Promoting healthy lifestyle factors (e.g., physical activity, healthy eating, less screen time) among young people is a relevant and challenging step toward reducing non-communicable diseases. This study aimed to evaluate the effect of a multicomponent intervention on lifestyle factors among adolescents from schools in low Human Development Index (HDI < 0.500) areas. The Fortaleça sua Saúde program was conducted with 548 adolescents aged 11–18 years old in the intervention group and 537 in the control group. The four-month intervention included strategies focused on training teachers, new opportunities for physical activity in the school environment, and health education strategies for the school community (including parents). Moderate- to-vigorous physical activity level (≥420 min/week), TV watching and computer use/gaming (<2 h/day), daily consumption of fruit juice, fruit, vegetables, soft drinks, savory foods and sweets, and current alcohol and tobacco use were measured before and after intervention. McNemar’s test and logistic regression (odds ratio [OR] and a 95% confidence interval [95% CI]) were used, considering p < 0.05. In the intervention schools, a significant increase occurred in the number of adolescents who met physical activity guidelines (5.3%; 95% CI = 0.8; 9.8) and who reported using computer for <2 h a day (8.6%; 95% CI = 3.8; 13.4) after intervention. No changes were observed in the control schools. At the end of the intervention, adolescents from intervention schools were more likely to practice physical activity at recommended levels (OR = 1.44; 95% CI = 1.00; 2.08) than adolescents from control schools. No significant change was observed for the other lifestyle factors. In conclusion, this multicomponent intervention was effective in promoting physical activity among adolescents from vulnerable areas. However, other lifestyle factors showed no significant change after intervention. This study is registered at Clinicaltrials.gov NCT02439827.

The present study aimed to present a Logic Model (LM) of the “Vida Ativa Melhorando a Saúde” (VAMOS – Active Life Improving Health) program for its application in community interventions in adults and old age in Brazil. The VAMOS program purpose is to motivate people to have a healthier lifestyle. It is divided in 12 group meetings usually held weekly, varying from three to five months of duration. VAMOS is guided by specific booklets and conducted by health professionals with prior certification. The LM consists of activities (advertising, meetings, community outreach), products (financial resources, promotion, increase in attendance) and short, medium and long term objectives (adoption of the program, knowledge and empowerment of participants). Participants of the VAMOS program maintained their physical activity levels for longer when compared with traditional and control groups. VAMOS is under expansion in Brazil, supporting behavior changes in order to reach a healthier lifestyle.

Background: To examine the level of physical activity and sedentary behavior (SB), measured with accelerometers, in older adults from a city in southern Brazil according to sociodemographic and health characteristics. Methods: The sample consisted of 425 older adults (≥63 y) from the EpiFloripa Aging Study. Light physical activity (LPA), moderate to vigorous physical activity (MVPA), and SB were measured with accelerometers over a period of 7 days. Results: The older adults spent two-thirds of the time of use in SB, one-third in LPA, and only 2.1% (95% confidence interval, 1.8–2.2) in MVPA. In the final adjusted model, lower levels of MVPA were observed for women, as well as higher SB and lower LPA and MVPA for those with higher age. There were also trends toward prolonged SB and lower LPA when participants had a higher educational level and toward lower MVPA with higher body mass index. Conclusions: Constant monitoring of physical activity levels and SB using objective measures is recommended and interventions should be directed at the groups most exposed to excessive SB and low levels of MVPA.

The aim of this study was to identify evidence about the prevalence of the community and environment indicators related to physical activity (PA) among young Brazilian people. A systematic review was carried out using eight databases (PubMed, Scopus, Web of Science, LILACS, SPORTDiscus, BIREME, Scielo, and Google Scholar) with descriptors in Portuguese and English. Community and environment Indicators included access, presence, proximity, quality, safety and pollution of/in spaces, facilities, programs available for PA among young people (up to 18 years-old), which may be measured subjectively and/or objectively. A total of 23 documents were included, representing 15 different studies. There were more studies in the South region (n=8), followed by the Northeast (n=3) and Southeast (n=3). Self-reported instruments were more frequently used (n=15). The studies reported prevalence of perception (positive and/or barrier) for access to facilities, programs and/or parks (n=13); presence of sidewalks and bicycle lanes (n=4); proximity to residence (n=5); quality (n=5); safety from crime and traffic (n=14) and pollution (n=6); number of spaces and/or facilities around the residence (n=1); and observation of adolescents using public spaces for PA (n=3). The prevalence rates showed high variability according to environmental indicator. No studies are available for the North and Midwest of the country. Distinct environmental measures were used in selfreported studies, impairing data comparability. To date, no studies have been identified that provide information about the prevalence of combined environmental measures (perceived and objective).

Summary This study aims to analyse the association between perceived presence of public spaces near residences and practice of physical activity during leisure time by adults in the state capitals of Brazil, based on sociodemographic characteristics. Participants were individuals aged ≥18 years living in the 27 state capitals of Brazil (n = 52 929, 53.9% female) who responded to a national survey called VIGITEL in 2013. Physical activity during leisure time (≥1 time/week), perception of space, population and sociodemographic variables (sex, age, years of study and geographic region) were self-reported. The adjusted binary logistic regression analysis was used. Among adults, the prevalence of physical activity during leisure was 45.1% (95% CI [44.2; 46.0]), and 71.1% (95% CI [70.2, 71.8]) perceived public space near their residence. A direct association between perceiving public space and physical activity ([OR] = 1.43; 95% CI [1.32; 1.55]) was observed. No significant difference was observed in the population groups (men and women, younger and older adults, and those with more and fewer years of study). Thus, even with the possible regional differences in Brazilian state capitals, the presence of public spaces increases the practice of physical activity during leisure time, independent of sociodemographic variables.

O objetivo foi traduzir e adaptar os itens de codificação relacionados às dimensões do modelo RE-AIM para auxiliar no planejamento e avaliação de programas de promoção da atividade física e saúde, bem como na análise da qualidade do relato em estudos de revisão sistemática. Foram realizadas equivalência conceitual, de itens e semântica por profissionais de saúde mono e bilíngues. Na análise conceitual e de itens foi realizada discussão entre especialistas e na semântica, tradução inversa (inglês para português) e reversa (português para inglês) dos itens. Posteriormente, foi avaliada a equivalência entre as retraduções e o conteúdo original. Dessa forma, foi apresentada a tradução e adaptação dos 54 itens que permite o planejamento e avaliação de programas e dos 21 itens para análise da qualidade das informações relatadas em evidências científicas. Espera-se contribuir para o planejamento e avaliação de programas ou revisões sistemáticas para promoção da atividade física e saúde.

OBJECTIVE: To analyze the association between sociodemographic characteristics of census tracts and the presence/quality of public open spaces and physical activity facilities. METHODS: A cross-sectional study was conducted in 643 census tracts in Florianópolis, Brazil, the presence and quality of public open spaces and physical activity facilities were objectively analyzed and the data by census tracts using Geographic Information Systems was treated. Outcomes were analyzed considering the census tracts as having: ≥ 1 public open spaces; ≥ 1 public open spaces with high quality; ≥ 2 physical activity facilities and high-quality physical activity facilities. Sociodemographic characteristics were the independent variables. Logistic regression analysis was performed. RESULTS: Census tracts with a medium-income (OR = 1.8; 95%CI 1.1–3.0) and high-income (OR = 2.4; 95%CI 1.4–4.0), in those with medium (OR = 1.7; 95%CI 1.0–2.7) and high residential density (OR = 2.0; 95%CI 1,2–3.3), and with higher proportions of older adults (OR = 3.3; 95%CI 1.9–5.7) had a higher proportion of public open spaces. Census tracts with higher proportions of children/adolescents (OR = 0.3; 95%CI 0.2–0.6) and non-white residents (OR= 0.6; 95%CI 0.3–0.9) were less likely to contain public open spaces. The tracts with medium (OR = 4.0; 95%CI 1.4–11.3) and high-income (OR = 3.6; 95%CI 1.2–10.2) were more likely to contain public open spaces with ≥ 2 structures for physical activity, compared with those with low-income. We observed the inverse in sectors with a high proportion of non-white residents (OR = 0.3; 95%CI 0.1–0.9). CONCLUSIONS: Census tracts with higher proportions of children or adolescents, non-white individuals and those in the low-income strata had lower odds of containing public open spaces and physical activity facilities.

RESUMOEste estudo teve como objetivo analisar a prática de atividades físicas de pessoas com deficiência física em diferentes fases da vida. Participaram do estudo nove adultos jovens, do sexo masculino, que possuem deficiência física e praticavam atividades físicas e/ou esportivas. Na coleta de dados foi utilizada uma entrevista com perguntas referentes à história de vida, à deficiência e a atividades físicas em diferentes fases, e a análise dos dados se deu por categorias. Na infância e na adolescência oito participantes praticavam atividades dinâmicas e participavam das aulas de Educação Física; na idade adulta, quatro continuavam nas práticas anteriores, um começou a prática e um não tinha acesso a ela. Atualmente praticam variadas modalidades e seis acreditavam que a deficiência física interferia na prática. Ainda, sete participantes acreditavam que as atividades praticadas em idade escolar interferiram no que praticam atualmente, o que ressalta a importância dde sua participação nas aulas de Educação Física. Para Guiselini (2004), a qualidade de vida e a saúde estão diretamente ligadas ao gerenciamento dos hábitos diários, ou seja, ao estilo de vida do indivíduo. Além disso, as doenças associadas ao sedentarismo, mesmo que se manifestem, em sua maioria, na vida adulta, têm seu início na infância e na adolescência (HALLAL et al., 2006), tornando-se uma aliada na obtenção de um estilo de vida saudável. PalavrasAtividade é definida por McArdle, Katch e Katch (1998, p. 605) como "qualquer movimento corporal produzido por músculos e que resulta em maior dispêndio de energia". A prática de atividade física e, principalmente, o estímulo para a prática devem transformar-se em prioridade na área de Educação Física. As crianças e adolescentes encontram-se, em sua maioria, na escola, onde a Educação Física tem sua relevância na educação e formação de indivíduos conscientes da importância de adquirir hábitos saudáveis e de praticar atividades físicas regularmente, a fim de adquirir um estilo de vida mais saudável e, por consequência, melhorar a qualidade de vida e a saúde.No tocante às pessoas com deficiência isto não deveria ser diferente, no entanto, muitas dessas pessoas não têm acesso à prática de atividades físicas. Essa preocupação cresce