Fatores relacionados à inatividade física no lazer em mulheres obesas

Abstract

Objective: To verify the factors related to leisure-time physical inactivity (PI) in overweight women. Methods: A cross-sectional study, part of a matrix project entitled, "Remote nurse monitoring of overweight women", conducted in an outpatient reference clinic for obesity in Salvador, Bahia, Brazil, in which a multidisciplinary team and 300 patients, 91% women, of the Unified Health System, were selected for the study. A total of 174 women were recruited, according to inclusion criteria for the matrix project: overweight (BMI ≥ 25 kg/m²), more than 18 years of age, attended a medical visit in the last 12 months, and had a landline telephone and/ or cell phone. Exclusion criteria were: lack of physical conditions for anthropometric measures, lack of cognitive ability to respond to research instruments, psychiatric disorders, use of medications for weight loss, and bariatric surgery. The International Physical Activity Questionnaire guidelines for data processing and analysis were followed. Results: A high prevalence of PI (85.2%) was identified, as well as a significant association between PI and body mass index, self-efficacy for physical activity, environment perception, dependents at home, perceived health status, and number of comorbidities. Regression analysis showed that PI was associated with the number of comorbidities RP:1.31; IC 95% 1.06; 1.64); poor self-perception of health (RP: 1.28, 1.01, 1.61); low self-efficacy (RP: 1.27, 1.06, 1.51); and poor environmental perception (RP: 1.27, 95% CI 1.01, 1.60). Conclusion: Leisure-time physical inactivity was associated with individual and environmental variables. ResumoObjetivo: Verificar os fatores relacionados à inatividade física (IF) no lazer em mulheres com excesso de peso. Métodos: Estudo transversal, recorte de um projeto matriz denominado "Monitoramento remoto de enfermagem de mulheres com excesso de peso", desenvolvido em ambulatório de referência para obesidade, em Salvador, Bahia, Brasil, no qual uma equipe multidisciplinar cerca de 300 usuários do Sistema Único de Saúde, sendo 91% mulheres, razão pela qual foram selecionadas para o estudo. Mediante consulta aos prontuários 174 mulheres foram recrutadas atendendo aos critérios de inclusão para o projeto matriz: ter excesso de peso (IMC ≥25 Kg/m²), idade superior a 18 anos, comparecido a consulta médica nos últimos doze meses e telefone fixo e/ou celular. Foram critérios de exclusão: ausência de condições físicas para medidas antropométricas e cognitivas para responder aos instrumentos da pesquisa, distúrbios psiquiátricos, uso de drogas para perda de peso e realização de cirurgia bariátrica. Obedeceu-se as orientações do processamento e de análise dos dados do IPAQ. Resultados: Houve alta prevalência de IF (85,2%) e associação significante entre IF e índice de massa corporal, autoeficácia para atividade física, percepção do ambiente, dependentes no domicílio, estado de saúde percebido e número de comorbidades. Na regressão, a IF associou-se ao número de comorbidades (RP:1,31; IC 95% 1,06;...

Fatores associados à prática de atividade física entre trabalhadores brasileiros

“…A prática de atividade física é menor entre as mulheres casadas e entre as com filhos, dado o papel histórico que desempenham como cuidadoras da prole e responsáveis pelas tarefas domésticas. Além disso, muitas não têm com quem deixar os filhos para se exercitarem 22 .…”

Correlates of physical activity and sedentary behavior in adults living with overweight and obesity: A systematic review

“…The included studies were published between 1995 and 2021. Of the 45 studies, 28 were conducted in North America, nine in Europe, 5,35,39,44,46–50 three in South America, 41,42,51 four in Asia, 16,52–54 and one in Africa 40 …”

“…Participant sample sizes ranged from 14 47 to 493,731, 65 with mean age ranging from 22 52 to 69 49 years. Fifteen studies included women only 34,41,43,45,51,54,62–64,66–70 and two men only 16,53 with the remaining 28 included both. In total, 42 studies measured PA. Seventeen used objective measurement, 37,39,41–43,45,47,55–59,61,68–71 23 measured self‐reported PA, 5,16,38,40,44,46,48–50,52–54,60,62–67,72–76 and two measured both 37,42 .…”

Risk factors influencing food habits of overweight and obese incarcerated women

“…Issues related to excess weight are mainly associated with behavioral aspects 7,8,25 . This condition is related to the lifestyle of modern society with the adoption of a dietary pattern linked to a sedentary lifestyle and an unhealthy style 34 . In women deprived of their liberty, the behaviors associated with being overweight were confinement, smoking, unhealthy diets, abusive consumption of the foods offered, the use of laxatives, abstaining from sexual relations and recreational activities offered by the institution and the high consumption of processed foods brought by visitors or received by their cellmates 3,7,25 .…”