Physical Activity Guidelines for the Brazilian Population: Recommendations Report.

BACKGROUND: This article presents the recommendations from the Physical Activity Guidelines for the Brazilian Population. METHODS: A steering committee composed of a chair, 6 experts in physical activity, and representatives from the Ministry of Health/Brazil, Pan American Health Organization, Brazilian Society of Physical Activity and Health designed the guidelines, which was implemented by 8 working groups, as follows: (1) understanding physical activity, (2) children up to 5 years old, (3) children and youth from 6 to 17 years old, (4) adults, (5) older adults (60 years and above), (6) physical education at school, (7) pregnant and postpartum women, and (8) people with disabilities. The methodological steps included evidence syntheses, hearings with key stakeholders, and public consultation. RESULTS: Across 8 chapters, the guidelines provide definitions of physical activity and sedentary behavior, informing target groups on types of physical activity, dosage (frequency, intensity, and duration), benefits, and supporting network for physical activity adoption. The guidelines are openly available in Portuguese, Spanish, English, and Braille and in audio versions, with a supplementary guide for health professionals and decision makers, and a report about the preparation and references. CONCLUSIONS: The Physical Activity Guidelines for the Brazilian Population provide evidence-based recommendations, being a public-directed resource to contribute to the physical activity promotion in Brazil.

Physical Activity Guidelines for the Brazilian Population: Development and Methods.

BACKGROUND: This article describes the process and methods used in the development of the first ever Physical Activity Guidelines for the Brazilian Population. METHODS: The steering committee established 8 working groups based on other guidelines and the Brazilian agenda for public health and physical activity (PA) promotion: (1) understanding PA; (2) children up to 5 years; (3) children and youth (6-17 y); (4) adults; (5) older adults (60 years and above); (6) physical education at school; (7) pregnant and postpartum women; and (8) people with disabilities. Working groups were formed to (1) synthesize the literature on each topic; (2) conduct workshops with stakeholders, health professionals, researchers, and the public; and (3) prepare a draft chapter for open online consultation. RESULTS: The document provides guidance for the population on the benefits of being active and recommendations regarding the amount (frequency, intensity, and duration) of PA recommended across all chapters. It also includes information on supporting networks for PA. CONCLUSIONS: The PA guidelines are widely accessible in Portuguese, including versions in English, Spanish, audiobook, and Braille, and will assist policy makers and professionals from several sectors to promote PA. The ultimate goal is to increase population levels of PA in Brazil.

Programa Academia da Saúde: adaptações nos polos durante a pandemia da Covid-19 / Health Gym Program: adaptations in the centers during the COVID-19 pandemic

RESUMO A pandemia da Covid-19 implicou a reorganização de serviços e processos de trabalho no Sistema Único de Saúde e trouxe limitações e desafios para os serviços da Atenção Primária à Saúde. O objetivo deste artigo foi apresentar as adaptações ocorridas na oferta de atividades do Programa Academia da Saúde (PAS) durante o período de março/2020 a julho/2021. Para tanto, foi realizado um estudo descritivo transversal por meio de dados coletados em questionário on-line. Participaram da investigação 1.373 polos em funcionamento. Observou-se que a suspensão da oferta de ações do PAS ocorreu em 70% dos polos, sendo que os estados do Amazonas e do Rio de Janeiro tiveram a maior prevalência de polos na situação de suspensão. Considerando os 411 polos com manutenção das atividades, em 313 deles houve a oferta de ações remotas, prevalecendo a disponibilização de vídeos por intermédio de aplicativos de mensagens instantâneas. Foi observado que em 41% dos polos houve a oferta de atendimento às pessoas com condições pós-Covid-19 e que as práticas corporais e as atividades físicas foram o principal tipo de atendimento. Os resultados obtidos podem subsidiar os gestores e os profissionais da saúde na implantação, implementação e sustentabilidade do PAS nos territórios.

ABSTRACT The COVID-19 pandemic implied the reorganization of the services and work processes in the Unified Health System and raised limitations and challenges to Primary Health Care services. This study aims to present the adaptations in the offer of activities of the Health Gym Program from March/2020 to July/2021. A cross-sectional descriptive study was carried out. Data were collected through an online questionnaire. A total of 1,373 operating poles were included in the analysis. The suspension of the actions offered in the Health Gym Program occurred in 70% of the poles. The states of Amazonas and Rio de Janeiro had the highest prevalence of poles in the suspension situation. Considering the 411 poles that maintained the activities, in 313 of them, there was the offer of remote actions, prevailing the availability of videos through instant messaging applications. In 41% of the poles, there was an offer of care to people with post-COVID-19 conditions, and body practices and physical activities were the main type of care. The results can support managers and health professionals in the implantation, implementation, and sustainability of the Health Gym Program in the territories.

Atividade física para crianças e jovens: Guia de Atividade Física para a População Brasileira / Physical activity for children and youth: Physical Activity Guidelines for the Brazilian Population

A prática regular de atividade física promove benefícios fisiológicos, psicológicos e sociais na vida de crianças e jovens. Apesar da alta prevalência de jovens que não praticam atividade física em nosso país e de termos uma boa colocação no ranking mundial de produção acadêmica sobre pesquisa na área de atividade física e saúde, ainda não havia sido publicadas as recomendações brasileiras de atividade física. O objetivo deste artigo consistiu em descrever como foi desenvolvido o capítulo para crianças e jovens de 6 a 17 anos do Guia de Atividade Física para População Brasileira e apresentar as principais recomendações para esta faixa etária. A construção do capítulo para crianças e jovens envolveu as seguintes etapas: a) revisão de literatura; b) redação da versão preliminar do capítulo; c) processo de escuta com o público alvo referente ao capítulo e especialistas da área de promoção da atividade física; d) realização de consulta pública e; e) redação da versão final do capítulo. Os tópicos apresentados abordam exemplos de atividades físicas praticadas em diferentes domínios; recomendações para a prática (tipos, intensidade, frequência, duração e as formas que a mesma pode ser estruturada). São apresentadas orientações para jovens, pais/responsáveis e professores sobre como adotar e manter um estilo de vida mais ativo fisicamente, assim como sugestões para reduzir o tempo em comportamento sedentário. A elaboração de um guia nacional de atividade física para a população brasileira foi algo inédito, e resultou de um esforço conjunto entre diversos setores da sociedade

Regular physical activity promotes physiological, psychological and social benefits in the lives of children and adolescents. Despite the high prevalence of young people who do not physically activity in our country, and that we have a good ranking in world academic production on research in the physical activity and health area, Brazilian recommendations for physical activity had not been published until then. The aim of this article was to describe how the chapter for children and young people aged 6-17 years of Physical Activity Guidelines for the Brazilian Population was developed and to present the main recommendations for this age group. The construction of the chapter for children and young people involved the following steps: a) lit-erature review; b) writing the preliminary version of the chapter; c) listening process of the target audience for the chapter and specialists in the physical activity promoting area; d) public consultation; and e) writing the final version of the chapter. The topics presented cover examples of physical activities practised in different domains; recommendations for practice (types, intensity, frequency, duration and the ways in which it can be structured). Guidance is provided for young people, parents/guardians and teachers about how to adopt and maintain a more physically active lifestyle, as well as suggestions for reducing time in sedentary behaviour. The construction of a national guidelines about physical activity for Brazilian population is something un-precedented, and resulted from a joint effort of several departments of society