Abstract
This study investigates the association between leisure-time physical activity and commuting-related physical activity and high blood pressure among participants in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Physical activity was assessed through application of the International Physical Activity Questionnaire, particularly the domains addressing leisure and transportation. We used the World Health Organization’s definition (⩾150 min per week of moderate activities or 75 min per week of vigorous activities) to establish three categories: active, insufficiently active and inactive. Hypertension was defined as systolic/diastolic blood pressure of >140/90 mm Hg or use of antihypertensive medications. From a universe of 15 105 participants, we analysed 13 857 subjects without previous cardiovascular diseases. The association between physical activity and hypertension was obtained using Poisson regression with adjustment for age, race, education, income, body mass index, diabetes and sodium and alcohol intake. Men who were active during leisure time had a multivariate prevalence ratio (95% confidence interval) of 0.84 (0.77–0.92) for hypertension compared with inactive men. For women, the prevalence ratio of active vs inactive during leisure time was 0.86 (0.79–0.95). However, this protective effect of leisure-time physical activity was not observed among men and women with diabetes or obese women. The association found between commuting-related physical activity and hypertension was not detected among men, and the prevalence ratio for women who were active during commuting time compared with inactive women was 1.11 (1.01–1.21). In conclusion, leisure-time physical activity was protective against hypertension, and commuting-related physical activity was associated with high blood pressure among women.
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References
GBD 2013 Risk Factors Collaborators. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2015; 386 (10010): 2287–2323.
Whelton PK . Epidemiology of hypertension. Lancet 1994; 344: 101–106.
Lee I-M, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT . Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 2012; 380: 219–229.
Whelton SP, Chin A, Xin X, He J . Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann Intern Med 2002; 136: 493–503.
Willey JZ, Moon YP, Sherzai A, Cheung YK, Sacco RL, Elkind MS . Leisure-time physical activity and mortality in a multiethnic prospective cohort study: the Northern Manhattan Study. Ann Epidemiol 2015; 25 (7): 475–479.
Hamer M, Chida Y . Active commuting and cardiovascular risk: a meta-analytic review. Prev Med 2008; 46: 9–13.
Hu G, Jousilahti P, Borodulin K, Barengo NC, Lakka TA, Nissinen A et al. Occupational, commuting and leisure-time physical activity in relation to coronary heart disease among middle-aged Finnish men and women. Atherosclerosis 2007; 194: 490–497.
Hu G, Jousilahti P, Antikainen R, Tuomilehto J . Occupational, commuting, and leisure-time physical activity in relation to cardiovascular mortality among finnish subjects with hypertension. Am J Hypertens 2007; 20: 1242–1250.
Barengo NC, Hu G, Kastarinen M, Lakka TA, Pekkarinen H, Nissinen A et al. Low physical activity as a predictor for anti-hypertensive drug treatment in 25–64-year-old populations in eastern and south-western Finland. J Hypertens 2005; 23: 293–299.
Laverty AA, Palladino R, Lee JT, Millett C . Associations between active travel and weight, blood pressure and diabetes in six middle income countries: a cross-sectional study in older adults. Int J Behav Nutr Phys Act 2015; 12: 65.
Furie GL, Desai MM . Active transportation and cardiovascular disease risk factors in U.S. adults. Am J Prev Med 2012; 43: 621–628.
Gordon-Larsen P, Boone-Heinonen J, Sidney S, Sternfeld B, Jacobs DR Jr, Lewis CE . Active commuting and cardiovascular disease risk: the CARDIA study. Arch Intern Med 2009; 169: 1216–1223.
Hu G, Pekkarinen H, Hänninen O, Yu Z, Guo Z, Tian H . Commuting, leisure-time physical activity, and cardiovascular risk factors in China. Med Sci Sports Exerc 2002; 34: 234–238.
Millett C, Agrawal S, Sullivan R, Vaz M, Kurpad A, Bharathi V et al. Associations between active travel to work and overweight, hypertension, and diabetes in India: a cross-sectional study. PLoS Med 2013; 10 (6): e1001459.
Schmidt MI, Duncan BB, Mill JG, Lotufo PA, Chor D, Barreto SM et al. Cohort profile: Longitudinal Study of Adult Health (ELSA-Brazil). Int J Epidemiol 2015; 44: 68–75.
Lotufo PA . Construction of the Longitudinal Study of Adult Health (ELSA-Brazil). Rev Saude Publica 2013; 47 (Suppl 2): 3–9.
Pereira TS, Benseñor IJ, Meléndez JG, Faria CP, Cade NV, Mill JG et al. Sodium and potassium intake estimated using two methods in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Sao Paulo Med J 2015; 133 (6): 510–516.
Schmidt MI, Hoffmann JF, de Fátima Sander Diniz M, Lotufo PA, Griep RH, Benseñor IM et al. High prevalence of diabetes and intermediate hyperglycemia—The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Diabetol Metab Syndr 2014; 6: 123.
Physical Activity Guidelines Advisory Committee Report, 2008. To the Secretary of Health and Human Services. Part A: executive summary. Nutr Rev 2009; 67: 114–120.
Matsudo SM, Araújo T, Matsudo V, Andrade D, Oliveira LC, Braggion G . [International physical activity questionnaire (IPAQ): study of validity and reliability in Brazil]. Rev Bras Ativ Saude 2001; 6: 6 18.
Florindo AA, Guimaraes VV, Cesar CL, Barros MB, Alves MC, Goldbaum M . Epidemiology of leisure, transportation, occupational, and household physical activity: prevalence and associated factors. J Phys Act Health 2009; 6: 625–632.
Hallal PC, Dumith SDC, Bastos JP, Reichert FF, Siqueira FV, Azevedo MR . Evolution of epidemiological research on physical activity in Brazil: systematic review. Rev Saude Publica 2007; 41: 453–460.
Global Recommendations on Physical Activity for Health. Geneva: World Health Organization. 2010. https://www.ncbi.nlm.nih.gov/books/NBK305057/ (accessed November, 2015).
Chor D, Pinho Ribeiro AL, Sá Carvalho M, Duncan BB, Andrade Lotufo P, Araújo Nobre A et al. Prevalence, awareness, treatment and influence of socioeconomic variables on control of high blood pressure: results of the ELSA-Brasil study. PLoS One 2015; 10 (6): e0127382.
Lotufo PA, Pereira AC, Vasconcellos PS, Santos IS, Mill JG, Benseñor IM . Resistant hypertension: risk factors, subclinical atherosclerosis, and comorbidities among adults-the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). J Clin Hypertens (Greenwich) 2015; 17: 74–80.
Ribeiro AL, Pereira SV, Bergmann K, Ladeira RM, Oliveira RA, Lotufo PA et al. Challenges to implementation of the ECG reading center in ELSA-Brasil. Rev Saude Publica 2013; 47 (Suppl 2): 87–94.
Beenackers MA, Kamphuis CB, Giskes K, Brug J, Kunst AE, Burdorf A et al. Socioeconomic inequalities in occupational, leisure-time, and transport related physical activity among European adults: a systematic review. Int J Behav Nutr Phys Act 2012; 9: 116.
Holtermann A, Hansen JV, Burr H, Søgaard K, Sjøgaard G . The health paradox of occupational and leisure-time physical activity. Br J Sports Med 2012; 46: 291–295.
Lu S, Su J, Xiang Q, Zhang F, Wu M . Active transport and health outcomes: findings from a population study in Jiangsu, China. J Environ Public Health 2013; 2013: 624194.
Brook RD, Sun Z, Brook JR, Zhao X, Ruan Y, Yan J et al. Extreme air pollution conditions adversely affect blood pressure and insulin resistance: the Air Pollution and Cardiometabolic Disease Study. Hypertension 2016; 67 (1): 77–85.
Zhong J, Cayir A, Trevisi L, Sanchez-Guerra M, Lin X, Peng C et al. Traffic-related air pollution, blood pressure, and adaptive response of mitochondrial abundance. Circulation 2016; 133 (4): 378–387.
Sérgio Chiarelli P, Amador Pereira LA, Nascimento Saldiva PH, Ferreira Filho C, Bueno Garcia ML, Ferreira Braga AL et al. The association between air pollution and blood pressure in traffic controllers in Santo André, São Paulo, Brazil. Environ Res 2011; 111 (5): 650–655.
Saito I, Nishino M, Kawabe H, Wainai H, Hasegawa C, Saruta T et al. Leisure time physical activity and insulin resistance in young obese students with hypertension. Am J Hypertens 1992; 5 (12 Pt 1): 915–918.
Asferg C, Møgelvang R, Flyvbjerg A, Frystyk J, Jensen JS, Marott JL et al. Interaction between leptin and leisure-time physical activity and development of hypertension. Blood Press 2011; 20 (6): 362–369.
Acknowledgements
The ELSA-Brasil baseline study was supported by the Brazilian Ministry of Health (Science and Technology Department) and the Brazilian Ministry of Science and Technology (Financiadora de Estudos e Projetos and CNPq National Research Council; Grants 01 06 0010.00 RS, 01 06 0212.00 BA, 01 06 0300.00 ES, 01 06 0278.00 MG, 01 06 0115.00 SP and 01 06 0071.00 RJ).
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PAL received modest honoraria funding from AbbVie Brazil and Abbott Brazil.
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Treff, C., Benseñor, I. & Lotufo, P. Leisure-time and commuting physical activity and high blood pressure: the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). J Hum Hypertens 31, 278–283 (2017). https://doi.org/10.1038/jhh.2016.75
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DOI: https://doi.org/10.1038/jhh.2016.75
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