Clinical Validation of the “Sedentary Lifestyle” Nursing Diagnosis in Secondary School Students

Abstract

This study clinically validated the nursing diagnosis of "sedentary lifestyle" (SL) among 564 Brazilian adolescents. Measures of diagnostic accuracy were calculated for defining characteristics, and Mantel-Haenszel analysis was used to identify related factors. The measures of diagnostic accuracy showed that the following defining characteristics were statistically significant: "average daily physical activity less than recommended for gender and age," "preference for activity low in physical activity," "nonengagement in leisure time physical activities," and "diminished respiratory capacity." An SL showed statistically significant associations with the following related factors: insufficient motivation for physical activity; insufficient interest in physical activity; insufficient resources for physical activity; insufficient social support for physical activity; attitudes, beliefs, and health habits that hinder physical activity; and insufficient confidence for practicing physical exercises. The study highlighted the four defining characteristics and six related factors for making decisions related to SL among adolescents.

Prevalence and Associations Between Related Factors and Defining Characteristics of the Nursing Diagnosis Sedentary Lifestyle in Patients with Acute Coronary Syndrome

“…The most frequently identified RF in our study were Insufficient motivation for physical activity and Insufficient resources for physical activity , which are in agreement with WHO data regarding the reasons why people do not practice physical activity, that is, fear of violence and crime in external areas; high traffic density; low air quality, pollution; lack of parks, sidewalks and facilities for sports and leisure (WHO, 2018). Another study that corroborates with some of the RFs identified was performed with students, which identified that insufficient motivation, insufficient resources, and the report of pain were the reasons for lack of physical inactivity (Oliveira et al., ).…”

“…Studies evaluating the frequency of Sedentary lifestyle in different populations found that it ranged from 55.8% in patients with hypertension (Martins et al., , ) and 48.6% in schoolchildren (Oliveira et al., ). It should be emphasized that prevalence found in our study is similar to that found in patients with ACS by Brunori et al.…”

“…Sedentary lifestyle was approved by the NANDA‐I Diagnosis Classification in 2004, with a level of evidence of 2.1 (Herdman & Kamitsuru, ). Studies of conceptual, clinical, and epidemiological validation of Sedentary lifestyle have been performed with individuals with hypertension (Martins et al., ) those older than 50 years (Guirão‐Goris, Ferrándiz, & Lozoya, ), in schoolchildren (Oliveira, Silva, Guedes, & Lopes, ), and in individuals with high blood pressure (Guedes, Lopes, Moreira, Cavalcante, & Araujo, ). Brunori, Cavalcante, Lopes, Lopes, and Barros () investigated the prevalence of sedentarism among patients with ACS, but the contributing factors for this sedentary behavior were not described.…”

Clinical validation of factors associated with sedentary lifestyle in adolescents

“…Among the public health problems of the 21st century, physical inactivity is relevant due to the relevant association with the development of chronic non--communicable diseases (4) . The prevalence of sedentary lifestyle in this study was 68.3%.…”

“…The survey of associated factors makes it possible to plan promotion and incentive measures for physical activity practices, and can therefore be a vital element for the prevention of diseases and chronic non-communicable diseases (4) . It is indicated that the earlier this behavior is identified and modified, the greater the possibility of avoiding the sequela of this habit, as well established in the literature (5) .…”