Abordagens e Métodos Para Avaliar o Comportamento Sedentário no Brasil: Uma Revisão Sistemática
Por Luciana Leite Silva Barboza (Autor), Ellen Caroline Mendes da Silva (Autor), Mabliny Thuany (Autor), Raphael Henrique de Oliveira Araújo (Autor), André de Oliveira Werneck (Autor), David Nunes Oliveira, Larissa Gandarela (Autor), Danilo Rodrigues Pereira da Silva (Autor).
Em Revista Brasileira de Atividade Física & Saúde - RBAFS v. 26, n 1, 2021.
Resumo
Nosso objetivo foi caracterizar os estudos brasileiros que avaliaram o comportamento sedentário, descrevendo as principais características dos estudos e identificando os instrumentos utilizados. Utilizando a metodologia PRISMA, a busca ocorreu em 25 de agosto de 2019 e foi atualizada em 17 de outubro de 2020 nas seguintes bases de dados: PUBMED, LILACS e SCIELO. Estudos em inglês, espanhol e português foram incluídos. Os critérios de inclusão foram estudos realizados com uma amostra de brasileiros e que utilizassem um instrumento para avaliar o comportamento sedentário. No total, foram selecionados 229 artigos. A maioria dos estudos avaliou crianças e adolescentes. Apenas 33 estudos usaram medidas derivadas de dispositivos e houve uma grande variabilidade nos questionários usados. Apenas 83/198 estudos apresentaram critérios de qualidade para o instrumento utilizado. A maioria dos estudos considerou o tempo de tela em uma semana típica mais o fim de semana para caracterizar o comportamento sedentário. Portanto, o comportamento sedentário no Brasil tem sido avaliado em grande parte por diferentes questionários, e poucos foram devidamente validados. Esses achados enfatizam a importância da padronização e do rigor metodológico para avaliação do comportamento sedentário no contexto brasileiro.
Referências
Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE et al. Sedentary Behavior Research Network (SBRN) - Terminology Consensus Project process and outcome. Int J Behav Nutr Phys Act. 2017;14(1):1-17.
Loyen A, Chau JY, Jelsma JGM, van Nassau F, van der Ploeg HP. Prevalence and correlates of domain-specific sedentary time of adults in the Netherlands: findings from the 2006 Dutch time use survey. BMC Public Health. 2019;19(2):1-12.
Stamatakis E, Ekelund U, Ding D, Hamer M, Bauman AE, Lee I-M. Is the time right for quantitative public health guidelines on sitting? A narrative review of sedentary behaviour research paradigms and findings. Br J Sports Med. 2019;53(6):377-82.
Pandey A, Salahuddin U, Garg S, Ayers C, Kulinski J, Anand V et al. Continuous Dose-Response Association Between Sedentary Time and Risk for Cardiovascular Disease: A Meta-analysis. JAMA Cardiol. 2016;1(5):575-83.
Tremblay MS, Colley RC, Saunders TJ, Healy GN, Owen N. Physiological and health implications of a sedentary lifestyle. Appl Physiol Nutr Metab. 2010;35(6):725-40.
Rezende LFM, Rodrigues Lopes M, Rey-López JP, Matsudo VKR, Luiz O do C. Sedentary behavior and health outcomes: an overview of systematic reviews. PloS One. 2014;9(8):e105620.
Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-62.
Ross R, Chaput J-P, Giangregorio LM, Janssen I, Saunders TJ, Kho ME et al. Canadian 24-Hour Movement Guidelines for Adults aged 18-64 years and Adults aged 65 years or older: an integration of physical activity, sedentary behaviour, and sleep. Appl Physiol Nutr Metab. 2020;45(10):S57-102.
Tremblay MS, Carson V, Chaput J-P, Connor Gorber S, Dinh T, Duggan M et al. Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep. Appl Physiol Nutr Metab. 2016;41(6):S311-27.
Virgara R, Phillips A, Lewis L, Richardson M, Maher C. Development of Australian physical activity and screen time guidelines for outside school hours care: an international Delphi study. Int J Behav Nutr Phys Act. 2021;18(1):1-14.
Okely AD, Ghersi D, Hesketh KD, Santos R, Loughran SP, Cliff DP et al. A collaborative approach to adopting/adapting guidelines - The Australian 24-Hour Movement Guidelines for the early years (Birth to 5 years): an integration of physical activity, sedentary behavior, and sleep. BMC Public Health. 2017;17(5):167-90.
Atkin AJ, Gorely T, Clemes SA, Yates T, Edwardson C, Brage S et al. Methods of Measurement in epidemiology: sedentary Behaviour. Int J Epidemiol. 2012;41(5):1460-71.
Owen N, Healy GN, Dempsey PC, Salmon J, Timperio A, Clark BK et al. Sedentary Behavior and Public Health: Integrating the Evidence and Identifying Potential Solutions. Annu Rev Public Health. 2020;41:265-87.
Bakker EA, Hartman YAW, Hopman MTE, Hopkins ND, Graves LEF, Dunstan DW et al. Validity and reliability of subjective methods to assess sedentary behaviour in adults: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2020;17(1):1-31.
Chastin SFM, Dontje ML, Skelton DA, Čukić I, Shaw RJ, Gill JMR et al. Systematic comparative validation of self-report measures of sedentary time against an objective measure of postural sitting (activPAL). Int J Behav Nutr Phys Act. 2018; 15(1):1-12.
Prince SA, Cardilli L, Reed JL, Saunders TJ, Kite C, Douillette K et al. A comparison of self-reported and device measured sedentary behaviour in adults: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2020;17(1):1-17.
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.
Bames J, Behrens TK, Benden ME, Biddle S, Bond D, Brassard P et al. Letter to the editor: standardized use of the terms ‘sedentary’ and ‘sedentary behaviours’. Appl Physiol Nutr Metab. 2012;37(3):540-2.
Ramires V, Becker L, Sadovsky A, Zago A, Bielemann R, Guerra P. Evolução da pesquisa epidemiológica em atividade física e comportamento sedentário no Brasil: atualização de uma revisão sistemática. Rev Bras Ativ Fis Saude. 2014;19(5):529–47.
Reilly JJ. When does it all go wrong? Longitudinal studies of changes in moderate-to-vigorous-intensity physical activity across childhood and adolescence. J Exerc Sci Fit. 2016;14(1):1-6.
INEP. Estatísticas da educação básica no Brasil: 2019. Brasília: INEP; 2019. Available in <http://inep.gov.br/sinopses-estatisticas-da-educacao-basica > [2021 Julho].
Matthews CE, Kozey Keadle S, Moore SC, Schoeller DS, Carroll RJ, Troiano RP et al. Measurement of Active and Sedentary Behavior in Context of Large Epidemiologic Studies. Med Sci Sports Exerc. 2018;50(2):266-76.
Basterra-Gortari FJ, Bes-Rastrollo M, Gea A, Núñez-Córdoba JM, Toledo E, Martínez-González MÁ. Television viewing, computer use, time driving and all-cause mortality: the SUN cohort. J Am Heart Assoc. 2014;3(3):e000864.
Kikuchi H, Inoue S, Sugiyama T, Owen N, Oka K, Nakaya T et al. Distinct associations of different sedentary behaviors with health-related attributes among older adults. Prev Med. 2014;67:335–9.
Hallgren M, Owen N, Stubbs B, Zeebari Z, Vancampfort D, Schuch F et al. Passive and mentally-active sedentary behaviors and incident major depressive disorder: A 13-year cohort study. J Affect Disord. 2018;241:579–85.
Prince SA, LeBlanc AG, Colley RC, Saunders TJ. Measurement of sedentary behaviour in population health surveys: a review and recommendations. PeerJ. 2017;5:e4130.
American Academy of Pediatrics. Committee on Public Education. American Academy of Pediatrics: Children, adolescents, and television. Pediatrics. 2001;107(2):423-6.
Magnon V, Dutheil F, Auxiette C. Sedentariness: A Need for a Definition. Front Public Health. 2018;6:372.
Dall PM, Coulter EH, Fitzsimons CF, Skelton DA, Chastin S, Seniors USP Team. TAxonomy of Self-reported Sedentary behaviour Tools (TASST) framework for development, comparison and evaluation of self-report tools: content analysis and systematic review. BMJ Open. 2017;7(4):e013844.
Grant PM, Ryan CG, Tigbe WW, Granat MH. The validation of a novel activity monitor in the measurement of posture and motion during everyday activities. Br J Sports Med. 2006;40(12):992-7.