Associações entre o tempo gasto em viagens em veículos motorizados
						e atividade física em adultos colombianos de áreas urbanas

Paez, Diana C.; Gomez, Luis F.; Mallarino, Christina; Arango, Carlos M.; Flórez, Alberto; Nylander, Andrew; Parra, Diana C.

doi:10.1590/0102-311X00197513

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Article • Cad. Saúde Pública 30 (11) • Nov 2014 • https://doi.org/10.1590/0102-311X00197513 copiar

Associações entre o tempo gasto em viagens em veículos motorizados e atividade física em adultos colombianos de áreas urbanas

Autoria SCIMAGO INSTITUTIONS RANKINGS

Comportamentos sedentários estão associados com menos atividade física. Pouca evidência existe sobre esta associação relacionada ao tempo de viagem na América Latina. Este estudo analisou a associação entre o tempo gasto viajando em veículos a motor e os níveis de atividade física, nos domínios e atividade física de lazer e transporte entre adultos Colombianos em áreas urbanas. Uma análise secundária da Pesquisa Nacional de Nutrição de 2010 foi realizada. O tempo gasto viajando em veículos a motor e atividade física foram avaliados utilizando Questionário Internacional de Atividade Física. Regressões logísticas binárias foram realizados. O tempo gasto viajando em veículos a motor por 120 minutos ou mais foi relatado em 27,6% da amostra. A prevalência de caminhar ou andar de bicicleta para o transporte de pelo menos 150 minutos por semana foi de 34,0% e 4,4%, respectivamente. Alcançar pelo menos 150 minutos de atividade física de lazer em uma semana foi relatado em 18,4% da amostra. Este estudo sugere associações negativas entre tempo gasto viajando em veículos a motor e transporte ativo, com associações significativas de tendências na análise estratificada. Não houve diferenças significativas encontradas entre tempo gasto viajando em veículos a motor e atividade física de lazer.

Atividade Motora; Estilo de Vida Sedentário; Veículos Automotores

Characteristics	n *	%	Minutes				p-value **
			0	1 to 59	60 to 119	120 or more
			% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)
All participants	7,313	100.00	17.7 (16.6-18.8)	29.7 (28.4-30.9)	25.0 (23.8-26.2)	27.6 (26.2-28.9)	-
Gender							< 0.001
Male	3,034	41.49	16.7 (15.2-18.2)	24.9 (23.2-26.6)	24.3 (22.5-26.1)	34.0 (32.0-36.1)
Female	4,279	58.51	18.4 (17.1-19.8)	33.0 (31.3-34.7)	25.4 (24.0-27.0)	23.0 (21.4-24.7)
Age groups (years)							< 0.001
18-29	2,469	33.76	14.6 (13.1-16.2)	31.3 (29.2-33.5)	26.7 (24.7-28.8)	27.3 (25.1-29.6)
30-49	3,282	44.88	16.9 (15.5-18.5)	28.0 (26.2-29.7)	24.8 (23.1-26.6)	30.1 (28.3-32.0)
50-64	1,562	21.36	24.0 (21.7-26.6)	30.5 (27.9-33.2)	22.6 (20.3-25.1)	22.7 (20.2-25.4)
Education levels							< 0.001
Elementary school or less	1,843	25.31	27.3 (25.0-29.8)	29.0 (26.6-31.6)	21.0 (18.8-23.3)	22.5 (20.1-25.1)
Secondary school incomplete	3,456	47.47	19.7 (18.1-21.3)	29.6 (27.8-31.3)	24.5 (22.9-26.2)	26.1 (24.2-28.0)
Secondary school or more	1,982	27.22	6.9 (5.7-8.2)	30.2 (27.9-32.6)	28.8 (26.6-31.1)	34.0 (31.5-36.6)
Urbanization level (inhabitants)							< 0.001
82,000-288,000	2,595	35.48	18.9 (17.1-20.8)	46.3 (44.1-48.5)	18.8 (17.1-20.6)	15.6 (14.3-17.4)
388,000-1,027,000	1,858	25.41	17.7 (15.7-19.9)	38.8 (36.1-41.6)	24.2 (21.8-26.7)	19.1 (17.3-21.1)
1,190,000-3,432,000	1,490	20.37	18.6 (16.5-20.9)	29.1 (26.6-31.7)	30.4 (27.9-33.0)	21.7 (19.6-24.0)
≥ 7,760,000	1,370	18.73	16.2 (14.3-18.4)	15.1 (13.1-17.2)	25.4 (23.1-27.7)	43.2 (40.2-46.2)
Socioeconomic position							< 0.001
Low	2,177	29.77	25.0 (23.0-27.2)	30.0 (27.8-32.3)	22.8 (20.7-25.0)	22.0 (19.9-24.3)
Low middle	967	13.22	19.4 (16.7-22.5)	28.3 (25.1-31.6)	25.3 (22.2-28.5)	26.9 (23.7-30.4)
Middle	826	11.29	16.2 (13.4-19.6)	32.6 (29.0-36.3)	25.2 (21.9-28.8)	25.8 (22.3-29.8)
Upper middle	3,343	45.71	13.4 (12.1-15.0)	29.2 (27.4-31.1)	26.0 (24.3-27.8)	31.1 (29.1-33.3)
Occupation							< 0.001
Working	4,53	61.94	14.5 (13.3-15.7)	28.5 (26.9-30.0)	25.5 (24.0-27.0)	31.4 (29.8-33.1)
Searching for a job	295	4.03	25.3 (20.1-31.4)	21.9 (17.3-27.3)	25.7 (20.4-31.7)	26.9 (21.3-33.4)
Studying	541	7.40	10.1 (7.5-13.6)	32.9 (28.7-37.5)	27.7 (23.5-32.4)	29.0 (24.5-33.9)
Housewife	1,774	24.26	27.4 (25.0-29.9)	32.7 (30.2-35.4)	22.3 (20.1-24.6)	17.4 (15.3-19.7)
Retired	173	2.37	18.7 (13.2-25.9)	33.8 (26.7-41.8)	27.3 (20.6-35.1)	20.0 (14.1-27.5)

Characteristics	Walking as a means of transport, at least 150 minutes per week *		Bicycling as a means of transport, at least 150 minutes per week *		Achieving 150 minutes of physical activity during leisure time per week **
Characteristics	% (95%CI)	p-value ***	% (95%CI)	p-value ***	% (95%CI)	p-value ***
All participants	34.1 (32.8-35.5)	–	4.4 (3.8-4.9)	–	18.4 (17.4-19.5)	–
Gender		< 0.001		< 0.001		< 0.001
Male	38.0 (36.1-40.1)		9.1 (7.9-10.4)		26.4 (24.6-28.3)
Female	31.36 (29.8-33.0)		1.0 (0.7-1.4)		12.8 (11.7-14.0)
Age groups (years)		0.007		0.646		< 0.001
18-29	32.2 (29.1-33.4)		4.7 (3.8-5.8)		23.2 (21.4-25.9)
30-49	35.5 (33.5-37.5)		4.1 (3.4-5.0)		15.6 (14.2-17.0)
50-64	35.7 (32.9-38.6)		4.3 (3.3-5.5)		16.9 (14.8-19.2)
Education levels				< 0.001		< 0.001
Elementary school or less	35.0 (32.4-37.7)	0.351	5.1 (4.0-6.3)		13.2 (11.4-15.2)
Secondary school incomplete	34.5 (32.7-36.4)		5.4 (4.5-6.4)		18.9 (17.8-20.4)
Secondary school or more	32.7 (30.3-35.1)		2.2 (1.5-3.0)		21.8 (19.8-24.1)
Urbanization levels (inhabitants)		< 0.001		< 0.001		0.003
82,000-288,000	41.2 (38.5-43.9)		4.5 (3.5-5.9)		20.7 (18.9-22.7)
388,000-1,027,000	27.1 (24.8-29.5)		3.7 (2.9-4.9)		21.0 (19.1-23.0)
1,190,000-3,432,000	30.8 (28.4-33.3)		2.4 (1.7-3.2)		16.9 (14.6-18.9)
≥ 7,760,000	40.5 (31.0-35.7)		4.3 (3.3-5.6)		17.2 (15.0-19.1)
Socioeconomic position		0.767		0.012		0.009
Low	34.6 (32.2-37.1)		5.7 (4.7-6.9)		15.9 (14.2-17.9)
Low middle	34.9 (31.4-38.6)		3.4 (2.3-4.9)		17.9 (15.3-20.8)
Middle	32.3 (28.8-36.0)		4.7 (3.2-6.7)		18.3 (15.5-21.6)
Upper middle	34.0 (32.2-35.9)		3.8 (3.1-4.6)		20.0 (18.5-21.5)
Occupation		< 0.001		< 0.001		< 0.001
Working	36.1 (34.5-37.7)		5.6 (4.9-6.5)		17.0 (15.8-18.2)
Searching for a job	40.1 (33.8-46.7)		5.3 (3.2-9.0)		30.5 (25.1-36.4)
Studying	31.9 (27.6-36.5)		4.0 (2.5-6.5)		31.9 (27.6-36.6)
Housewife	28.8 (26.3-31.5)		1.1 (0.7-1.8)		15.0 (13.2-16.9)
Retired	28.5 (22.3-35.6)		2.5 (1.1-5.5)		25.2 (19.4-32.1)
Time spent traveling in motor vehicles per day (minutes)		< 0.001		< 0.001		0.487
0	42.1 (38.9-45.4)		12.3 (10.4-14.4)		17.0 (14.8-19.3)
1 to 59	28.2 (26.2-30.3)		2.5 (1.9-3.2)		19.1 (17.3-20.9)
60 to 119	30.5 (28.1-33.0)		2.5 (1.7-3.4)		18.1 (16.1-20.2)
120 and more	38.5 (35.9-41.2)		3.1 (2.2-4.2)		19.1 (17.0-21.3)

Time spent traveling in motor vehicles (minutes)	Walking as a means of transport, at least 150 minutes per week *		Bicycling as a means of transport, at least 150 minutes per week *		Achieving 150 minutes of physical activity during leisure time per week **
	Adjusted	p-trend ***	Adjusted	p-trend ***	Adjusted	p-trend ***
	Prevalence OR (95%CI)	p-trend ***	Prevalence OR (95%CI)	p-trend ***	Prevalence OR (95%CI)	p-trend ***
All participants ^#
0	Refence	0.090	Refence	< 0.001	Refence	0.960
1 to 59	0.57 (0.48-0.67)		0.18 (0.13-0.26)		1.09 (0.88-1.34)
60 to 119	0.60 (0.50-0.72)		0.17 (0.11-0.26)		1.01 (0.81-1.28)
120 or more	0.76 (0.64-0.91)		0.17 (0.11-0.26)		1.03 (0.83-1.29)
Female ^##
0	Refence	0.219	Refence	0.468	Refence	0.794
1 to 59	0.52 (0.42-0.65)		0.12 (0.04-0.30)		1.17 (0.85-1.63)
60 to 119	0.58 (0.46-0.75)		0.36 (0.15-0.91)		1.15 (0.82-1.63)
120 or more	0.77 (0.60-0.98)		0.57 (0.23-1.42)		1.08 (0.75-1.57)
Male ^##
0	Refence	0.001	Refence	< 0.001	Refence
1 to 59	0.64 (0.49-0.82)		0.19 (0.13-0.28)		1.02 (0.77-1.36)	0.836
60 to 119	0.61 (0.47-0.80)		0.15 (0.09-0.21)		0.91 (0.68-1.22)
120 or more	0.76 (0.59-0.99)		0.14 (0.09-0.22)		0.99 (0.75-1.32)
Age group 18-29 years ^####
0	Refence	0.335	Refence	< 0.001	Refence	0.349
1 to 59	0.51 (0.38-0.68)		0.11 (0.07-0.22)		0.93 (0.67-1.31)
60 to 119	0.57 (0.42-0.78)		0.11 (0.05-0.24)		0.94 (0.66-1.34)
120 or more	0.70 (0.51-0.97)		0.23 (0.12-0.44)		1.22 (0.86-1.73)
Age group 30-64 years ^###
0	Refence	0.139	Refence	< 0.001	Refence	0.496
1 to 59	0.57 (0.46-0.69)		0.19 (0.13-0.30)		1.02 (0.78-1.32)
60 to 119	0.59 (0.47-0.74)		0.21 (0.13-0.33)		1.01 (0.76-1.33)
120 or more	0.79 (0.64-0.97)		0.17 (0.11-0.29)		1.01 (0.76-1.33)
82,000 to 1,027,000 inhabitants ^§
0	Refence	0.003	Refence	< 0.001	Refence	0.480
1 to 59	0.63 (0.51-0.77)		0.22 (0.14-0.34)		1.05 (0.83-1.33)
60 to 119	0.56 (0.44-0.71)		0.17 (0.10-0.31)		1.08 (0.82-1.42)
120 or more	0.67 (0.53-0.86)		0.12 (0.06-0.24)		1.09 (0.83-1.43)
1,190,000 inhabitants or more ^§
0	Refence	0.653	Refence	< 0.001	Refence	0.655
1 to 59	0.43 (0.33-0.57)		0.12 (0.06-0.25)		1.14 (0.83-1.33)
60 to 119	0.59 (0.46-0.76)		0.15 (0.08-0.27)		0.96 (0.82-1.42)
120 or more	0.83 (0.66-1.06)		0.18 (0.11-0.31)		1.00 (0.83-1.43)
Working or studying ^§§
0	Refence	0.151	Refence	< 0.001	Refence	0.963
1 to 59	0.54 (0.44-0.67)		0.17 (0.11-0.24)		1.14 (0.87-1.49)
60 to 119	0.55 (0.44-0.69)		0.14 (0.08-0.22)		1.08 (0.81-1.42)
120 or more	0.71 (0.57-0.88)		0.14 (0.09-0.22)		1.06 (0.81-1.39)
Not working or studying ^§§
0	Refence	0.479	Refence	0.456	Refence	0.733
1 to 59	0.59 (0.45-0.77)		0.27 (0.11-0.69)		0.95 (0.70-1.41)
60 to 119	0.70 (0.52-0.93)		0.53 (0.19-1.48)		0.89 (0.60-1.30)
120 or more	0.89 (0.64-1.21)		0.63 (0.23-1.71)		0.97 (0.64-1.46)

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[1] Correspondence: D. C. Paez. Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis. 3545 Lafayette Av., St. Louis, MO 63104, U.S.A. paez.d.carolina@gmail.com