Factors associated with the longitudinal maintenance of active life among Brazilian adults (CUME Study)
DOI:
https://doi.org/10.12820/rbafs.30e0407Palabras clave:
Cohort study, Adult, Physical activity, NOVA Food ClassificationResumen
Introduction: The benefits of regular physical exercise for the prevention and treatment of chronic diseases have been well documented; and physically active individuals tend to adopt other positive health habits. Objective: To evaluate the longitudinal maintenance of active life among participants from the Cohort of Universities of Minas Gerais (CUME)/Brazil and associated factors. Methods: This is a prospective study, with data collected in 2016, 2018, and 2020. Sociodemographic, dietary, lifestyle, and physical activity variables were assessed. Poisson regression analysis was used for data analysis. Results: A total of 2,546 volunteers participated in the study. During this period, 40% of participants remained active from baseline to the first wave, 30% from the second to the third wave, and 29% throughout follow-up. For data analysis, two models were tested, one including ultra-processed foods and the other including natural and minimally processed foods. In the model adjusted with ultra-processed foods, the participants who were least likely to remain physically active were those aged between 30 and 50 years (PR = 0.94; p-value = 0.005), smokers (PR = 0.90; p-value = 0.003), and those who consumed higher proportions of energy from ultra processed foods (2nd tertile RP = 0.94, p-value = 0.007 and 3rd tertile RP = 0.97, p-value <0.001); while consuming alcoholic beverages was protective (PR = 1.09; p-value <0.001). A similar result was observed in the model with the inclusion of natural and minimally processed foods; however, a higher proportion of energy from minimally processed foods increased the likelihood of maintaining an active lifestyle (2nd tertile PR = 1.07, p-value = 0.004 and 3rd tertile PR = 1.15, p-value p<0.001). Conclusions: A reasonable number of cohort participants remained physically active. However, the results reinforce the need for health education actions, with an emphasis on physical activity and adequate nutrition for a better quality of life, especially in the group with lower adherence to this practice, that is, those between 30 and 50 years old, smokers, and those who consumed higher proportions of energy from ultra-processed foods.
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Derechos de autor 2025 Thamires Cristina Perdigão Rodrigues, Adriano Marçal Pimenta, Paulo de Souza Costa Sobrinho, Helen Hermana Miranda Hermsdorff, Josefina Bressan, Luciana Neri Nobre
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