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Time Trends and Sociodemographic Inequalities in Physical Activity and Sedentary Behaviors Among Brazilian Adults: National Surveys from 2003 to 2019

in Journal of Physical Activity and Health
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Background: The authors analyzed time trends and sociodemographic inequalities in different physical activity and sedentary behavior domains between 2003 and 2019. Methods: A secondary analysis of data from 5 cross-sectional Brazilian epidemiological surveys (World Health Survey—2003, National Household Sample Survey—2008/2015, and Brazilian Health Survey—2013/2019) conducted among a nationally representative sample of Brazilian adults. The authors used data on different domains of physical activity (leisure, commute, total transport, and total physical activity) and sedentary behavior (TV viewing and other types of screens) that were available in the different surveys. Gender, age group, country region, ethnicity, type of area and city, and quintiles of income and educational achievement were used as sociodemographic correlates. Results: The prevalence of leisure-time physical activity increased over time (2008: 7.0% vs 2019: 26.5%). There was also an increased trend of social inequality in leisure-time physical activity. A trend of reduction was observed for active commuting (2008: 35.0% vs 2019: 21.8%), while total transport physical activity was stable (2013: 49.5% vs 2019: 49.6%). Directions of findings were opposite for sedentary behavior, with reduced trend for >3 hours per day of TV viewing (2008: 34.8% vs 2019: 21.8%) and increased trend for >3 hours per day of other types of screen time (2008: 6.4% vs 2019: 22.2%). Conclusion: A positive trend exists in leisure-time physical activity, but there was also an increase in social inequalities for physical activity in Brazil.

Werneck is with the Center for Epidemiological Research in Nutrition and Health, Department of Nutrition, School of Public Health, University of São Paulo (USP), São Paulo, Brazil. Barboza is with the Postgraduate Program in Physical Education, University of Brasília (UnB), Brasília, Brazil. Araújo is with the Graduation Program in Health Sciences, Londrina State University, Londrina, Brazil. Oyeyemi is with the Department of Physiotherapy, College of Medical Sciences, University of Maiduguri, Borno State, Nigeria. Damacena and Szwarcwald are with the Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (ICICT), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Brazil. Silva is with the Department of Physical Education, Federal University of Sergipe—UFS, São Cristóvão, Brazil.

Werneck (andrewerneck@usp.br) is corresponding author.

Supplementary Materials

    • Supplementary Table A (PDF 418 KB)
    • Supplementary Table B (PDF 564 KB)
    • Supplementary Table C (PDF 526 KB)
    • Supplementary Table D (PDF 441 KB)
    • Supplementary Table E (PDF 426 KB)
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