Alex Antonio Florindo1,2,3, Inaian Pignatti Teixeira4,5, Ligia Vizeu Barrozo6, Flávia Mori Sarti4,7, Regina Mara Fisberg7,8, Douglas Roque Andrade4,5, Leandro Martin Totaro Garcia5,9. 1. School of Arts, Sciences and Humanities, University of Sao Paulo, Rua Arlindo Bettio, 1000, Sao Paulo, SP, 03828-000, Brazil. aflorind@usp.br. 2. Graduate Program in Nutrition in Public Health, School of Public Health, University of Sao Paulo, Sao Paulo, Brazil. aflorind@usp.br. 3. Physical Activity Epidemiology Group, University of Sao Paulo, Sao Paulo, Brazil. aflorind@usp.br. 4. School of Arts, Sciences and Humanities, University of Sao Paulo, Rua Arlindo Bettio, 1000, Sao Paulo, SP, 03828-000, Brazil. 5. Physical Activity Epidemiology Group, University of Sao Paulo, Sao Paulo, Brazil. 6. Department of Geography, School of Philosophy, Literature and Human Sciences, University of Sao Paulo, Sao Paulo, Brazil. 7. Graduate Program in Nutrition in Public Health, School of Public Health, University of Sao Paulo, Sao Paulo, Brazil. 8. Department of Nutrition, School of Public Health, University of Sao Paulo, Sao Paulo, Brazil. 9. Centre for Public Health, Queen's University Belfast, Belfast, UK.
Abstract
BACKGROUND: Many studies have investigated the association between the built environment and physical activity behavior in urban settings. However, most of the studies conducted in low- and middle-income countries were cross-sectional, which are limited to identify behavioral determinants. We propose a prospective cohort study to verify the relationship between built environment features and leisure-time and transport-related physical activity in adults from Sao Paulo city, Brazil. METHODS: Prospective multilevel cohort, denominated "ISA-Physical Activity and Environment". It will build on the Health Survey of Sao Paulo in 2015 ("Inquérito de Saúde de São Paulo (ISA)" in Portuguese). The Health Survey of Sao Paulo, originally designed as a cross-sectional survey, had a multi-stage sample, covering 150 census tracts distributed in five health administrative areas. Data collection was performed by face-to-face interviews until December 2015 and the sample comprised 4043 individuals aged 12 years or more. The ISA-Physical Activity and Environment study will reassess people who are aged 18 years or more in 2020, including telephone and household interviews. The primary outcome will be leisure-time and transport-related physical activity, assessed through the International Physical Activity Questionnaire long version. Exposure variables will be built environment features in the areas participants live and work in the follow-up. Data analysis will include multivariate multilevel linear and logistic models. We will also conduct cost-effectiveness analysis and develop agent-based models to help inform decision-makers. The study will be conducted by an interdisciplinary research team specialized in physical activity epidemiology, nutritional epidemiology, georeferencing applied to health, statistics, agent-based modeling, public health policy, and health economics. DISCUSSION: There are few longitudinal studies on the relationship between the built environment and physical activity behavior in low- and middle-income countries. We believe that the ISA-Physical Activity and Environment study will contribute with important results for the progress of the knowledge in this field and for the implementation of policies that promote leisure-time physical activity and active travel in Sao Paulo and similar cities across the world.
BACKGROUND: Many studies have investigated the association between the built environment and physical activity behavior in urban settings. However, most of the studies conducted in low- and middle-income countries were cross-sectional, which are limited to identify behavioral determinants. We propose a prospective cohort study to verify the relationship between built environment features and leisure-time and transport-related physical activity in adults from Sao Paulo city, Brazil. METHODS: Prospective multilevel cohort, denominated "ISA-Physical Activity and Environment". It will build on the Health Survey of Sao Paulo in 2015 ("Inquérito de Saúde de São Paulo (ISA)" in Portuguese). The Health Survey of Sao Paulo, originally designed as a cross-sectional survey, had a multi-stage sample, covering 150 census tracts distributed in five health administrative areas. Data collection was performed by face-to-face interviews until December 2015 and the sample comprised 4043 individuals aged 12 years or more. The ISA-Physical Activity and Environment study will reassess people who are aged 18 years or more in 2020, including telephone and household interviews. The primary outcome will be leisure-time and transport-related physical activity, assessed through the International Physical Activity Questionnaire long version. Exposure variables will be built environment features in the areas participants live and work in the follow-up. Data analysis will include multivariate multilevel linear and logistic models. We will also conduct cost-effectiveness analysis and develop agent-based models to help inform decision-makers. The study will be conducted by an interdisciplinary research team specialized in physical activity epidemiology, nutritional epidemiology, georeferencing applied to health, statistics, agent-based modeling, public health policy, and health economics. DISCUSSION: There are few longitudinal studies on the relationship between the built environment and physical activity behavior in low- and middle-income countries. We believe that the ISA-Physical Activity and Environment study will contribute with important results for the progress of the knowledge in this field and for the implementation of policies that promote leisure-time physical activity and active travel in Sao Paulo and similar cities across the world.
Entities:
Keywords:
Active travel; Adults; Built environment; Cohort; Leisure-time physical activity
Authors: Jacqueline Kerr; James F Sallis; Neville Owen; Ilse De Bourdeaudhuij; Ester Cerin; Takemi Sugiyama; Rodrigo Reis; Olga Sarmiento; Karel Frömel; Josef Mitás; Jens Troelsen; Lars Breum Christiansen; Duncan Macfarlane; Deborah Salvo; Grant Schofield; Hannah Badland; Francisco Guillen-Grima; Ines Aguinaga-Ontoso; Rachel Davey; Adrian Bauman; Brian Saelens; Chris Riddoch; Barbara Ainsworth; Michael Pratt; Tom Schmidt; Lawrence Frank; Marc Adams; Terry Conway; Kelli Cain; Delfien Van Dyck; Nicole Bracy Journal: J Phys Act Health Date: 2012-09-11
Authors: Alex V Rowlands; FranÇois Fraysse; Mike Catt; Victoria H Stiles; Rebecca M Stanley; Roger G Eston; Tim S Olds Journal: Med Sci Sports Exerc Date: 2015-01 Impact factor: 5.411
Authors: Aiden Doherty; Dan Jackson; Nils Hammerla; Thomas Plötz; Patrick Olivier; Malcolm H Granat; Tom White; Vincent T van Hees; Michael I Trenell; Christoper G Owen; Stephen J Preece; Rob Gillions; Simon Sheard; Tim Peakman; Soren Brage; Nicholas J Wareham Journal: PLoS One Date: 2017-02-01 Impact factor: 3.240
Authors: Takemi Sugiyama; Ester Cerin; Neville Owen; Adewale L Oyeyemi; Terry L Conway; Delfien Van Dyck; Jasper Schipperijn; Duncan J Macfarlane; Deborah Salvo; Rodrigo S Reis; Josef Mitáš; Olga L Sarmiento; Rachel Davey; Grant Schofield; Rosario Orzanco-Garralda; James F Sallis Journal: Health Place Date: 2014-04-11 Impact factor: 4.078
Authors: Steven C Moore; Alpa V Patel; Charles E Matthews; Amy Berrington de Gonzalez; Yikyung Park; Hormuzd A Katki; Martha S Linet; Elisabete Weiderpass; Kala Visvanathan; Kathy J Helzlsouer; Michael Thun; Susan M Gapstur; Patricia Hartge; I-Min Lee Journal: PLoS Med Date: 2012-11-06 Impact factor: 11.069
Authors: Nicola W Burton; Michele Haynes; Lee-Ann M Wilson; Billie Giles-Corti; Brian F Oldenburg; Wendy J Brown; Katrina Giskes; Gavin Turrell Journal: BMC Public Health Date: 2009-03-05 Impact factor: 3.295
Authors: Christelle Clary; Daniel Lewis; Elizabeth Limb; Claire M Nightingale; Bina Ram; Angie S Page; Ashley R Cooper; Anne Ellaway; Billie Giles-Corti; Peter H Whincup; Alicja R Rudnicka; Derek G Cook; Christopher G Owen; Steven Cummins Journal: Int J Behav Nutr Phys Act Date: 2020-08-01 Impact factor: 8.915
Authors: Beatriz M Vicente; João Valentini Neto; Marcus Vinicius L Dos Santos Quaresma; Janaína Santos Vasconcelos; Roseli Espíndola Bauchiunas; Elisabete C M Dos Santos; Camila M Picone; Karim Y Ibrahim; Vivian I Avelino-Silva; Camila M de Melo; Aluísio C Segurado; Sandra Maria Lima Ribeiro Journal: AIDS Behav Date: 2022-06-14