Promoção da atividade física e da alimentação saudável e a saúde da família em municípios com academia da saúde

Abstract

Rev Bras Educ Fís Esporte, (São Paulo) 2016 Out-Dez; 30(4): 925-36 • 925 Health family, physical activity, and healthy eating IntroductionPromotion of physical activity, healthy eating and family health in municipalities with health gym CDD. 20.ed. 613 . In addition, surveys among samples of adult population in Brazilian capitals have indicated that 60% of adults do not engage in any kind of leisure physical activity and about 85% of people do not practice at least 150 minutes of physical activity in this domain [6][7] . AbstractThe present study aimed at: 1) describing the prevalence of actions to promote physical activity and healthy eating and describing the characteristics of family health strategies in Brazilian municipalities funded to implement the "Health Gym Program"; and 2) verifying the prevalence of these actions according to the presence of Family Health Support Centers (FHSC) and the presence of physical education professionals and nutritionists in the health family teams. We conducted telephone interviews with public health managers in 2012 in all cities funded to implement the "Health Gym Program". We described the frequencies (%) of the family health teams' characteristics and of the physical activity and healthy eating actions, and we calculated the prevalence in municipalities with and without FHSC, and in municipalities with and without physical education professionals and nutritionists in the teams. We used the chi-square test to evaluate the associations. Out of a total of 5,570 municipalities in Brazil in 2012, 2,074 (37.2%) were funded to implement the program, and amongst them, 44.1% (n = 914 public health managers) participated in the survey. Most of the municipalities did not have FHSC teams (61.5%), though reported developing physical activity (84.1%) or healthy eating actions (83.9%). The education sector was referred to as a public partner in most actions. The prevalence of physical activity (91.5%, p < 0.001) and healthy eating (88.2%, p = 0.006) actions was higher in cities with FHSC than in their counterparts. The prevalence of primary care actions was higher in municipalities that had physical education professionals and nutritionists in teams. Having FHSC with physical education professionals and nutritionists is an important factor for promoting physical activity and healthy eating.

Description of health promotion actions in Brazilian cities that received funds to develop “Academia da Saúde” program

“…But, other health professionals also were cited and are important. For example, Florindo et al 10 showed that nutritionists and physical education professionals are very important for promotion healthy food and physical activity in these cities with "Academia da Saúde" 10 . And survey conducted in primary health care settings in Brazil showed that physicians and nurses are important for physical activity promotion 26 .…”

“…Details about this selection are describe in other paper 10 . This program was implemented by Brazilian Federal Government in 2011 with objective of contribute for improve physical activity, healthy food and others healthy behaviors in population 11 .…”

“…Details about respondents are described in other paper 10 . Briefly, the majority were Secretary of Health (85.3%), had age of 39 years or under (55.4%) and were female (68.1%).…”

“…The final version was composed by 68 questions divided in seven sections. Details about the questionnaire are described in Florindo et al 10 . For this paper, we used information about sections 5, 6 and 7, which included the following information: section 5 (information about implementation of "Academia da Saúde" program); section 6 (expected results of "Academia da Saúde" program in cities); and section 7 (questions about new applications for funding the "Academia da Saúde" program).…”

Interventions by Physical Education professionals in Nuclei of Support to Family Health in São Paulo

“…Similar results were found in Santos and Benedetti 5 where they observed Physical Education professionals are the fifth most hired category and present in 49.2% of the teams. It is necessary to highlight the fact that Physical Education professionals are important agents in the qualification of physical activity promotion in the SUS and the family health teams, supported by the NASF 10 . Among the main results in this study, a great part of Physical Education professionals working in NASF, until February 2014, performed individual sessions based mainly in orientation and forwarding to physical activity practice in shared sessions, as well as group sessions, also shared, in gymnastics orientation, walking groups and mixed sessions.…”