Promoção de atividade física para idosos: do diagnóstico à ação

• Ano de defesa: 2014
• Autor(a) principal: Novais, Francini Vilela [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• dARK ID: ark:/48912/001300001z9tk
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: physical activity; health promotion; exercise; counseling; aging; effectiveness of interventions; primary health care; atividade física; promoção da saúde; exercício físico; aconselhamento; envelhecimento; efetividade de intervenções; atenção primária à saúde
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=1507337; https://repositorio.unifesp.br/handle/11600/47555

Objective: This study compared the effectiveness of three intervention strategies at the leisure-time physical activity level in an older adults cohort that live in the Vila Clementino region in São Paulo city. Methods: In this study 142 subjects with 60 years or older were included, and all from of the cohort EPIDOSO Project. The subjects were randomly assigned, obeying a gender and age distribution, and then divided into three groups: Minimal Intervention Group - GIM (n = 84), Physician Prescription Intervention Group - GPM (n = 25) and Intervention Group with individual counseling and referral to equipment - GAE (n = 33). The outcome "leisure-time physical activity" was evaluated by the long version of the "International Physical Activity Questionnaire - IPAQ" in four periods: baseline (2008/2009), pre-intervention (2012/2013), post-intervention 1 (three months) and post-intervention 2 (6 months). Differences between conditions and times in the groups were assessed with one-way ANOVA, chi-square and repeated measures analysis with a significance level of 5%. Results: 31% of the subjects at baseline were evaluated as physically active during leisure-time, this number has been stable for a period of four years only with minimal intervention. After different interventions were done, the GAE group was more effective in both increasing percentage of physically active individuals and of average minutes per week of activity compared to the other groups after 3 and 6 months. Conclusions: These results demonstrate that individualized counseling intervention with great support and based on motivational approaches and referral to programs are effective in both the short- and long-term, becoming potentially effective to be implemented on a large-scale, especially in primary health care.