This study aimed to examine the association between the neighborhood environment and domain-specific physical activity and sitting time in Brazilian adults. This cross-sectional study included 1803 adults (53.7% women) from Brazil’s five regions (North, Northeast, Midwest, Southeast and South). The perception of the environment was evaluated via a questionnaire. We considered seven indicators of the neighborhood environment: land use mix-diversity, land use mix-access, street connectivity, walking/cycling facilities, aesthetics, safety from traffic and safety from crime. Using the IPAQ, we evaluated physical activity (transport and leisure) and sitting time. Overall, land use mix-diversity (β = 3.22; 95% CI = 0.26, 6.19), land use mix-access (β = 2.27; 95% CI = 0.76, 3.79), and walking/cycling facilities (β = 2.42; 95% CI = 0.35, 4.49) were positively associated with leisure-time physical activity (min/week). On the other hand, only land use mix-diversity (β = 3.65; 95% CI = 0.63, 5.49) was positively associated with transport physical activity (min/week). No neighborhood environment indicator was associated with sitting time (min/day). Perception of the neighborhood environment was associated with physical activity (transport and leisure), while no significant associations occurred with sitting time among the five regions of Brazil. The neighborhood environment can be a viable component in the promotion of physical activity, but geographic diversity must be considered.
RESULTS:Twenty-seven studies (635 participants) were included. A significant difference was found for same-day PPG control, which favored accumulated exercise over one bout of energy-matched continuous exercise (SMD −0.36 [95%CI: (−0.56, -0.17)], P=0.0002, I 2 =1%), specifically in accumulated exercise with PA breaks (SMD −0.36 [95%CI: (-0.64, -0.08)], P=0.01, I 2 =30%), low-moderate intensity exercise (SMD −0.38 [(95%CI: (-0.59, -0.17)], P=0.0005, I 2 =0%), and in non-diabetic populations (SMD -0.36 [95%CI: (-0.62, -0.10)], P=0.007, I 2 =16%). No differences were found for same-day postprandial insulin and triglycerides, or second-morning effects for all previously mentioned markers between different exercise patterns. CONCLUSIONS:Compared with one session of continuous exercise, accumulated exercise-specifically in subgroups of PA breaks, low-moderate intensity exercises-produced greater acute effects on same-day PPG control for non-diabetic adults. There were no differences between continuous and accumulated patterns of exercise in terms of same-day postprandial insulin and triglycerides and second-morning effects.
We examined the association between indicators of the school environment with sedentary behavior and different intensities of physical activity in children. The study that included 515 children (265 boys) aged 9–11 years old from public and private schools in the city of São Caetano do Sul. Sedentary behavior and different intensities of physical activity were evaluated with an accelerometer. Inside school environment (policies, supervision committee, extracurricular activities, breaks, and access to school facilities) was evaluated using a questionnaire. Policies and practice (β: 8.49; 95% CI: 3.62–13.36), supervision committee (5.42; 0.64–10.19), inter-school competitions (2.40, 2.25–2.55), breaks of 15–29 min/day (6.87; 2.20–10.75), and outdoor sports field (5.40; 0.37–10.44), were positively associated with moderate-to-vigorous-intensity physical activity. Furthermore, crossing guards (7.65; 3.00–12.30) were positively associated with moderate-to-vigorous-intensity physical activity. We concluded that an association was found between school environment indicators with higher levels of physical activity and greater odds of meeting physical activity guidelines.
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