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Research article
Alex Antonio Florindo
University of Sao Paulo
Corresponding Author
ORCiD: https://orcid.org/0000-0002-4429-0826
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Background: Sedentary behavior is influenced by contextual, social and individual factors, including the built environment. However, the 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 Sao Paulo Health Survey (n=3,145). Sedentary behavior was assessed by questionnaire using two questions: total sitting time in minutes on a usual weekday; and on a usual weekend day. 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 500m of each participant’s residence. Linear and categorical (<4, ≥4 hours/day) measures of sitting time were derived and analyzed using linear and logistic multilevel regression. Models accounted for clustering within census-tracts and households, were stratified by gender, and adjusted for environmental, sociodemographic, and health-related factors.
Results: Average minutes of sitting, and the likelihood of sitting for more than four hours, were significantly higher among males, younger people, the more educated, single persons, smokers, those who engaged in low levels of physical activity, the obese and those with chronic disease, and those who owned a private motor vehicle. Among females, mix of destinations was inversely related with minutes of sitting time on a weekday (β= -11 minutes; p=0.001) and weekend day (β= -8 minutes; p=0.012). Females who had a higher mix of destinations within their residential catchment had a significantly lower likelihood of sitting for four hours or more on weekdays (OR=0.66 IC95%0.47-0.94). No significant associations were found for males.
Conclusion: This is the first-known study to examine the relationship between mix of destinations and sedentary behavior among adults in Sao Paulo City, Brazil. Our results suggest that health promotion and policy should focus on reducing sedentary behavior in the whole population, and especially those groups who engage in higher-levels of sitting time.
Keywords
Built Environment, Mix of Destinations, Sedentary Behavior, Adults, Brazil
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Reviewer #2 agreed
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Received 09 Jun, 2020
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Reviewer #1 agreed
On 26 May, 2020
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On 24 May, 2020
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On 23 May, 2020
Editor invited
On 23 May, 2020
Version 1
Posted 28 Jan, 2020
No comments provided
Review #2 received
Received 26 Mar, 2020
Editorial decision: Major revision
On 26 Mar, 2020
Reviewer #2 agreed
On 08 Mar, 2020
Review #1 received
Received 19 Feb, 2020
Reviewer #1 agreed
On 03 Feb, 2020
Reviewers invited
Invitations sent on 31 Jan, 2020
Editor assigned
On 30 Jan, 2020
Submission checks complete
On 24 Jan, 2020
Editor invited
On 24 Jan, 2020
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On 19 Jan, 2020
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See the published version of this preprint at BMC Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Alex Antonio Florindo
University of Sao Paulo
Corresponding Author
ORCiD: https://orcid.org/0000-0002-4429-0826
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Public Health.
No community comments so far
Submission checks complete
On 10 Nov, 2020
Editorial decision: Minor revision
On 09 Nov, 2020
No comments provided
Editorial decision: Minor revision
On 28 Oct, 2020
Editor assigned
On 26 Oct, 2020
Submission checks complete
On 25 Oct, 2020
Editor invited
On 25 Oct, 2020
No comments provided
Editorial decision: Minor revision
On 03 Aug, 2020
Review #2 received
Received 02 Aug, 2020
Reviewer #2 agreed
On 09 Jul, 2020
Review #1 received
Received 09 Jun, 2020
Reviewers invited
Invitations sent on 26 May, 2020
Reviewer #1 agreed
On 26 May, 2020
Editor assigned
On 24 May, 2020
Submission checks complete
On 23 May, 2020
Editor invited
On 23 May, 2020
Version 1
Posted 28 Jan, 2020
No comments provided
Review #2 received
Received 26 Mar, 2020
Editorial decision: Major revision
On 26 Mar, 2020
Reviewer #2 agreed
On 08 Mar, 2020
Review #1 received
Received 19 Feb, 2020
Reviewer #1 agreed
On 03 Feb, 2020
Reviewers invited
Invitations sent on 31 Jan, 2020
Editor assigned
On 30 Jan, 2020
Submission checks complete
On 24 Jan, 2020
Editor invited
On 24 Jan, 2020
First submitted
On 19 Jan, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Policy
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Public Health.
Background: Sedentary behavior is influenced by contextual, social and individual factors, including the built environment. However, the 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 Sao Paulo Health Survey (n=3,145). Sedentary behavior was assessed by questionnaire using two questions: total sitting time in minutes on a usual weekday; and on a usual weekend day. 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 500m of each participant’s residence. Linear and categorical (<4, ≥4 hours/day) measures of sitting time were derived and analyzed using linear and logistic multilevel regression. Models accounted for clustering within census-tracts and households, were stratified by gender, and adjusted for environmental, sociodemographic, and health-related factors.
Results: Average minutes of sitting, and the likelihood of sitting for more than four hours, were significantly higher among males, younger people, the more educated, single persons, smokers, those who engaged in low levels of physical activity, the obese and those with chronic disease, and those who owned a private motor vehicle. Among females, mix of destinations was inversely related with minutes of sitting time on a weekday (β= -11 minutes; p=0.001) and weekend day (β= -8 minutes; p=0.012). Females who had a higher mix of destinations within their residential catchment had a significantly lower likelihood of sitting for four hours or more on weekdays (OR=0.66 IC95%0.47-0.94). No significant associations were found for males.
Conclusion: This is the first-known study to examine the relationship between mix of destinations and sedentary behavior among adults in Sao Paulo City, Brazil. Our results suggest that health promotion and policy should focus on reducing sedentary behavior in the whole population, and especially those groups who engage in higher-levels of sitting time.
Figure 1
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