Physical activity and health in Brazil: research, surveillance and policies

Hallal, Pedro Curi

doi:10.1590/0102-311xpe011214

Cited by 9 publications

(6 citation statements)

References 2 publications

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“…Further research exploring the relationship between individual, social, and environmental factors and their influence on physical activity is needed 13 . By identifying the direct and indirect pathways linking socioeconomic status, age, body fat, and depressive symptoms and their influence on physical activity, this study sought to go beyond the assessment of direct associations between physical activity and commonly investigated sociodemographic variables, thus helping to fill a gap in the literature 12 .…”

Section: Discussionmentioning

confidence: 99%

“…The determinants of physical activity has drawn interest from epidemiologists and public health professionals and research in this area provides important inputs to inform actions and policies designed to minimize the health effects of physical inactivity 10,11 . Although interest in this topic in Brazil has also grown, investigations with more complex study designs remain scarce 12 .…”

Section: Introductionmentioning

confidence: 99%

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Influência do nível socioeconômico, idade, gordura corporal e sintomas depressivos na frequência de atividade física em adultos: uma análise de caminhos

Martins

Pinho

Brito

et al. 2020

Ciênc. saúde coletiva

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Resumo A atividade física é um comportamento complexo e influenciado por variáveis sociodemográficas e clínicas. A melhor compreensão desses fatores possibilita considerar a associação deles com a atividade física. O objetivo deste estudo foi estimar os efeitos do nível socioeconômico, idade, gordura corporal e sintomas depressivos na frequência de atividade física entre adultos. Trata-se de um estudo transversal de base populacional conduzido com 808 indivíduos. Foram avaliadas as inter-relações entre as variáveis nível socioeconômico, idade, gordura corporal e sintomas depressivos no nível de atividade física total, por meio da técnica “path analysis”. Observou-se efeito direto negativo e significativo da idade (β = -0,113; p < 0,004) nos níveis de atividade física. A idade (β = 0,376; p < 0,001) influenciou a gordura corporal, com efeito positivo e significativo. Os sintomas de depressão foram influenciados negativamente pelo nível socioeconômico (β = -0,126; p < 0,001) e positivamente pela idade (β = 0,244; p < 0,001) e gordura corporal (β = 0,169; p < 0,004). O nível socioeconômico, a gordura corporal e os sintomas depressivos não influenciaram diretamente os níveis de atividade física. Concluindo, os resultados mostraram que o avançar da idade contribui para a redução da prática de atividade física.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Influência do nível socioeconômico, idade, gordura corporal e sintomas depressivos na frequência de atividade física em adultos: uma análise de caminhos

Martins

Pinho

Brito

et al. 2020

Ciênc. saúde coletiva

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“…Brazil has adopted the World Health Organization Global Strategy on Diet, Physical Activity and Health, and much effort has been made to define healthy diet and physical activity policies and action. Although numerous initiatives have been taken by the Brazilian Ministry of Health, there remains a need for more evidence about the effects of LTPA on cardio‐metabolic parameters directly from the adults in Brazil.…”

Section: Discussionmentioning

confidence: 99%

“…34 Brazil has adopted the World Health Organization Global Strategy on Diet, Physical Activity and Health, and much effort has been made to define healthy diet and physical activity policies and action. Although numerous initiatives have been taken by the Brazilian Ministry of Health, 35,36 there remains a need for more evidence about the effects of LTPA on cardiometabolic parameters directly from the adults in Brazil. Results from the current study are also in line with those comprehensive findings from Brazil and the US population despite many significant differences in health systems, lifestyles, and socioeconomic factors between Brazil and the United States.…”

Section: Discussionmentioning

confidence: 99%

Leisure Time Physical Activity and Cardio‐Metabolic Health: Results From the Brazilian Longitudinal Study of Adult Health (ELSA‐Brasil)

Lin

Alvim

Simões

et al. 2016

JAHA

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BackgroundAlthough increasing effort has been devoted to the promotion of a healthy lifestyle such as leisure time physical activity for cardio‐metabolic health, specific evidence supporting health policy remains sparse, particularly in those ethnically diverse populations where cardio‐metabolic diseases are reaching epidemic proportion and yet are grossly understudied.Methods and ResultsWe conducted a cross‐sectional analysis of the baseline data from 10 585 participants aged 35 to 74 free of cardiovascular diseases in the Brazilian Longitudinal Study of Adult Health. Leisure time physical activity status was defined by the American Heart Association and the World Health Organization recommendations (≥150 min/week moderate activities or 75 min/week vigorous activities). In total, 1183 (21%) women and 1387 (29%) men were active. After accounting for covariates, the favorable effects of leisure time physical activity on cardio‐metabolic parameters were evident. Specifically, the average blood pressure, heart rate, and Framingham Risk Score for cardiovascular diseases of the active were significantly lower within each sex. The ORs comparing the active versus the inactive women were 0.78 (95% CI: 0.66–0.92) for hypertension and 0.78 (95% CI: 0.65–0.93) for cardiovascular diseases in 10 years. Among men, the ORs were 0.75 (95% CI: 0.65–0.87) for hypertension and 0.73 (95% CI: 0.61–0.87) for diabetes. The 10‐year risk of cardiovascular diseases was significantly lower among the active men with a 33% reduction (OR=0.67, 95% CI: 0.57–0.78).ConclusionsWe observed beneficial effects of leisure time physical activity on cardio‐metabolic health in this large Brazilian population that are consistent with studies in North America and Europe.

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“…The Health Academy Program was redefined in 2013, when the concept of care-production was incorporated and the physical activities were removed from the general objective, expanding the specific goals 6 . Nowadays, the Health Academy Program aims to contribute to health promotion through the creation of public spaces with suitable infrastructure and professionals qualified to develop the activities planned 9 . However, evidence show that the objectives are overwhelming, goals unattainable, and the guidelines are not clear enough to support implementation processes in the cities 6 .…”

Section: Introductionmentioning

confidence: 99%

Analysis of the degree of implementation of Health Academy Program in a Brazilian midsize town

et al. 2021

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In 2011, the Brazilian Minister for Health created the Health Academy Program (Programa Academia da Saúde) as a strategy to promote health and healthy lifestyles. However, the official standards do not seem to be clear enough to support the implementation program in the towns. The aim of this study was to analyse the degree of Health Academy Program implementation in a Brazilian midsize town Vitória de Santo Antão, Pernambuco State, in 2018. This is an evaluative study that carry out a normative approach, considering the dimensions of structure and process related to work process. The research is divided into: (1) elaboration of the theoretical model of evaluation, through the validation of the logical model; (2) verification of the level of implementation, through an interview with workers and managers. The cut-off scores for classification of implementation levels were: (1) incipient: > 0 < 33.3%; (2) intermediate: > 33.3 < 66.6%; (3) advanced: > 66.6%. The level of implementation was considered intermediate (37.54%). The score of the structure was higher (54.76%) than the process (26.06%). The low level of Health Academy Program implementation, especially related to the multi-professional articulation and the difficult connection with other sectors or social actors, shows the necessity of reorganization of the actions.

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Physical activity and health in Brazil: research, surveillance and policies

Cited by 9 publications

References 2 publications

Influência do nível socioeconômico, idade, gordura corporal e sintomas depressivos na frequência de atividade física em adultos: uma análise de caminhos

Influência do nível socioeconômico, idade, gordura corporal e sintomas depressivos na frequência de atividade física em adultos: uma análise de caminhos

Leisure Time Physical Activity and Cardio‐Metabolic Health: Results From the Brazilian Longitudinal Study of Adult Health (ELSA‐Brasil)

Analysis of the degree of implementation of Health Academy Program in a Brazilian midsize town

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