TY - JOUR
T1 - Mix of destinations and sedentary behavior among Brazilian adults
T2 - a cross-sectional study
AU - Florindo, Alex Antonio
AU - Turrell, Gavin
AU - Garcia, Leandro Martin Totaro
AU - dos Anjos Souza Barbosa, João Paulo
AU - Cruz, Michele Santos
AU - Failla, Marcelo Antunes
AU - de Aguiar, Breno Souza
AU - Barrozo, Ligia Vizeu
AU - Goldbaum, Moises
N1 - Funding Information:
Alex Antonio Florindo received an international scholarship from Sao Paulo Research Foundation (grant 2014/12681–1) to develop this study and is receiving a research fellowship from the Brazilian National Council for Scientific and Technological Development (CNPq) (grant 306635/2016–0). Ligia Vizeu Barrozo is supported by the Brazilian National Council for Scientific and Technological Development (CNPq) (grant 301550/2017–4). ISA study was supported by Sao Paulo Research Foundation (grant 2012/22113–9) and The Sao Paulo Municipal Health Department (no grant number). ISA-Physical Activity and Environment Study is supported by Sao Paulo Research Foundation (grant 2017/17049–3).
Publisher Copyright:
© 2021, The Author(s).
PY - 2021/12
Y1 - 2021/12
N2 - Background: Sedentary behavior is influenced by contextual, social, and individual factors, including the built environment. However, associations between the built environment and sitting time have not been extensively investigated in countries with economies in transition such as Brazil. The objective of this study is to examine the relationship between sitting-time and access to a mix of destinations for adults from Sao Paulo city, Brazil. Methods: This study uses data from the Health Survey of Sao Paulo. Sedentary behavior was assessed by a questionnaire using two questions: total sitting time in minutes on a usual weekday; and on a usual weekend day. The mix of destinations was measured by summing the number of facilities (comprising bus stops, train/subway stations, parks, squares, public recreation centres, bike paths, primary health care units, supermarkets, food stores, bakeries, and coffee-shops) within 500 m of each participant’s residence. Minutes of sitting time in a typical weekday and weekend day were the outcomes and the mix of destinations score in 500 m buffers was the exposure variable. Associations between the mix of destinations and sitting time were examined using multilevel linear regression: these models accounted for clustering within census tracts and households and adjusted for environmental, sociodemographic, and health-related factors. Results: After adjustment for covariates, the mix of destinations was inversely associated with minutes of sitting time on a weekday (β=− 8.8, p=0.001) and weekend day (β=− 6.1, p=0.022). People who lived in areas with a greater mix of destinations had shorter average sitting times. Conclusion: Greater mix of destinations within 500 m of peoples’ residences was inversely associated with sitting time on a typical weekday and weekend day. In Latin American cities like Sao Paulo built environments more favorable for walking may contribute to reducing sedentary behavior and prevent associated chronic disease.
AB - Background: Sedentary behavior is influenced by contextual, social, and individual factors, including the built environment. However, associations between the built environment and sitting time have not been extensively investigated in countries with economies in transition such as Brazil. The objective of this study is to examine the relationship between sitting-time and access to a mix of destinations for adults from Sao Paulo city, Brazil. Methods: This study uses data from the Health Survey of Sao Paulo. Sedentary behavior was assessed by a questionnaire using two questions: total sitting time in minutes on a usual weekday; and on a usual weekend day. The mix of destinations was measured by summing the number of facilities (comprising bus stops, train/subway stations, parks, squares, public recreation centres, bike paths, primary health care units, supermarkets, food stores, bakeries, and coffee-shops) within 500 m of each participant’s residence. Minutes of sitting time in a typical weekday and weekend day were the outcomes and the mix of destinations score in 500 m buffers was the exposure variable. Associations between the mix of destinations and sitting time were examined using multilevel linear regression: these models accounted for clustering within census tracts and households and adjusted for environmental, sociodemographic, and health-related factors. Results: After adjustment for covariates, the mix of destinations was inversely associated with minutes of sitting time on a weekday (β=− 8.8, p=0.001) and weekend day (β=− 6.1, p=0.022). People who lived in areas with a greater mix of destinations had shorter average sitting times. Conclusion: Greater mix of destinations within 500 m of peoples’ residences was inversely associated with sitting time on a typical weekday and weekend day. In Latin American cities like Sao Paulo built environments more favorable for walking may contribute to reducing sedentary behavior and prevent associated chronic disease.
KW - Adults
KW - Brazil
KW - Built environment
KW - Mix of destinations
KW - Sedentary behavior
KW - Sitting time
UR - http://www.scopus.com/inward/record.url?scp=85100963337&partnerID=8YFLogxK
U2 - 10.1186/s12889-020-10123-7
DO - 10.1186/s12889-020-10123-7
M3 - Article
C2 - 33579233
AN - SCOPUS:85100963337
SN - 1471-2458
VL - 21
SP - 1
EP - 7
JO - BMC Public Health
JF - BMC Public Health
IS - 1
M1 - 347
ER -
