S213
Hallal is with the Post-graduate Program in Epidemiology,
Federal University of Pelotas, Brazil. Reis is with the Pontiff
Catholic University of Parana, Curitiba, Brazil, and the Univer-
sidade Federal do Paraná, Brazil. Brownson and Parra are with
the Prevention Research Center in St. Louis, George Warren
Brown School of Social Work, Washington University in St.
Louis. Brownson and Hoehner are with the Alvin J. Siteman
Cancer Center, Washington University School of Medicine,
Washington University in St. Louis. Simões is with the National
Center for Chronic Disease Prevention and Health Promotion,
Centers for Disease Control and Prevention, Atlanta, GA.
Journal of Physical Activity and Health, 2010, 7(Suppl 2), S213-S222
© 2010 Human Kinetics, Inc.
Association Between Perceived Environmental Attributes
and Physical Activity Among Adults in Recife, Brazil
Pedro C. Hallal, Rodrigo S. Reis, Diana C. Parra, Christine Hoehner,
Ross C. Brownson, and Eduardo J. Simões
Background: To evaluate the association between perceived environmental factors and leisure-time and
transport-related physical activity. Methods: A random-digit-dialing telephone cross-sectional survey in Recife,
Brazil, was conducted among individuals aged 16 years or older (n = 2046). Leisure-time and transport-related
physical activity were measured using the long version of the International Physical Activity Questionnaire.
Three outcome variables were used: leisure-time physical activity (min/wk), transport-related physical activ-
ity (min/wk), and walking for leisure (min/wk). A cutoff of 150 min/wk was used for all outcome variables.
The environmental module of the questionnaire was based on the short version of the Neighborhood Envi-
ronment Walkability Scale (A-NEWS), and included 12 environmental items. Results: The proportions of
subjects reaching the 150-minutes per week threshold were 30.6% for leisure-time physical activity, 26.6%
for transport-related physical activity and 18.2% for walking for leisure. Lack of sidewalks and low access to
recreational facilities were associated with a lower likelihood of performing 150 minutes per week or more
of leisure-time physical activity. Lack of sidewalks was associated with low levels of walking for leisure.
Neighborhood aesthetics was inversely associated with transport-related physical activity. Conclusions: Lack
of sidewalks and low access to recreational facilities were predictors of low levels of leisure-time physical
activity, suggesting that policy strategies aimed at improving these environmental features may be warranted.
Keywords: motor activity, developing countries, environment and public health, safety
There is now compelling evidence that environmen-
tal factors are associated with physical activity at the
population level.
1–3
Both objective measures of the built
environment and perceived environment attributes are
associated with physical activity.
4,5
Leisure physical activ-
ity may be most affected by access to, and characteristics
of, public and private recreation facilities.
6
Transportation
physical activity may be most related to proximity and
directness of routes from home to destinations (known
as “walkability”) as well as characteristics of the walking
and cycling infrastructure, including sidewalks, bicycle
lanes, and trails.
4
However, most of the evidence in this
feld is derived from high-income countries.
3
External
validity of studies on the association between physical
activity and environmental factors is of concern, because
different environments may lead to different factors being
associated with physical activity; this highlights the need
for local-level studies.
This study presents the results from a community
intervention evaluation conducted as part of project GUIA
(Guide for Useful Interventions for Physical Activity in
Brazil and Latin America), which aims to examine and
promote evidence-based physical activity strategies in
Latin America, particularly in Brazil. The frst phase
of the project included the assessment of the evidence
regarding the effectiveness of community-based physi-
cal activity interventions in Latin America.
7
The second
phase evaluated 2 ongoing interventions in Brazil. In
2007, the project team carried out a phone survey aimed at
evaluating the intervention “Academia da Cidade—ACP”
(“city gyms”), a program in Recife, a northeast city of the
country.
8
We used data from the same survey to evaluate
the association of perceived environmental factors with
leisure-time and transport-related physical activity.
Methods
A cross-sectional random-digit-dialing telephone survey
was carried out in 2007 in Recife, Brazil. Recife is a
city located in northeastern Brazil and the ffth largest