Abstract P124: Leisure Time Physical Activity and Cardio-metabolic Health: Results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
Context: Physical inactivity and cardio-metabolic diseases are increasingly prevalent in Brazil, and preventive guidelines are urgently needed for physical activity (PA) promotion in Brazilian populations.
Objective: To investigate the association between leisure time PA and cardio-metabolic health in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
Methods: We conducted a cross-sectional analysis of the baseline data from 11,547 women and men aged 35-74 free of cardiovascular diseases (CVD) in the ELSA-Brasil. Data on PA was obtained using the International Physical Activity Questionnaire. Physical activity status was defined according to the American Heart Association’s recommendation (at least 150 minutes/ week moderate activities or 75 minutes/week vigorous activities). Multivariable linear/logistic regression models were used to examine the sex-specific associations of leisure time PA with intermediate cardio-metabolic markers (systolic/dialectic blood pressure (SBP/DBP), heart frequency, and Framingham Risk Scores) and cardio-metabolic diseases (hypertension, diabetes, and predicted 10-year risk of CVD). We also conducted two sets of sensitivity analyses using 1) an alternative definition of PA (PA-related energy expenditure ≥ 1000 kilocalories/week) and 2) additional adjustment for education and income.
Results: In total, 1,183 women and 1,387 men were classified as active. After taking into account multiple covariates, the favorable effects of leisure time PA on cardio-metabolic parameters were evident for both women and men (Table). These associations did not change appreciably when the alternative definition of PA was used or additional socioeconomic variables were taken into account.
Conclusion: We observed significant beneficial effects of leisure time PA on cardio-metabolic health in this large Brazilian population that are consistent with studies in high-income countries of North America and Europe.
Author Disclosures: X. Lin: None. S. Alvim: None. I.M. Bensenor: None. E.J. Simoes: None. P.A. Lotufo: None. S. Liu: None.
- © 2016 by American Heart Association, Inc.