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Archives of Public Health
Published in: Archives of Public Health 1/2014

Open Access 01-12-2014 | Methodology

Interventions for physical activity promotion applied to the primary healthcare settings for people living in regions of low socioeconomic level: study protocol for a non-randomized controlled trial

Authors: Emanuel P Salvador, Evelyn H Ribeiro, Leandro MT Garcia, Douglas R Andrade, Vanessa MV Guimaraes, Marcelo S Aoki, Alex A Florindo

Published in: Archives of Public Health | Issue 1/2014

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Abstract

Background

Regular physical activity practice has been widely recommended for promoting health, but the physical activity levels remain low in the population. Therefore, the study of interventions to promote physical activity is essential. Objective: To present the methodology of two physical activity interventions from the “Ambiente Ativo” (“Active Environment”) project.

Methods

12-month non-randomized controlled intervention trial. 157 healthy and physically inactive individuals were selected: health education (n = 54) supervised exercise (n = 54) and control (n = 49). Intervention based on health education: a multidisciplinary team of health professionals organized the intervention in group discussions, phone calls, SMS and educational material. Intervention based on supervised exercise program: consisted of offering an exercise program in groups supervised by physical education professionals involving strength, endurance and flexibility exercises. The physical activity level was assessed by the International Physical Activity Questionnaire (long version), physical activities recalls, pedometers and accelerometers over a seven-day period.

Result

This study described two different proposals for promoting physical activity that were applied to adults attended through the public healthcare settings. The participants were living in a region of low socioeconomic level, while respecting the characteristics and organization of the system and its professionals, and also adapting the interventions to the realities of the individuals attended.

Conclusion

Both interventions are applicable in regions of low socioeconomic level, while respecting the social and economic characteristics of each region.

Trial registration

ClinicalTrials.gov NCT01852981
Appendix
Available only for authorised users
Literature
1.
Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, Nieman DC, Swain DP: American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 1359, 43 (7): 1334-CrossRef
2.
Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A: Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007, 39 (8): 1423-1434.CrossRefPubMed
3.
Sorensen JB, Skovgaard T, Puggaard L: Exercise on prescription in general practice: a systematic review. Scand J Prim Health Care. 2006, 24 (2): 69-74. 10.1080/02813430600700027.CrossRefPubMed
4.
Tremblay MS, Warburton DE, Janssen I, Paterson DH, Latimer AE, Rhodes RE, Kho ME, Hicks A, Leblanc AG, Zehr L, Murumets K, Duggan M: New Canadian physical activity guidelines. Appl Physiol Nutr Metab. 2011, 36 (1): 36-46. 10.1139/H11-009. 47–58CrossRefPubMed
5.
Florindo AA, Hallal PC, Moura EC, Malta DC: Practice of physical activities and associated factors in adults, Brazil, 2006. Rev Saude Publica. 2009, 43 (Suppl 2): 65-73.CrossRefPubMed
6.
Li C, Balluz LS, Okoro CA, Strine TW, Lin JM, Town M, Garvin W, Murphy W, Bartoli W, Valluru B: Surveillance of certain health behaviors and conditions among states and selected local areas - Behavioral Risk Factor Surveillance System, United States, 2009. MMWR Surveill Summ. 2011, 60 (9): 1-250.PubMed
7.
Florindo AA, Salvador EP, Reis RS, Guimaraes VV: Perception of the environment and practice of physical activity by adults in a low socioeconomic area. Rev Saude Publica. 2011, 45 (2): 302-310. 10.1590/S0034-89102011000200009.CrossRefPubMed
8.
Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT: Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012, 380 (9838): 219-229. 10.1016/S0140-6736(12)61031-9.CrossRefPubMedPubMedCentral
9.
Ministério da Saúde. Secretaria de Vigilância em Saúde: Secretaria de Gestão Estratégica e Participativa. Vigitel Brasil 2006: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. (in portuguese). 2007, Brasilia (DF): Ministério da Saúde
10.
Ministério da Saúde. Secretaria de Vigilância em Saúde: Secretaria de Gestão Estratégica e Participativa. Vigitel Brasil 2011: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. (in portuguese). 2012, Brasilia (DF): Ministério da Saúde
11.
Dunn AL, Marcus BH, Kampert JB, Garcia ME, Kohl HW, Blair SN: Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness: a randomized trial. JAMA. 1999, 281 (4): 327-334. 10.1001/jama.281.4.327.CrossRefPubMed
12.
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): 518-524. 10.1016/j.ypmed.2008.02.017.CrossRefPubMed
13.
Candeias NM: The concepts of health education and promotion: individual and organizational changes. (in portuguese). Rev Saude Publica. 1997, 31 (2): 209-213. 10.1590/S0034-89101997000200016.CrossRefPubMed
14.
Baker PR, Francis DP, Soares J, Weightman AL, Foster C: Community wide interventions for increasing physical activity. Cochrane Database Syst Rev. 2011, 1-130. 4
15.
Hoehner CM, Ribeiro IC, Parra DC, Reis RS, Azevedo MR, Hino AA, Soares J, Hallal PC, Simoes EJ, Brownson RC: Physical activity interventions in latin america: expanding and classifying the evidence. Am J Prev Med. 2013, 44 (3): e31-40. 10.1016/j.amepre.2012.10.026.CrossRefPubMedPubMedCentral
16.
Wu S, Cohen D, Shi Y, Pearson M, Sturm R: Economic analysis of physical activity interventions. Am J Prev Med. 2011, 40 (2): 149-158. 10.1016/j.amepre.2010.10.029.CrossRefPubMedPubMedCentral
17.
Sevick MA, Dunn AL, Morrow MS, Marcus BH, Chen GJ, Blair SN: Cost-effectiveness of lifestyle and structured exercise interventions in sedentary adults: results of project ACTIVE. Am J Prev Med. 2000, 19 (1): 1-8. 10.1016/S0749-3797(00)00154-9.CrossRefPubMed
18.
Bravata DM, Smith-Spangler C, Sundaram V, Gienger AL, Lin N, Lewis R, Stave CD, Olkin I, Sirard JR: Using pedometers to increase physical activity and improve health: a systematic review. JAMA. 2007, 298 (19): 2296-2304. 10.1001/jama.298.19.2296.CrossRefPubMed
19.
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): 419-434. 10.1016/j.amepre.2007.01.004.CrossRefPubMed
20.
Jenkins A, Christensen H, Walker JG, Dear K: The effectiveness of distance interventions for increasing physical activity: a review. Am J Health Promot. 2009, 24 (2): 102-117. 10.4278/ajhp.0801158.CrossRefPubMed
21.
van den Berg MH, Schoones JW, Vliet Vlieland TP: Internet-based physical activity interventions: a systematic review of the literature. J Med Internet Res. 2007, 9 (3): e26-10.2196/jmir.9.3.e26.CrossRefPubMedPubMedCentral
22.
Paim J, Travassos C, Almeida C, Bahia L, Macinko J: The Brazilian health system: history, advances, and challenges. Lancet. 2011, 377 (9779): 1778-1797. 10.1016/S0140-6736(11)60054-8.CrossRefPubMed
23.
24.
Ministério da Saúde. Secretária de Atenção à Saúde. Departamento de Atenção Básica: The Family Health Program: broadening coverage to consolidate the change in the primary care model. (in portuguese). Rev Bras Saúde Matern Infant. 2003, 3 (1): 113-125.
25.
Garcia LMT, Osti RFI, Ribeiro EHC, Florindo AA: Validation of questionnaires to assess physical activity in adults living in Ermelino Matarazzo, east zone of São Paulo. (in portuguese). Rev Bras Ativ Fis Saúde. 2013, 18 (3): 317-331.CrossRef
26.
Salvador EP, Ribeiro EHC, Andrade DR, Florindo AA: Study interventions to promote activity in the Health System Strategy for Family Health: description of the sampling procedure for use in Brazilian studies. (in portuguese). Rev Bras Ativ Fis Saúde. 2012, 17 (4): 279-285.
27.
Salvador EP, Florindo AA, Reis RS, Costa EF: Perception of the environment and leisure-time physical activity in the elderly. Rev Saude Publica. 2009, 43 (6): 972-980. 10.1590/S0034-89102009005000082.CrossRefPubMed
28.
Florindo AA, Salvador EP, Reis R: Physical activity and its relationship with perceived environment among adults living in a region of low socioeconomic level. J Phys Act Health. 2013, 10 (4): 563-571.PubMed
29.
Hallal PC, Knuth AG, Reis RS, Rombaldi AJ, Malta DC, Iser BP, Bernal RT, Florindo AA: Time trends of physical activity in Brazil (2006–2009). Rev Bras Epidemiol. 2011, 14 (Suppl 1): 53-60.CrossRefPubMed
30.
Florindo AA, Guimaraes VV, Cesar CL, Barros MB, Alves MC, Goldbaum M: Epidemiology of leisure, transportation, occupational, and household physical activity: prevalence and associated factors. J Phys Act Health. 2009, 6 (5): 625-632.PubMed
31.
de Munter JS, Agyemang C, Brewster LM, Stronks K, van Valkengoed IG: The association of leisure-time physical activity and active commuting with measures of socioeconomic position in a multiethnic population living in the Netherlands: results from the cross-sectional SUNSET study. BMC Public Health. 2012, 12: 815-10.1186/1471-2458-12-815.CrossRefPubMedPubMedCentral
32.
Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J: An ecological approach to creating active living communities. Annu Rev Public Health. 2006, 27: 297-322. 10.1146/annurev.publhealth.27.021405.102100.CrossRefPubMed
33.
Fleury J, Lee SM: The social ecological model and physical activity in African American women. Am J Community Psychol. 2006, 37 (1–2): 129-140.PubMed
34.
Adams MA, Hovell MF, Irvin V, Sallis JF, Coleman KJ, Liles S: Promoting stair use by modeling: an experimental application of the Behavioral Ecological Model. Am J Health Promot. 2006, 21 (2): 101-109. 10.4278/0890-1171-21.2.101.CrossRefPubMed
35.
Bandura A: Social cognitive theory: an agentic perspective. Annu Rev Psychol. 2001, 52: 1-26. 10.1146/annurev.psych.52.1.1.CrossRefPubMed
36.
Vallerand RJ: A hierarchical model of intrinsic and extrinsic motivation for sport and physical activity. Intrinsic motivation and self-determination in exercise and sport. Edited by: Hagger MS, Chatzisarantis NLD. 2007, Champaign, IL, US: Human Kinetics
37.
38.
Tanaka H, Monahan KD, Seals DR: Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001, 37 (1): 153-156. 10.1016/S0735-1097(00)01054-8.CrossRefPubMed
39.
Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR, Tudor-Locke C, Greer JL, Vezina J, Whitt-Glover MC, Leon AS: 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011, 43 (8): 1575-1581.CrossRefPubMed
40.
Ribeiro EH, Costa EF, Sobral GM, Florindo AA: Development and validation of a 24-hour recall for the evaluation of physical activity (in portuguese). Rev Bras Ativ Fis Saúde. 2011, 16 (2): 132-137.
41.
Osti RIF, Garcia LMT, Ribeiro EHC, Florindo AA: Validation of the 24-hour physical activity recall in elderly adults. Rev Bras Cineantropom Desempenho Hum. 2014, 16 (1): 15-26.
42.
Florindo AA, Latorre MRDO: Validation and reliability of the Baecke questionnaire for the evaluation of habitual physical activity in adult men. Rev Bras Med Esporte. 2003, 9 (3): 129-135.CrossRef
43.
Florindo AA, Latorre Mdo R, Jaime PC, Tanaka T, Zerbini CA: Methodology to evaluation the habitual physical activity in men aged 50 years or more. (in portuguese). Rev Saude Publica. 2004, 38 (2): 307-314. 10.1590/S0034-89102004000200022.CrossRefPubMed
44.
Yang CC, Hsu YL: A review of accelerometry-based wearable motion detectors for physical activity monitoring. Sensors. 2010, 10 (8): 7772-7788. 10.3390/s100807772.CrossRefPubMedPubMedCentral
45.
Tudor-Locke C, Bassett DR, Shipe MF, McClain JJ: Pedometry methods for assessing free-living adults. J Phys Act Health. 2011, 8 (3): 445-453.PubMed
46.
Lohman T, Roche AF, Martorelli R: Anthropometric standardizations reference manual. 1991, Champaign, IL, US: Human Kinetics
47.
48.
Canadian Association of Sports Sciences. Fitness Appraisal Certification and Accreditation Program, Fitness Canada, Canada. Fitness and Amateur Sport: Canadian Standardized Test of Fitness (CSTF) Operations Manual: (for 15 to 69 Years of Age). 1987, : Government of Canada, Fitness and Amateur Sport, 40 pg-3
49.
Reichert FF, Barros AJ, Domingues MR, Hallal PC: The role of perceived personal barriers to engagement in leisure-time physical activity. Am J Public Health. 2007, 97 (3): 515-519. 10.2105/AJPH.2005.070144.CrossRefPubMedPubMedCentral
50.
Thomas S, Reading J, Shephard RJ: Revision of the physical activity readiness questionnaire (PAR-Q). Can J Sport Sci. 1992, 17 (4): 338-345.PubMed
51.
Kohl HW, Dunn AL, Marcus BH, Blair SN: A randomized trial of physical activity interventions: design and baseline data from project active. Med Sci Sports Exerc. 1998, 30 (2): 275-283.CrossRefPubMed
52.
Clark M, Hampson SE, Avery L, Simpson R: Effects of a tailored lifestyle self-management intervention in patients with type 2 diabetes. Br J Health Psychol. 2004, 9 (Pt 3): 365-379.CrossRefPubMed
53.
Cooper TV, Resor MR, Stoever CJ, Dubbert PM: Physical activity and physical activity adherence in the elderly based on smoking status. Addict Behav. 2007, 32 (10): 2268-2273. 10.1016/j.addbeh.2007.01.007.CrossRefPubMed
54.
Dubbert PM, Cooper KM, Kirchner KA, Meydrech EF, Bilbrew D: Effects of nurse counseling on walking for exercise in elderly primary care patients. J Gerontol A Biol Sci Med Sci. 2002, 57 (11): M733-740. 10.1093/gerona/57.11.M733.CrossRefPubMed
55.
Fontaine KR, Conn L, Clauw DJ: Effects of lifestyle physical activity on perceived symptoms and physical function in adults with fibromyalgia: results of a randomized trial. Arthritis Res Ther. 2010, 12 (2): R55-10.1186/ar2967.CrossRefPubMedPubMedCentral
56.
Kerr J, Norman GJ, Adams MA, Ryan S, Frank L, Sallis JF, Calfas KJ, Patrick K: Do neighborhood environments moderate the effect of physical activity lifestyle interventions in adults?. Health Place. 2010, 16 (5): 903-908. 10.1016/j.healthplace.2010.05.002.CrossRefPubMedPubMedCentral
57.
Macfarlane DJ, Taylor LH, Cuddihy TF: Very short intermittent vs continuous bouts of activity in sedentary adults. Prev Med. 2006, 43 (4): 332-336. 10.1016/j.ypmed.2006.06.002.CrossRefPubMed
58.
McMurdo ME, Sugden J, Argo I, Boyle P, Johnston DW, Sniehotta FF, Donnan PT: Do pedometers increase physical activity in sedentary older women? A randomized controlled trial. J Am Geriatr Soc. 2010, 58 (11): 2099-2106. 10.1111/j.1532-5415.2010.03127.x.CrossRefPubMed
59.
Reeves MM, Marshall AL, Owen N, Winkler EA, Eakin EG: Measuring physical activity change in broad-reach intervention trials. J Phys Act Health. 2010, 7 (2): 194-202.PubMed
60.
Wilcox S, Castro CM, King AC: Outcome expectations and physical activity participation in two samples of older women. J Health Psychol. 2006, 11 (1): 65-77. 10.1177/1359105306058850.CrossRefPubMed
61.
Knuth AG, Malta DC, Cruz DK, Castro AM, Fagundes J, Sardinha LM, Gosch CS, Simoes EJ, Hallal PC: Description of the countrywide physical activity network coordinated by the Brazilian Ministry of Health: 2005–2008. J Phys Act Health. 2011, 7 (Suppl 2): S253-258.
62.
Malta DC, Barbosa Da Silva J: Policies to promote physical activity in Brazil. Lancet. 2012, 380 (9838): 195-196. 10.1016/S0140-6736(12)61041-1.CrossRefPubMed
63.
Malta DC, Morais Neto OL, Silva Junior JB: Presentation of the strategic action plan for coping with chronic diseases in Brazil from 2011 to 2022. Epidemiol Serv Saúde. 2011, 20: 425-438. 10.5123/S1679-49742011000400002.CrossRef
Metadata
Title
Interventions for physical activity promotion applied to the primary healthcare settings for people living in regions of low socioeconomic level: study protocol for a non-randomized controlled trial
Authors
Emanuel P Salvador
Evelyn H Ribeiro
Leandro MT Garcia
Douglas R Andrade
Vanessa MV Guimaraes
Marcelo S Aoki
Alex A Florindo
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Archives of Public Health / Issue 1/2014
Electronic ISSN: 2049-3258
DOI
https://doi.org/10.1186/2049-3258-72-8

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