Promoção da atividade física no Brasil: uma questão que vai além da saúde pública

Abstract

Health launched the ruling, more than 1,200 Brazilian municipalities had received Federal funds for conducting health promotion interventions with an emphasis on physical activity.However, such initiatives should not disguise the huge challenges still facing public health in the country. According to recent data, only 15% of Brazilian adults do at least 150 minutes of leisure-time physical activity a week, and this percentage has remained stable since 2006 (Hallal PC et al. Rev Bras Epidemiol; in press). Fewer than 15% of Brazilians commute to work by bicycle or on foot. Much remains to be done.Action depends on multi-sector linkage that can be led by public health, but should never be limited to it. Transportation, development, education, sports, leisure, and social equality, to name just a few areas, must play their roles in promoting healthier lifestyles.According to a systematic review in Latin America, interventions in schools can be effective for promoting physical activity (Hoehner CM et al. Am J Prev Med 2008; 34:224-33). Even so, there is widespread difficulty in promoting physical activity in schools, especially due to conceptual gaps and communications difficulties between the areas of health, education, sports, and leisure. Until such challenges are overcome, the promotion of physical activity in schools will continue to be a distant and fictitious goal.Although various single initiatives are under way, the large-scale promotion of physical activity by the SUS is still a goal, not a reality. To change this situation, initial training of health professionals requires urgent rethinking, with a focus on health promotion and not simply on the prevention and treatment of diseases. Meanwhile, it is urgent to provide material space for health promotion within the SUS.None of this will be possible with the same persistent constraints on funding for research in physical activity in Brazil. Although physical inactivity is the fourth leading mortality risk factor in the world, there are still no specific calls for research projects on this area in Brazil. Considering that other areas like obesity, high blood pressure, and diabetes are all influenced by levels of physical activity, there is a regrettable lack of investment by research agencies in physical activity itself. It is hoped that the ruling that established the Health Centers will help change this situation.

Desenvolvimento e validação de um questionário de avaliação de programas de ginástica laboral

“…Após a elaboração de uma primeira versão do questionário, foi Para a avaliação do constructo não foi realizado o cálculo da taxa de concordância para determinar a validade de conteúdo, quantitativamente 71 . Foi utilizada a técnica de validade aparente, uma análise qualitativa de extrema importância, embora menos sofisticada, para verificar se o instrumento está apropriado, de acordo com a sua finalidade e possibilitar sugestões dos especialistas na construção e seleção dos itens 72,73,74 .…”

“…As intervenções de promoção da atividade física têm sido estudadas de forma crescente no país dada sua importância sobre as consequências da sua prática e as políticas relacionadas à saúde 74 .…”