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Prevalence of diabetes and physical activity among Brazilian adults and the elderly: A countrywide analysis
Thursday 1 November Posters / Journal of Science and Medicine in Sport 15 (2012) S127–S187
per day were <5,570 (Q1), 5,570 to <8,116 (Q2), 8,116 to <11,392 (Q3), and > = 11,392 steps (Q4). For HRQoL, all three adjusted models (i.e. physical, mental, and global health) indicated a significant linear trend between HRQoL indices across pedometer step quartiles (Q). For the physical health index, significant differences emerged between Q1 and Q3 (Mdiff = 2.8, p = 0.012) and Q1 and Q4 (Mdiff = 3.3, p < 0.01). For the mental health index, significant differences emerged between Q1 and Q3 (Mdiff = 3.5, p = 0.011) and Q1 and Q4 (Mdiff = 3.7, p < 0.01). For the global health index, significant differences also emerged between Q1 and Q3 (Mdiff = 3.4, p < 0.01) and Q1 and Q4 (Mdiff = 3.8, p < 0.01). For depression, significant differences were observed between Q1 and Q3 (Mdiff = 3.3, p = 0.006) and Q1 and Q4 (Mdiff = 2.7, p = 0.025). Discussion: Steps per day was significantly associated with HRQoL and depression symptoms. Older men in the higher quartiles of pedometer steps per day reported less depressive symptoms compared to those in the lowest steps per day quartile. Our data suggest that lower step counts (<10,000 steps per day) among older groups are a meaningful target as it relates to HRQoL and psychosocial health. http://dx.doi.org/10.1016/j.jsams.2012.11.438 436 Prevalence of hypertension and physical activity among Brazilian adults and elderly: A national analysis D. Silveira ∗ , F. Siqueira, L. Facchini, L. Galliano, R. Piccini, E. Thumé, E. Tomasi, S. Silva, A. Dilelio Universidade Federal de Pelotas The demographic, nutritional and epidemiological transitions happened very rapidly in Brazil. As a consequence, noncommunicable diseases (NCDs) are responsible for most deaths in the country. Hypertension is responsible for cardiovascular, brain, coronary, renal and peripheral vascular conditions. Hypertension is highly prevalent and tends to increase at older ages. Studies indicate that physically inactive adults have a 30% increased risk of developing hypertension as compared with their active peers. Obesity is also an important risk factor for hypertension. These findings indicate the need for preventive programs to reduce the incidence of chronic diseases, through the incorporation of behavioral changes such as healthy eating and regular physical activity. A cross-sectional study was conducted with a sample of 12,324 adults and 6,580 elderly individuals aged 60 years or more in the urban area of 100 municipalities in 23 Brazilian states (AQUARESUFPPEL). These subjects answered questions about the reported diagnosis of hypertension and participation in physical activity during leisure time (IPAQ). The prevalence of reported diagnosis of hypertension was 16.3% (95% CI 15.6 to 16.9) among adults and 51.8% (95% CI 50.6 to 53.0) among the elderly. Among adults, the prevalence of hypertension was 14.4% in males and 17.8% in women (p < 0.001). Inactive adults were more likely to present hypertension as compared to their active peers (p = 0.01). Regarding the elderly, the prevalence of hypertension was 44.6% in men and 56.9%in women (p < 0.001). Inactive elderly subjects were more likely to present hypertension than their active peers(p = 0.002). The results show that the prevalence of physical inactivity among adults and elderly hypertensive patients is high and that policies to promote physical activity are urgently needed. http://dx.doi.org/10.1016/j.jsams.2012.11.439
S181
437 Prevalence of diabetes and physical activity among Brazilian adults and the elderly: A countrywide analysis F. Siqueira ∗ , T. Seus, D. Silveira, L. Facchini, R. Piccini, E. Thumé, E. Tomasi, S. Silva, A. Dilelio Universidade Federal de Pelotas In many countries the prevalence of diabetes has risen reaching epidemic proportions, and demand high economic and social cost. According to the World Health Organization there are currently 347 million diabetics worldwide. In developing countries, diabetes prevalence is rising in all age groups, therefore negatively affecting the quality of life of these people. A cross-sectional study was conducted with a sample of 5,333 adults aged 40–59 years old and 6,582 adults aged 60 years or more. The study took place in the urban area of 100 municipalities in 23 Brazilian states. Individuals answered questions about diagnosis of diabetes and leisure-time physical activity. The prevalence of self-reported diabetes was 6.3% (95% CI 5.7 to 7.0) among adults and 16.9% (95% CI 15.9 to 17.8) among the elderly. Among adults, the prevalence of diabetes was 5.6% in males and 6.9% in women (p = 0.06). In both adults and the elderly, physical inactivity (<150 min/wk) was cross-sectionally unrelated to self-reported diabetes, probably due to reverse causality. Prospective studies in low and middle income countries are warranted in order to evaluate the association between physical activity and diabetes in such settings. http://dx.doi.org/10.1016/j.jsams.2012.11.440 438 Trends in weight status, sufficient physical activity and inactivity among South Australian adults, 1998–2010 M. Smith 1 , N. Berry 2,∗ , N. Lewis 3 , J. Dollman 3 1
Population Health Portfolio, Country Health SA Local Health Network Health Promotion Branch, Department for Health and Ageing 3 Sansom Instiute for Health Research, University of South Australia 2
Background and aim: Overweight and obesity have been identified as barriers to physical activity participation. The current guidelines for physical activity indicate that adults should participate in at least 30 minutes of moderate to vigorous activity per day for health. This study examined trends in self-reported weight status and physical activity behaviours among South Australian adults between 1998 and 2010. Methods: The South Australian Physical Activity Survey has been conducted every three years since 1998. The questionnaire is administered by CATI (computer-assisted telephone interview). Telephone numbers are randomly selected from the Adelaide metropolitan and country Electronic White Pages listings. Within households, the person ≥18 years with the most recent birthday was selected for interview, in 1998 (n = 3059), 2001 (n = 3000), 2004 (n = 2999), 2007 (n = 3095) and 2010 (n = 3078). BMI was defined according to the World Health Organisation definition. Sufficient activity was self-reported levels of physical activity measured using 6 questions from the Active Australia Survey. Results: From 1998-2010, sufficient physical activity increased by 7.4% among adults in the healthy weight range (from 40.4% to 47.8%) and inactivity decreased by 2.8%. Among overweight adults sufficient physical activity has increased by 5.3% (from 41.1% in 1998 to 46.4% in 2010) and inactivity has decreased by 2.6%. Sufficient physical activity among obese adults has remained relatively constant (36.4% in 1998 and 36.9% in 2010). In 1998 there was
per day were <5,570 (Q1), 5,570 to <8,116 (Q2), 8,116 to <11,392 (Q3), and > = 11,392 steps (Q4). For HRQoL, all three adjusted models (i.e. physical, mental, and global health) indicated a significant linear trend between HRQoL indices across pedometer step quartiles (Q). For the physical health index, significant differences emerged between Q1 and Q3 (Mdiff = 2.8, p = 0.012) and Q1 and Q4 (Mdiff = 3.3, p < 0.01). For the mental health index, significant differences emerged between Q1 and Q3 (Mdiff = 3.5, p = 0.011) and Q1 and Q4 (Mdiff = 3.7, p < 0.01). For the global health index, significant differences also emerged between Q1 and Q3 (Mdiff = 3.4, p < 0.01) and Q1 and Q4 (Mdiff = 3.8, p < 0.01). For depression, significant differences were observed between Q1 and Q3 (Mdiff = 3.3, p = 0.006) and Q1 and Q4 (Mdiff = 2.7, p = 0.025). Discussion: Steps per day was significantly associated with HRQoL and depression symptoms. Older men in the higher quartiles of pedometer steps per day reported less depressive symptoms compared to those in the lowest steps per day quartile. Our data suggest that lower step counts (<10,000 steps per day) among older groups are a meaningful target as it relates to HRQoL and psychosocial health. http://dx.doi.org/10.1016/j.jsams.2012.11.438 436 Prevalence of hypertension and physical activity among Brazilian adults and elderly: A national analysis D. Silveira ∗ , F. Siqueira, L. Facchini, L. Galliano, R. Piccini, E. Thumé, E. Tomasi, S. Silva, A. Dilelio Universidade Federal de Pelotas The demographic, nutritional and epidemiological transitions happened very rapidly in Brazil. As a consequence, noncommunicable diseases (NCDs) are responsible for most deaths in the country. Hypertension is responsible for cardiovascular, brain, coronary, renal and peripheral vascular conditions. Hypertension is highly prevalent and tends to increase at older ages. Studies indicate that physically inactive adults have a 30% increased risk of developing hypertension as compared with their active peers. Obesity is also an important risk factor for hypertension. These findings indicate the need for preventive programs to reduce the incidence of chronic diseases, through the incorporation of behavioral changes such as healthy eating and regular physical activity. A cross-sectional study was conducted with a sample of 12,324 adults and 6,580 elderly individuals aged 60 years or more in the urban area of 100 municipalities in 23 Brazilian states (AQUARESUFPPEL). These subjects answered questions about the reported diagnosis of hypertension and participation in physical activity during leisure time (IPAQ). The prevalence of reported diagnosis of hypertension was 16.3% (95% CI 15.6 to 16.9) among adults and 51.8% (95% CI 50.6 to 53.0) among the elderly. Among adults, the prevalence of hypertension was 14.4% in males and 17.8% in women (p < 0.001). Inactive adults were more likely to present hypertension as compared to their active peers (p = 0.01). Regarding the elderly, the prevalence of hypertension was 44.6% in men and 56.9%in women (p < 0.001). Inactive elderly subjects were more likely to present hypertension than their active peers(p = 0.002). The results show that the prevalence of physical inactivity among adults and elderly hypertensive patients is high and that policies to promote physical activity are urgently needed. http://dx.doi.org/10.1016/j.jsams.2012.11.439
S181
437 Prevalence of diabetes and physical activity among Brazilian adults and the elderly: A countrywide analysis F. Siqueira ∗ , T. Seus, D. Silveira, L. Facchini, R. Piccini, E. Thumé, E. Tomasi, S. Silva, A. Dilelio Universidade Federal de Pelotas In many countries the prevalence of diabetes has risen reaching epidemic proportions, and demand high economic and social cost. According to the World Health Organization there are currently 347 million diabetics worldwide. In developing countries, diabetes prevalence is rising in all age groups, therefore negatively affecting the quality of life of these people. A cross-sectional study was conducted with a sample of 5,333 adults aged 40–59 years old and 6,582 adults aged 60 years or more. The study took place in the urban area of 100 municipalities in 23 Brazilian states. Individuals answered questions about diagnosis of diabetes and leisure-time physical activity. The prevalence of self-reported diabetes was 6.3% (95% CI 5.7 to 7.0) among adults and 16.9% (95% CI 15.9 to 17.8) among the elderly. Among adults, the prevalence of diabetes was 5.6% in males and 6.9% in women (p = 0.06). In both adults and the elderly, physical inactivity (<150 min/wk) was cross-sectionally unrelated to self-reported diabetes, probably due to reverse causality. Prospective studies in low and middle income countries are warranted in order to evaluate the association between physical activity and diabetes in such settings. http://dx.doi.org/10.1016/j.jsams.2012.11.440 438 Trends in weight status, sufficient physical activity and inactivity among South Australian adults, 1998–2010 M. Smith 1 , N. Berry 2,∗ , N. Lewis 3 , J. Dollman 3 1
Population Health Portfolio, Country Health SA Local Health Network Health Promotion Branch, Department for Health and Ageing 3 Sansom Instiute for Health Research, University of South Australia 2
Background and aim: Overweight and obesity have been identified as barriers to physical activity participation. The current guidelines for physical activity indicate that adults should participate in at least 30 minutes of moderate to vigorous activity per day for health. This study examined trends in self-reported weight status and physical activity behaviours among South Australian adults between 1998 and 2010. Methods: The South Australian Physical Activity Survey has been conducted every three years since 1998. The questionnaire is administered by CATI (computer-assisted telephone interview). Telephone numbers are randomly selected from the Adelaide metropolitan and country Electronic White Pages listings. Within households, the person ≥18 years with the most recent birthday was selected for interview, in 1998 (n = 3059), 2001 (n = 3000), 2004 (n = 2999), 2007 (n = 3095) and 2010 (n = 3078). BMI was defined according to the World Health Organisation definition. Sufficient activity was self-reported levels of physical activity measured using 6 questions from the Active Australia Survey. Results: From 1998-2010, sufficient physical activity increased by 7.4% among adults in the healthy weight range (from 40.4% to 47.8%) and inactivity decreased by 2.8%. Among overweight adults sufficient physical activity has increased by 5.3% (from 41.1% in 1998 to 46.4% in 2010) and inactivity has decreased by 2.6%. Sufficient physical activity among obese adults has remained relatively constant (36.4% in 1998 and 36.9% in 2010). In 1998 there was