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December 2, 2025BMJ OpenOpen Access

The Health Survey of São Paulo – ISA-Physical Activity and Environment Longitudinal Study

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Obesity trends among specific sociodemographic groups increased alongside changes in the built environment, indicating public health challenges.
Increased public open spaces correlated with higher leisure-time walking rates across the five regions of São Paulo.
Analysis of longitudinal data collected through household and telephone interviews reveals disparities in active transportation choices.
Infrastructure improvements in wealthier areas highlight ongoing spatial inequalities affecting health outcomes in the city.

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Observational analysis reveals links between built environment factors and obesity in São Paulo, indicating the need for policy changes.

Florindo et al. (2025) studied this question.

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