RESUMEN
Background: Studies have demonstrated the positive effects of physical activity on cardiovascular risk factors. Longitudinal studies using modeled trajectories are necessary to understand patterns of physical activity and association with cardiovascular risk factors. Objective: To analyze the association between sports practice in young people and current physical activity with the trajectory of cardiovascular risk factors in workers at a public hospital. Methods: Four hundred and seventeen workers was followed for four years reporting Physical Activity, health status, lifestyle behaviors and socio-demographic characteristics. Group-based trajectory modeling identified the trajectories of PA and associations with time-stable and time-varying covariates. We considered a range of sociodemographic and health and lifestyle factors as potential covariates. Results: The results shows the association between participation in sports activities in youth and current physical activity and trajectories of cardiovascular risk, adjusted for sex and age (p < 0.05). Adults who reported having played sports in their youth and are currently active have a lower risk of having a history of obesity and low HDL-c than workers who did not play sports in their youth and are currently sedentary 0.690 (0.565-0.844) obesity, 0.647 (0.500-0.837) low HDL-c. Conclusion: The practice of sports in youth and current physical activity is a protective factor against the trajectory of obesity and low HDL-c, mainly in female workers. Programs to encourage the practice of physical activity should be carried out in order to reduce cardiovascular risk factors and prevent chronic diseases in workers.
RESUMEN
O profissional de saúde está sujeito a diversos comportamentos de risco que são determinantes para o desenvolvimento de doenças agudas e crônicas no decorrer da vida, sendo que o estilo de vida adotado influencia diretamente nesse contexto. O objetivo deste estudo foi associar o índice de massa corporal, a jornada de trabalho e nível de atividade física dos servidores do Hemocentro do Hospital Universitário de Maringá. Esta pesquisa caracteriza-se do tipo transversal, contando com a participação de 32 servidores. Os dados foram analisados por estatística descritiva de frequência absoluta e percentual, e o Teste Qui-Quadrado para associação das variáveis por meio do pacote estatístico SPSS, adotando um p< 0,05. Nos resultados encontrados, 56,2% dos servidores foram classificados como não ativos, e 28,1% foram classificados com sobrepeso. Diante deste estudo pode-se verificar a importância de programas de intervenção no ambiente de trabalho, como ginástica laboral durante a jornada de trabalho, ou atividades físicas após ou antes a jornada laboral, para prevenção de doenças e promoção da saúde.
Health professionals are subject to various risk behaviors that are determinants to the development of acute and chronic diseases later in life, with direct influence of the adopted lifestyle. The purpose of this study was to associate the body mass index, the working shift and the level of physical activity of health professionals working at the Blood Center of the University Hospital of Maringá. This is a cross-sectional study with 32 participants. Data were analyzed using descriptive statistics of absolute and percentage frequency, as well as the Chi-Square test for association of variables using the SPSS statistical package, adopting p <0.05. The results showed that 56.2% of workers were classified as sedentary, while 28.1% were classified as overweight. Therefore, the importance of intervention programs in the workplace is emphasized, such as occupational gymnastics during the working day, or physical activities after or before the work shift, in order to prevent diseases and promote the health of the workers.
Asunto(s)
Horas de Trabajo , Ejercicio Físico , Índice de Masa Corporal , Estudios Transversales , Personal de Salud , Hospitales UniversitariosRESUMEN
ABSTRACT This study aimed to conduct a systematic review of publications addressing the multidisciplinary treatment of obesity in Brazil and analyze their main results. A search was conducted in the databases SciELO, Lilacs, and Pubmed/Medline using the following search terms: 'obesidade', 'intervenção', 'tratamento', 'Brasil', for the search in Portuguese, and 'obesity', 'intervention', 'treatment', 'Brazil', for the search in English. Based on these terms, the following combination of words was used: 'Intervenção multiprofissional da obesidade', 'tratamento multidisciplinar da obesidade, tratamento multiprofissional da obesidade' and 'multidisciplinary obesity intervention', 'multidisciplinary obesity treatment', 'Multiprofessional obesity treatment'. Inclusion criteria were as follows: original studies carried out in Brazil involving human beings and that reported an intervention including two or more health care professionals. Articles published between January 2005 and July 2015 were analyzed independently by two reviewers. At the end of the analysis, out of 355 articles initially selected, 26 met all inclusion criteria. The following results were found: 23 studies involved children and adolescents and 03 involved adults 20-60 years of age. It was also found that the 26 studies analyzed had an impact on anthropometric parameters, 10 on physical fitness parameters, 16 on biochemical parameters, 10 on the reduction in comorbidities, 6 on nutritional parameters, and 4 on the psychological/social aspects. Based on evidence presented in the studies reviewed, it can be said that the multidisciplinary treatment for obesity greatly contributed to the reduction in the anthropometric indicators, especially BMI and the biochemical, social, and psychological parameters. Thus, these findings demonstrate that there is a need to expand the range of this type of treatment since it has proven to be effective in the fight against obesity and its comorbidities.
RESUMO Este estudo teve como objetivo investigar publicações sobre o tratamento multiprofissional da obesidade no Brasil e seus principais resultados. A busca sistemática foi realizada nas bases de dados SciELO, Lilacs e Pubmed/Medline. Foram constituídos os seguintes termos de procura: 'obesidade', 'intervenção', 'tratamento' e 'Brasil', para língua portuguesa, e 'obesity', 'intervention', 'treatment' e 'Brazil', na versão inglesa. A partir disso, foram constituídos os seguintes agrupamentos para a busca: Intervenção multiprofissional da obesidade, multidisciplinary obesity intervention, multidisciplinary obesity treatment, Multiprofessional obesity treatment, tratamento multidisciplinar da obesidade, tratamento multiprofissional da obesidade. Os critérios de inclusão foram: artigos originais de pesquisas realizadas no Brasil com seres humanos e que tivessem feito uma intervenção com dois ou mais profissionais da área de saúde. Foram analisadas por dois revisores, de forma independente, publicações entre os anos de 2005 e julho de 2015. Ao final das análises, de um total de 355 artigos selecionados, 26 estudos atenderam a todos os critérios de inclusão. Foram constatados os seguintes desfechos: 23 estudos eram com crianças e adolescentes e 03 com adultos de 20 a 60 anos. Resultados: No total, 26 estudos analisados tiveram impacto nos parâmetros antropométricos, 10 nos parâmetros de aptidão física, 16 nos parâmetros bioquímicos, 10 na diminuição das comorbidades, seis nos parâmetros nutricionais e quatro nos aspectos psicológicos/sociais. A partir das evidências apontadas pelas obras, o tratamento multiprofissional da obesidade se mostrou impactante na redução dos indicadores antropométricos, principalmente na diminuição do índice de massa corpórea e dos parâmetros bioquímicos, sociais e psicológicos. Assim, evidencia-se a necessidade de ampliação desse tipo de tratamento pela sua efetividade no combate à obesidade e suas comorbidades.