Correlates of physical activity counseling by health providers to patients with diabetes and hypertension attended by the Family Health Strategy in the state of Pernambuco, Brazil (original) (raw)
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BMC Public Health
Background Nutritional status, health risk behaviors, eating habits, and other comorbidities (such as diabetes) may be associated with recommended amounts of physical activity (PA) and exercise (EX) in healthy older adults. However, these associations are still unclear for older hypertensive adults, who require greater care from health professionals. The purpose of this study was to associate the nutritional status, health risk behaviors, eating habits, and the presence of diabetes with recommended amounts of physical activity and exercise practice of older hypertensive adults. Methods Ten thousand seven hundred eighty-nine older hypertensive adults (70.9 ± 7.4 years) from the VIGITEL telephone survey were classified according to PA levels (insufficiently active/sufficiently active) and EX practice (non-practitioners/practitioners). Binary logistic regression was used to observe the odds ratio (OR) between independent variables (nutritional status [body mass index], sociodemographic...
2020
Non-communicable chronic diseases (NCDs) are a group of complications characterized by a long latency period, prolonged evolution time and irreversible lesions that lead to a variety of disabilities and death. Thus, this study aims to prospectively evaluate the association between physical activity level and mortality in hypertensive and diabetic patients from a city in the state of Sao Paulo, Brazil. A standardized longitudinal study was conducted with 200 patients evaluated in 2012 and reassessed in 2018. These hypertensive and diabetic patients answered specific questions about the level of physical activity and quality of life. Univariate analyzes for the significance test of associations were performed using the analysis of variance and the chi- square test for continuous and discrete variables, respectively. All significance tests were considered at p<0.05 and survival analysis was conducted using the COX regression model. The major findings have shown that the chance of ac...
Revista Brasileira de Cineantropometria & Desempenho Humano
The aim of this cross-sectional study was to estimate the prevalence of self-reportedhypertension and diabetes among elderly users of primary healthcare facilities in Ribeirão Preto, Brazil, and to investigate the association between these chronic conditions and physical activity and the degree of independence on the performance of activities of daily living. The study included 357 subjects aged 60 years or older. The classification of physical activity was based on the International Physical Activity Questionnaire (IPAQ) and the Pfeffer FunctionalActivities Questionnaire (PFAQ) was applied to assess activities of daily living. Prevalence of diabetes was associated with the level of physical activity, the self-perception of health and the degree of independence on the performance of activities of daily living. No significant associations were found between the prevalence of hypertension and these variables. These findings reinforce the relevance of continuous strategies of managemen...
Recommendation and physical activity practice in Brazilians with chronic diseases
Revista Da Associacao Medica Brasileira, 2021
OBJECTIVE: To analyze the prevalence and factors associated with professional recommendation and leisure-time physical activity (LTPA) in Brazilian individuals diagnosed with hypertension (HBP), diabetes, and/or hypercholesterolemia. METHODS: This is a cross-sectional population-based study with a representative sample of the Brazilian population (aged ≥20 years) in 2013, with self-reported HBP (n=11.098), diabetes (n=3.176), and/or hypercholesterolemia (n=7.252). Prevalence and gross odds ratios were estimated and adjusted for both outcomes. RESULTS: Professional recommendation and LTPA were more prevalent in individuals who received recommendation and presented with hypercholesterolemia (85.9 and 23.4%, respectively). Adjusted analysis showed an association in people 40 to 59 years of age and public programs in most diseases. Higher educational level was associated with receiving recommendations in all non-communicable diseases (NCDs). LTPA was associated in people 40 to 59 years of age for HBP and diabetes and in all investigated NCDs, higher educational level, positive perception of health, and a favorable environment in those who received recommendation. CONCLUSIONS: Education presented the greatest magnitude in the associations, clearly showing the need for equitable methods to increase recommendation and LTPA levels for the most vulnerable population. Further studies analyzing other variables and NCD are needed, corroborating the Ministry of Health.
Preventing Chronic Disease, 2013
Introduction Physical inactivity is a risk factor for hypertension. The objective of this study was to examine the association between self-reported leisure-time physical activity and hypertension among Brazilian adults categorized by sex and body weight. Methods The study used data from adult respondents in 26 capital cities and the Federal District to VIGITEL (N = 54,353), Brazil's 2008 national surveillance system for risk and protective factors for chronic diseases. We conducted a multivariate logistic regression analysis to investigate the association between self-reported leisure-time physical activity and hypertension and examined whether sex or body weight modified this relationship. Results The prevalence of self-reported hypertension was high among women, older people, and people with fewer years of education. Overall, leisure-time physical activity decreased with increasing age, increased with increasing education level, and was higher among men than women. The association for leisure-time physical activity and hypertension was modified by sex but not body weight. Leisure-time physical activity reduced the odds of hypertension in men. Conclusion On the basis of self-reporting, leisure-time physical activity may be protective against hypertension in Brazilian men. Inclusion of other physical activity domains in the analyses may be necessary to fully understand the complex relationship between physical activity and hypertension by sex. In addition, public health priorities in Brazil for improving physical activity can target the entire population and not just those who are overweight or obese.
Characteristics of physical activity interventions in primary health care settings in Brazil
Journal of Science and Medicine in Sport, 2012
Introduction: Although physical activity (PA) promotion has been identified by the Brazilian Ministry of Health as an important strategy for health promotion, there is no evidence whether physical activity promotion has been included in the agenda of primary health care units (PHC), in Brazil. Objectives: The aim of the present study was to describe PA intervention and its characteristics in health care settings in Brazil.
Introduction: Physical inactivity is an important risk factor for hypertension. The association between leisure-time physical activity (LTPA) and hypertension has not been well examined by sex and bodyweight, strong predictors of hypertension, in a Latin American context. Methods: The study population included data from adult respondents (≥ 18 years) of the 2008 Brazilian telephone-based surveillance system for risk and protective factors for chronic diseases, VIGITEL (N = 54,353). We defined LTPA as practicing light/moderate PA at least 30 minutes/day in ≥ 5 days/week or vigorous PA for 20 minutes/day at least 3 times/week in the past 3 months during leisure-time. We analyzed the association between LTPA and diagnosed hypertension by overweight status (BMI ≥ 25 kg/m2) and sex and obtained adjusted odds ratios (OR) using multivariate logistic regression. Results: The hypertension prevalence was higher for women (26%) than men (21%) and overweight people (34%) than under/normal-weigh...
Revista de saude publica, 2017
To assess the effect of interventions on the levels of physical activity of healthy adults, users of the Brazilian Unified Health System and attended by the Family Health Strategy. Non-randomized experimental study with 157 adults allocated in three groups: 1) physical exercise classes (n = 54), 2) health education (n = 54), 3) control (n = 49). The study lasted for18 months, with 12 months of interventions and six months of follow-up after intervention. Assessments took place at the beginning, in the 12 months, and in the 18 months of study. Physical activity has been assessed by questionnaires and accelerometry. For the analyses, we have used the intention-to-treat principle and generalized estimating equations. After 12 months, both intervention groups have increased the minutes of weekly leisure time physical activity and annual scores of physical exercise, leisure and transport-related physical activity. The exercise class group has obtained the highest average annual physical ...