Factors associated with high exposure to sedentary behavior in older adults: analysis of data from the National Health Survey, 2019

A cross-sectional study of data from the 2019 National Health Survey involving 22,728 older Brazilian adults was conducted. The outcome was sedentary behavior and the exposures included sociodemographic characteristics, lifestyle, household characteristics and chronic diseases. Multiple logistic regression was used. with a significance level of 5%.

Results

The prevalence of sedentary behavior was 32.8% (95%CI: 31.8-33.8) There was a greater chance for the outcome in individuals that were female (OR=1.20; 95%CI: 1.08-1.34); aged 70-79 years (OR= 1.22; 95%CI: 1.09-1.36); aged ≥80 years (OR=1.18; 95% CI: 1.02-1, 36); had no partner (OR= 1.27; 95%CI: 1.14-1.41); were diabetic (OR =1.17; 95%CI: 1.06-1.30), had systemic arterial hypertension (OR =1.34; 95%CI: 1.18-1.51). previous stroke (OR = 1.61; 95%CI: 1.32-1.96), and no place to perform physical activity close to home (OR=1.16; 95%CI: 1.05-1.29). Older adults with low education (OR= 0.71; 95%CI: 0.61-0.82), and that resided in rural areas (OR=0.53; 95%CI: 0.47-0.61) were less likely to be sedentary.

Conclusion

Individuals that were female, older(ager > 70 years), had diabetes, hypertension, previous stroke, and no place to perform physical activity close to home, were associated with high exposure to sedentary behavior. Living in rural areas and having less education were inversely associated with this risk behavior.

Keywords
Aging; Sedentary Behavior; Epidemiology

Sociodemographic characteristics	n^a (%^b)	95%CI^c
Sex
Male	10,193 (44.5)	43.5-45.5
Female	12,535 (55.5)	54.5-56.5
Age group
60-69 years	12,555 (54.8)	53.8-55.8
70-79 years	7,157 (31.1)	30.2-32.0
≥ 80 years	3,016 (14.1)	13.3-14.8
Skin color**
White	9,901 (51.3)	50.2-52.4
Black	2,455 (10.2)	9.6-10.8
Brown	10,001 (36.7)	35.7-37.7
Yellow or Indigenous	369 (1.8)	1.5-2.1
Marital status
With partner	9,946 (43.3)	42.3-44.3
Without partner	12,782 (56.7)	55.7-57.8
Education
≥12 years	2,701 (13.1)	12.2-13.9
9-11 years	3,616 (16.5)	15.7-17.4
0-8 years	16,414 (70.4)	69.2-71.5
Social Class*
A	240 (1.5)	1.1-2.0
B	2,810 (13.8)	12.9-14.7
C, D and E	19,675 (84.7)	83.5-85.7
Area of residence
Urban	17,313 (85.5)	84.8-86.1
Rural	5,415 (14.5)	13.9-15.2
Region
Southeast	5,825 (46.4)	45.3-47.6
South	3,307 (15.7)	15.0-16.4
Mid-West	2,373 (6.4)	6.0-6.8
North	3,487 (6.1)	5.7-6.4
Northeast	7,736 (25.4)	24.5-26.2

Sociodemographic characteristics	Sedentary Behavior (SB)¹1 Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE. et al. Sedentary Behavior Research Network (SBRN) – Terminology Consensus Project process and outcome. Int J Behav Nutr Phys Act . 2017; (14) 75-81. Disponível em: https://doi.org/10.1186/s12966-017-0525-8 https://doi.org/10.1186/s12966-017-0525-...
	Yes^a	No^b
	% (95%CI)	% (95%CI)	p-value ^c
Sex
Male	29.1 (24.5-27.4)	70.9 (69.4-72.3)	<0.0001
Female	35.6 (34.2-37.1)	64.4 (62.9-65.8)
Age group
60-69 years	31.1 (29.8-32.4)	68.9 (67.6-70.2)	0.0008
70-79 years	35.3 (33.4-37.3)	64.7 (62.7-66.6)
≥80 years	34.4 (31.7-37.2)	65.6 (62.2-68.2)
Skin color**
White	34.2 (32.7-35.8)	65.8 (64.3-67.3)	0.0009
Black	35.9 (32.7-39.2)	64.1 (60.7-67.3)
Brown	29.9 (28.4-31.4)	70.1 (68.5-71.5)
Yellow or Indigenous	36.3 (27.5-45.9)	63.7 (54.0-72.4)
Marital status
With partner	29.4 (28.0-30.8)	70.6 (72.9-75.7)	< 0.0001
Without partner	36.3 (34.8-37.7)	63.7 (64.9-67.8)
Education
≥12 years	37.9 (35.0-40.9)	62.1 (69.1-64.9)	< 0.0001
9-11 years	40.5 (37.8-43.1)	59.5 (56.8-62.1)
0-8 years	30.0 (28.8-31.1)	70.0 (68.8-71.1)
Social Class*
A	44.4 (36.1-53.2)	55.6 (46.7-63.9)	<0.0001
B	37.9 (34.9-40.9)	62.1 (59.0-65.0)
C, D and E	31.5 (30.5-32.6)	68.4 (67.3-69.5)
Area of residence
Urban	35.3 (34.2-36.4)	64.6 (63.5-65.7)	<0.0001
Rural	17.8 (16.3-19.4)	82.1 (80.5-83.6)
Region
Mid-West	24.4 (22.2-26.7)	75.7 (73.2-77.7)	<0.0001
North	24.5 (22.4-26.8)	75.4 (73.1-77.5)
South	29.1 (26.8-31.5)	70.8 (68.4-73.1)
Northeast	28.7 (27.2-30.3)	71.2 (69.6-72.7)
Southeast	38.4 (36.7-40.2)	61.5 (59.7-63.2)

Variables
	unadjusted OR^a		Model 1 OR adjusted^b	Model 2 OR adjusted^c
	(95%CI)^d	p-value^e	(95%CI)	(95%CI)
Sex (ref. Male)
Female	1.34 (1.22-1.48)	<0.001	1.20 (1.07-1.33)	1.20 (1.08-1.34)
Age group (ref. 60-69 years)
70-79 years	1,21 (1,08-1,34)	<0.001	1.21 (1.09-1.36)	1.22 (1.09-1.36)
≥80 years	1,35 (1,17-1,55)	0.031	1.18 (1.02-1.36)	1.17 (1.01-1.35)
Skin color (ref. White)**
Black	1.07 (0.92-1.25)	0.360	-	-
Brown	0.82 (0.74-0.90)	0.001	-	-
Other (Yellow or Indigenous)	1,09 (0,72-1,65)	0.674	-	-
Marital status (ref. With partner)
Without partner	1,36 (1,24-1,49)	<0.001	1.27 (1.14-1.41)	1.27 (1.14-1.41)
Education (ref. ≥12 years)
9-11 years	1,11 (0,93-1,31)	0.215	-	-
0-8 years	0.70 (0.61-0.80)	<0.001	0.74 (0.64-0.80)	0.71 (0.61-0.82)
Social Class (ref. A)*
B	0.76 (0.59-1.33)	0.154	-	-
C, D and E	0.57 (0.58-1.28)	0.002	-	-
Zone of residence (ref. Urban)
Rural	0.39 (0.35-0.44)	<0.001	0.53 (0.46-0.60)	0.53 (0.47-0.61)
Region (ref. Mid-West)
North	1.00 (0.85-1.19)	0.934	-	-
South	1,27 (1,07-1,50)	0.005	1.36 (1.15-1.62)	1.39 (1.17-1.65)
Northeast	1.24 (1.08-1.43)	0.003	1.40 (1.21-1.63)	1.39 (1.20-1.62)
Southeast	1.93 (1.67-2.22)	<0.001	1.86 (1.61-2.16)	1.85 (1.59-2.15)
Place nearby for physical activity (ref. Yes)
No	1.37 (1.24-1.50)	<0.001	1.16 (1.05-1.29)	1.17 (1.06-1.30)
Diabetes (ref. No)
Yes	1.40 (1.25-1.57)	<0.001	1.35 (1.20-1.53)	1.34 (1.18-1.51)
HAS (ref. No)
Yes	1.24 (1.12-1.36)	<0.001	1.14 (1.03-1.27)	1.15 (1.04-1.28)
Stroke (ref. No)
Yes	1.60 (1.32-1.92)	<0.001	1.63(1.34-1.99)	1.61 (1.32-1.96)
Chronic back problem (ref. No)
Yes	1.02 (0.92-1.13)	0.694	-	-
Depression (ref. No)
Yes	1.19 (1.02-1.38)	0.020	-	-

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E-mail: revistabgg@gmail.com

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[1] Correspondence Danielle Samara Tavares de Oliveira-Figueiredo danielle.samara@professor.ufcg.edu.br

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Factors associated with high exposure to sedentary behavior in older adults: analysis of data from the National Health Survey, 2019

Abstract

﻿Objective

Method

Results

Conclusion

Objective