Associação entre doenças crônicas em adultos e redução dos níveis de atividade física

Abstract

Type of study: Prevalence study. Objective: To describe the occurrence of diseases in hypertensive and/ or diabetic patients, users of Basic Health Unit (BHU) and to associate the occurrence of both diseases with physical activity. Methods: Cross-sectional study involving 222 patients with hypertension and/or diabetes mellitus, of both sexes and users of two BHU from Bauru, Brazil. Clinical records of the patients were analyzed to detect the presence of diseases, body weight and height were measured to determine nutritional status, as well as, a questionnaire assessed the physical activity level. Chi-square test identified associations and the binary logistic regression expressed the magnitude of these associations. Significant was set at p < 0.05. Results: The sample had more women (64%), obese (42.3%) and sedentary persons (78.8%). The most frequent diseases among the patients were hypercholesterolemia (31.5%), arthritis / arthrosis (23.8%) and low back pain (23.8%). There was significant association between leisure physical activity (intensity, weekly practice and prior engagement) and lower occurrence of metabolic diseases. Independent of confounders, diabetic and diabetics with hypertension had increased likelihood to be sedentary. Conclusion: The results suggest that the onset of hypertension and / or diabetic co-morbidity is associated with high rates of physical inactivity and, consequently, an increased number of co-morbidities.