Effect on physical fitness of a 10-year physical activity intervention in primary health care settings.

BACKGROUND: Interventions in primary health care settings have been effective in increasing physical fitness. In 2001, the Programa de Exercício Físico em Unidades de Saúde (Physical Exercise in Health Primary Care Program-PEHPCP) was launched in Rio Claro City, Brazil. The intervention consisted of biweekly, 60-minute group sessions in all primary health care settings in the city. This study evaluated the effect of PEHPCP on physical fitness and on the aging process after a decade of ongoing implementation. METHODS: There were 409 women (50 ± 26 y old) and 31 men (64 ± 10 y old) who were eligible for this study. Every 4 months, participants completed the American Alliance for Health, Physical Education, Recreation and Dance standardized tests. RESULTS: Program participation was associated with a reduced effect, compared with baseline, of the natural decline of physical fitness caused by aging, as represented by changes in the following measures: coordination test time, -0.44 seconds; agility and dynamic balance test time; -1.81 seconds; aerobic capacity test time, 3.57 seconds; and muscle strength exercises, +0.60 repetitions. No significant effect on flexibility was found. CONCLUSIONS: The PEHPCP showed potential in improving muscle strength, coordination, aerobic capacity, and agility and dynamic balance in participants and in maintaining flexibility in participants.

Concordância entre o Questionário de Estágio de Mudança de Comportamento e IPAQ / Concordancia entre el Internado Cuestionario cambio de comportamiento y IPAQ / Concordance between Stages of Behavior Change Questionnaire and IPAQ

A low rate of physical activity (PA) participation is observed worldwide. The identification of feasible and reliable instruments able to accurately measuring PA and help in the development of interventions to promote PA are necessary. This study aimed to analyze the concordance between the Stages of Behavior Change Questionnaire (SBCQ) and the International Physical Activity Questionnaire (IPAQ long-version) in assessing adult leisure-time physical activity (LTPA). A total of 1.588 adults completed the IPAQ to assess LTPA and the participants who performed more than 10 min/week were classified in active individuals. Using the SBCQ, active individuals were those classified in the action or maintenance stage and inactive individuals were those classified in the precontemplation, contemplation or preparation stage. The concordance between SBCQ and IPAQ was found to be 0.80. Separated by gender, it was observed a concordance between the two instruments of 0.82 for women, and 0.77 for men. Regarding age group, it was found to be 0.81 for young and middle-aged adults, and 0.77 for older people. The SBCQ presented a very good concordance with IPAQ to assess LTPA.

Devido à baixa prática de atividade física no mundo, identificar instrumentos que possam avaliar o nível de (AF), além de necessário, podem ajudar no desenvolvimento de intervenções para promoção da AF. Objetivo deste estudo foi analisar a concordância entre o Questionário de Estágio de Mudança de Comportamento (QEMC) e o Questionário Internacional de Atividade Física (IPAQ-versão longa) em avaliar o tempo de atividade física no lazer (AFL). Para avaliar o nível de AFL, 1.588 adultos responderam IPAQ e participantes que realizaram mais de 10 min/ sem foram classificados como ativos. Através do QEM os indivíduos foram classificados no estágio de ação ou manutenção e os inativos classificados no precontemplação, contemplação ou preparação. Concordância entre QEMC e o IPAQ foi 0,80, para as mulheres de 0,82, homens 0,77, adultos e adultos meia idade 0,81 e idosos 0,77. QEMC apresentou boa concordância com IPAQ para avaliar a AFL.

Existe la necesidad de identificar los instrumentos que permitan evaluar el nivel de actividad física (AF) y ayudar a desarrollar intervenciones para promover la AF, debido a la práctica bajo PA en el mundo. Objetivo fue analizar la correlación entre el cuestionario Stage Cambio de Comportamiento (CSCC) y el Cuestionario Internacional de Actividad Física (IPAQ versión larga) para evaluar el tiempo de actividad física de ocio (AFO). 1588 adultos respondieron IPAQ para evaluar el nivel de AFO y los participantes que realicen más de 10 min / semana fueron clasificados como activos. A través de los temas CSCC se clasificaron en la etapa de acción y mantenimiento inactivo o clasificado en precontemplación, contemplación o preparación. Acuerdo entre el IPAQ y CSCC fue de 0,80. Para las mujeres 0,82, 0,77 los hombres, adultos y adultos de mediana edad y adultos mayores 0,81 0,77. CSCC mostró buen acuerdo con IPAQ para evaluar la AFO.