460
Journal of Physical Activity and Health, 2010, 7, 460-464
© 2010 Human Kinetics, Inc.
Leisure-Time Physical Activity:
Association With Activity Levels in Other Domains
Airton J. Rombaldi, Ana M.B. Menezes, Mario Renato Azevedo, and Pedro C. Hallal
Objectives: To explore whether participation in leisure-time physical activity (LTPA) is associated with partici-
pation in occupational, housework, and transport-related physical activity. Methods: Population-based cross-
sectional study covering a multistage sample of 972 subjects age 20 to 69 years. Physical activity was measured
using the long version of the International Physical Activity Questionnaire. A LTPA score was calculated as
follows: min/wk of walking + min/wk of moderate-intensity physical activity + (min/wk of vigorous-intensity
physical activity × 2). Similar scores were generated for each domain. For categorical analyses, the scores were
divided into 3 categories: 0 min/wk, 10–149 min/wk, and ≥150 min/wk. Results: The proportion of subjects
practicing less than 150 min/wk of physical activity in each domain was: leisure-time (69.8%), occupational
(58.3%), housework (35.0%), transportation (51.9%). Subjects with a transport-related physical activity score
equal to or above 150 min/wk were 40% less likely to be sedentary in leisure-time in comparison with those
who did not practice transport-related physical activity. Housework and occupational physical activity were not
related to participation in LTPA. Conclusions: Future physical activity campaigns should focus on other domains
instead of LTPA alone, particularly supporting transport-related physical activity as a strategy of health promotion.
Keywords: motor activity, public health, epidemiology, developing countries
Rombaldi is with the Dept of Sports, Federal University of
Pelotas, Brazil. Menezes is with the Dept of Clinical Medicine,
Federal University of Pelotas, Brazil. Azevedo and Hallal are
with the Post-graduate Program in Epidemiology, Federal
University of Pelotas, Brazil.
Current physical activity guidelines state that every
adult should perform, at least, 30 minutes per day of
moderate-intensity physical activity 5 days or more
per week, or 20 minutes of vigorous-intensity physical
activity 3 or more days per week.
1
Such level of activ-
ity may be obtained by means of leisure-time physical
activity (LTPA), but also by occupational, housework,
and transport-related physical activity.
Because recent studies have highlighted the impor-
tance of addressing all domains of physical activity,
2–4
it
is important to fully understand how activities practiced in
one domain infuence activities performed in other domains.
This literature gap is particularly important in low and mid-
dle-income countries, in which activities practiced in other
domains are more frequent than in developed countries.
4
The
aim of the current study was to explore whether participation
in LTPA is associated with participation in occupational,
housework, and transport-related physical activity.
Methods
A population-based cross-sectional study was carried
out in Pelotas, southern Brazil in the second semester
of 2006. The target population included adults age 20 to
69 years living in the urban area of the city; 93% of the
city’s population lives in urban areas.
A multistage sampling strategy was used, to obtain
a representative sample of households in the city. Brazil-
ian cities are divided into delimited geographical areas
named census tracts. Each tract comprises approximately
300 households. All the 404 census tracts in Pelotas were
listed. A random sample of 40 tracts was selected. In each
of the 40 sampled tracts, 15 households were systemati-
cally selected. Every resident age 20 to 69 years in the
sampled households was eligible for the study, except
those with severe mental or physical impairment.
Three separate sample size calculations were carried
out before data collection. In the frst, we estimated the
sample size necessary for evaluating the prevalence of
insuffcient physical activity. The estimated prevalence
was 35%, the margin of error accepted was 3 percent-
age points, and a 95% confdence level was used. This
calculation required a sample size of 576 individuals
after accounting for an estimated 10% nonresponse rate
and an estimated design effect of 1.5. To explore the
association between insuffcient physical activity and
the independent variables, the following parameters were
used: confdence level of 95%, power of 80%, prevalence
of exposures ranging from 10% to 90%, and odds ratios of
1.7 or greater. After accounting for nonresponse, design
effect, and multivariable analyses (extra 15%), the sample
size required was 884 subjects. Finally, to estimate the
proportion of total physical activity explained by each of
the domains (leisure-time, occupational, housework, and
transport-related), we estimated a minimum proportion of