Knowledge and participation in public physical activity programs of brazilians with self-reported diabetes mellitus
DOI:
https://doi.org/10.21527/2176-7114.2025.50.16434Keywords:
Diabetes Mellitus, Exercise, Health Promotion, Cross-sectional StudiesAbstract
Objective: To describe the prevalence of knowledge and participation in public physical activity programs and barriers related to non-participation in these programs by individuals with self-reported diabetes mellitus. Methods: Cross-sectional study with data from the National Health Survey, 2019. Pearson's chi-square test was used in the analysis. Results: A total of 7,088 adults with self-reported diabetes mellitus were included. The prevalence of knowledge was 28.5% (95%CI: 26.5-30.5) and, of these, 11.1% (95%CI: 8.7-14.2) reported participating in public physical activity programs. The most reported barriers were lack of interest in the activities offered (37.4%) and schedule incompatibility (23.6%). Knowledge was higher among women, individuals with higher education, those with higher household income per capita, and residents of the Southeast macro-region. Conclusion: A small portion of individuals with self-reported diabetes mellitus reported knowing about and participating in public physical activity programs. The prevalence of knowledge differed according to sex, education, income, and geographic macro-region. The barriers of lack of interest and lack of time were the most reported by individuals with self-reported diabetes mellitus. It is necessary to expand actions and programs to promote physical activity to prevent and control diabetes mellitus.
References
1. World Health Organization. World Health Statistics 2021: a Visual Summary. 2021. Disponível em: https://www.who.int/data/stories/ world-health-statistics-2021-a-visual-summary
2. Malta DC, Bernal RTI, Sá ACMGN de, Silva TMR, Iser BPM, Duncan BB, et al. Diabetes autorreferido e fatores associados na população adulta brasileira: Pesquisa Nacional de Saúde, 2019. Cien Saude Colet. 2022;27(7):2643–53. https://doi.org/10.1590/1413-81232022277.02572022
3. International Diabetes Federation. IDF Diabetes Atlas 10th edition. 2021. Disponível em: https://diabetesatlas.org/idfawp/resourcefiles/2021/07/IDF_Atlas_10th_Edition_2021.pdf
4. Sociedade Brasileira de Diabetes. Diretrizes da sociedade brasileira de diabetes 2019-2020. Editora Clannad SP, editor. Disponível em: https://www.saude.ba.gov.br/wp-content/uploads/2020/02/Diretrizes-Sociedade-Brasileira-de-Diabetes-2019-2020.pdf
5. Strain T, Flaxman S, Guthold R, Semenova E, Cowan M, Riley LM, Bull FC, Stevens GA; Country Data Author Group. National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5·7 million participants. Lancet Glob Health. 2024;12(8):e1232-e1243. https://doi.org/10.1016/S2214-109X(24)00150-5
6. Oliveira AB, Katzmarzyk PT, Dantas WS, Benseñor IJM, Goulart AC, Ekelund U. Profile of leisure-time physical activity and sedentary behavior in adults in Brazil: a nationwide survey, 2019. Epidemiol Serv Saude. 2023;32(2):e2023168. https://doi.org/10.1590/S2237-96222023000200016
7. Forechi L, Mill JG, Griep RH, Santos I, Pitanga F, Molina MD. Adherence to physical activity in adults with chronic diseases: ELSA-Brasil. Rev Saude Publica. 2018;52:31. https://doi.org/10.11606/s1518-8787.2018052000215
8. Silva PS, Boing AF. Fatores associados à prática de atividade física no lazer: análise dos brasileiros com doenças crônicas. Cien Saude Colet. 2021;26(11):5727-38. https://doi.org/10.1590/1413-812320212611.32432020
9. Brasil. Ministério da Saúde. Portaria GM n.2.446, de 11 de novembro de 2014. Redefine a Política Nacional de Promoção da Saúde (PNPS). In: Brasil. Ministério da Saúde. Política Nacional de Promoção da Saúde. Brasília; 2014.
10. Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância de Doenças Não Transmissíveis. Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas e Agravos não Transmissíveis no Brasil 2021-2030 [recurso eletrônico] / Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Análise em Saúde e Vigilância de Doenças Não Transmissíveis. – Brasília: Ministério da Saúde, 2021. 118 p.: il.
11. Ferreira RW, Caputo EL, Häfele CA, Jerônimo JS, Florindo AA, Knuth AG, et al. Acesso aos programas públicos de atividade física no Brasil: Pesquisa Nacional de Saúde, 2013. Cad Saúde Pública 2019;35(2):e00008618. https://doi.org/10.1590/0102-311X00008618
12. Lima AP, Benedetti TRB, Oliveira LZ, Bavaresco SS, Rech CR. Atividade física está associada ao conhecimento e atitudes frente ao diabetes tipo 2 em idosos. J Phys Educ. 2019;30:e3017. https://doi.org/10.4025/jphyseduc.v30i1.3017
13. Vilafranca CM, Tort-Nasarre G, Rubinat AE. Barriers and Facilitators for Physical Activity in Adults with Type 2 Diabetes Mellitus: A Scoping Review. Int J Environ Res Public Health. 2021;18(10):5359. https://doi.org/10.3390/ijerph18105359
14. Brasil. Instituto Brasileiro de Geografia e Estatística. Saúde: PNS- Pesquisa Nacional de saúde: 2022. Disponível em: https://www.ibge.gov.br/estatisticas/sociais/saude.html
15. Stopa SR, Szwarcwald CL, Oliveira MM, Gouvea E de CDP, Vieira MLFP, Freitas MPS, et al. Pesquisa Nacional de Saúde 2019: histórico, métodos e perspectivas. Epidemiol Serv Saúde. 2020;29(5):e2020315. https://doi.org/10.1590/S1679-49742020000500004
16. Roediger MD, Marucci MD, Gobbo LA, Dourado DA, Santos JL, Duarte YA, Lebrão ML. Diabetes mellitus referida: incidência e determinantes, em coorte de idosos do município de São Paulo, Brasil, Estudo SABE – Saúde, Bem-Estar e Envelhecimento. Cien Saude Colet. 2018;23(11);3913-22. https://doi.org/10.1590/1413-812320182311.13062016
17. Kowall B, Rathmann W. Partnership and marriage and risk of type 2 diabetes: a narrative review. Diabetologia. 2025;68(4):704-714. https://doi.org/10.1007/s00125-025-06360-3
18. Malta DC, Duncan BB, Schmidt MI, Machado ÍE, Silva AG da, Bernal RTI, et al. Prevalência de diabetes mellitus determinada pela hemoglobina glicada na população adulta brasileira, Pesquisa Nacional de Saúde. Rev Bras Epidemiol. 2019;22:E190006.SUPL.2. https://doi.org/10.1590/1980-549720190006.supl.2
19. Oliveira FLP de, Pimenta AM, Duncan BB, Griep RH, Souza G de, Barreto SM, et al. Spatial clusters of diabetes: individual and neighborhood characteristics in the ELSA-Brasil cohort study. Cad Saúde Pública. 2023;39(5):e00138822. https://doi.org/10.1590/0102-311XEN138822
20. Neves RG, Duro SM, Nunes BP, Facchini LA, Tomasi E. Atenção à saúde de pessoas com diabetes e hipertensão no Brasil: estudo transversal do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica, 2014. Epidemiol Serv Saude. 2021;30(3). https://doi.org/10.1590/s1679-49742021000300015
21. Muzy J, Campos MR, Emmerick I, Silva RS, Schramm JMA. Prevalência de diabetes mellitus e suas complicações e caracterização das lacunas na atenção à saúde a partir da triangulação de pesquisas. Cad Saúde Pública. 2021;37(5):e00076120. https://doi.org/10.1590/0102-311X00076120
22. Bastone A de C, Moreira B de S, Vasconcelos KS de S, Magalhães AS, Coelho DM, Silva JI da, et al. Time trends of physical activity for leisure and transportation in the Brazilian adult population: results from Vigitel, 2010-2019. Cad Saúde Pública. 2022;38(10). https://doi.org/10.1590/0102-311XEN057222
23. Guibu IA, Moraes JC, Guerra Junior AA, Costa EA, Acurcio FA, Costa KS, et al. Main characteristics of patients of primary health care services in Brazil. Rev Saúde Pública. 2017;51:17s. https://doi.org/10.11606/S1518-8787.2017051007070
24. Werneck AO, Oyeyemi AL, Araújo RHO, Barboza LL, Szwarcwald CL, Silva DR. Association of public physical activity facilities and participation in community programs with leisure-time physical activity: does the association differ according to educational level and income? BMC Public Health. 2022;22(1):279. https://doi.org/10.1186/s12889-022-12593-3
25. Ferrari G, Dulgheroff PT, Claro RM, Rezende LFM, Azeredo CM. Socioeconomic inequalities in physical activity in Brazil: a pooled cross-sectional analysis from 2013 to 2019. Int J Equity Health. 2021;20(1):188. https://doi.org/10.1186/s12939-021-01533-z
26. Yang Y, Wang S, Chen L, Luo M, Xue L, Cui D, Mao Z. Socioeconomic status, social capital, health risk behaviors, and health-related quality of life among Chinese older adults. Health Qual Life Outcomes. 2020;18(1):291. https://doi.org/10.1186/s12955-020-01540-8
27. Hill-Briggs F, Adler NE, Berkowitz SA, Chin MH, Gary-Webb TL, Navas-Acien A, Thornton PL, Haire-Joshu D. Social Determinants of Health and Diabetes: A Scientific Review. Diabetes Care. 2020;44(1):258–79. https://doi.org/10.2337/dci20-0053
28. Carvalho FF, Almeida ER, Loch MR, Knuth AG. As práticas corporais e atividades físicas na gestão tripartite do SUS: estrutura organizacional, financiamento e oferta. Cien Saude Colet. 2022; 27(6):2163-74. https://doi.org/10.1590/1413-81232022276.15242021
29. Oliveira LN de, Freitas PP de, Lopes MS, Lopes ACS. Participação em programas públicos para prática de atividade física e comportamentos de saúde. Rev. Bras. Ativ. Fís. Saúde. 2021;26:1-10. https://doi.org/10.12820/rbafs.26e0204
30. Dourado TE, Borges PA, Silva JI, Souza RA, Andrade AC. Associação entre atividade física de lazer e conhecimento e participação em programas públicos de atividade física entre idosos brasileiros. Rev Bras Geriatr Gerontol. 2021;24(4). https://doi.org/10.1590/1981-22562022025.210148
31. Silva CR de M, Bezerra J, Soares FC, Mota J, Barros MVG, Tassitano RM. Percepção de barreiras e facilitadores dos usuários para participação em programas de promoção da atividade física. Cad Saúde Pública. 2020;36(4):e00081019. https://doi.org/10.1590/0102-311X00081019
32. Rech CR, Camargo EM, Araujo PA, Loch MR, Reis RS. Perceived barriers to leisure-time physical activity in the Brazilian population. Rev Bras Med Esporte. 2018;24(4):303-9. https://doi.org/10.1590/1517-869220182404175052
33. Souza ALK de, Santos LP dos, Rech CR, Rodriguez-Añez CR, Alberico C, Borges LJ, et al. Barreiras à atividade física entre adultos em unidades básicas de saúde do Sistema Único de Saúde: um estudo transversal no Brasil. Sao Paulo Med J. 2022;140(5):658–67. https://doi.org/10.1590/1516-3180.2021.0757.R1.20122021
34. Pedersen MR, Bredahl TV, Elmose-Østerlund K, Hansen AF. Motives and barriers related to physical activity within different types of built environments: implications for health promotion. Int J Environ Res Public Health. 2022;19(15):9000. https://doi.org/10.3390/ijerph19159000
35. Soares MM, Maia EG, Claro RM. Availability of public open space and the practice of leisure-time physical activity among the Brazilian adult population. Int J Public Health. 2020;65(8):1467-1476. https://doi.org/10.1007/s00038-020-01476-2
36. Manta SW, Del Duca GF, da Silva KS, Rech CR, Gomes RDS, Maximiano GP, Malta DC. Is the availability of open public spaces associated with leisure-time physical activity in Brazilian adults? Health Promot Int. 2020;35(1):e51-e58. https://doi.org/10.1093/heapro/day120
37. Florindo AA, Onita BM, Knebel MTG, Wanderley Júnior RS, Teixeira IP, Turrell G. Public Open Spaces and Leisure-Time Walking: A Longitudinal Study With Brazilian People in the COVID-19 Pandemic. J Phys Act Health. 2023;20(11):1027-1033. https://doi.org/10.1123/jpah.2023-0108
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Maria Fernanda Rossetti Rogerio, Bruno de Souza Moreira, Ana Elza do Nascimento, Juliana Ilídio da Silva, Vanessa Moraes Bezerra, Amanda Cristina de Souza Andrade

This work is licensed under a Creative Commons Attribution 4.0 International License.
By publishing in Revista Contexto & Saúde, authors agree to the following terms:
The works are licensed under the Creative Commons Atribuição 4.0 Internacional (CC BY 4.0) license, which allows:
Share — to copy and redistribute the material in any medium or format;
Adapt — to remix, transform, and build upon the material for any purpose, including commercial.
These permissions are irrevocable, provided that the following terms are respected:
Attribution — authors must be properly credited, with a link to the license and indication of any changes made.
No additional restrictions — no legal or technological measures may be applied that restrict the use permitted by the license.
Notes:
The license does not apply to elements in the public domain or covered by legal exceptions.
The license does not grant all rights necessary for specific uses (e.g., image rights, privacy, or moral rights).
The journal is not responsible for opinions expressed in the articles, which are the sole responsibility of the authors. The Editor, with the support of the Editorial Board, reserves the right to suggest or request modifications when necessary.
Only original scientific articles presenting research results of interest that have not been published or simultaneously submitted to another journal with the same objective will be accepted.
Mentions of trademarks or specific products are intended solely for identification purposes, without any promotional association by the authors or the journal.
License Agreement (for articles published from September 2025): Authors retain copyright over their article and grant Revista Contexto & Saúde the right of first publication.