title: Active commuting reduces sociodemographic differences in adherence to recommendations derived from leisure-time physical activity among Brazilian adults.
abstract: OBJECTIVE
  To investigate the consequences of including active commuting, compared with the leisure domain only, in the prevalence and sociodemographic factors associated with attending the physical activity recommendations, in Brazilian adults.
  
  
  METHODS
  Population-based cross-sectional study.
  
  
  METHODS
  Adults between 20 and 59 years of age (n = 1720) were face-to-face interviewed from September 2009 to January 2010. Sociodemographic indicators and leisure-time and commuting physical activity were assessed by a validated questionnaire. Poisson regression was used to estimate crude and adjusted prevalence ratio (PR) and 95% confidence interval (95% CI).
  
  
  RESULTS
  The prevalence of adherence to recommendations when only leisure-time physical activity was considered was 15.5% (95% CI: 13.6; 17.4) and was associated with men (PR: 1.57, 95% CI: 1.25; 1.96), adults without a partner (PR: 1.38 95% CI: 1.05; 1.81) and higher educational level and income. The prevalence of adherence to physical activity recommendations after the combination of leisure-time and commuting was 29.1% (95% CI: 26.5; 31.6). Percentages differences in favor of men, white adults and those with higher educational level and income were no longer significant after the inclusion of active commuting.
  
  
  CONCLUSIONS
  The inclusion of active commuting expands the percentage of adults who achieved the health-related physical activity recommendations and reduced important sociodemographic differences derived from the analysis of leisure-time physical activity alone. Public health strategies should consider the different domains of physical activity in the monitoring and promotion of a more active lifestyle.
authors.affiliation: Department of Physical Education, Federal University of Santa Catarina, Florianopolis, SC, Brazil. Electronic address: gfdelduca@gmail.com.
authors.forename: G F
authors.initials: GF
authors.lastname: Del Duca
authors.affiliation: Department of Physical Education, Federal University of Santa Catarina, Florianopolis, SC, Brazil.
authors.forename: M V
authors.initials: MV
authors.lastname: Nahas
authors.affiliation: School of Public Health, University of Sao Paulo, Sao Paulo, SP, Brazil.
authors.forename: L M T
authors.initials: LM
authors.lastname: Garcia
authors.affiliation: Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil.
authors.forename: S G
authors.initials: SG
authors.lastname: Silva
authors.affiliation: Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil.
authors.forename: P C
authors.initials: PC
authors.lastname: Hallal
authors.affiliation: Australian Research Centre for Population Oral Health, University of Adelaide, Adelaide, Australia.
authors.forename: M A
authors.initials: MA
authors.lastname: Peres
mesh_terms: D000328:Adult; D001938:Brazil; D003430:Cross-Sectional Studies; D015444:Exercise; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D017408:Guidelines as Topic; D006801:Humans; D007899:Leisure Activities; D008297:Male; D008875:Middle Aged; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014186:Transportation / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Cross-sectional studies; Epidemiologic studies; Leisure activities; Motor activity; Socio-economic factors; Transportation