Agrupamentos de atividade física, dieta e comportamento sedentário estão associados à saúde mental em idosos brasileiros?

Santos, Carla Elane Silva dos; Lopes, Adalberto Aparecido dos Santos; Siqueira Junior, Joel de Almeida; d’Orsi, Eleonora; Matias, Thiago Sousa; Rech, Cassiano Ricardo

doi:10.1590/1413-81232026313.06592024

person Carla Elane Silva dos Santos

made important contributions and met the criteria for authorship of this study · all phases of the study design · data analysis · preparation of graphical representations · literature search · interpretation of results · writing of the manuscript

schoolPrograma de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina. Campus Universitário Reitor João David Ferreira Lima, Prédio administrativo, Centro de Desportos, sala 200, 2º andar, Trindade. 88040-900 Florianópolis SC Brasil. carlaef_uesb@hotmail.com

0000-0002-3659-6921

person Adalberto Aparecido dos Santos Lopes

made important contributions and met the criteria for authorship of this study · data analysis writing · critical manuscript review · critical review of the manuscript

schoolPrograma de Pós-Graduação em Ambiente e Saúde, Universidade do Planalto Catarinense. Lages SC Brasil.

0000-0002-3001-6412

person Joel de Almeida Siqueira Junior

made important contributions and met the criteria for authorship of this study · writing of the manuscript · critical manuscript review at all stages

schoolPrograma de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina. Campus Universitário Reitor João David Ferreira Lima, Prédio administrativo, Centro de Desportos, sala 200, 2º andar, Trindade. 88040-900 Florianópolis SC Brasil. carlaef_uesb@hotmail.com

0000-0002-2368-0446

person Eleonora d’Orsi

made important contributions and met the criteria for authorship of this study · acted as senior reviewer · critical manuscript review at all stages · responsible for the organization · coordination of the EpiFloripa Aging study

schoolPrograma de Pós-Graduação em Saúde Coletiva, Universidade Federal de Santa Catarina. Florianópolis SC Brasil.

0000-0003-2027-1089

person Thiago Sousa Matias

made important contributions and met the criteria for authorship of this study · all phases of the study design · data analysis · preparation of graphical representations and interpretation of results

schoolPrograma de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina. Campus Universitário Reitor João David Ferreira Lima, Prédio administrativo, Centro de Desportos, sala 200, 2º andar, Trindade. 88040-900 Florianópolis SC Brasil. carlaef_uesb@hotmail.com

0000-0003-0241-3776

person Cassiano Ricardo Rech

made important contributions and met the criteria for authorship of this study · acted as mentor and senior reviewer · conceptualization and initial design of the study · critically reviewed the manuscript throughout all stages

schoolPrograma de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina. Campus Universitário Reitor João David Ferreira Lima, Prédio administrativo, Centro de Desportos, sala 200, 2º andar, Trindade. 88040-900 Florianópolis SC Brasil. carlaef_uesb@hotmail.com

0000-0002-9647-3448

Chief editors:

Maria Cecília de Souza Minayo, Romeu Gomes, Antônio Augusto Moura da Silva, Vania de Matos Fonseca

Variables		Total	95% CI
Sociodemographic
Women [n (%)]		774 (63.1)	58.6-64.0
Age (years)^†		73.1 (±7.7)
Schooling (years)^†		9 (±6.1)
Living alone^†		275 (22.2)	19.6-24.1
Behavioral^†
MVPA (weekly frequency)		0.3 (±0.8)
Sedentary behavior (min/day)		220.6 (±154.4)
Food consumption (weekly frequency)
	Vegetables	5.4 (±2.2)
	Fruits	6.3 (±1.6)
	Bean	4.2 (±2.5)
	Integrals	3.4 (±3.2)
	Fried Foods	1.2 (±1.6)
	Sugary drinks	1.5 (±2.4)
	Candies	2.4 (±2.6)
Diet quality		26.5 (±12.5)
Health conditions [n (%)]
Presence of depressive symptoms
	No	1,009 (85.3)	83.3-87.4
	Yes	171 (14.7)	11.9-17.8
Presence of mild cognitive impairment
	No	1,044 (82.7)	81.1-85.2
	Yes	209(17.3)	14.1-21.1
Stroke		115 (8.1)	7.6-10.8
Diabetes		324 (26)	23.3-28.1
Functional dependency
	No dependency	396 (30.2)	29.3-34.5
	Mild	464 (38)	34.7-40.1
	Moderate/severe	380(31.8)	28.1-33.2

Exposure	Cluster 1	Cluster 2	Cluster 3	Cluster 4
	Inactive-poor diet (n=348)	Inactive-healthy diet (n=460)	Sedentary-healthy diet (n=213)	More active-healthy diet (n=240)
	Mean±(SD)	Mean±SD	Mean±SD	Mean±SD
MVPA	0.03±(0.18)	0.00±(0.00)	0.18±(0.43)	1.70±(1.00)
Sedentary behavior	174.8±(92.9)	153.5±(79.2)	488.9±126.8	177.7±(94.8)
Diet quality	13.9±(5.8)	32.9±(7.28)	25.3±(12.1)	29.8±(9.9)

Cluster profiles	Mild cognitive impairment			Depressive Symptoms
	n (%)	Crude	Adjusted	n (%)	Crude	Adjusted
	n (%)	OR (CI95%)	OR (CI95%)^†	n (%)	OR (CI95%)	OR (CI95%)^††
Inactive/poor diet	83 (23.9)	1	1	64 (19.0)	1	1
Inactive/healthy diet	69 (15.2)	0.48 (0.25-0.91)*	0.64 (0.33-1.23)	53 (12.3)	0.47 (0,26-0.83)*	0.54 (0.28-1.01)
Sedentary/healthy diet	35(16.5)	0.67 (0.41-1.11)	0.69 (0.40-1.19)	41 (20.9)	0.09 (0,51-1,64)	0.89 (0.46-1.71)
More active/healthy diet	22 (9.3)	0.20 (0.10-0.42)**	0.48 (0.24-0.97)*	13 (6.0)	0.21 (0.09-0.47)**	0.36 (0.16-0.78)*

[TFN1] † Value expressed as mean and standard deviation; MVPA: moderate to vigorous physical activity; CI: Confidence Interval.

[TFN2] Source: Authors.