Physical activity and associated factors in the context of primary care
Abstract
Chronic non-communicable diseases (NCDs) account for the highest morbidity and mortality rates in several countries of the world at the beginning of the 21st century. Thus, the objective of the study was to verify the prevalence and analyze the factors associated with regular practice of physical activities (PA) per week of individuals registered in the context of primary care in a Basic Health Unit of Nova Mamoré-RO. Cross-sectional study, with users aged 30 to 74 years, 2019. The following questionnaires were used: International Physical Activity Questionnaire (IPAQ) in its shortest version, sociodemographic, biochemical and anthropometric tests. Stratification of Cardiovascular Risk (CVR) and metabolic syndrome. Binary Logistic Regression. Of the 63 users, 68.3% self-reported that they did not practice PA for at least 150 minutes per week, 10 minutes continuously, or at least three times per week. After adjustment, the factors associated with not practicing PA were age equal to or greater than 50 years, non-white skin color, altered waist circumference, high LDL cholesterol >190 mg/dl, low HDL cholesterol <40 mg/dl, high cardiovascular risk >20% and presence of metabolic syndrome (p<0.05). Multifactorial aspects should be considered in health promotion strategies directed at counseling actions for regular PA practice in Primary Health Care.
References
-Biff, D.; Pires, D.E.P.; Forte, E.C.N.; Trindade, L.L.; Machado, R.R.; Amadigi, F.R.; Scherer, M.D.A.; Soratto, J. Nurses’ workload: lights and shadows in the Family Health Strategy. Ciência & Saúde Coletiva. Vol. 25. Num. 1. 2020. p. 147-158.
-Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Promoção da Saúde. Guia de Atividade Física para a População Brasileira. Ministério da Saúde, Secretaria de Atenção Primária à Saúde, Departamento de Promoção da Saúde. Brasília. Ministério da Saúde. 2021.
-Brasil. Ministério da Saúde. Plano Nacional de Saúde 2020-2023. 2020. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/plano_nacional_saude_ 2020_2023.pdf
-Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Estratégias para o cuidado da pessoa com doença crônica: hipertensão arterial sistêmica / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica. Brasília: Ministério da Saúde. 2013. 128 p.: il. (Cadernos de Atenção Básica, n. 37). Disponível em: https://bvsms.saude.gov.br/ bvs/publicacoes/estrategias_cuidado_pessoa_doenca_cronica.pdf
-Bull, F.C.; Al-Ansari, S.S.; Biddle, S.; Borodulin, K.; Buman, M.P.; Cardon, G.; Carty, C.; Chaput, J.P.; Chastin, S.; Chou, R.; Dempsey, P.C.; DiPietro, L.; Ekelund, U.; Firth, J.; Friedenreich, C.M.; Garcia, L.; Gichu, M.; Jago, R.; Katzmarzyk, P.T.; Lambert, E.; Leitzmann, M.; Milton, K.; Ortega, F.B.; Ranasinghe, C.; Stamatakis, E.; Tiedemann, A.; Troiano, R.P.; van der Ploeg, H.P.; Wari, V.; Willumsen, J.F. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine. Vol. 54. Num 24. 2020. p. 1451-1462.
-Chen, H.J.; Pan, W.H.; Probable Blind Spot in the International Diabetes Fede¬ration Definition of Metabolic Syndrome. Obesity. Vol. 15. Num. 5. 2007. p.1096-100.
-Cichocki, M.; Fernandes, K. P.; Castro-Alves, D. C.; Gomes, M. V. M. Atividade física e modulação do risco cardiovascular. Revista Brasileira de Medicina do Esporte. Vol. 23. Num. 1. 2017. p. 21-25.
-Confortin, S.C.; Andrade, S.R.; de Draeger, V.M.; Meneghini, V.; Schneider, I.J.C.; Barbosa, A.R. Premature mortality caused by the main chronic noncommunicable diseases in the Brazilian states. Revista Brasileira de Enfermagem. Vol. 72. Num. 6. 2019. p.1588-94.
-Crochemore-Silva, I.; Knuth, A.G.; Mielke, G.I.; Loch, M.R. Promotion of physical activity and public policies to tackle inequalities: considerarions based on the Inverse Care Law and Inverse Equity Hypothesis. Caderno de Saúde Pública. Vol. 36. Num. 6. 2020. p. e00155119.
-Lee, I.M.; Shiroma, E.J.; Lobelo, F.; Puska, P.; Blair, S.N.; Katzmarzyk, P.T. Lancet Physical Activity Series Working Group. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. Vol. 380. Num. 9338. 2012. p. 219-29.
-Matsudo, S.; Araújo, T.; Matsudo, V.; Andrade, D.; Andrade, E.; Oliveira, L.C.; Braggion, G. Questionário Internacional de Atividade Física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Revista Brasileira de Atividade Física & Saúde. Vol. 6. Num. 2. 2001. p. 05-18.
-NCEP. Executive Summary of the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA. 2001. Vol. 285. p. 2486-97. Disponível em: https://www.aefa.es/wp-content/uploads/2014/04/NECP-guidelines-.pdf
-Pescatello, L.S.; Buchner, D.M.; Jakicic, J.M.; Powell, K.E.; Kraus, W.E.; Bloodgood, B.; Campbell, W.W.; Dietz, S.; Dipietro, L.; George, S.M.; Macko, R.F.; McTiernan, A.; Pate, R.R.; Piercy, K.L. 2018 Physical activity guidelines advisory committee. Physical Activity to Prevent and Treat Hypertension: A Systematic Review. Medicine & Science in Sports & Exercise. Vol. 51. Num. 6. 2019. p. 1314-1323.
-Sallis, J.F.; Bull, F.; Guthold, R.; Heath, G.W.; Inoue, S.; Kelly, P.; Oyeyemi, A.L.; Perez, L.G.; Richards, J.; Hallal, P.C. Lancet Physical Activity Series 2 Executive Committee. Progress in physical activity over the Olympic quadrennium. Lancet. Vol. 388. Num. 10051. 2016. p. 1325-36.
-Simões, E.J.; Hallal, P.C.; Siqueira, F.V.; Schmaltz, C.; Menor, D.; Malta, D.C.; Duarte, H.; Hino, A.A.; Mielke, G.I.; Pratt, M.; Reis, R.S. Effectiveness of a scaled up physical activity intervention in Brazil: a natural experiment. Preventive Medicine. Vol. 103. Num. Supplement -1. 2017. p. 66-72.
-SBC. Sociedade Brasileira de Cardiologia. Atualização da Diretriz de Prevenção Cardiovascular da Sociedade Brasileira de Cardiologia. Rio de Janeiro. Arquivos Brasileiros de Cardiologia. Vol. 113. Num. 4. 2019 p. 787-891.
-Van Bussel, E.F.; Hoevenaar-Blom, M.P.; Poortvliet, R.K.E.; Gussekloo, J.; van Dalen, J.W.; van Gool W.A.; Richard, E.; Moll van Charante, E.P. Predictive value of traditional risk factors for cardiovascular disease in older people: a systematic review. Preventive Medicine. Vol. 132. Num. 2020. 2020. P. 105986.
-OMS. Organização Mundial de Saúde. Global Health Estimates 2016: deaths by cause, age, sex, by country and by region, 2000-2016. Geneva. 2013. Disponível em: http://www.who.int/healthinfo/global_burden_disease/estimates/en/index1.html
-Xavier, H.T.; Izar, M.C.; Faria Neto, J.R.; Assad, M.H.; Rocha, V.Z.; Sposito, A.C.; Fonseca, F. A.; dos Santos, J.E.; Santos, R.D.; Bertolami, M.C.; Faludi, A.A.; Martinez, T.L.R.; Diament, J.; Guimarães, A.; Forti, N.A.; Moriguchi, E.; Chagas, A.C.P.; Coelho, O.R.; Ramires, J.A.F. Diretriz brasileira de dislipidemias e prevenção da aterosclerose. Arquivos brasileiros de cardiologia. Vol. 101. Num. 4. 2013. p. 1-20.
-Yin. Y.; Yu, Z.; Wang, J.; Sun, J.; Effects of the different Tai Chi exercise cycles on patients with essential hypertension: A systematic review and meta-analysis. frontiers in Cardiovascular Medicine. Vol. 10. 2023. p. 1016629.
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