{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:32:21Z","timestamp":1772253141138,"version":"3.50.1"},"reference-count":32,"publisher":"Sociedade Brasileira de Cardiologia","issue":"8","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento  A atividade f\u00edsica (AF) desempenha um papel fundamental na preven\u00e7\u00e3o do Diabetes Mellitus tipo 2 (DM-2). No entanto, os achados sobre a influ\u00eancia da intensidade da AF no DM-2 ao longo do tempo ainda s\u00e3o inconsistentes.  Objetivo  Examinar a associa\u00e7\u00e3o dose-resposta entre trajet\u00f3rias de intensidade da AF no lazer e DM-2.  M\u00e9todos  O estudo incluiu dados basais do Estudo Longitudinal de Sa\u00fade do Adulto (ELSA-Brasil) (2008-2010) e ao longo de 11 anos de acompanhamento de 5.777 mulheres e 4.590 homens, com idades entre 35 e 75 anos. As trajet\u00f3rias de intensidade da AF no lazer foram avaliadas por meio do Question\u00e1rio Internacional de Atividade F\u00edsica (IPAQ), enquanto o DM-2 foi identificado por autorrelato, uso de medica\u00e7\u00e3o ou crit\u00e9rios laboratoriais. Foi utilizada regress\u00e3o log\u00edstica ordinal para estimar raz\u00f5es de chances (OR) e intervalos de confian\u00e7a de 95% (IC95%).  Resultados  Uma menor propor\u00e7\u00e3o de participantes com DM-2 (14,4% dos homens e 5% das mulheres) e uma maior propor\u00e7\u00e3o sem diabetes (22,1% dos homens e 40,8% das mulheres) foram observadas entre aqueles com trajet\u00f3ria de alta intensidade. Comparado \u00e0s trajet\u00f3rias de intensidade moderada, a alta intensidade conferiu prote\u00e7\u00e3o contra DM-2: OR 0,63 (IC95% = 0,40-0,98) para homens, e OR 0,33 (IC95% = 0,14-0,79) para mulheres, e as trajet\u00f3rias de baixa intensidade conferiu maior chance de pr\u00e9-diabetes entre os homens [OR = 1,36 (IC95% = 1,09-1,69)].  Conclus\u00e3o  A AF de maior intensidade ao longo do tempo esteve associada a uma menor propor\u00e7\u00e3o de casos de DM-2 em homens e mulheres. Assim, programas visando a preven\u00e7\u00e3o e o controle do DM-2 devem enfatizar a import\u00e2ncia da manuten\u00e7\u00e3o de atividades de alta intensidade ao longo do tempo.<\/jats:p>","DOI":"10.36660\/abc.20250091","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T15:27:06Z","timestamp":1756826826000},"source":"Crossref","is-referenced-by-count":0,"title":["Associa\u00e7\u00e3o Dose-Resposta entre Trajet\u00f3rias de Intensidade da Atividade F\u00edsica no Lazer e Diabetes entre Homens e Mulheres no ELSA-Brasil"],"prefix":"10.36660","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3163-4108","authenticated-orcid":false,"given":"Andr\u00e9 Luis Messias dos Santos","family":"Duque","sequence":"first","affiliation":[{"name":"Prefeitura Municipal de Petr\u00f3polis,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela Polessa","family":"Paula","sequence":"additional","affiliation":[{"name":"Escola 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Jesus Mendes da","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosane Harter","family":"Griep","sequence":"additional","affiliation":[{"name":"Escola Nacional de Sa\u00fade P\u00fablica,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22636","published-online":{"date-parts":[[2025]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"crossref","first-page":"e151","DOI":"10.2337\/dci23-0036","article-title":"Guidelines and Recommendations for Laboratory Analysis in the Diagnosis and Management of Diabetes Mellitus","volume":"46","author":"Sacks DB","year":"2023","journal-title":"Diabetes Care"},{"key":"ref2","series-title":"IDF Diabetes Atlas","year":"2021","edition":"10th"},{"key":"ref3","series-title":"Diretrizes da Sociedade Brasileira de Diabetes 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