Accumulation of Domain-Specific Physical Inactivity and Presence of Hypertension in Brazilian Public Healthcare System

in Journal of Physical Activity and Health

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Bruna Camilo Turi
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Jamile S. Codogno
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Romulo A. Fernandes
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Xuemei Sui
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Carl J. Lavie
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Steven N. Blair
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Henrique Luiz Monteiro
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Background:

Hypertension is one of the most common noncommunicable diseases worldwide, and physical inactivity is a risk factor predisposing to its occurrence and complications. However, it is still unclear the association between physical inactivity domains and hypertension, especially in public healthcare systems. Thus, this study aimed to investigate the association between physical inactivity aggregation in different domains and prevalence of hypertension among users of Brazilian public health system.

Methods:

963 participants composed the sample. Subjects were divided into quartiles groups according to 3 different domains of physical activity (occupational; physical exercises; and leisure-time and transportation). Hypertension was based on physician diagnosis.

Results:

Physical inactivity in occupational domain was significantly associated with higher prevalence of hypertension (OR = 1.52 [1.05 to 2.21]). The same pattern occurred for physical inactivity in leisure-time (OR = 1.63 [1.11 to 2.39]) and aggregation of physical inactivity in 3 domains (OR = 2.46 [1.14 to 5.32]). However, the multivariate-adjusted model showed significant association between hypertension and physical inactivity in 3 domains (OR = 2.57 [1.14 to 5.79]).

Conclusions:

The results suggest an unequal prevalence of hypertension according to physical inactivity across different domains and increasing the promotion of physical activity in the healthcare system is needed.

Turi (brunaturi@hotmail.com) is with Instituto de Biociências, Universidade Estadual Paulista (UNESP), Rio Claro, São Paulo, Brazil. Codogno, Fernandes, and Monteiro are with the Dept of Physical Education, Universidade Estadual Paulista (UNESP), Rio Claro, São Paulo, Brazil. Sui and Blair are with the Dept of Exercise Science, University of South Carolina, Columbia, SC. Lavie is with the Dept of Cardiology, Ochsner Hospital, New Orleans, LA.

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