This study aimed to determine the prevalence and associated factors with physical activity counseling among Brazilian Family Health Strategy workers. This is a cross-sectional study conducted with a random sample of 591 health workers who work in the Family Health Teams of João Pessoa-PB, Brazil. Counseling for physical activity was defined as any advising targeted for increasing patients’ physical activity levels conducted for at least six months. The following factors were considered: time working in health care units, amount of daily attendance, continuing education, perceived barriers, self-efficacy, attitude, self-rated health, physical activity level and nutritional status. Prevalence of counseling was 46.3%, being higher among physicians (74.5%; 95%CI: 59.6-85.2) and nurses (60.3%; 95%CI: 48.0-71.4) compared to community health workers (42.9%; 95%CI: 38.2-47.7) and nurses assistants (31.5%; 95%CI: 20.2-45.4). The results showed health professionals with positive self-rated health, without perception of barriers, having a positive attitude and high self-efficacy were more likely to perform physical activity counseling. Knowledge and actions on factors associated with physical activity counseling can help broaden the involvement of primary health care providers in health education.
Objective: To verify the prevalence of sleep quality and duration and its association with the level of physical activity, screen time and nutritional status in adolescents. Methods: This is a cross-sectional study with 1,432 adolescents (53.1%, female), ten to 14 years old (12.0±1.0 year) from public schools in Joao Pessoa, Northeast Brazil. Physical activity (≥300 vs. <300 minutes/week), screen time (≤2 vs. >2 h/day) and duration (<8 vs. ≥8 h/day) and perception of sleep quality (negative vs. positive perception) were measured by questionnaire. Nutritional status was assessed by body mass index (low weight / normal weight vs. overweight / obesity). Binary logistic regression was used to analyze association between variables, considering different aggregation of negative factors. Results: The prevalence of insufficient duration and negative perception of sleep quality was 12.6% (95%CI 10.9-14.4) and 21.0% (95%CI 18.9-23.1), respectively. There was a linear trend in the chance of the adolescents to present insufficient duration of sleep as a result of simultaneous negative factors (physical inactivity, excessive screen time, being overweight) (OR=4.31; 95%CI 1.50-12.48). Conclusions: Adolescents exposed simultaneously to low levels of physical activity, excessive screen time and overweight had a lower sleep duration.
O objetivo foi sintetizar a produção acadêmica sobre a temática do aconselhamento para atividade física na atenção primária à saúde do Sistema Único de Saúde (SUS). Trata-se de revisão integrativa da literatura, realizada nas bases LILACS, MEDLINE, PubMed e SciELO, publicada até dezembro de 2018. Foram analisados 22 estudos, dos quais 13 foram observacionais, sete intervenções e dois qualitativos. A prevalência de aconselhamento para usuários variou de 20% a 59,4% entre os estudos e observou-se o perfil de usuários que mais recebem aconselhamento (mulheres, pessoas mais velhas e com diagnóstico de doenças crônicas). Os profissionais mais aconselhadores são: médicos, aqueles fisicamente ativos, que se sentem capazes de aconselhar e que não identificam a falta de tempo como barreira. As intervenções apresentaram efeitos modestos nos níveis de atividade física dos usuários e nas práticas de aconselhamento dos profissionais.
The aim of this study was to determine the prevalence of perceived barriers and their isolated and simultaneous association with the practice of counseling for physical activity by primary health care workers. This is a cross-sectional study with 591 health workers, who work in the Family Health Teams. Counseling for physical activity was defined as the accomplishment of such a practice for more than six months. The barriers investigated were lack of time, lack of knowledge, lack of professionals to guide, lack of available instructional material, lack of environmental resources and lack of financial resources of the user. Binary logistic regression was used to evaluate the possible relationships between perceived barriers and the practice of counseling for physical activity. Non-counselors reported a lack of time (68.8%), knowledge (68.5%) and orientation (63.2%) compared to their peer counselors (p ≤ 0.001). Professionals with three or more barriers were more likely not to advise (OR = 3.91; 95%CI: 2.10 - 7.29) when compared to those who reported no concurrent barriers. These results indicate that the simultaneity of perceived barriers is negatively associated to the practice of counseling for physical activity of health workers.
Este estudo comparou a posse de bola e os passes corretos da série A do Campeonato Espanhol (2016/2017), do Campeonato Argentino (2016) e do Campeonato Brasileiro (2016). Ainda, avaliamos uma possível correlação entre estas mesmas variáveis, nestes grupos. A amostra foi constituída por três equipes classificadas no ranking anual da International Federation of Football History & Statistics – IFFHS/2015. Foram realizadas estatísticas descritivas e as comparações entre os grupos através da ANOVA, com Post Hoc de Dunn. Foi realizada a Correlação Linear de Pearson entre as variáveis posse de bola e passes corretos em cada grupo. Os resultados não demonstraram diferenças significativas para a posse de bola, no entanto, houve diferenças significativas, para os passes corretos, comparando o Campeonato Espanhol versus Campeonato Argentino e o Campeonato Argentino versus Campeonato Brasileiro. Houve, uma correlação ótima entre a posse de bola e os passes corretos no Campeonato Argentino, correlação boa no Campeonato Espanhol e uma correlação razoável no Campeonato Brasileiro. Para concluir acreditamos ser necessário mais estudos, utilizando novas correlações entre outras variáveis independentes a fim de determinarmos melhores marcadores de sucesso no futebol de alto rendimento.
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