Aconselhamento para a atividade física recebido por adultos atendidos em unidades básicas de saúde

• Ano de defesa: 2020
• Autor(a) principal: Santos, Letícia Pechnicki dos
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Tecnológica Federal do Paraná; Curitiba; Brasil; Programa de Pós-Graduação em Educação Física; UTFPR
• Palavras-chave em Português: Cuidados primários de saúde - São José dos Pinhais (PR); Serviços de saúde comunitária; Exercícios físicos - Aspectos da saúde - Aconselhamento - São José dos Pinhais (PR); Exercícios físicos - Aspectos fisiológicos; Saúde; Primary health care - São José dos Pinhais (Brazil); Community health services; Exercise - Health aspects - Counseling of - São José dos Pinhais (Brazil); Exercise - Physiological aspects; Health; CNPQ::CIENCIAS DA SAUDE::EDUCACAO FISICA; Educação Física
• Link de acesso: http://repositorio.utfpr.edu.br/jspui/handle/1/5039

The aim this study was to analyze the possible factors associated to physical activity counseling received for adults treated at Public Health Clinics. In 2019, a crosssectional study was conducted, with a representative sample of 779 users from 15 Clinics in São José dos Pinhais (Paraná) city. Counseling was assessed with a dichotomous answer to the question: “During the past year, have you received counseling to practice physical activities?”. We analyzed sociodemographic variables (gender, age group, marital status, skin color, education, socioeconomic level), health (nutritional status, smoking, diagnosis of morbidities and medication consumption), and leisure time physical activity and stages of change behavior for physical activity. Data were analyzed using Poisson regression and the level of significance was maintained at 5%. The prevalence of counseling was 43% (95% CI: 39.5-46.4%). The sociodemographic variables age group (“≥ 60 years”: PR = 1.33; 95% CI: 1.04-1.70) and education (“complete high school”: PR = 1.21; 95% CI: 1.01 -1.45) showed a positive association to counseling. However, “divorced/widowed” marital status showed an inverse association (PR = 0.72; 95% CI: 0.51-0.99). Regarding health conditions, people with a body mass index equal to or greater than 30.0 kg / m2 (PR = 1.45; 95% CI: 1.16-1.80) and who use continuous medications (1-3 : PR = 1.79; 95% CI: 1.43-2.22 | ≥ 4: PR = 1.68; 95% CI: 1.22-2.29) were more likely to receive counseling for physical activity. Counseling was associated with walking for leisure, at a volume of 150 minutes or more in a normal week (PR = 1.49; 95% CI: 1.03-2.16) and also with the stages of behavior change “contemplation” (PR = 2.16; 95% CI: 1.26- 3.69), “preparation” (PR = 3.47; 95% CI: 2.02-5.94), “action” (PR = 2.54; 95% CI: 1.07-6.02) and “maintenance” (PR = 2.19; 95% CI: 1.34-3.57. The groups with the greatest exposure to counseling were elderly, those with higher education, obese and who consume medication. Counseling was also associated with walking at leisure (≥ 150 min/week) and advanced to stages of change behavior for physical activity.