What Is the Contribution of Community Programs to the Physical Activity of Women? A Study Based on Public Open Spaces in Brazil.

Community programs can facilitate the access of vulnerable subgroups to physical activity (PA). This study analyzed the relationship between sociodemographic characteristics, health conditions, public open spaces (POS) usage, and women's PA. The 155 participants were assiduous in taking part in PA classes in POS in São José dos Pinhais, Brazil. The accelerometer-based PA measures identified four outcomes: (1) daily light-intensity PA (LPA), (2) daily moderate-to-vigorous intensity PA (MVPA), (3) LPA in POS, and (4) MVPA in POS. Linear regression, and the Durbin-Watson and Mann-Whitney U tests were used for data analysis in STATA software. The main results showed that the weekly frequency (ß: 10.9, p < 0.01) and intensity of the main activity in the POS (ß: 22.4, p < 0.05) were related to daily MVPA. Economic level and length of stay in the POS were positively related to the LPA performed (p < 0.05). Weekly frequency (ß: 2.4, p < 0.01), length of stay (ß: 11.0, p < 0.01), and intensity of PA practiced in the POS (ß: 5.9, p < 0.05) showed a positive relationship with MVPA in the POS. In conclusion, there was a positive relationship between some analyzed variables and PA of different intensities, especially the consistent relationship between weekly frequency of POS usage and MVPA. Participation in structured PA classes in a community program can contribute to an increase of 47 min of daily MVPA.

Describing physical activity in public open spaces in Brazil: Active City, Healthy City Program / Descrevendo a atividade física em espaços públicos abertos no Brasil: Programa Cidade Ativa, Cidade Saudável

This study aimed to describe the physical activity (PA) in public open spaces (POS) in a medi-um-sized city in Brazil. The System for Observing Play and Recreation in Communities (SOPARC) was applied to evaluate a representative sample of users in 10 POS which received actions from the Active City, Healthy City Program. The places were evaluated four days a week (Tuesday, Wednes-day, Saturday, and Sunday) at four times (8 am, 10 am, 2 pm, and 4 pm). The proportion of users by gender, age group, skin color, and PA level was compared between the POS using the chi-square test for heterogeneity in the STATA software (p<0.05). As main results, 32,768 scans were performed in 64 target areas and identified 8,634 individuals. The highest proportion of people were males (58%), adults (38%), with white skin color (97%), and in light or moderate PA (76%). Except for skin color, there was a significant difference in the proportion of all other variables between the POS (p < 0.05). In conclusion, the POS was more commonly used by men, adults, and people of white skin color for light and moderate PA. Based on the results, program managers could reallocate resources to increase utilization and PA at each place

O objetivo deste estudo foi descrever a atividade física (AF) em espaços públicos abertos (EPA) em uma cidade de médio porte do Brasil. O System for Observing Play and Recreation in Communities (SOPARC) foi utilizado para avaliar uma amostra representativa de frequentadores de 10 EPA que receberam ações do programa Cidade Ativa, Cidade Saudável. Os locais foram avaliados quatro dias da semana (terça-feira, quarta-feira, sábado, domingo) em quatro horários (8h, 10h, 14h, 16h). A proporção de frequentadores por sexo, faixa etária, cor de pele e nível de AF foi comparada entre os EPA pelo teste do qui-quadrado para heterogeneidade no software STATA (p < 0,05). Como resultados principais, foram realizados 32.768 scans em 64 áreas-alvo e 8.634 frequentadores foram identificados. Foi observada maior proporção de pessoas do sexo masculino (58%), adultos (38%), de cor de pele branca (97%) e em AF de intensidade leve ou moderada (76%). Com exceção da cor da pele, houve diferença significante na proporção das demais variáveis entre os EPA (p < 0,05). Em conclusão, os EPA são mais comumente utilizados por homens, pessoas adultas, de cor de pele branca e para a prática de AF de intensidade leve e moderada. Com base nos resultados, os gestores do programa poderiam realocar recursos para aumentar a utilização e a AF em cada local

Physical and motor profile of children between 6 and 10 years old according to levels of cardiorespiratory fitness / Perfil físico e motor de crianças entre os 6 e os 10 anos de idade em função dos níveis de aptidão cardiorrespiratória

Abstract This study aimed to compare the physical profile and motor profile of children from 6 to 10 years old, according to their level of cardiorespiratory fitness (CRF). Participated 2036 children from 6 to 10 years old from São José dos Pinhais - PR. Assessed variables were stature, corporal mass, Body mass index (BMI), physical fitness (PF), and gross motor coordination (GMC). The CRF was assessed by the total distance during the 6 minutes walking test. A battery of tests KTK evaluated the GCM. The children were classified according to their levels of CRF (low-moderate-elevated). Differences between groups were tested using ANOVA one way. Data analysis was made in the SPSS software, with a meaningfulness of 5%. Children with low levels of CRF showed higher values of adiposity. On the PF tests, children with low levels of CRF showed higher values of prehension and worse performance in the other tests. Regarding GMC, children with low levels of CRF had lower coordinative performance. Meaningful differences were found in the comparisons between different groups (low-moderate, low-elevated) with an advantage in the results in moderate levels of CRF. Obtaining average levels of CRF can bring protective benefits in other variables in children's growth process and development during infancy. Evaluating the CRF doesn't only get a momentary evaluation. Still, it can also do the monitoring of an essential variable of health, as well as indicate a predisposition about other physical-motor variables.

Resumo Comparar o perfil físico e motor de crianças dos 6 aos 10 anos, conforme os seus níveis de aptidão cardiorrespiratória (AptC). Participaram do estudo 2036 crianças de seis a 10 anos de idade de São José dos Pinhais-PR. Foram avaliados estatura, massa corporal, índice de massa corporal (IMC), aptidão física (AptF) e coordenação motora (CMG). A AptC foi avaliada pela distância total percorrida no teste de seis minutos. A CMG foi avaliada por meio da bateria de testes KTK. As crianças foram classificadas em função dos níveis de AptC (baixo-moderado-elevado). Diferenças entre grupos foram testadas utilizando da ANOVA one way. As análises dos dados foram realizadas no software SPSS, com nível de significância em 5%. Crianças com menor nível de AptC apresentam maiores valores médios adiposidade. Nos testes de AptF, crianças com níveis baixos de AptC apresentaram maiores valores de preensão e pior desempenho nos demais testes. Relativamente à CMG, crianças com baixos níveis de AptC apresentaram piores desempenho coordenativo. Diferenças significativas foram encontradas para as comparações entre os outros grupos (baixo-moderado; baixo-elevado) com vantagem nos resultados nos níveis moderados a elevados de AptC. Obter níveis moderados de AptC pode trazer benefícios protetores em diferentes variáveis do processo de crescimento e desenvolvimento de crianças durante a segunda infância. Avaliar a AptC não traz somente uma avaliação momentânea, como pode ser feito o monitoramento de uma importante variável de saúde bem como indicar uma predisposição sobre outras variáveis físico-motoras.

Barriers to physical activity among adults in primary healthcare units in the National Health System: a cross-sectional study in Brazil

ABSTRACT BACKGROUND: Many factors may negatively impact physical activity (PA), but studies lack evidence of individual predictors of perceived barriers to PA among adults in primary healthcare units. OBJECTIVE: To analyze associations between sociodemographic characteristics, health conditions, leisure-time physical activity (LTPA), PA counseling and perceived barriers to LTPA among adult patients in primary healthcare units of the National Health System in Brazil. DESIGN AND SETTING: Cross-sectional study on a representative sample of adults in primary healthcare units in São José dos Pinhais, Paraná, Brazil. METHODS: This study was conducted in 2019, among 779 adults (70% women). Barriers to LTPA, sociodemographic characteristics (sex, age, marital status, skin color, education and income), health conditions (body mass index, hypertension, diabetes, dyslipidemia, coronary disease and medications), LTPA level and PA counseling received were measured using validated, standardized procedures. The data were analyzed using chi-square and Mann-Whitney U tests. RESULTS: The most prevalent barriers were "feeling too tired" (53%) and "lack of time" (52%). PA counseling was inversely associated with "lack of time" (45% versus 57%; P < 0.001) but positively associated with "injury or disease" (38% versus 29%; P = 0.008). There was an inverse linear trend between the number of barriers and LTPA (walking and total) (P < 0.001). Most barriers differed in comparisons of sociodemographic characteristics, health conditions, LTPA and counseling (P < 0.05). CONCLUSIONS: The barriers vary according to the individual predictors. Counseling strategies need to be specific for each barrier and may be promising for promoting LTPA within primary healthcare.

Barriers to physical activity among adults in primary healthcare units in the National Health System: a cross-sectional study in Brazil.

BACKGROUND: Many factors may negatively impact physical activity (PA), but studies lack evidence of individual predictors of perceived barriers to PA among adults in primary healthcare units. OBJECTIVE: To analyze associations between sociodemographic characteristics, health conditions, leisure-time physical activity (LTPA), PA counseling and perceived barriers to LTPA among adult patients in primary healthcare units of the National Health System in Brazil. DESIGN AND SETTING: Cross-sectional study on a representative sample of adults in primary healthcare units in São José dos Pinhais, Paraná, Brazil. METHODS: This study was conducted in 2019, among 779 adults (70% women). Barriers to LTPA, sociodemographic characteristics (sex, age, marital status, skin color, education and income), health conditions (body mass index, hypertension, diabetes, dyslipidemia, coronary disease and medications), LTPA level and PA counseling received were measured using validated, standardized procedures. The data were analyzed using chi-square and Mann-Whitney U tests. RESULTS: The most prevalent barriers were "feeling too tired" (53%) and "lack of time" (52%). PA counseling was inversely associated with "lack of time" (45% versus 57%; P < 0.001) but positively associated with "injury or disease" (38% versus 29%; P = 0.008). There was an inverse linear trend between the number of barriers and LTPA (walking and total) (P < 0.001). Most barriers differed in comparisons of sociodemographic characteristics, health conditions, LTPA and counseling (P < 0.05). CONCLUSIONS: The barriers vary according to the individual predictors. Counseling strategies need to be specific for each barrier and may be promising for promoting LTPA within primary healthcare.

Sedentary Behavior Counseling Received from Healthcare Professionals: An Exploratory Analysis in Adults at Primary Health Care in Brazil.

Counseling by health professionals has promising results in behavior change and is recommended as part of integrated community interventions. However, the knowledge about sedentary behavior (SB) counseling is incipient. The study aimed to identify the prevalence and explore the associated factors with SB counseling received from healthcare professionals by adults in primary health care (PHC) in Brazil. A cross-sectional study was conducted in 2019 that included a representative sample of 779 users in all 15 basic health units (BHU) in São José dos Pinhais, Paraná. We identified those who reported having received SB counseling during a consultation. The association between the sociodemographic factors, chronic diseases, access to health services, physical activity, SB, and counseling were analyzed using Poisson regression in a hierarchical model. The prevalence of counseling was 12.2% (95% CI: 10.1-14.7%); it was higher in women (PR: 1.77; 95% CI: 1.10-2.83), those aged ≥60 yrs (PR: 1.84; 95% CI: 1.14-2.98), BMI ≥ 30 kg/m2 (PR: 2.60; 95% CI: 1.31-5.17), who consume ≥3 medications (PR: 2.21; 95% CI: 1.06-4.59), and those who spend a prolonged period of the day engaged in SB (4th quartile PR: 3.44; 95% CI: 1.88-6.31). The results highlight that SB counseling is underutilized and incipient in PHC. Understanding these results can help managers and healthcare professionals in BHU teams to implement and direct specific actions to reduce SB in adults through counseling.

Effects of interventions for promoting physical activity during recess in elementary schools: a systematic review

Abstract Objective: Summarize the effects of interventions designed to promote physical activity during elementary school recess in children between 5 and 10 years old. Effective school interventions for children can promote physical activity and healthy behaviors. Methods: PubMed, Scopus, Bireme, SciELO, Web of Science, PsychINFO, Proquest, Physical Education Index, Sports Discus, and Eric databases were included in the data search. Original intervention articles on physical activity that used regression methods, published between 2000 and 2019 in English, Portuguese and Spanish were analyzed. Analyses were performed in 2019. Outcomes were organized according to the direction of the association by independent variables. Ten articles were considered eligible for data extraction and evaluation. Results: Several strategies were used including playground markings, demarcation of physical activities zones, group activities, availability of sports equipment and facilities. Most of the studies were conducted in the United States. Recess periods ranged from 20-94 min per day and intervention time ranged from 6 weeks to 2 years. Recess duration and intervention effects were positively associated with physical activity. Gender (girls) and age (oldest) were negatively associated with physical activity during recess. Conclusions: Interventions based on modifications of school environment such as playground markings demarcation of physical activities zones, group activities, availability of sports equipment and facilities are cheap and cost-effective for increasing physical activity in school recess.

Effects of interventions for promoting physical activity during recess in elementary schools: a systematic review.

OBJECTIVE: Summarize the effects of interventions designed to promote physical activity during elementary school recess in children between 5 and 10 years old. Effective school interventions for children can promote physical activity and healthy behaviors. METHODS: PubMed, Scopus, Bireme, SciELO, Web of Science, PsychINFO, Proquest, Physical Education Index, Sports Discus, and Eric databases were included in the data search. Original intervention articles on physical activity that used regression methods, published between 2000 and 2019 in English, Portuguese and Spanish were analyzed. Analyses were performed in 2019. Outcomes were organized according to the direction of the association by independent variables. Ten articles were considered eligible for data extraction and evaluation. RESULTS: Several strategies were used including playground markings, demarcation of physical activities zones, group activities, availability of sports equipment and facilities. Most of the studies were conducted in the United States. Recess periods ranged from 20-94 min per day and intervention time ranged from 6 weeks to 2 years. Recess duration and intervention effects were positively associated with physical activity. Gender (girls) and age (oldest) were negatively associated with physical activity during recess. CONCLUSIONS: Interventions based on modifications of school environment such as playground markings demarcation of physical activities zones, group activities, availability of sports equipment and facilities are cheap and cost-effective for increasing physical activity in school recess.

Validação do questionário de saúde e performance para policiais e bombeiros militares (QSPM) / Validation of health and performance questionnaire for military police and firefighter (QSPM) / Validation of health and performance questionnaire for military police and firefighter (QSPM)

O objetivo deste estudo foi desenvolver e analisar a validade de conteúdo, constructo e a fidedigni-dade de um questionário para avaliar a demanda física e operacional, saúde e condições de trabalho em policiais e bombeiros militares. O Questionário de Saúde e Performance para Militares (QSPM) foi desenvolvido por pesquisadores militares e não militares, a validade foi analisada com o índice de validade de conteúdo (IVC), análise fatorial exploratória e a fidedignidade com o percentual de concordância (%C), coeficiente Kappa e alfa de Cronbach. Nove juízes participaram da validação de conteúdo, 732 militares (15% mulheres) participaram da etapa de validação de constructo e 262 militares (18% mulheres) responderam duas vezes ao QSPM para a verificação da fidedignidade. As análises foram realizadas no software SPSS 26 e o nível de significância mantido em 5%. O QSPM apresentou o IVC de 0,98 e variância total explicada em 54,7%. A reprodutibilidade apresentou valores de %C entre 97,2 - 100,0%, Kappa entre 0,94 - 1,00 (p < 0,05) e alpha de Cronbach entre 0,80 - 1,00 (p < 0,05). Conclui-se que o QSPM apresentou validade de conteúdo, constructo e fidedignidade para avaliar a frequência da demanda física e operacional, as condições de saúde e de trabalho de policiais e bombeiros militares

The aim of this study was to develop and analyze the content and construct validity and reliability of a questionnaire to assess the performance, health and working conditions of police officers and military fire-fighters (QSPM). Civilian and military personnel carried out the development of the QSPM. The validity was analyzed by the content validity index (CVI), factor analysis, and the reproducibility by the simple agreement (%SA), the Kappa coefficient, and Cronbach's alpha. Nine experts participated in the content validation, 732 military personnel (15 women) participated in the construct validation, and 262 military (18% women) answered the QSPM twice to measure reproducibility. The QSPM had a CVI of 0.98. In the exploratory factorial analysis, when considering four factors, and the total explained variance was 54.7%. The reproducibility showed %SA values varying between 97.2 to 100.0%, Kappa values varying between 0.94 to 1.00 (p < 0.05 for all questions) and, Cronbach's α values varying between 0.80 to 1.00 (p < 0.05 for all questions). In conclusion, the QSPM showed content validity, construct validity and reliability to measure the frequency of physical-operational demand, the presence of morbidities, and the working condi-tions of police officers and firefighters

Modelo lógico do "Programa Cidade Ativa, Cidade Saudável" de São José dos Pinhais, Paraná / Logic Model of "Cidade Ativa, Cidade Saudável Program" in São José dos Pinhais, Brazil

O objetivo deste estudo foi desenvolver o modelo lógico do "Programa Cidade Ativa, Cidade Saudável" da cidade de São José dos Pinhais, Paraná. Trinta e seis gestores forneceram parte das informações e o modelo lógico foi elaborado conforme as diretrizes do Centers for Disease Control and Prevention. Foram identificadas 163 pessoas responsáveis por elaborar, gerenciar, coordenar, apoiar e ministrar diversas ações de atividades físicas, esportivas e lúdicas para a população, sob responsabilidade das divisões de "lazer e eventos populares", "esportes populares" e "esportes de rendimento". O modelo lógico possibilitou a identificação ordenada dos recursos, atividades, produtos e metas do programa. Estes dados poderão auxiliar a reestruturação do Programa frente a possíveis demandas de gestão. Futuros estudos podem utilizar estas informações para avaliar a efetividade e a eficácia do Programa nos indicadores de saúde da população

This study aimed to develop the logical model of "Programa Cidade Ativa, Cidade Saudável " in São José dos Pinhais, Brazil. Thirty-six managers provided part of information and the logical model was developed according to guidelines of Centers for Disease Control and Prevention. Were identified 163 people responsi-ble for elaborating, managing, coordinating, supporting and ministering actions of physical activities, sports and leisure activities for population, by responsibility the divisions of "leisure and popular events", "popular sport" and "sport performance". The logical model enabled the orderly identification the program's resources, activities, products and objectives. These data may help to restructure the program by possible demands of the management. Future studies can use this information to evaluate the effectiveness and efficiency of program in population's health indicators

Class context, teacher's behavior and physical activity levels during physical education classes / Contexto da aula, comportamento do professor e níveis de atividade física durante aulas de educação física

ABSTRACT This study aimed at evaluating the association between class context and the teacher's behavior with the physical activity (PA) level of Elementary School students during Physical Education (PE) classes. Eighteen PE classes from six schools were assessed. Class context and the teacher's behavior were measured based on systematic observation, that is, by using the System for Observing Fitness Instruction Time (SOFIT), whereas the students' PA level was measured with accelerometry. Data were treated with descriptive statistics and shown as the percentage of the class time spent in sedentary behavior and at different PA levels. The association between class context and the teacher's behavior with different PA levels was assessed by applying binary logistic regression. The percentage of students with regard to the structured games (35.8%), skill practice (23.2%) and management (21.7%) represented 80.7% of PE class total time. General instructions (45.5%), management (28.7%) and observation (18.3%) were the most frequent teacher's types of behavior seen. It was found that the percentage of time students spent in sedentary behavior and at different PA levels during PE classes varied according to the class context and the teachers' behavior.

RESUMO O objetivo deste estudo foi testar a associação entre o contexto da aula e o comportamento do professor com o nível de atividade física (AF) de escolares dos anos iniciais do ensino fundamental durante aulas de educação física (EF). Foram avaliadas 18 aulas de EF de seis escolas. O contexto da aula e o comportamento do professor foram avaliados por meio de observação sistemática (SOFIT) enquanto o nível de AF dos escolares foi mensurado por acelerometria. Os dados foram tratados pela estatística descritiva e apresentados como proporção do tempo da aula em comportamento sedentário e nos diferentes níveis de AF. A associação entre contexto da aula e comportamento do professor com os diferentes níveis de AF foi testada pela regressão logística binária. Os escolares passaram mais tempo durante a aula de EF em AFs de intensidade leve (40,8%) e vigorosa (40,9%). A proporção do tempo da aula destinado aos contextos jogo estruturado (35,8%), prática de habilidades (23,2%) e gerenciamento (21,7%) representou 80,7% to tempo total. Os comportamentos mais frequentes do professor foram: instruções gerais (45,5%), gerenciamento (28,7%) e observando (18,3%). Verificou-se que a proporção do tempo dos escolares em comportamento sedentário e nos diferentes níveis de AF durante a aula de EF variaram de acordo com o contexto da aula e o comportamento do professor.

Physical activity, physical fitness and academic achievement in adolescents: a systematic review / Atividade física, aptidão física e desempenho acadêmico em adolescentes: uma revisão sistemática / Actividad física, aptitud física y desempeño académico en adolescentes: una revisión sistemática

ABSTRACT Objective: To synthesize the evidence available in the literature on the relationship between the components of physical activity, physical fitness and academic achievement in adolescents. Methods: The review followed the methodological procedures described by PRISMA and was carried out in the Lilacs, Medline, SciELO, PubMed, Web of Science and Science Direct databases. Quantitative empirical studies published as of 2006 were included. The following descriptors and keywords were used: "Motor activity", "Physical fitness", "Physical activity", "Educational status", "Academic achievement", "Academic performance", and their equivalents in Portuguese and Spanish. Results: The most widely investigated variable was physical fitness (45.5%) followed by physical activity (40.9%), whereas only three studies (13.6%) investigated both. Conclusion: Physical activity and physical fitness are positively associated with the academic achievement of adolescents. In more than 80% of studies the association was considered strong. The physical fitness component most frequently associated with academic achievement was cardiorespiratory fitness. Level of evidence II; Systematic review.

RESUMO Objetivo: Sintetizar as evidências disponíveis na literatura acerca da relação entre os componentes da atividade física, da aptidão física e o desempenho acadêmico em adolescentes. Métodos: A revisão seguiu os procedimentos metodológicos descritos pelo PRISMA e foi realizada nas bases de dados Lilacs, Medline, SciELO, PubMed, Web of Science e Science Direct. Foram incluídos estudos empíricos, de natureza quantitativa, publicados a partir do ano de 2006. Os descritores e palavras chave utilizados foram: "Motor activity", "Physical fitness", "Physical activity", "Educational status", "Academic achievement", "Academic performance" e seus equivalentes em português e espanhol. Resultados: A aptidão física foi a variável mais investigada (45,5%), seguida da atividade físic (40,9%), sendo que três estudos (13,6%) investigaram ambas. Conclusão: Atividade física e aptidão física estão positivamente associadas ao desempenho acadêmico de adolescentes. Em mais de 80% dos estudos a associação foi considerada forte. O componente da aptidão física mais frequentemente associado ao desempenho acadêmico foi a aptidão cardiorrespiratória. Nível de evidência II; Revisão sistemática.

RESUMEN Objetivo: sintetizar las evidencias disponibles en la literatura sobre la relación entre los componentes de la actividad física, de la aptitud física y el desempeño académico en adolescentes. Métodos: La revisión siguió los procedimientos metodológicos descritos por PRISMA y se realizó en las bases de datos Lilacs, Medline, SciELO, PubMed, Web of Science y Science Direct. Se incluyeron estudios empíricos, de naturaleza cuantitativa, publicados a partir de 2006. Las palabras clave y los descriptores utilizados fueron: "Motor activity", "Physical fitness", "Physical activity", "Educational status", "Academic achievement", "Academic performance", y sus equivalentes en portugués y español. Resultados: La aptitud física fue la variable más investigada (45,5%), seguida de la actividad física (40,9%), siendo que tres estudios (13,6%) investigaron ambas. Conclusión: La actividad física y la aptitud física están positivamente asociados al desempeño académico de los adolescentes. En más de 80% de los estudios la asociación se consideró fuerte. El componente de la aptitud física más frecuentemente asociado al desempeño académico fue la aptitud cardiorrespiratoria. Nivel de evidencia II; Revisión sistemática.

Research on the Academia da Cidade and Academia da Saúde Programs: scoping review / Pesquisas sobre os Programas Academia da Cidade e Academia da Saúde: revisão de escopo

In order to identify the research that addressed the Academia da Cidade and Academia da Saúde Programs (ACP/ASP), a scoping review was conducted in April 2020 in five electronic databases and in reference lists aiming to identify scientific articles that had data collections carried out in the facilities of the ACP/ASP or, that somehow involved the populations of the localities where the programs were implemented. Of the 321 initial records, the descriptive synthesis consisted of 59 studies, which had as their most frequent characteristics: cross-sectional design, use of quantitative approaches in data collection and analysis, Nutrition as a central topic, and involvement of users (adults and the elderly). In conclusion, longitudinal studies involving all actors (managers, practitioners and users) and covering different health topics, besides promoting the approximation between academia and decision makers, may be promising in the sense of better evaluating the impact that the program represents in the life of the communities that are attended

No sentido de identificar as pesquisas que abordam os Programas Academia da Cidade e Academia da Saúde (PAC/PAS), em abril de 2020 foi conduzida uma revisão de escopo, em cinco bases de dados eletrônicas em listas de referências, a fim de identificar artigos científicos originais que tiveram coletas de dados realizadas nas instalações do PAC/PAS ou, que, de alguma forma envolveram as populações das localidades em que foram implantados os programas. De 321 registros iniciais, a síntese foi composta por 59 artigos científicos, que apresentaram como características mais frequentes: delineamento transversal, uso de abordagens quantitativas nas coletas e análises de dados, Nutrição como temática central e envolvimento de usuários (adultos e idosos). Em conclusão, estudos longitudinais envolvendo todos os atores (gestores, profissionais e usuários) e distintas temáticas da saúde, além de promoverem a aproximação entre a academia e tomadores de decisão, podem ser promissores no sentido de melhor avaliar o impacto que o programa representa na vida das comunidades que são atendidas

Socioeconomic status moderates the association between perceived environment and active commuting to school.

OBJECTIVE: To analyze the moderator effect of socioeconomic status in the association between the perceived environment and active commuting to school. METHODS: A total of 495 adolescents and their parents were interviewed. Perceived environment was operationalized in traffic and crime safety and assessed with the Neighborhood Environment Walkability Scale. Active commuting was self-reported by the adolescents, categorized in walking, bicycling or skating at least one time/week. Socioeconomic status was used as moderator effect, reported from adolescents' parents or guardians using Brazilian standardized socioeconomic status classification. Analyses were performed with Poisson regression on Stata 12.0. RESULTS: Prevalence of active commuting was 63%. Adolescents with low socioeconomic status who reported "it is easy to observe pedestrians and cyclists" were more likely to actively commute to school (PR = 1.18, 95%CI 1.03-1.13). Adolescents with low socioeconomic status whose parents or legal guardians reported positively to "being safe crossing the streets" had increased probability of active commuting to school (PR = 1.10, 95%CI 1.01-1.20), as well as those with high socioeconomic status with "perception of crime" were positively associated to the outcome (PR = 1.33, 95%CI 1.03-1.72). CONCLUSIONS: Socioeconomic status showed moderating effects in the association between the perceived environment and active commuting to school.

Socioeconomic status moderates the association between perceived environment and active commuting to school

ABSTRACT OBJECTIVE: To analyze the moderator effect of socioeconomic status in the association between the perceived environment and active commuting to school. METHODS: A total of 495 adolescents and their parents were interviewed. Perceived environment was operationalized in traffic and crime safety and assessed with the Neighborhood Environment Walkability Scale. Active commuting was self-reported by the adolescents, categorized in walking, bicycling or skating at least one time/week. Socioeconomic status was used as moderator effect, reported from adolescents' parents or guardians using Brazilian standardized socioeconomic status classification. Analyses were performed with Poisson regression on Stata 12.0. RESULTS: Prevalence of active commuting was 63%. Adolescents with low socioeconomic status who reported "it is easy to observe pedestrians and cyclists" were more likely to actively commute to school (PR = 1.18, 95%CI 1.03-1.13). Adolescents with low socioeconomic status whose parents or legal guardians reported positively to "being safe crossing the streets" had increased probability of active commuting to school (PR = 1.10, 95%CI 1.01-1.20), as well as those with high socioeconomic status with "perception of crime" were positively associated to the outcome (PR = 1.33, 95%CI 1.03-1.72). CONCLUSIONS: Socioeconomic status showed moderating effects in the association between the perceived environment and active commuting to school.

Perceived neighborhood environment and physical activity among high school students from Curitiba, Brazil / Ambiente do bairro percebido e atividade física entre estudantes do ensino médio de Curitiba, Brasil

OBJECTIVE: To analyze the association between perceived neighborhood environment and physical activity (PA) in high school students from Curitiba (PR), Brazil. METHODS: A sample of 1,611 high school students from public schools was surveyed. The PA was assessed through questions, engaged for at least 20 minutes or 60 minutes. Perceptions on neighborhood environment were assessed through ten questions about neighborhood characteristics. Gender, age and number of cars in the household were self-reported and used as confounding variables. Absolute and relative frequencies were used in the sample, and associations were tested through adjusted logistic regressions for the confounding variables and stratified by gender (p < 0.05). RESULTS: The adjusted analyses showed that the variables "interesting things" among girls (OR = 1.77; 95%CI 1.05 - 2.96) and "there are places I like" (OR = 2.18; 95%CI 1.33 - 3.58) and "I see people my age", among boys, were associated with PA of at least 20 minutes/day once a week. Additionally, among boys, "I see people my age" was associated with 60-minute (OR = 1.68; 95%CI 1.15 - 2.45). Perceiving the neighborhood environment as "very good" was associated with higher chances of taking up PA among girls (OR = 1.92; 95%CI 1.15 - 3.22) and boys (OR = 3.13; 95%CI 1.97 - 4.97). CONCLUSION: A positive perception of the environment was associated to PA practice among boys and girls in this sample. The results suggest that some environmental characteristics which make neighborhoods more attractive could be related to PA among adolescents. .

OBJETIVO: Analisar a associação entre percepção do ambiente do bairro e prática de atividade física em estudantes do ensino médio da cidade de Curitiba (PR). MÉTODOS: Foram avaliados 1.611 estudantes do ensino médio da rede pública. A atividade física foi analisada por questionário, avaliando a atividade física por no mínimo 20 minutos ou 60 minutos. A percepção do ambiente foi avaliada através de dez questões referentes às características do bairro. As variáveis sexo, idade e número de carros foram autorrelatadas e usadas como variáveis de confusão. Utilizou-se a distribuição de frequência absoluta e relativa, e as associações foram testadas por meio da regressão logística ajustada para as variáveis de confusão e estratificada por sexo (p < 0,05). RESULTADOS: As análises ajustadas demonstraram que, para atividade física de 20 minutos, a variável "tem coisas interessantes" apresentou associação entre as meninas (OR = 1,77; IC95% 1,05 - 2,96) e as variáveis "existem locais de que gosto" (OR = 2,18; IC95% 1,33 - 3,58) e "vejo pessoas da mesma idade" (OR = 1,95; IC95% 1,13 - 3,37) entre os meninos, sendo a última também associada com atividade física de 60 minutos (OR = 1,68; IC95% 1,15 - 2,45). Meninas que perceberam o ambiente como "muito bom" apresentaram maior chance de praticar atividade física (OR = 1,92; IC95% 1,15 - 3,22), assim como meninos que relataram o bairro como "muito bom" apresentaram maior chance de praticar atividade física (OR = 3,13; IC95% 1,97 - 4,97). CONCLUSÃO: A percepção positiva do ambiente teve associação com a prática de atividade física de meninos e meninas nesta amostra. Os resultados sugerem que algumas características ambientais que ...

Perceived neighborhood environment and physical activity among high school students from Curitiba, Brazil.

OBJECTIVE: To analyze the association between perceived neighborhood environment and physical activity (PA) in high school students from Curitiba (PR), Brazil. METHODS: A sample of 1,611 high school students from public schools was surveyed. The PA was assessed through questions, engaged for at least 20 minutes or 60 minutes. Perceptions on neighborhood environment were assessed through ten questions about neighborhood characteristics. Gender, age and number of cars in the household were self-reported and used as confounding variables. Absolute and relative frequencies were used in the sample, and associations were tested through adjusted logistic regressions for the confounding variables and stratified by gender (p < 0.05). RESULTS: The adjusted analyses showed that the variables "interesting things" among girls (OR = 1.77; 95%CI 1.05 - 2.96) and "there are places I like" (OR = 2.18; 95%CI 1.33 - 3.58) and "I see people my age", among boys, were associated with PA of at least 20 minutes/day once a week. Additionally, among boys, "I see people my age" was associated with 60-minute (OR = 1.68; 95%CI 1.15 - 2.45). Perceiving the neighborhood environment as "very good" was associated with higher chances of taking up PA among girls (OR = 1.92; 95%CI 1.15 - 3.22) and boys (OR = 3.13; 95%CI 1.97 - 4.97). CONCLUSION: A positive perception of the environment was associated to PA practice among boys and girls in this sample. The results suggest that some environmental characteristics which make neighborhoods more attractive could be related to PA among adolescents.

Estresse percebido, comportamentos relacionados à saúde e condições de trabalho de professores universitários / Perceived stress, health related behaviors and working conditions of university professors

Historicamente, a profissão de professor tem sido relacionada com certo desgaste mental. Investigações demonstram que o estresse é um fator que influencia diretamente o rendimento do professor, assim como a sua qualidade de vida. O objetivo deste trabalho é analisar a relação entre a percepção de estresse com comportamentos relacionados à saúde e condições de trabalho dos professores universitários. Foi realizado, em 2005, um estudo epidemiológico decorte transversal, com uma amostra representativa de docentes de uma universidade privada de Curitiba (PR). A amostra foi composta de 393 indivíduos (50,1% mulheres), com idade média de 44 ± 10,3 anos. O questionário utilizado foi elaborado a partir de instrumentos validados e empregados em estudos com adultos, sendo: percepção de saúde e qualidade de vida, tabagismo, consumo de bebidas alcoólicas, hábitos alimentares, comportamentos preventivos, atividades físicas, percepção de estresse, condições de trabalho e informações pessoais. Paraa análise de dados foi utilizada a estatística descritiva e um modelo de regressão linear, a fim de verificar a correlação com o estresse precebido. Os resultados apontaram uma percepçãoelevada de estresse e correlacionada com os comportamentos de risco. Este estudo pode ser relevante na prevenção desse transtorno psicossocial. A tarefa é conjunta entre professores, alunos, instituição de ensino, família e sociedade em geral, cabendo novas pesquisas que apontem tais necessidades.(AU)

Historically, the teaching profession has been associated with some mental strain. Research shows that stress is a factor that directly influences the performance of the teacher as well as their quality of life. The objective of this study is to analyze the relationship between perceived stress related to health and working conditions of university teachers. Was conducted in 2005, a cross-sectional epidemiological study with a representative sample of teachers from a private university in Curitiba (PR). The sample consisted of 393 subjects (50,1% women), mean age 44 ± 10,3 years. The questionnaire was developed from validated instruments used in studies with adults, these being: perception of health and quality of life, smoking, alcohol drinking, eating habits, preventive behaviors, physical activity, perceived stress, terms of work, personal information. For data analysis we used descriptive statistics and a linear regression model in order to verify the correlation with stress received. The results indicated a high perception of stress and correlated with risk behavior. This study maybe relevant in the prevention of psychosocial disorders. The task is joint between teachers, students, school, family and society in general, being new studies that show such needs.(AU)

Estresse percebido, comportamentos relacionados à saúde e condições de trabalho de professores universitários / Perceived stress, health related behaviors and working conditions of university professors

Historicamente, a profissão de professor tem sido relacionada com certo desgaste mental. Investigações demonstram que o estresse é um fator que influencia diretamente o rendimento do professor, assim como a sua qualidade de vida. O objetivo deste trabalho é analisar a relação entre a percepção de estresse com comportamentos relacionados à saúde e condições de trabalho dos professores universitários. Foi realizado, em 2005, um estudo epidemiológico decorte transversal, com uma amostra representativa de docentes de uma universidade privada de Curitiba (PR). A amostra foi composta de 393 indivíduos (50,1% mulheres), com idade média de 44 ± 10,3 anos. O questionário utilizado foi elaborado a partir de instrumentos validados e empregados em estudos com adultos, sendo: percepção de saúde e qualidade de vida, tabagismo, consumo de bebidas alcoólicas, hábitos alimentares, comportamentos preventivos, atividades físicas, percepção de estresse, condições de trabalho e informações pessoais. Paraa análise de dados foi utilizada a estatística descritiva e um modelo de regressão linear, a fim de verificar a correlação com o estresse precebido. Os resultados apontaram uma percepçãoelevada de estresse e correlacionada com os comportamentos de risco. Este estudo pode ser relevante na prevenção desse transtorno psicossocial. A tarefa é conjunta entre professores, alunos, instituição de ensino, família e sociedade em geral, cabendo novas pesquisas que apontem tais necessidades.

Historically, the teaching profession has been associated with some mental strain. Research shows that stress is a factor that directly influences the performance of the teacher as well as their quality of life. The objective of this study is to analyze the relationship between perceived stress related to health and working conditions of university teachers. Was conducted in 2005, a cross-sectional epidemiological study with a representative sample of teachers from a private university in Curitiba (PR). The sample consisted of 393 subjects (50,1% women), mean age 44 ± 10,3 years. The questionnaire was developed from validated instruments used in studies with adults, these being: perception of health and quality of life, smoking, alcohol drinking, eating habits, preventive behaviors, physical activity, perceived stress, terms of work, personal information. For data analysis we used descriptive statistics and a linear regression model in order to verify the correlation with stress received. The results indicated a high perception of stress and correlated with risk behavior. This study maybe relevant in the prevention of psychosocial disorders. The task is joint between teachers, students, school, family and society in general, being new studies that show such needs.