Monday, August 22, 2016

Low Physical Activity in Spain and Its Association with Diabetes and Other Cardiovascular Risk Factors

 


PLoS One. 2016 Aug 17;11(8):e0160959. doi: 10.1371/journal.pone.0160959. eCollection 2016.

Low Physical Activity and Its Association with Diabetes and Other Cardiovascular Risk Factors: A Nationwide, Population-Based Study.

Brugnara L1,2, Murillo S1,2, Novials A1,2, Rojo-Martínez G1,3, Soriguer F1,3, Goday A4, Calle-Pascual A5, Castaño L1,6, Gaztambide S1,6, Valdés S1,3, Franch J7, Castell C8, Vendrell J1,9, Casamitjana R1,2, Bosch-Comas A1,2, Bordiú E5, Carmena R1,10, Catalá M1,10, Delgado E11, Girbés J12, López-Alba A13, Martínez-Larrad MT1,14, Menéndez E11, Mora-Peces I15, Pascual-Manich G1,2, Serrano-Ríos M1,16, Gomis R1,2, Ortega E14,17.

Author information

1CIBERDEM-Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders, Madrid, Spain.
2IDIBAPS-August Pi i Sunyer Biomedical Research Institute / Hospital Clínic de Barcelona, Barcelona, Spain.
3Hospital Universitario Carlos Haya, Department of Endocrinology and Nutrition, Málaga, Spain.
4Hospital del Mar, Department of Endocrinology and Nutrition, Barcelona, Spain.
5Hospital Universitario San Carlos, Madrid, Spain.
6Hospital Universitario de Cruces, UPV-EHU, Diabetes Research Group, Baracaldo, Spain.
7EAP Raval Sud, Institut Català de la Salut, Red GEDAPS, IDIAP, Barcelona, Spain.
8Public Health Division, Autonomous Government of Catalonia, Barcelona, Spain.
9Department of Endocrinology and Nutrition, Hospital Universitario Joan XXIII, Tarragona, Spain.
10Department of Medicine and Endocrinology, Hospital Clínico Universitario de Valencia, Valencia, Spain.
11Department of Endocrinology and Nutrition, Hospital Universitario Central de Asturias, Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, Oviedo, Spain.
12Hospital Arnau de Vilanova, Valencia, Spain.
13Fundación Hospital de Jove, Gijón, Spain.
14CIBEROBN-Spanish Biomedical Research Centre in Physiopathology of Obesity.
15Canarian Health Service, San Cristóbal de la Laguna, Tenerife, Spain.
16Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
17Department of Endocrinology and Nutrition, ICMDM, Hospital Clinic Barcelona.

Abstract

Low physical activity (PA), or sedentary lifestyle, is associated with the development of several chronic diseases.

We aimed to investigate current prevalence of sedentariness and its association with diabetes and other cardiovascular risk factors.

PA was evaluated in a population-based, cross-sectional, randomly sampled study conducted in 2009-2010 in Spain.

International Physical Activity Questionnaire (SF-IPAQ) was used to assess PA. 4991 individuals (median age 50 years, 57% women) were studied.

Prevalence of sedentariness was 32.3% for men and 39% for women (p < 0.0001).
Sex differences were particularly notable (age*sex interaction, p = 0.0024) at early and older ages. Sedentary individuals had higher BMI (28 vs. 27 kg/m2) and obesity prevalence (37 vs. 26%).
Low PA was present in 44, 43, and 38% of individuals with known diabetes (KDM), prediabetes/unknown-diabetes (PREDM/UKDM), and normal glucose regulation (p = 0.0014), respectively.

No difference between KDM and PREDM/UKDM (p = 0.72) was found.

Variables independently associated (p < 0.05) with sedentariness were age, sex, BMI, central obesity, Mediterranean diet adherence, smoking habit, HDL-cholesterol, triglycerides and dyslipidemia.
Low PA is on the rise in Spain, especially among women.

Sedentariness is associated with several cardiovascular risk factors and may be responsible for the increasing prevalence of obesity and diabetes in this country.

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