Physical Activity, Sport Practice and Cardiovascular Risk Factors in Workers From a Public Hospital: A Trajectory Analysis

Rui Gonçalves Marques Elias; Ana Silvia Degasperi Ieker; Lucas Lopes Dos Reis; Antônio Stabelini Neto; Jeffer Eidi Sasaki; Wendell Arthur Lopes; Carla Eloise Costa; Wilson Rinaldi

doi:10.3389/fcvm.2021.740442

Physical Activity, Sport Practice and Cardiovascular Risk Factors in Workers From a Public Hospital: A Trajectory Analysis

Front Cardiovasc Med. 2021 Dec 17:8:740442. doi: 10.3389/fcvm.2021.740442. eCollection 2021.

Authors

Rui Gonçalves Marques Elias^{1

2}, Ana Silvia Degasperi Ieker^{3

4}, Lucas Lopes Dos Reis¹, Antônio Stabelini Neto¹, Jeffer Eidi Sasaki⁵, Wendell Arthur Lopes⁶, Carla Eloise Costa⁶, Wilson Rinaldi⁷

Affiliations

¹ UENP Laboratory - State University of Northern Paraná, Department of Health Sciences, Organization Research Group on Lifestyle, Exercise and Health - GPVES/UENP, Jacarezinho, Brazil.
² Master's Program in Physical Education, State University of Maringá, Maringá, Brazil.
³ Laboratory UNIPAR - Paraná University, Strategy for the Promotion of Health, Strategy for the Promotion of Health, Coexistence With Diversity in the University Community (SACODI), Umuarama, Brazil.
⁴ Student of the Postgraduate Program in Physical Education, State University of Maringá and State University of Londrina, Maringá, Brazil.
⁵ Laboratory UFTM, Federal University of Triangulo Mineiro, Uberaba, Brazil.
⁶ Laboratory of State University of Maringá, Department of Human Movement Sciences, Regional Campus of Vale do Ivaí, Member of the Research Group on Systemic Arterial Hypertension, Arterial Stiffness and Vascular Aging (GPHARV), Maringá, Brazil.
⁷ Laboratory of State University of Maringá, Research Group Laboratory of Studies in Physical Exercise and Health DEF / UEM / National Council for Scientific and Technological Development (CNPq), Maringá, Brazil.

Abstract

Background: Studies have demonstrated the positive effects of physical activity on cardiovascular risk factors. Longitudinal studies using modeled trajectories are necessary to understand patterns of physical activity and association with cardiovascular risk factors. Objective: To analyze the association between sports practice in young people and current physical activity with the trajectory of cardiovascular risk factors in workers at a public hospital. Methods: Four hundred and seventeen workers was followed for four years reporting Physical Activity, health status, lifestyle behaviors and socio-demographic characteristics. Group-based trajectory modeling identified the trajectories of PA and associations with time-stable and time-varying covariates. We considered a range of sociodemographic and health and lifestyle factors as potential covariates. Results: The results shows the association between participation in sports activities in youth and current physical activity and trajectories of cardiovascular risk, adjusted for sex and age (p < 0.05). Adults who reported having played sports in their youth and are currently active have a lower risk of having a history of obesity and low HDL-c than workers who did not play sports in their youth and are currently sedentary 0.690 (0.565-0.844) obesity, 0.647 (0.500-0.837) low HDL-c. Conclusion: The practice of sports in youth and current physical activity is a protective factor against the trajectory of obesity and low HDL-c, mainly in female workers. Programs to encourage the practice of physical activity should be carried out in order to reduce cardiovascular risk factors and prevent chronic diseases in workers.

Keywords: cardiovascular risk; chronic disease; health promotion; longitudinal studies; occupational health.