Capacidade de promover atividade física em países sul-americanos: um estudo ecológico

Analisar a relação entre indicadores de pesquisa, monitoramento e políticas de atividade física (AF) e a prevalência de AF em países sul-americanos. Métodos: Foi realizado um estudo ecológico com base em informações de AF de uma amostra representativa da população adulta, por meio de pesquisas nacionais, de todos os países da América do Sul. Em cada país, os dados sobre AF total e de lazer foram avaliados usando questionários específicos da pesquisa, e foram fornecidas informações sobre indicadores de pesquisa, monitoramento e políticas para promover a AF. A correlação de Spearman foi realizada para a análise. Resultados: A frequência de políticas destinadas apenas à promoção da AF (rho = 0,67, p = 0,025) e a frequência de políticas descontinuadas (rho = -0,65, p = 0,028) foram correlacionadas com a prevalência de AF de lazer. Não foi observada relação para a prevalência de AF total. Conclusão: Políticas públicas direcionadas e sustentadas parecem estar relacionadas com a AF de lazer em países sul-americanos.

Referências

Ding D, Lawson KD, Kolbe-Alexander TL, Finkelstein EA, Katzmarzyk PT, van Mechelen W, et al. The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet. 2016;388(10051):1311-24. DOI: https://doi.org/10.1016/S0140-6736(16)30383-X

Klepac Pogrmilovic B, O'Sullivan G, Milton K, Biddle SJH, Pedisic Z. A systematic review of instruments for the analysis of national-level physical activity and sedentary behaviour policies. Health Res Policy Syst. 2019;17(1):86. DOI: https://doi.org/10.1186/s12961-019-0492-4

Klepac Pogrmilovic B, O'Sullivan G, Milton K, Biddle SJH, Bauman A, Bull F, et al. A global systematic scoping review of studies analysing indicators, development, and content of national-level physical activity and sedentary behaviour policies. Int J Behav Nutr Phys Act. 2018;15(1):123. DOI: https://doi.org/10.1186/s12966-018-0742-9

Strain T, Flaxman S, Guthold R. et al. National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5.7 million participants. The Lancet Global Health. (2024); 12(8), e1232–e1243.

Alghannam AF, Malkin JD, Al-Hazzaa HM, AlAhmed R, Evenson KR, Rakic S, et al. Public policies to increase physical activity and reduce sedentary behavior: a narrative synthesis of "reviews of reviews". Glob Health Action. 2023;16(1):2194715. DOI: https://doi.org/10.1080/16549716.2023.2194715

Gelius P, Messing S, Goodwin L, Schow D, Abu-Omar K. What are effective policies for promoting physical activity? A systematic review of reviews. Prev Med Rep. 2020;18: 101095. DOI: https://doi.org/10.1016/j.pmedr.2020.101095

Messing S, Tcymbal A, Abu-Omar K, Gelius P. Monitoring of physical activity policies conducted by research versus government: a systematic review at different levels of government. Health Res Policy Sys. 2023;21(1):124. DOI: https://doi.org/10.1186/s12961-023-01068-5

Varela AR, Pratt M. The GoPA! Second Set of Country Cards Informing Decision Making for a Silent Pandemic. J Phys Act Health. 2021;18(3):245-6. DOI: https://doi.org/10.1123/jpah.2020-0873

Klepac Pogrmilovic B, Ramirez Varela A, Pratt M, Milton K, Bauman A, Biddle SJH. National physical activity and sedentary behaviour policies in 76 countries: availability, comprehensiveness, implementation, and effectiveness. Int J Behav Nutr Phys Act. 2020; 17(1):1–13. DOI: https://doi.org/10.1186/s12966-020-01022-6

Araujo RHO, Werneck AO, Barboza LL, Ramírez-Vélez R, Martins CML, Tassitano RM, et al. Prevalence and sociodemographic correlates of physical activity and sitting time among South American adolescents: a harmonized analysis of nationally representative cross-sectional surveys. Int J Behav Nutr Phys Act. 2022;19(1):52. DOI: https://doi.org/10.1186/s12966-022-01291-3

Werneck AO, Araujo RHO, Anza-Ramírez C, Brazo-Sayavera J, García-Witulski C, Aguilar-Farias N, et al. Physical Activity and Sitting Time Patterns and Sociodemographic Correlates Among 155.790 South American Adults. J Phys Act Health. 2023;20(8):716-26. DOI: https://doi.org/10.1123/jpah.2022-0305

Mejía Grueso J, Pratt M, Resendiz E, Salvo D, Niño Cruz GI, Ruiz Gómez NY, Leandro Gómez RA, et al. Physical Activity Policies at National and Subnational Levels: A Study in Colombia, Costa Rica, Ecuador, and Mexico. J Phys Act Health. 2024 Feb 10;21(5):445-57. DOI: https://doi.org/10.1123/jpah.2023-0342

Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International Physical Activity Ques- tionnaire: 12-Country Reliability and Validity. Med Sci Sports Exerc. 2003; 35(8):1381-95. DOI: https://doi.org/10.1249/01.MSS.0000078924.61453.FB

Armstrong T, Bull F. Development of the World Health Organization Global Physical Activity Questionnaire (GPAQ). J Public Health. 2006;14:66-70. DOI: https://doi.org/10.1007/s10389-006-0024-x

Moreira AD, Claro RM, Felisbino-Mendes MS, Velasquez-Melendez G. Validade e reprodutibilidade de inquérito telefônico de atividade física no Brasil. Rev Bras Epidemiol. 2017;20:136-46. DOI: https://doi.org/10.1590/1980-5497201700010012

Global Observatory for Phisical Activity. Country Cards. 2nd ed. 2021: Disponível em: http://new.globalphysicalactivityobservatory.com/countrycards

Silva DR, Barboza LL, Baldew S, Anza-Ramirez C, Ramírez-Vélez R, Schuch FB, et al. Measurement of physical activity and sedentary behavior in national health surveys, South America. Rev Panam Salud Publica, 2022;46:e7. DOI: https://doi.org/10.26633/RPSP.2022.7

Klepac Pogrmilovic B, O’Sullivan G, Milton K, Biddle SJH, Bauman A, Bellew W, et al. The development of the Comprehensive Analysis of Policy on Physical Activity (CAPPA) framework. Int J Behav Nutr Phys Act. 2019;16(1):60 DOI: https://doi.org/10.1186/s12966-019-0822-5

Werneck AO, Araujo RHO, Aguilar-Farias, N, Ferrari G, Brazo-Sayavera J, García-Witulski C, et al. Time trends and inequalities of physical activity domains and sitting time in South America. J Glob Health. 2022;12:04027. DOI: https://doi.org/10.7189/jogh.12.04027

Ferry M, Bachtler J. Reassessing the concept of policy termination: the case of regional policy in England. Policy Studies. 2013;34(3):255-73. DOI: https://doi.org/10.1080/01442872.2013.768389

World Health Organization (WHO). Global action plan on physical activity 2018-2030: more active people for a healthier world. Geneva: World Health Organization; 2018.

Crochemore-Silva I, Knuth AG, Mielke GI, Loch MR. Promoção de atividade física e as políticas públicas no combate às desigualdades: reflexões a partir da Lei dos Cuidados Inversos e Hipótese da Equidade Inversa. Cad Saúde Pública. 2020;36(6). DOI: https://doi.org/10.1590/0102-311x00155119

Resendiz E, Ramírez-Varela A, Mejía-Grueso J, Moon J, Mitáš J, Brownson RC, et al. Breaking barriers: an innovative tool to assess the national and city-level physical activity policy development to practice disconnect. J Phys Act Health. 2024;21(5):425-33. DOI: https://doi.org/10.1123/jpah.2023-0471

Varela A, Salvo D, Pratt M, Milton K, Siefken K, Bauman A, et al. Worldwide use of the first set of physical activity country cards: The Global Observatory for Physical Activity - GoPA!. Int J Behav Nutr Phys. 2018;15(1):29. DOI: https://doi.org/10.1186/s12966-018-0663-7

Varela AR, Pratt M, Powell K, Lee IM, Bauman A, Heath G, et al. Worldwide Surveillance, Policy, and Research on Physical Activity and Health: The Global Observatory for Physical Activity. J Phys Act Health. 2017;14(9):701-9. DOI: https://doi.org/10.1123/jpah.2016-0626

Pratt M, Varela AR, Hallal PC. Celebrating 10 Years of the Global Observatory for Physical Activity — GoPA! J Phys Act Health. 2024; 15;21(5):423-4. DOI: https://doi.org/10.1123/jpah.2024-0233

Acessar