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Research article
Alex Antonio Florindo
University of Sao Paulo
Corresponding Author
ORCiD: https://orcid.org/0000-0002-4429-0826
License:
This work is licensed under a CC BY 4.0 License. Read Full License
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 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. Minutes of sitting time in a typical weekday and weekend day were the outcomes and mix of destinations score in 500m buffers was the exposure variable. Associations between 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, 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 500m of peoples’ residences were 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.
Keywords
Built Environment, Mix of Destinations, Sedentary Behavior, Sitting Time, Adults, Brazil
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View the published article at BMC Public Health.
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On 10 Nov, 2020
Editorial decision: Minor revision
On 09 Nov, 2020
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Editorial decision: Minor revision
On 28 Oct, 2020
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On 26 Oct, 2020
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On 25 Oct, 2020
Editor invited
On 25 Oct, 2020
Version 2
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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
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
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Health Policy
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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
Version 2
Posted 02 Jun, 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
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, 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. Minutes of sitting time in a typical weekday and weekend day were the outcomes and mix of destinations score in 500m buffers was the exposure variable. Associations between 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, 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 500m of peoples’ residences were 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.
Figure 1
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