Assessment of the effectiveness of physical activity interventions in the Brazilian Unified Health System
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100250 |
Resumo: | ABSTRACT OBJECTIVE To assess the effect of interventions on the levels of physical activity of healthy adults, users of the Brazilian Unified Health System and attended by the Family Health Strategy. METHODS Non-randomized experimental study with 157 adults allocated in three groups: 1) physical exercise classes (n = 54), 2) health education (n = 54), 3) control (n = 49). The study lasted for18 months, with 12 months of interventions and six months of follow-up after intervention. Assessments took place at the beginning, in the 12 months, and in the 18 months of study. Physical activity has been assessed by questionnaires and accelerometry. For the analyses, we have used the intention-to-treat principle and generalized estimating equations. RESULTS After 12 months, both intervention groups have increased the minutes of weekly leisure time physical activity and annual scores of physical exercise, leisure and transport-related physical activity. The exercise class group has obtained the highest average annual physical exercises score when compared to the other groups (p < 0.001). In the follow-up period, the exercise class group reduced its annual score (average: -0.3; 95%CI -0.5–-0.1), while the health education group increased this score (average: 0.2; 95%CI 0.1–0.4). There have been no differences in the levels of physical activity measured by accelerometry. CONCLUSIONS The interventions have been effective in increasing the practice of physical activity. However, we have observed that the health education intervention was more effective for maintaining the practice of physical activity in the period after intervention. We recommend the use of both interventions to promote physical activity in the Brazilian Unified Health System, according to the local reality of professionals, facilities, and team objectives. |
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Assessment of the effectiveness of physical activity interventions in the Brazilian Unified Health SystemAdultMotor ActivityOutcome Assessment (Health Care)Health BehaviorHealth PromotionUnified Health SystemRandomized Controlled TrialABSTRACT OBJECTIVE To assess the effect of interventions on the levels of physical activity of healthy adults, users of the Brazilian Unified Health System and attended by the Family Health Strategy. METHODS Non-randomized experimental study with 157 adults allocated in three groups: 1) physical exercise classes (n = 54), 2) health education (n = 54), 3) control (n = 49). The study lasted for18 months, with 12 months of interventions and six months of follow-up after intervention. Assessments took place at the beginning, in the 12 months, and in the 18 months of study. Physical activity has been assessed by questionnaires and accelerometry. For the analyses, we have used the intention-to-treat principle and generalized estimating equations. RESULTS After 12 months, both intervention groups have increased the minutes of weekly leisure time physical activity and annual scores of physical exercise, leisure and transport-related physical activity. The exercise class group has obtained the highest average annual physical exercises score when compared to the other groups (p < 0.001). In the follow-up period, the exercise class group reduced its annual score (average: -0.3; 95%CI -0.5–-0.1), while the health education group increased this score (average: 0.2; 95%CI 0.1–0.4). There have been no differences in the levels of physical activity measured by accelerometry. CONCLUSIONS The interventions have been effective in increasing the practice of physical activity. However, we have observed that the health education intervention was more effective for maintaining the practice of physical activity in the period after intervention. We recommend the use of both interventions to promote physical activity in the Brazilian Unified Health System, according to the local reality of professionals, facilities, and team objectives.Faculdade de Saúde Pública da Universidade de São Paulo2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100250Revista de Saúde Pública v.51 2017reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/s1518-8787.2017051006654info:eu-repo/semantics/openAccessRibeiro,Evelyn Helena CorgosinhoGarcia,Leandro Martin TotaroSalvador,Emanuel PériclesCosta,Evelyn FabianaAndrade,Douglas RoqueLatorre,Maria do Rosario Dias de OliveiraFlorindo,Alex Antonioeng2017-06-28T00:00:00Zoai:scielo:S0034-89102017000100250Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2017-06-28T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Assessment of the effectiveness of physical activity interventions in the Brazilian Unified Health System |
title |
Assessment of the effectiveness of physical activity interventions in the Brazilian Unified Health System |
spellingShingle |
Assessment of the effectiveness of physical activity interventions in the Brazilian Unified Health System Ribeiro,Evelyn Helena Corgosinho Adult Motor Activity Outcome Assessment (Health Care) Health Behavior Health Promotion Unified Health System Randomized Controlled Trial |
title_short |
Assessment of the effectiveness of physical activity interventions in the Brazilian Unified Health System |
title_full |
Assessment of the effectiveness of physical activity interventions in the Brazilian Unified Health System |
title_fullStr |
Assessment of the effectiveness of physical activity interventions in the Brazilian Unified Health System |
title_full_unstemmed |
Assessment of the effectiveness of physical activity interventions in the Brazilian Unified Health System |
title_sort |
Assessment of the effectiveness of physical activity interventions in the Brazilian Unified Health System |
author |
Ribeiro,Evelyn Helena Corgosinho |
author_facet |
Ribeiro,Evelyn Helena Corgosinho Garcia,Leandro Martin Totaro Salvador,Emanuel Péricles Costa,Evelyn Fabiana Andrade,Douglas Roque Latorre,Maria do Rosario Dias de Oliveira Florindo,Alex Antonio |
author_role |
author |
author2 |
Garcia,Leandro Martin Totaro Salvador,Emanuel Péricles Costa,Evelyn Fabiana Andrade,Douglas Roque Latorre,Maria do Rosario Dias de Oliveira Florindo,Alex Antonio |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Ribeiro,Evelyn Helena Corgosinho Garcia,Leandro Martin Totaro Salvador,Emanuel Péricles Costa,Evelyn Fabiana Andrade,Douglas Roque Latorre,Maria do Rosario Dias de Oliveira Florindo,Alex Antonio |
dc.subject.por.fl_str_mv |
Adult Motor Activity Outcome Assessment (Health Care) Health Behavior Health Promotion Unified Health System Randomized Controlled Trial |
topic |
Adult Motor Activity Outcome Assessment (Health Care) Health Behavior Health Promotion Unified Health System Randomized Controlled Trial |
description |
ABSTRACT OBJECTIVE To assess the effect of interventions on the levels of physical activity of healthy adults, users of the Brazilian Unified Health System and attended by the Family Health Strategy. METHODS Non-randomized experimental study with 157 adults allocated in three groups: 1) physical exercise classes (n = 54), 2) health education (n = 54), 3) control (n = 49). The study lasted for18 months, with 12 months of interventions and six months of follow-up after intervention. Assessments took place at the beginning, in the 12 months, and in the 18 months of study. Physical activity has been assessed by questionnaires and accelerometry. For the analyses, we have used the intention-to-treat principle and generalized estimating equations. RESULTS After 12 months, both intervention groups have increased the minutes of weekly leisure time physical activity and annual scores of physical exercise, leisure and transport-related physical activity. The exercise class group has obtained the highest average annual physical exercises score when compared to the other groups (p < 0.001). In the follow-up period, the exercise class group reduced its annual score (average: -0.3; 95%CI -0.5–-0.1), while the health education group increased this score (average: 0.2; 95%CI 0.1–0.4). There have been no differences in the levels of physical activity measured by accelerometry. CONCLUSIONS The interventions have been effective in increasing the practice of physical activity. However, we have observed that the health education intervention was more effective for maintaining the practice of physical activity in the period after intervention. We recommend the use of both interventions to promote physical activity in the Brazilian Unified Health System, according to the local reality of professionals, facilities, and team objectives. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100250 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102017000100250 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1518-8787.2017051006654 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.51 2017 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1748936504153997312 |