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BODY MASS INDEX TRAJECTORIES AND NONCOMMUNICABLE DISEASES IN WOMEN: THE ROLE OF LEISURE TIME PHYSICAL ACTIVITY
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Universidade de São Paulo. Departamento de Nutrição. São Paulo, SP, Brasil / Universidade Estadual Paulista "Júlio de Mesquita Filho". Departamento de Educação Física. Presidente Prudente, SP, Brasil.
University of Maiduguri, Department of Physiotherapy. Maiduguri, Nigeria.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Universidade de Lisboa. Centro Interdisciplinar de Estudos da Performance Humana. Faculdade de Motricidade Humana. Laboratório de Exercício e Saúde. Lisboa, Portugal.
Universidade Federal de Sergipe. Departamento de Educação Física. São Cristóvão, SP, Brasil.
University of Maiduguri, Department of Physiotherapy. Maiduguri, Nigeria.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Universidade de Lisboa. Centro Interdisciplinar de Estudos da Performance Humana. Faculdade de Motricidade Humana. Laboratório de Exercício e Saúde. Lisboa, Portugal.
Universidade Federal de Sergipe. Departamento de Educação Física. São Cristóvão, SP, Brasil.
Abstract
Objective: To analyze the association between body mass index trajectories and non-communicable diseases (NCDs) in women, and the interaction effects
of leisure time physical activity on this relationship. Methods: Sample was composed by 15 628 women (≥30 years old) who per formed objective measurement of body mass, height, and blood pressure in the 2013 Brazilian Health Survey (2013). Information regarding the body mass at 20 years old, current type 2 diabetes (T2DM), dyslipidemia diagnosis, and leisure time physical activity were self-reported by the participants. Socio demographic and behavioral covariates were considered. Logistic regression models were used for the statistical analysis. Results: Those who were obese in both moments and women who become obese showed similar high risk, however, the prevalence of NCDs among women who were no longer obese was similar to the consistently non-obese. Leisure time physical activity attenuated the general deleterious effect of obesity, especially among the consistently obese women for dyslipidemia (inac tive: OR: 2.02 [95%CI: 1.69-2.43] vs active: OR: 1.05 [95%CI: 0.55-1.99]), T2DM (inactive: OR: 3.84 [95%CI: 2.72-5.43] vs active: OR: 4.38 [95%CI: 1.49-12.86]) and high blood pressure (inactive: OR: 2.00 [95%CI: 1.56-2.57] vs active: OR: 1.15 [95%CI: 0.57-2.52]). Conclusions: Changes in body mass index appear to be sensitive to detecting the risk of NCDs over lifespan. In addition, leisure time physical activity atten uates the negative effects of obesity on NCDs, but this appears more important for the consistently non-obese women.
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