Associated factors with physical activity counseling among Brazilian Family Health Strategy workers

Neto, João Miguel de Souza; Florindo, Alex Antônio; Costa, Filipe Ferreira da

doi:10.1590/1413-81232020261.10082019

Cited by 8 publications

(23 citation statements)

References 27 publications

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“…The Sport and Leisure in the City is a more inclusive program, which includes individuals with disabilities (181). Another example is the Family Health Strategy, which provides multidisciplinary teams to promote counseling for physical activity among other health aspects (182). Although the implementation of these different initiatives has faced substantial challenges, significant positive outcomes have been reported, including savings in the public health system and increases in physical activity levels (183)(184)(185).…”

Section: Discussionmentioning

confidence: 99%

A Critical Review on New Approaches for Chronic Disease Prevention in Brazil and Canada: From Wholistic Dietary Guidelines to Physical Activity Security

Schwartz

Perotto

et al. 2021

Front. Cardiovasc. Med.

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In light of new evidence on the prevention of chronic diseases and the elevated rates of overweight and obesity in Brazil and Canada, this critical review aims to interpret and synthesize current aspects regarding dietary and physical activity initiatives in both countries and make future recommendations. The pioneering work presented in the last Brazilian dietary guidelines has been called a model that can be applied globally, given its conceptualization of healthy eating that translates easily to practical guidance. The new Canadian Food Guide has incorporated similar aspects, also putting the country as a leader in dietary guidance. With these new recommendations, citizens in both Brazil and Canada have access to impactful evidence-informed nutritional guidelines. Both documents propose eating patterns that focus not only on health benefits, such as chronic disease prevention, but also incorporate well-being concerning cultural, economic, sociodemographic, biological, and ecological dimensions. A similar approach is required for physical activity to allow individuals to have attainable health and life goals and thereby fully enjoy their lives, regardless of geographical location, health status, and socioeconomic condition, a concept recently described as physical activity security. The wholistic dietary guidelines from both countries represent a change in paradigm in public health. Likewise, national evidence-based policies are warranted to reduce disparities in physical activity, allowing healthier and more active lifestyles for everyone.

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Section: Discussionmentioning

confidence: 99%

A Critical Review on New Approaches for Chronic Disease Prevention in Brazil and Canada: From Wholistic Dietary Guidelines to Physical Activity Security

Schwartz

Perotto

et al. 2021

Front. Cardiovasc. Med.

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“…Uma revisão sistemática com 21 estudos mostrou que 60% dos profissionais de saúde realizavam aconselhamento para prática de atividade física 9 . No Brasil, essa prevalência variou de 46,2 a 88,9% 9,[11][12][13][14][15] . Contudo, a maior parte destes estudos investigaram a prática de aconselhamento entre médicos, enfermeiros e agentes comunitários de saúde 11,12,14,15 , não contemplando os profissionais das demais equipes da Atenção Primária à Saúde (APS).…”

Section: Introductionunclassified

“…No Brasil, essa prevalência variou de 46,2 a 88,9% 9,[11][12][13][14][15] . Contudo, a maior parte destes estudos investigaram a prática de aconselhamento entre médicos, enfermeiros e agentes comunitários de saúde 11,12,14,15 , não contemplando os profissionais das demais equipes da Atenção Primária à Saúde (APS). A Estratégia de Saúde da Família organiza seu trabalho fundamentado em ações multidisciplinares 16 .…”

Section: Introductionunclassified

“…Em relação aos estudos de associação, observa-se que a maior parte tem testado a relação do aconselhamento para atividade física com a categoria profissional, variáveis sociodemográficas ou barreiras para aconselhamento 12,14,15,18,19 . Esses estudos mostram que características pessoais, como considerar aconselhamento eficaz para mudança no estilo de vida 15,20 e considerar-se preparado para aconselhar 11,15,20 associaram-se a maiores chances de aconselhar para atividade física. Adicionalmente, em relação as atitudes, ter menor peso corporal 18 , ter autoavaliação positiva de saúde 15 e praticar atividade física 12,14,18,19 também estiveram associadas a prática de aconselhamento.…”

Section: Introductionunclassified

“…Esses estudos mostram que características pessoais, como considerar aconselhamento eficaz para mudança no estilo de vida 15,20 e considerar-se preparado para aconselhar 11,15,20 associaram-se a maiores chances de aconselhar para atividade física. Adicionalmente, em relação as atitudes, ter menor peso corporal 18 , ter autoavaliação positiva de saúde 15 e praticar atividade física 12,14,18,19 também estiveram associadas a prática de aconselhamento. Em contrapartida, a presença isolada e simultânea de barreiras como falta de tempo 11,21 , de conhecimento e de orientação contribuíram negativamente na prática do aconselhamento para atividade física 21 .…”

Section: Introductionunclassified

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Aconselhamento para atividade física realizado por profissionais da Atenção Primária à Saúde

Moraes

Santos

Fermino

et al. 2022

Ciênc. saúde coletiva

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Resumo O objetivo deste estudo foi descrever a prevalência e analisar os fatores associados ao aconselhamento para a atividade física realizado por profissionais da Atenção Primária à Saúde (APS) de Florianópolis, Santa Catarina. Foi realizado inquérito com 587 profissionais de 49 centros de saúde. A realização de aconselhamento nos últimos 12 meses foi avaliada. Os fatores explorados na associação foram os sociodemográficos, de formação e atuação profissional, do conhecimento das recomendações de atividade física e do nível de atividade física. A proporção de profissionais que relataram aconselhar para atividade física foi 86,2% (IC95%: 83,2-88,8%). Os profissionais com maiores chances de aconselhar foram os com pós-graduação em Saúde Pública (OR: 3,71; IC95%: 1,69-9,37), que tiveram experiências acadêmicas na APS (OR: 2,68; IC95%:1,32-5,92), que pertenciam ao Núcleo Ampliado de Saúde da Família (OR: 4,52; IC95%: 1,31-28,50), que participavam de reuniões de matriciamento sobre atividade física (OR: 1,91; IC95%: 1,08-3,44) e eram fisicamente ativos (OR: 1,80; IC95%: 1,01-3,27). Os resultados sugerem que aspectos da formação e atuação profissional e o nível de atividade física dos profissionais contribuem positivamente nas ações de aconselhamento para atividade física na APS.

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Increasing Health Behaviors and Psychological Measures with an Adapted Version of the ACCELERATION Program

Schwartz,

Rhodes,

et al. 2024

Int.J. Behav. Med.

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Background Recent evidence highlights the importance of interventions tackling physical inactivity and unhealthy eating in lower-income countries. The purpose of this study was to examine the effectiveness of the Canadian ACCELERATION lifestyle program adapted to Brazilians. The main outcomes of the study were changes in the engagement in weekly moderate-to-vigorous physical activity (MVPA) and in the daily consumption of fruits/vegetables. Methods The adapted intervention consisted of a 12-week quasi-randomized controlled trial delivered through email. The data from the original Canadian experimental group (CE, n = 194) and the two groups of Portuguese-speaking Brazilians living in Canada in the adapted program – Brazilian experimental (BE, n = 41) and Brazilian control (BC, n = 35) – were assessed at baseline and post-intervention. The data of the 270 participants were analyzed using two-way repeated measures factorial ANCOVA (group x time) for ratio variables and Chi-square and McNemar tests for the categorical variables. Results The BE group had a significant increase in MVPA (mean difference, 95% CI: 86.3, 38.1–134.4 min/week) and fruits/vegetables intake (3.2, 1.4–5.1 servings/day) after the intervention (both p < 0.001). The proportion of participants engaging in ≥ 150 min of MVPA increased from 4.9% to 73.2%, while adoption of a healthy diet increased from 4.9% to 53.7% in the BE group (both p < 0.001). The CE group also improved on these variables (p < 0.05) with no difference vs the BE group (p > 0.05), whereas BC did not show changes (p > 0.05). Conclusion The Brazilian version of the ACCELERATION program effectively promoted positive health behavior changes in its participants and has the potential to contribute to the fight against risk factors for chronic diseases in Brazilians.

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Associated factors with physical activity counseling among Brazilian Family Health Strategy workers

Cited by 8 publications

References 27 publications

A Critical Review on New Approaches for Chronic Disease Prevention in Brazil and Canada: From Wholistic Dietary Guidelines to Physical Activity Security

A Critical Review on New Approaches for Chronic Disease Prevention in Brazil and Canada: From Wholistic Dietary Guidelines to Physical Activity Security

Aconselhamento para atividade física realizado por profissionais da Atenção Primária à Saúde

Increasing Health Behaviors and Psychological Measures with an Adapted Version of the ACCELERATION Program

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