Efeitos de Intervenções Comunitárias nos Níveis de Atividade Física: Revisão Sistemática

Com o objetivo de avaliar os efeitos de intervenções comunitárias nos níveis de atividade física (AF) em adultos, em dezembro de 2017 foi desenvolvida uma revisão sistemática, buscando ensaios controlados randomizados (ECR) comunitários com intervenções voltadas à promoção da AF avaliadas por métodos objetivos em amostras de adultos. Ao todo, nove ECR compuseram a síntese descritiva. A maioria dos ECR foi direcionada às pessoas inativas e mulheres. Considerando o número de passos por dia, quatro das cinco intervenções apresentaram resultados estatisticamente positivos. Em relação aos níveis de AF moderadas e vigorosas, duas de cinco intervenções apresentaram resultados potenciais. A maioria das intervenções foi baseada em atividades educacionais como práticas de aconselhamento, visitas domiciliares e chamadas telefônicas. Em conclusão, a maioria dos estudos incluídos mostrou o potencial das intervenções comunitárias ao aumento do número de passos por dia. É importante que futuros estudos debatam estratégias operacionais das intervenções, como o aconselhamento e visitas domiciliares.

Referências

Hackshaw-McGeagh LE, Perry RE, Leach VA, Qandil S, Jeffreys M, Martin RM, et al. A systematic review of dietary, nutritional, and physical activity interventions for the prevention of prostate cancer progression and mortality. Cancer Causes Control. 2015;26(11):1521-50.

Schmid D, Behrens G, Keimling M, Jochem C, Ricci C, Leitzmann M. A systematic review and meta-analysis of physical activity and endometrial cancer risk. Eur J Epidemiol. 2015;30(5):397-412.

Alothman S, Yahya A, Rucker J, Kluding PM. Effectiveness of interventions for promoting objectively measured physical activity of adults with type 2 diabetes: a systematic review. J Phys Act Health. 2017;14(5):408-15.

Cradock KA, ÓLaighin G, Finucane FM, Gainforth HL, Quinlan LR, Ginis KA. Behaviour change techniques targeting both diet and physical activity in type 2 diabetes: A systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2017;14(1):18.

Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380(9838):219-29.

Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U, et al. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012;380(9838):247-57.

Eisenberg Y, Vanderbom KA, Vasudevan V. Does the built environment moderate the relationship between having a disability and lower levels of physical activity? A systematic review. Prev Med. 2017;95S:S75-S84.

Davies MJ, Gray LJ, Troughton J, Gray A, Tuomilehto J, Farooqi A, et al. A community based primary prevention programme for type 2 diabetes integrating identification and lifestyle intervention for prevention: the Let's Prevent Diabetes cluster randomised controlled trial. Prev Med. 2016;84:48-56.

Kidd SA, Davidson L, McKenzie K. Common factors in community mental health intervention: a scoping review. Community Ment Health J. 2017;53(6):627-37.

Skevington SM, Sovetkina EC, Gillison FB. A systematic review to quantitatively evaluate 'stepping stones': a participatory community-based hiv/aids prevention intervention. AIDS Behav. 2013;17(3):1025-39.

Baker PR, Francis DP, Soares J, Weightman AL, Foster C. Community wide interventions for increasing physical activity. Cochrane Database Syst Rev. 2015;1:CD008366.

Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the international physical activity questionnaire short form (ipaq-sf): a systematic review. Int J Behav Nutr Phys Act. 2011;8:115.

Adamo KB, Prince SA, Tricco AC, Connor-Gorber S, Tremblay M. A comparison of indirect versus direct measures for assessing physical activity in the pediatric population: a systematic review. Int J Pediatr Obes. 2009;4(1):2-27.

Guerra PH, Cuce Nobre MR, Cardoso da Silveira JA, Aguiar Carrazedo Taddei JA. School-based physical activity and nutritional education interventions on body mass index: A meta-analysis of randomised community trials - Project PANE. Prev Med. 2014;61:81-9.

Thomas BH, Ciliska D, Dobbins M, Micucci S. A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions. Worldviews Evid Based Nurs. 2004;1(3):176-84.

Castro CM, Pruitt LA, Buman MP, King AC. Physical activity program delivery by professionals versus volunteers: the team randomized trial. Health Psychol. 2011;30(3):285-94.

Fitzsimons CF, Baker G, Gray SR, Nimmo MA, Mutrie N, (SPARColl) SPARC. Does physical activity counselling enhance the effects of a pedometer-based intervention over the long-term: 12-month findings from the walking for wellbeing in the west study. BMC Public Health. 2012;12:206.

Keyserling TC, Samuel Hodge CD, Jilcott SB, Johnston LF, Garcia BA, Gizlice Z, et al. Randomized trial of a clinic-based, community-supported, lifestyle intervention to improve physical activity and diet: the north carolina enhanced wisewoman project. Prev Med. 2008;46(6):499-510.

Koniak-Griffin D, Brecht ML, Takayanagi S, Villegas J, Melendrez M, Balcázar H. A community health worker-led lifestyle behavior intervention for latina (hispanic) women: feasibility and outcomes of a randomized controlled trial. Int J Nurs Stud. 2015;52(1):75-87.

McMurdo ME1, Sugden J, Argo I, Boyle P, Johnston DW, Sniehotta FF, et al. Do pedometers increase physical activity in sedentary older women? A randomized controlled trial. J Am Geriatr Soc. 2010;58(11):2099-106.

Opdenacker J, Boen F, Coorevits N, Delecluse C. Effectiveness of a lifestyle intervention and a structured exercise intervention in older adults. Prev Med. 2008;46(6):518-24.

Schulz AJ, Israel BA, Mentz GB, Bernal C, Caver D, DeMajo R, et al. Effectiveness of a walking group intervention to promote physical activity and cardiovascular health in predominantly non-hispanic black and hispanic urban neighborhoods: findings from the walk your heart to health intervention. Health Educ Behav. 2015;42(3):380-92.

Warner LM, Wolff JK, Ziegelmann JP, Schwarzer R, Wurm S. Revisiting self-regulatory techniques to promote physical activity in older adults: null-findings from a randomised controlled trial. Psychol Health. 2016;31(10):1145-65.

Wilbur J, Miller AM, Fogg L, McDevitt J, Castro CM, Schoeny ME, et al. Randomized clinical trial of the women's lifestyle physical activity program for african-american women: 24- and 48-Week Outcomes. Am J Health Promot. 2016;30(5):335-45.

Cleland CL, Tully MA, Kee F, Cupples ME. The effectiveness of physical activity interventions in socio-economically disadvantaged communities: a systematic review. Prev Med. 2012;54(6):371-80.

Heath GW1, Parra DC, Sarmiento OL, Andersen LB, Owen N, Goenka S, et al. Evidence-based physical activity intervention: lessons from around the globe. Lancet. 2012;380:272–81.

Marteau TM. Changing minds about changing behaviour. Lancet. 2018;391(10116):116-7.

Reis RS, Salvo D, Ogilvie D, Lambert EV, Goenka S, Brownson RC, et al. Scaling up physical activity interventions worldwide: stepping up to larger and smarter approaches to get people moving. Lancet. 2016;388(10051):1337-48.

Patnode CD, Evans CV, Senger CA, Redmond N, Lin JS. Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults without known cardiovascular disease risk factors: updated evidence report and systematic review for the us preventive services task force. JAMA. 2017;318(2):175-93.

Lin JS, O'Connor E, Whitlock EP, Beil TL. Behavioral counseling to promote physical activity and a healthful diet to prevent cardiovascular disease in adults: a systematic review for the u.s. preventive services task force. Ann Intern Med. 2010;153(11):736-50.

Breckon JD, Johnston LH, Hutchison A. Physical activity counseling content and competency: a systematic review. J Phys Act Health. 2008;5(3):398-417.

Berra K, Rippe J, Manson JE. Making physical activity counseling a priority in clinical practice: the time for action is now. JAMA. 2015;314(24):2617-8.

Goode AD, Reeves MM, Eakin EG. Telephone-delivered interventions for physical activity and dietary behavior change: an updated systematic review. Am J Prev Med. 2012;42(1):81-8.

Eakin EG, Lawler SP, Vandelanotte C, Owen N. Telephone interventions for physical activity and dietary behavior change: a systematic review. Am J Prev Med. 2007;32(5):419-34.

Greaves CJ, Sheppard KE, Abraham C, Hardeman W, Roden M, Evans PH, et al. Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions. BMC Public Health. 2011;11:119.

Costa EF, Guerra PH, dos Santos TI, Florindo AA. Systematic review of physical activity promotion by community health workers. Prev Med. 2015;81:114-21.

O'Donoghue G, Kennedy A, Puggina A, Aleksovska K, Buck C, Burns C, et al. Socio-economic determinants of physical activity across the life course: a "determinants of diet and physical activity" (dedipac) umbrella literature review. PLoS One. 2018;13(1):e0190737.

Tovar M, Walker JL, Rew L. Factors associated with physical activity in latina women: a systematic review. West J Nurs Res. 2018;40(2):270-97.

Lee IM, Shiroma EJ. Using accelerometers to measure physical activity in large-scale epidemiological studies: issues and challenges. Br J Sports Med. 2014;48(3):197-201.

Dowd KP, Szeklicki R, Minetto MA, Murphy MH, Polito A, Ghigo E, et al. A systematic literature review of reviews on techniques for physical activity measurement in adults: a DEDIPAC study. Int J Behav Nutr Phys Act. 2018;15(1):15.

Acessar