Abstract. Every population subgroup should know the physical activity (PA) recommendations to benefit their health. The present study sought to examine the knowledge and explore the perceptions of PA recommendations for adults among Portuguese college students, by gender and fields of study. A total of 255 bachelor students (55.3% women; Mage = 21.0±2.2 years) from sport sciences, health sciences and other fields, from four colleges in Portugal, answered to an online questionnaire. College students’ answers about knowledge of PA recommendations were submitted to an inductive thematic analysis. The chi-square test was used to assess if knowledge of PA recommendations was independent of gender and fields of study. The majority of students (51.0%) assumed not knowing the PA recommendations. From those that assumed to know the PA recommendations, only 9.8% got them right, 42% overestimated, 10.7% underestimated and 37.5% did not know them for other reasons, with no differences found by gender and field of study. Overall, these students fail to identify the minutes per week and the intensity of PA dimensions of the PA recommendations. Portuguese students do not know the PA recommendations for health, including the sports and health sciences students. Implications for the development of national PA recommendations and public health campaigns to improve knowledge of college students are discussed. Resumen. Cada subgrupo de población debe conocer las recomendaciones de actividad física (AF) para beneficiar su salud. El presente estudio buscó examinar el conocimiento y explorar las percepciones de las recomendaciones de AF para adultos entre los estudiantes universitarios portugueses, por género y áreas de estudio. Un total de 255 estudiantes de licenciatura (55.3% mujeres; Medad = 21.0 ± 2.2 años) de ciencias del deporte, ciencias de la salud y otras áreas, de cuatro universidades en Portugal, respondieron a un cuestionario online. Las respuestas de los estudiantes universitarios sobre el conocimiento de las recomendaciones de AF fueron sometidas a un análisis temático inductivo. La prueba de qui-cuadrado se usó para evaluar si el conocimiento de las recomendaciones de AF era independiente del género y de las áreas de estudio. La mayoría de los estudiantes (51.0%) asumieron no conocer las recomendaciones de AF. De aquellos que supuestamente conocían las recomendaciones de AF, solo el 9.8% las acertó, el 42% se sobreestimó, el 10.7% se subestimó y el 37.5% no las conoció por otras razones, sin diferencias por género y área de estudio. En general, estos estudiantes no identifican los minutos por semana y la intensidad de las dimensiones de las recomendaciones de AF. Los estudiantes portugueses no conocen las recomendaciones de AF para la salud, incluidos los estudiantes de deportes y ciencias de la salud. Se discuten las implicaciones para el desarrollo de recomendaciones nacionales de AF y campañas de salud pública para mejorar el conocimiento de los estudiantes universitarios.
Introduction:In Portugal, the frequency of patient with treated and controlled hypertension is low. It is unknown the relation of socioeconomic determinants with hypertension control, particularly in African immigrants. Aims: To compare frequency of control in treated hypertension and to identify characteristics associated with uncontrolled and treated hypertension between Portuguese natives (Caucasian) and Portuguese Speaking African Coutries immigrants (black). Material and Methods: Cross-sectional study of patients with treated hypertension, 40-80 years old, randomized from Primary Health Care of Lisbon Region. We collected sociodemographic, clinical and health care data through structured interviews. We compared the frequency of patients with uncontrolled hypertension, and identified related factors through univariate and multivariate analysis. Results: In this study participated 786 patients with treated hypertension (participation rate: 71%): 449 natives and 337 immigrants. Of these, 46% had controlled hypertension. Diastolic blood pressure was higher in younger immigrants. Were associated with no control, in natives, male sex, low education, going to emergency and / or nursing services and not looking for the family doctor; on immigrants, being single, using the pharmacist, the number of years of illness and intentional non-adherence. Discussion: Treated hypertension control has been increasing for last years. Natives and immigrants differ, regarding blood pressure control, relatively to the frequency of family doctor consultation, and resorting to other services and health professionals. These differences didn´t reflect in statistically different control rates. Conclusions: It is needed to define strategies to control hypertension in primary health care specific for ethnic groups.
Background: Remote patient monitoring (RPM) has been increasingly adopted over the last decade, with the COVID-19 pandemic fostering its rapid development. As RPM implementation is recognised as complex and highly demanding in terms of resources and processes, there are multiple challenges in providing RPM in an integrated logic. Methods: To examine the structural elements that are relevant for implementing RPM integrated care, a scoping review was conducted in PubMed, Scopus, and Web of Science, leveraging a search strategy that combines terms relative to (1) conceptual models and reallife initiatives; (2) RPM; and (3) care integration. Results: 28 articles were included, covering nine conceptual models and 19 real-life initiatives. Eighteen structural elements of RPM integrated care implementation were identified among conceptual models, defining a structure for assessing real-life initiatives. 78.9% of those initiatives referred to at least ten structural elements, with patient education and self-monitoring promotion, multidisciplinary core workforce, ICTs (information and communications technologies) and telemonitoring devices, and health indicators measurement being present in all studies, and therefore being core elements to the design of RPM initiatives. Conclusion: RPM goes far beyond technology, with underlying processes and involved actors playing a central role in care provision. The structural elements identified can guide RPM implementation and promote maturity in adoption. Future research may focus on assessing design completeness, evaluating impacts, and analysing related financial arrangements.
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