Living near the port area is associated with physical inactivity and sedentary behavior

Authors

  • Evandro Fornias Sperandio Universidade Federal de São Paulo
  • Rodolfo Leite Arantes Universidade Federal de São Paulo
  • Tsai Ping Chao Universidade Federal de São Paulo
  • Marcello Romiti Universidade Federal de São Paulo
  • Antônio Ricardo de Toledo Gagliardi Universidade Federal de São Paulo
  • Victor Zuniga Dourado Universidade Federal de São Paulo

Keywords:

Environmental health, Motor activity, Sedentary lifestyle, Social class, Risk factors

Abstract

CONTEXT AND OBJECTIVE: The impact of the port of Santos, Brazil, on the population’s health is unknown. We aimed to evaluate the association between living near the port area and physical inactivity and sedentary behavior. DESIGN AND SETTING: Cross-sectional study developed at a university laboratory and a diagnostic clinic. METHODS: 553 healthy adults were selected and their level of physical activity in daily life was assessed using accelerometers. Multiple linear and logistic regressions were performed using physical inactivity and sedentary behavior as the outcomes and living near the port area as the main risk factor, with adjustments for the main confounders. RESULTS: Among all the participants, 15% were resident near the port area. They took 699 steps/day and presented, weekly, 2.4% more sedentary physical activity, 2.0% less time in standing position and 0.9% more time lying down than residents of other regions. Additionally, living near the port area increased the risk of physical inactivity by 2.50 times and the risk of higher amounts of sedentary behavior (≥ 10 hours/day) by 1.32 times. CONCLUSION: Living near the port of Santos is associated with physical inactivity and higher sedentary behavior among adults, regardless of confounders. The reasons for this association should be investigated in longitudinal studies.

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Author Biographies

Evandro Fornias Sperandio, Universidade Federal de São Paulo

PT, PhD. Associate Researcher, Department of Human Movement Sciences, Universidade Federal de São Paulo (Unifesp), Santos (SP), Brazil.

Rodolfo Leite Arantes, Universidade Federal de São Paulo

MD, PhD. Researcher, Department of Cardiovascular Medicine, Angiocorpore Institute of Cardiovascular Medicine, Santos (SP), Brazil.

Tsai Ping Chao, Universidade Federal de São Paulo

PT. Specialization Student, Instituto do Coração (InCor), São Paulo (SP), Brazil.

Marcello Romiti, Universidade Federal de São Paulo

MD, PhD. Researcher, Department of Cardiovascular Medicine, Angiocorpore Institute of Cardiovascular Medicine, Santos (SP), Brazil.

Antônio Ricardo de Toledo Gagliardi, Universidade Federal de São Paulo

MD, PhD. Researcher, Department of Cardiovascular Medicine, Angiocorpore Institute of Cardiovascular Medicine, Santos (SP), Brazil.

Victor Zuniga Dourado, Universidade Federal de São Paulo

PT, PhD. Associate Professor, Department of Human Movement Sciences, Universidade Federal de São Paulo (Unifesp), Santos (SP), Brazil. Visiting Scholar, Bernard Lown Scholars in Cardiovascular Health Program, Harvard T.H. Chan School of Public Health, Boston, United States.

References

Torres RJ, Abessa DMS, Santos FC, et al. Effects of dredging operations on sediment quality: contaminant mobilization in dredged sediments from the Port of Santos, SP, Brazil. Journal of Soils and Sediments. 2009;9(5):420-32. Available from: http://link.springer.com/article/10.1007/s11368-009-0121-x Accessed in 2016 (Nov 22).

Bezerra MGV, Rigotto RM, Pessoa VM, Silva FVE. Implicações do desenvolvimento econômico no trabalho, ambiente e saúde em comunidades portuárias no Ceará, Brasil [The implications of economic development on work, the environment and health in port communities in the State of Ceará, Brazil]. Ciên Saúde Coletiva. 2014;19(10):4023-30.

Grobar LM. The economic status of areas surrounding major U.S. container ports: evidence and policy issues. Growth and Change. 2008;39(3):497-516. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1468-2257.2008.00435.x/abstract Accessed in 2016 (Nov 22).

Ripabelli G, Tamburro M, Sammarco ML, de Laurentiis G, Bianco A. Asthma prevalence and risk factors among children and adolescents living around an industrial area: a cross-sectional study. BMC Public Health. 2013;13:1038.

Yau PS, Lee SC, Cheng Y, et al. Contribution of ship emissions to the fine particulate in the community near an international port in Hong Kong. Atmospheric Research. 2013;124:61-72. Available from: http://www.sciencedirect.com/science/article/pii/S0169809513000033 Accessed in 2016 (Nov 22).

World Health Organization. Global Recommendation on Physical Activity for Health. Geneva: World Health Organization; 2010. Available from: http://apps.who.int/iris/bitstream/10665/44399/1/9789241599979_eng.pdf. Accessed in 2016 (Nov 22).

Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334-59.

Owen N, Leslie E, Salmon J, Fotheringham MJ. Environmental determinants of physical activity and sedentary behavior. Exerc Sport Sci Rev. 2000;28(4):153-8.

Rosenberg DE, Lee IM, Young DR, et al. Novel strategies for sedentary behavior research. Med Sci Sports Exerc. 2015;47(6):1311-5.

Gibbs BB, Hergenroeder AL, Katzmarzyk PT, Lee IM, Jakicic JM. Definition, measurement, and health risks associated with sedentary behavior. Med Sci Sports Exerc. 2015;47(6):1295-300.

Young DR, Reynolds K, Sidell M, et al. Effects of physical activity and sedentary time on the risk of heart failure. Circ Heart Fail. 2014;7(1):21-7.

Després JP. Physical Activity, Sedentary Behaviours, and Cardiovascular Health: When Will Cardiorespiratory Fitness Become a Vital Sign? Can J Cardiol. 2016;32(4):505-13.

Pandey A, Salahuddin U, Garg S, et al. Continuous Dose-Response Association Between Sedentary Time and Risk for Cardiovascular Disease: A Meta-analysis. JAMA Cardiol. 2016;1(5):575-83.

Lee PH. Examining Non-Linear Associations between Accelerometer-Measured Physical Activity, Sedentary Behavior, and All-Cause Mortality Using Segmented Cox Regression. Front Physiol. 2016;7:272.

Owen N, Healy GN, Matthews CE, Dunstan DW. Too much sitting: the population health science of sedentary behavior. Exerc Sport Sci Rev. 2010;38(3):105-13.

Sperandio EF, Arantes RL, Matheus AC, et al. Distúrbio ventilatório restritivo sugerido por espirometria: associação com risco cardiovascular e nível de atividade física em adultos assintomáticos [Restrictive pattern on spirometry: association with cardiovascular risk and level of physical activity in asymptomatic adults]. J Bras Pneumol. 2016;42(1):22-8.

Sperandio EF, Arantes RL, da Silva RP, et al. Screening for physical inactivity among adults: the value of distance walked in the six-minute walk test. A cross-sectional diagnostic study. Sao Paulo Med J. 2016;134(1):56-62.

Giles-Corti B, Donovan RJ. The relative influence of individual, social and physical environment determinants of physical activity. Soc Sci Med. 2002;54(12):1793-812.

Vormittag EMPAA, Rodrigus CG, Miranda MJ, et al. Avaliação do impacto da poluição atmosférica no estado de São Paulo sob a visão da saúde. São Paulo: Instituto Saúde e Sustentabilidade; 2013. Available from: http://www.vereadornatalini.com.br/PDF/Documentofinaldapesquisapadrao_2409FINALsitev1.pdf Accessed in 2016 (Nov 22).

Thomas S, Reading J, Shephard RJ. Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Can J Sport Sci. 1992;17(4):338-45.

Ferris BG. Epidemiology Standardization Project (American Thoracic Society). Am Rev Respir Dis. 1978;118(6 Pt 2):1-120.

Thompson PD, Arena R, Riebe D, Pescatello LS; American College of Sports Medicine. ACSM's new preparticipation health screening recommendations from ACSM's guidelines for exercise testing and prescription, ninth edition. Curr Sports Med Rep. 2013;12(4):215-7.

Santos JDP, Silveira DV, Oliveira DF, Caiaffa WT. Instrumentos para avaliação do tabagismo: uma revisão sistemática [Instruments used to evaluate smoking habits: a systematic review]. Ciên Saúde Coletiva. 2011;16(12):4707-20.

Lohman TG, Roache AF, Martorell R. Anthropometric standardization reference manual. Champaign: Human Kinetics Books; 1991.

Miller MR, Hankinson J, Brusasco V, et al. Standardisation of spirometry. Eur Respir J. 2005;26(2):319-38.

Pereira CAC, Neder JA. Diretrizes para testes de função pulmonar. Jornal Brasileiro de Pneumologia. 2002;28(Supl 3):s1-s238. Available from: http://www.jornaldepneumologia.com.br/detalhe_suplemento.asp?id=45 Accessed in 2016 (Nov 22).

Hansen JE, Sue DY, Wasserman K. Predicted values for clinical exercise testing. Am Rev Respir Dis. 1984;129(2 Pt 2):S49-55.

Porszasz J, Casaburi R, Somfay A, Woodhouse LJ, Whipp BJ. A treadmill ramp protocol using simultaneous changes in speed and grade. Med Sci Sports Exerc. 2003;35(9):1596-603.

Troiano RP, Berrigan D, Dodd KW, et al. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40(1):181-8.

Brooks AG, Gunn SM, Withers RT, Gore CJ, Plummer JL. Predicting walking METs and energy expenditure from speed or accelerometry. Med Sci Sports Exerc. 2005;37(7):1216-23.

Trost SG, Way R, Okely AD. Predictive validity of three ActiGraph energy expenditure equations for children. Med Sci Sports Exerc. 2006;38(2):380-7.

Matthew CE. Calibration of accelerometer output for adults. Med Sci Sports Exerc. 2005;37(11 Suppl):S512-22.

American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2009.

American College of Sports Medicine Position Stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc. 1998;30(6):975-91.

Lindström M, Hanson BS, Ostergren PO. Socioeconomic differences in leisure-time physical activity: the role of social participation and social capital in shaping health related behaviour. Soc Sci Med. 2001;52(3):441-51.

Mielke GI, Brown WJ, Nunes BP, Silva IC, Hallal PC. Socioeconomic Correlates of Sedentary Behavior in Adolescents: Systematic Review and Meta-Analysis. Sports Med. 2016. [Epub ahead of print].

Roberts JD, Voss JD, Knight B. The association of ambient air pollution and physical inactivity in the United States. PLoS One. 2014;9(3):e90143.

Alahmari AD, Mackay AJ, Patel AR, et al. Influence of weather and atmospheric pollution on physical activity in patients with COPD. Respir Res. 2015;16:71.

Li F, Liu Y, Lü J, Liang L, Harmer P. Ambient air pollution in China poses a multifaceted health threat to outdoor physical activity. J Epidemiol Community Health. 2015;69(3):201-4.

Sperandio E, Lauria V, Matheus A, et al. Cardiorespiratory fitness and peripheral muscle function in physically active adult smokers. European Respiratory Journal. 2014;44(Suppl 58):P4891. Available from: http://erj.ersjournals.com/content/44/Suppl_58/P4891 Accessed in 2016 (Nov 22)

Holahan CK, Holahan CJ, Li X. Living With a Smoker and Physical Inactivity: An Unexplored Health Behavior Pathway. Am J Health Promot. 2015;30(1):19-21.

Papathanasiou G, Papandreou M, Galanos A, et al. Smoking and physical activity interrelations in health science students. Is smoking associated with physical inactivity in young adults? Hellenic J Cardiol. 2012;53(1):17-25.

Mabry RM, Al-Busaidi ZQ, Reeves MM, Owen N, Eakin EG. Addressing physical inactivity in Omani adults: perceptions of public health managers. Public Health Nutr. 2014;17(3):674-81.

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Published

2017-02-02

How to Cite

1.
Sperandio EF, Arantes RL, Chao TP, Romiti M, Gagliardi AR de T, Dourado VZ. Living near the port area is associated with physical inactivity and sedentary behavior. Sao Paulo Med J [Internet]. 2017 Feb. 2 [cited 2025 Oct. 15];135(1):34-41. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/716

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