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Aim <p>To perform a subanalysis of the Brazilian National Health Survey 2019 focusing on estimating the prevalence of chronic musculoskeletal disorders (MSKDs) and to assess the impact of leisure-time physical activity (LTPA) on the associations of depression, sleep disorders, and obesity with chronic MSKDs.</p> Subject and Methods <p>This cross-sectional, nationwide study included 87,648 adults, with prevalence ratios estimated from weighted sample strata. Poisson regression models with robust variance estimated the prevalence ratio (PR) with 95% confidence interval (CI) of chronic MSKDs according to depression, sleep disorders, BMI, and LTPA. Interaction models of marginal effects evaluated the influence of LTPA on the predicted probability of chronic MSKDs considering the presence of other comorbidities.</p> Results <p>The weighted prevalence of chronic MSKDs was 26.1% (95%CI 25.5–26.8%), and it was associated with depression [PR: 2.55 (95% CI: 2.35–2.77), p &lt; 0.001], sleep disorders [PR: 2.32 (95% CI: 2.17–2.48), p &lt; 0.001], and obesity [PR: 1.39 (95% CI: 1.29–1.39), p &lt; 0.001], while it inversely associated with LTPA [PR: 0.92 (95% CI: 0.86–0.99), p = 0.020]. Although depression, sleep disorders and obesity increased the chances for having chronic MSKDs, adherence to international physical activity guidelines was associated with a lower predicted probability of chronic MSKDs, regardless of the associated comorbidities.</p> Conclusions <p>In Brazil, chronic MSKDs were highly prevalent and associated with other disabling comorbidities. Yet the associations were attenuated by meeting current physical activity recommendations.</p>

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The interplay between physical activity, chronic musculoskeletal disorders, and related comorbidities in 87,648 Brazilian adults: a cross-sectional, population-based study

  • 期刊论文

  • 发表日期：

    2025年5月6日

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  • Arão Belitardo de Oliveira,
  • Yohannes Woubishet Woldeamanuel,
  • Gabriel Taricani Kubota,
  • Priscilla B. Delgado,
  • Yane C. Pelicer,
  • Kriscia Partamian,
  • Larissa Karen Pereira,
  • Madeline Welch,
  • Roy La Touche,
  • Álvaro Reina-Varona,
  • Dale S. Bond,
  • Isabela M. Benseñor,
  • Alessandra C. Goulart

摘要

Aim

To perform a subanalysis of the Brazilian National Health Survey 2019 focusing on estimating the prevalence of chronic musculoskeletal disorders (MSKDs) and to assess the impact of leisure-time physical activity (LTPA) on the associations of depression, sleep disorders, and obesity with chronic MSKDs.

Subject and Methods

This cross-sectional, nationwide study included 87,648 adults, with prevalence ratios estimated from weighted sample strata. Poisson regression models with robust variance estimated the prevalence ratio (PR) with 95% confidence interval (CI) of chronic MSKDs according to depression, sleep disorders, BMI, and LTPA. Interaction models of marginal effects evaluated the influence of LTPA on the predicted probability of chronic MSKDs considering the presence of other comorbidities.

Results

The weighted prevalence of chronic MSKDs was 26.1% (95%CI 25.5–26.8%), and it was associated with depression [PR: 2.55 (95% CI: 2.35–2.77), p < 0.001], sleep disorders [PR: 2.32 (95% CI: 2.17–2.48), p < 0.001], and obesity [PR: 1.39 (95% CI: 1.29–1.39), p < 0.001], while it inversely associated with LTPA [PR: 0.92 (95% CI: 0.86–0.99), p = 0.020]. Although depression, sleep disorders and obesity increased the chances for having chronic MSKDs, adherence to international physical activity guidelines was associated with a lower predicted probability of chronic MSKDs, regardless of the associated comorbidities.

Conclusions

In Brazil, chronic MSKDs were highly prevalent and associated with other disabling comorbidities. Yet the associations were attenuated by meeting current physical activity recommendations.