O objetivo do presente estudo é analisar a associação entre as recomendações recebidas durante o atendimento pré-natal com a prática de atividade física na gestação. Trata-se de um estudo transversal com 290 puérperas. Apenas 9% das mulheres atingiam a recomendação (?150 minutos) de atividade física semanal para manutenção da saúde e 18% praticaram alguma atividade física no lazer (AFL)/exercício físico na gestação. A prática de atividade física anterior à gestação estava associada ao nível de AFL. Adicionalmente, a percepção da presença de recomendação do profissional para a prática de AFL no pré-natal triplicou a chance da mulher ser ativa, ainda que não suficientemente ativa. Ações junto aos profissionais de saúde podem promover modificações no nível de AFL durante a gestação.
During pregnancy women are more susceptible to the recommendations of health professionals who accompanies throughout the prenatal, being a propitious moment to target them to take an active lifestyle. However, due to the high prevalence of physical inactivity during pregnancy, you should analyze the gap between the recommendation and the practice of physical activity in leisure / exercise performed by women in this period. Thus, the objective of this study is to assess the association between regular physical activity in leisure and / or physical exercise during pregnancy and guidance received during prenatal care. It is a cross-sectional study of 290 women (captured in the immediate postpartum) of two hospitals in Santo André, one of public and other private health care providers of prenatal care. In addition, 45 health professionals raised in clinics, hospitals, clinics and health posts attended. We used a questionnaire to obtain information regarding the practice of leisure physical activity / exercise and counseling performed by a healthcare professional. The association agreement and the chi-square test and analysis of binomial logistic regression and analysis of agreement Kappa, considering the level of less than 5% significance was conducted. The private service users had higher age, income and education (p <0.001). However, the mothers of the public service had a higher level of physical activity (p <0.001) and consequently higher energy expenditure (p <0.001). But 56.8% of energy expenditure were influenced by domestic physical activity (p = 0.011). There was a higher frequency of recommendation for physical activity in leisure / exercise for women in the private service. The practice of prepregnancy physical activity and the presence of the recommendation of the health professional was associated with level of physical activity during leisure time, increasing the chance of women reach the recommended (150 minutes of physical activity per week). Most women cited lack of time and interest as the main barriers to adoption of an active lifestyle. Regarding professional, it was observed that there is an association between the recommendation of physical activity during leisure time and professional training. The practice of walking and aerobics were recommended activities. Regarding the weekly volume and intensity of physical activity, 35.4% of the professionals recommend at least 150 minutes and 66.7% recommended light intensity. There was no agreement between the information perceived by women during the prenatal to the recommendations given by health professionals, demonstrating the importance of developing strategies to fill this gap in communication between the user and the professional. Still, it is observed that the suitability of content and form of the recommendations made during prenatal consultations can assist within the active lifestyle of women. It is suggested to conduct further studies with interventions with health professionals so that they can form a multidisciplinary team and provide ma...
The aim of this study was to describe the prevalence of biochemical markers and associate with obesity in Brazilian adolescents enrolled in public schools in a rural area. The sample consisted of 199 adolescents between 10 to 14 years old from Piracicaba, Brazil. The obesity was measured by body mass index (BMI) and according to the World Health Organization curves. We collected blood for biochemical markers analysis (total cholesterol, high density lipoprotein, low density lipoprotein, triacylglycerol, insulin and glycemia). Mann Whitney test was used to compare continuous variables between sexes. Chi-square test was used to compare proportions. To investigate the association between the independent variables and biochemical markers a multiple logistic regression model was performed. Among 199 adolescents, 23.1% was obese and 65.8% were insufficiently active. A high prevalence of dyslipidemia (71.4%) was observed, whereas the low levels of high density lipoprotein (40.7%) were the most prevalent. An association between obesity and undesirable values for high density lipoprotein, triacylglycerol and insulin resistance was found. Obese adolescents were less likely to present a desirable value for high density lipoprotein. It is understood that obesity is detrimental to metabolic profile and should be prevented and treated even in adolescence.
The practice of physical activity during pregnancy plays an important role related to improvement how women perceive their health status. The aim of this study was to investigate the relationship between perceived quality of life during pregnancy and the practice of physical activity during leisure time. It is a cross-sectional study of 187 postpartum women. A retrospective questionnaire was administered to obtain information regarding pregnancy, being evaluated the pattern of physical activity and health status. To evaluate the aspects related to quality of life we used the SF-12 questionnaire. The statistical analysis were t-test, chi-square and multiple linear regression analysis. From the results it was observed that mothers who were active during pregnancy considered their good or excellent health compared do non active (p=0.005, 35.9% and 15.5% respectively). Active women had higher mental component when compared to those who did not practice (p=0.035). There was a relationship between mental component with the private health service, income, education level, disease and presence of a partner. The physical component was related to maternal age, low birth weight, obesity, and smoking during pregnancy. Despite univariate analysis showed a positive association between physical activity during leisure time and the mental component of quality of life related to health, this association lost significance when included age and care health sectors. Longitudinal studies should be developed to measure effects of physical activity in quality of life.
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