbana em: Pesquisa Nacional por Amostra de Domicílios (PNAD), 2015. https://educa.ibge.gov.br/jovens/conheca-o-brasil/populacao/18313-populacao-rural-e-urbana.html. acessado em 12/06/2019.
-Kohl, H.W.; Craig, C.L.; Lambert, E.V.; Inoue, S.; Alkandari, J.R.; Leetongin, G.; Kahlmeier, S. The pandemic of physical inactivity: global for public health. The Lancet. Vol. 380. Num. 9838. 2012. p. 294-305.
-Malafaia, F.L.; Buglia, S. Prescrição de atividade física em idosos: nunca é tarde demais para combatermos o sedentarismo. Revista do DERC. Vol. 25. Num. 1. 2019. p. 14-18.
-Martins, R.C.; Silva, I.C.M.; Hallal, P.C. Physical activity in the rural population of Pelotas, Brazil: prevalence and associated factors. Revista de Saúde Pública. Vol. 52. Num. supl.1. 2018.
-Matsudo, S.; Araujo, T.; Matsudo, V.; Andrade, D.; Andrade, E.; Oliveira, L.C.; Braggion, G. International Physical Activity Questionnaire (IPAQ): study of validity and reliability in Brazil. Atividade Física & Saúde. Vol. 6. Num. 2. 2001. p. 5-18.
-Mazo, G.Z.; Krug, R.R.; Virtuoso, J.F.; Lopes, M.A.; Tavares, A.G. Level of Physical Activity for Elderly Longevity Association Group Participants. BEPA -Boletim Epidemiológico Paulista. Vol. 9. Num. 106. 2012. p. 4-14.
-Mcdowell, C.P.; Dishmanb, R.K.; Hallgren, M.; Macdonnchaa, C.; Herring, M.P. Associations of physical activity and depression: Results from the Irish Longitudinal Study on Ageing. Experimental Gerontology. Vol.112. 2018. p. 68-75.
-Mezari, M. C.; Avozani, T.V.; Bruscato, N.M.; Moriguchi, E.H.; Raffone, A.M. Study of the functionality, prevention the falls and health promotion in elderly people living at the Veranópolis-RS. Revista Brasileira de Ciências do Envelhecimento Humano. Vol. 9. Num. 1. 2012.
-Ministério da Saúde. Manual do Instrumento de Avaliação da Atenção 2017 Primária à Saúde: PCATool-Brasil. Brasília. Brasil. 2010.
-Miranda, G.M.D.; Mendes, A.C.G; Silva, A.L.A. Population aging in Brazil: current and future social challenges and consequences. Revista Brasileira de Geriatria e Gerontologia. Vol. 19. Num. 3. 2016. p. 507-519.
-Ozemek, C.; Lavie, C.J.; Rognmo, Ø. Global physical activity levels -Need for intervention. Progress in cardiovascular diseases. Vol. 62. Num. 2. 2019. p. 102-107.
-Pegorari, M.S; Dias, F.A; Santos, N.M.F.S.; Tavares, D.M.S; Practice of physical activity among older of leisure in rural area: health. Revista da Educação Física/UEM. Vol. 26. Num. 2. 2015. p. 233-241.
-Puciato, D., Borysiuk, Z., Rozpara, M. Qualityof life and physical activity in an older working-age population. Clinical Intervention in Aging. Vol. 4. Num. 12. 2017. p. 1627-1634.
-Puciato, D.I.; Rozpara, M.; Borysiuk, Z. Physical Activity as a Determinant of Quality of Life in Working-Age People in Wrocław. Poland. International Journal of Environmental Research and Public Health. Vol. 15. Num. 623. 2018.
-Queiroz, B.M.; Coqueiro, R.S.; Leal Neto, J.S.; Borgatto, A.F.; Barbosa, A.R.; Fernandes, M.H. Physical inactivity among non-institutionalized elderly individuals: a population-based study. Ciência & Saúde Coletiva. Vol. 19. Num. 8. 2014. p. 3489-3496.
-Ribeiro, A. Q.; Salgado, S.M.L.; Gomes, I.S.; Fogal, A.S.; Martinho, K.O.; Almeida, L.F.F.; Oliveira, W.C. Prevalence and factors associated with physical inactivity among the elderly: a population-based study. Revista Brasileira de Geriatria e Gerontologia. Vol. 19. Num. 3. 2016. p. 483493.
-Ribeiro, A.S.; Pereira, L.C.; Silva, D.R.P.; Santos, L.D.; Schoenfeld, B.J.; Teixeira, D.C.; Cyrino, E.S.; Guedes, D.P. Physical Activity and Sitting Time Are Specifically Associated With Multiple Chronic Diseases and Medicine Intake in Brazilian Older Adults. Journal of aging and physical activity. Vol. 26. Num. 4. 2018. p. 608-613.
-Silva, R.S.; Bezerra, J.A.X.; Silva, K.V.; Silva, N.N.; Lopes, D.T. A importância da atividade física em idosos com diabetes. Revisão bibliográfica. Revista diálogos em saúde. Vol. 1. Num. 2. 2018. p. 144-158.
-World Health Organization. WHO. Physical activity. WHO. 23/02/2018. Disponível em http://www.who.int/news-room/fact-sheets/detail/physical-activity.
-World Health Organization. Obesity: preventing and managing the global epidemic. Geneva: World Health Organization. 1998. Technical Report Series. 894.
-Zaitune, M.P.A.; Barros, M.B.A.; César, C.L.G.; Carandina, L.; Goldbaum, M.; Alves, M.C.G.P. Factors associated with global and leisure-time physical activity in the elderly: a health survey in São Paulo (ISA-SP), Brazil. Caderno Saúde Pública. Vol. 26. Num. 8. 2010. p. 1606 -1618.
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