Recommendation and physical activity practice in Brazilians with chronic diseases

Abstract

OBJECTIVE: To analyze the prevalence and factors associated with professional recommendation and leisure-time physical activity (LTPA) in Brazilian individuals diagnosed with hypertension (HBP), diabetes, and/or hypercholesterolemia. METHODS: This is a cross-sectional population-based study with a representative sample of the Brazilian population (aged ≥20 years) in 2013, with self-reported HBP (n=11.098), diabetes (n=3.176), and/or hypercholesterolemia (n=7.252). Prevalence and gross odds ratios were estimated and adjusted for both outcomes.RESULTS: Professional recommendation and LTPA were more prevalent in individuals who received recommendation and presented with hypercholesterolemia (85.9 and 23.4%, respectively). Adjusted analysis showed an association in people 40 to 59 years of age and public programs in most diseases. Higher educational level was associated with receiving recommendations in all non-communicable diseases (NCDs). LTPA was associated in people 40 to 59 years of age for HBP and diabetes and in all investigated NCDs, higher educational level, positive perception of health, and a favorable environment in those who received recommendation.CONCLUSIONS: Education presented the greatest magnitude in the associations, clearly showing the need for equitable methods to increase recommendation and LTPA levels for the most vulnerable population. Further studies analyzing other variables and NCD are needed, corroborating the Ministry of Health.

Self-assessment of the health status and leisure activities of individuals on haemodialysis

“…Physical and sports activities also have an impact on strengthening the social relationships of people with chronic diseases 31 and are associated with a positive self-assessment of health status 32 . However, adherence to physical activities by individuals on haemodialysis is positively affected by motivation, anxiety, sleep quality and physical performance 33 and is also associated with the strength of social relationships built between people 34 .…”

“…The progressive increase in the chances of a negative self-assessment of health as involvement decreases can be explained by the fact that it is the cultural dimension of leisure that directly involves activities that provide associations with other individuals. Physical and sports activities also have an impact on strengthening the social relationships of people with chronic diseases 31 and are associated with a positive self-assessment of health status 32 . However, adherence to physical activities by individuals on haemodialysis is positively affected by motivation, anxiety, sleep quality and physical performance 33 and is also associated with the strength of social relationships built between people 34 .…”

Relationship Between Old-Aged Preferences Regarding Various Types of Physical Activity and Chronic Disease Status: A Cross-Sectional Study in Shanghai, China

“…In this study, the mean age of the group observed was 68.64 ± 7.43 years, and higher education was related to more time spent in PA. Earlier studies showed that high physical activity is related to a higher educational level ( 45 , 46 ). Individuals with high educational achievement are more likely to tolerate and be open to diverse perspectives and to assimilate external information constructively ( 47 ).…”

Social support in workers’ physical activity

“…(4) Assim, as agências de saúde nacionais e internacionais têm enfatizado cada vez mais a necessidade de desenvolver estratégias para que a população venha a atingir o nível recomendado de atividade física semanal (atividade de intensidade moderada: ≥150 minutos; atividade de intensidade vigorosa: ≥75 minuto). (1,2,5) A prevalência de atividade física insuficiente é de 27,5% no mundo e 44,1% no Brasil, destacando que reduzir essa prevalência em pelo menos 10% é uma das metas globais para prevenir e tratar as DCNT. (1,6) Esses dados reforçam a importância de abordagens, programas e políticas públicas que estimulem e promovam tal atividade entre indivíduos e nas comunidades.…”