Promotion of physical activities and healthy eating habits in Primary Care: maintenance of benefits
Keywords:
Health promotion, Primary health care, Program evaluationAbstract
Objective
To evaluate the maintenance of the beneficial effects of the Vida Ativa Melhorando a Saúde Program, six months after its completion.
Methods
A randomized controlled community trial was conducted in two poles of the Academia da Saúde Program, randomly identified as control or intervention groups. The study involved 291 adults and elderly involved in the routine activities of the Academia da Saúde Program. Individuals in the intervention group also participated to the Vida Ativa Melhorando a Saúde Program for 12 weeks. Accelerometers were used to evaluate physical activities, questionnaires for the evaluation of eating habits and anthropometric measures for nutritional status.
Results
Six months after completion of the intervention, the beneficial results obtained for physical activities and nutritional status were not maintained. The benefits related to eating habits remained, but not exclusively due to the effect of the intervention.
Conclusion
The Vida Ativa Melhorando a Saúde Program, in the applied format, was not able to promote lasting beneficial effects on physical activities and nutritional status. The Program is being restructured regarding the extension of the intervention time and its didactic material.
References
Malta DC, Oliveira TP, Santos MAS, Andrade SSCA, Silva MMA. Progress with the strategic action plan for tackling chronic non-communicable diseases in Brazil, 2011-2015. Epidemiol Serv Saúde. 2017;25:455-66. https://doi.org/10.5123/S1679-49742016000200016
Sá GR, Dornelles GC, Cruz KG, Amorim RCA, Andrade SSCA, Oliveira TP, et al. O Programa Academia da Saúde como estratégia de promoção da saúde e modos de vida saudáveis: cenário nacional de implementação. Ciênc Saúde Coletiva. 2016;21(6):1849-60. https://doi.org/10.1590/1413-81232015216.09562016
Fernandes AP, Andrade ACS, Costa DAS, Dias MAS, Malta DC, Caiaffa WT. Programa Academias da Saúde e a promoção da atividade física na cidade: a experiência de Belo Horizonte, MG, Brasil. Ciênc Saúde Coletiva. 2017;22(12):3903-14. https://doi.org/10.1590/1413-812320172212.25282017
Mendonça RD, Horta PM, Santos LC, Lopes ACS. The dietary profile of socially vulnerable participants in health promotion programs in a Brazilian metropolis. Rev Bras Epidemiol. 2015;18(2):454-65. https://doi.org/10.1590/1980-5497201500020013
Meurer ST. Avaliação da estratégia de promoção de atividade física e alimentação saudável - VAMOS - no Programa Academia da Saúde de Belo Horizonte, Minas Gerais [tese]. Florianópolis: Universidade Federal de Santa Catarina; 2016.
Meurer ST, Lopes ACS, Almeida FA, Mendonça RD, Benedetti TRB. Effectiveness of the VAMOS Strategy for increasing physical activity and healthy dietary habits: a randomized controlled community trial. Health Educ Behav. 2019;46(3):406-16. https://doi.org/10.1177/1090198118820095
Gerage AM, Benedetti TRB, Ritti-Dias RM, Santos ACO, Souza BCC, Almeida FA. Effectiveness of a behavior change program on physical activity and eating habits in patients with hypertension: a randomized controlled trial. J Phys Act Health. 2017;14(12):943-52. https://doi.org/10.1123/jpah.2016-0268
Brito FA, Benedetti TRB, Tomicki C, Konrad LM, Sandreschi PF, Manta SW, Almeida FA. Tradução e adaptação do Check List RE-AIM para a realidade Brasileira. Rev Bras Ativ Fís Saúde. 2018;23:1-8. https://doi.org/10.12820/rbafs.23e0033
Konrad L, Tomicki C, Silva M, Almeida FA, Benedetti TB. Avaliação de programas de mudança de comportamento usando a ferramenta RE-AIM: um estudo de revisão sistemática. Rev Bras Ativ Fís Saúde. 2017;22(5):439-49. https://doi.org/10.12820/rbafs.v.22n5p439-449
Bandura A. Social foundations of thought and action: a social cognitive theory. Englenwood Cliffs: Prentice Hall; 1986.
Ministério da Saúde (Brasil). Guia Alimentar para a População Brasileira. 2nd ed. Brasília: Ministério; 2014.
Sasaki JE, John D, Freedson PS. Validation and comparison of ActiGraph activity monitors. J Sci Med Sport. 2011;14(5):411-6. https://doi.org/10.1016/j.jsams.2011.04.003
World Health Organization. Obesity: prevenig and managing the global epidemic. Geneva: Organization; 2000.
American Dietetic Association. The Nutrition Screening Initiative: incorporating nutrition screening and interventions into medical practice: a monograph for physicians. Washington: American Academy of Family Physicians; 1994.
Ministério da Saúde (Brasil). VIGITEL Brasil 2014. Brasília: Ministério; 2015.
Fjeldsoe B, Neuhaus M, Winkler E, Eakin E. Systematic review of maintenance of behavior change following physical activity and dietary interventions. Health Psychol. 2011;30(1):99-109. https://doi.org/10.1037/a0021974
Bellicha A, Kieusseian A, Fontvieille A-M, Tataranni A, Charreire H, Oppert J-M. Stair-use interventions in worksites and public settings: a systematic review of effectiveness and external validity. Prev Med. 2015;70:3-13. https://doi.org/10.1016/j.ypmed.2014.11.001
Grimmett C, Corbett T, Brunet J, Shepherd J, Pinto BM, May CR, et al. Systematic review and metaanalysis of maintenance of physical activity behaviour change in cancer survivors. Int J Behav Nutr Phys Act. 2019;16(37):1-20. https://doi.org/10.1186/s12966-019-0787-4
Ribeiro EHC, Garcia LMT, Salvador EP, Costa EF, Andrade DR, Latorre MRDO, et al. Assessment of the effectiveness of physical activity interventions in the Brazilian Unified Health System. Rev Saúde Pública. 2017;51:1-12. https://doi.org/10.1590/s1518-8787.2017051006654
Howlett N, Trivedi D, Troop NA, Chater AM. Are physical activity interventions for healthy inactive adults effective in promoting behavior change and maintenance, and which behavior change techniques are effective? A systematic review and meta-analysis. Transl Behav Med. 2019;9:147-57. https://doi.org/10.1093/tbm/iby010
Silva KS, Del Duca GF, Garcia LM, Silva JA, Bertuol C, Oliveira ES et al. Barriers associated with frequency of leisure-time physical activity among Brazilian adults of different income strata. Scand J Med Sci Sport. 2019;26:206-13. https://doi.org/10.1111/sms.12419
Pitanga FJG, Almeida MCC, Queiroz CO, Aquino EML, Matos SMA. Physical activity in Brazil: lessons from ELSA-Brasil: narrative review. São Paulo Med J. 2017;135(4):391-5. https://dx.doi.org/10.1590/1516-3180.2017.0023190317
Salvo D, Reis RS, Hino AA, Hallal PC, Pratt M. Intensity-specific leisure-time physical activity and the built environment among Brazilian adults: a best-fit model. J Phys Act Health. 2015;12:307-18. https://doi.org/10.1123/jpah.2013-0087
Rech CR, Camargo EM, Araujo PAB, Loch MR, Reis RS. Perceived barriers to leisure-time physical activity in the Brazilian population. Rev Bras Med Esp. 2018;24(4):303-9. https://doi.org/10.1590/1517-869220 182404175052
Menezes MC, Mingoti SA, Cardoso CS, Mendonça RDD, Lopes ACS. Intervention based on Transtheoretical Model promotes anthropometric and nutritional improvements: a randomized controlled trial. Eat Behav. 2015;17:37-44. https://doi.org/10.1016/j.eatbeh.2014.12.007
Mendonça RD, Mingoti SA, Jaime PC, Lopes ACS. The impact of a nutritional intervention on the nutritional status and anthropometric profile of participants in the health Gym Programme in Brazil. Ciênc Saúde Coletiva. 2015;20(6):1937-46. https://doi.org/10.1590/1413-81232015206.11882014
Sichieri R, Bezerra IN, Araújo MC, Moura Souza A, Yokoo EM, Pereira RA. Major food sources contributing to energy intake - a nationwide survey of Brazilians aged 10 years and older. Br J Nutr. 2015;113(10):1638-42. https://doi.org/10.1017/S0007114515001075
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Simone Teresinha MEURER, Lucélia Justino BORGES, Aline Mendes GERAGE, Aline Cristine Souza LOPES, Tânia Rosane Bertoldo BENEDETT
This work is licensed under a Creative Commons Attribution 4.0 International License.
