Atividade física para gestantes e mulheres no pós-parto: Guia de Atividade Física para a População Brasileira

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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.

Section: Resultsmentioning

confidence: 99%

Physical Activity Guidelines for the Brazilian Population: Recommendations Report

Umpierre

Coelho‐Ravagnani

Tenório

et al. 2022

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“…Detailed information on the evidence base informing the guidelines is provided in other publications. [9][10][11][12][13][14][15][16] This phase focused on the benefits of PA, volume and type of PA for health benefits, and determinants, barriers, and facilitators of PA (overall and specifically for the Brazilian population). According to the specificities of each target theme and population group, scoping or systematic reviews of reviews or of original papers such as clinical trials, interventions, or observational studies, were conducted.…”

Section: Identifying and Assessing The Evidencementioning

confidence: 99%

Physical Activity Guidelines for the Brazilian Population: Development and Methods

Tenório

Coelho‐Ravagnani

Umpierre

et al. 2022

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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.

“…1 Based on the best evidence, these guidelines recommend that women should engage in at least 150 minutes per week of moderate-intensity aerobic activity during pregnancy unless in the presence of contraindications. 1 Moreover, guidelines for physical activity during pregnancy from Australia, 2 Brazil, 3 Canada, 4 the United States, 5 and other countries 6 are unanimous in stating that, in the absence of contraindications, physical activity during pregnancy is safe and can be beneficial for the health of both women and children.…”

mentioning

confidence: 99%

Effects of Regular Exercise During Pregnancy on Early Childhood Neurodevelopment: The Physical Activity for Mothers Enrolled in Longitudinal Analysis Randomized Controlled Trial

Leão¹,

Domingues²,

Bertoldi³

et al. 2022

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Background: The aim of this study was to investigate the effect of exercise during pregnancy on early childhood neurodevelopment (cognitive, motor, and language domains). Methods: A randomized controlled trial nested into the 2015 Pelotas (Brazil) Birth Cohort was conducted. Healthy pregnant women were enrolled between 16 and 20 weeks of gestation; 424 women and their children (intervention [n = 141]; control [n = 283]) were analyzed. An exercise-based intervention 3 times per week was delivered over 16 weeks. Child neurodevelopment and its domains were assessed at 1, 2, and 4 years. Standardized mean differences and 95% confidence intervals are presented. Results: No effects of exercise during pregnancy on child neurodevelopment and its domains at age 1 year were observed. Compared with the control group, children from women in the exercise group had higher language score at age 2 years (standardized mean differences = 0.23; 95% confidence intervals, 0.02 to 0.44) and higher cognitive score (standardized mean differences = 0.22; 95% confidence intervals, 0.03 to 0.41) at age 4 years. No effects of exercise during pregnancy were observed in the motor domain at 1, 2, and 4 years. Conclusions: No detrimental effects of exercise during pregnancy on child neurodevelopment were observed. In addition, these findings suggest that exercise during pregnancy can result in small benefits for language and cognitive development.