Scaling up of physical activity interventions in Brazil: how partnerships and research evidence contributed to policy action

Parra, Diana C.; Hoehner, Christine M.; Hallal, Pedro Curi; Reis, Rodrigo Siqueira; Simões, Eduardo J.; Malta, Déborah Carvalho; Pratt, Michael; Brownson, Ross C.

doi:10.1177/1757975913502368

Cited by 29 publications

(49 citation statements)

References 36 publications

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“…50 Less direct sources of exposure, such as having heard about the intervention or having seen classes, were also associated with higher levels of PA. 50 A study using direct observation showed that individuals using public spaces with Academia da Cidade units were more active than those visiting similar locations without the program. 51 Other studies indicated a high-level of satisfaction of both users and instructors with the intervention. 52 …”

Section: Country Case Studiesmentioning

confidence: 98%

Can Population Levels of Physical Activity Be Increased? Global Evidence and Experience

Pratt

Perez

Goenka

et al. 2015

Progress in Cardiovascular Diseases

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Physical inactivity is one of the most important contributors to the global burden of disease and has become a global public health priority. We review the evidence on physical activity (PA) interventions, actions, and strategies that have the greatest potential to increase PA at the population level. Using the socio-ecological framework to conceptualize PA interventions, we show that PA can be targeted at multiple levels of influence and by multiple sectors outside the health system. Examples of promoting PA on a national scale are presented from Finland, Canada, Brazil, and Colombia. A strong policy framework, consistent investment in public health programs, multi-sectoral support and actions, and good surveillance characterize each of these success stories. Increasing PA globally will depend on successfully applying and adapting these lessons around the world taking into account country, culture, and context.

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Section: Country Case Studiesmentioning

confidence: 98%

Can Population Levels of Physical Activity Be Increased? Global Evidence and Experience

Pratt

Perez

Goenka

et al. 2015

Progress in Cardiovascular Diseases

Self Cite

113

View full text Add to dashboard Cite

show abstract

“…This study was developed by GUIA (Guide for Useful Interventions for Physical Activity in Latin America), a project designed to assess and pro-mote evidence-based strategies to increase physical activity in Latin America 30,31 (Table 1). For the sample size, a prevalence of 50% of health units with physical activity programs was considered, and a four percentage points error; at least 600 health units were required to detect a meaningful difference, and our sample selection surpassed this number.…”

Section: Methodsmentioning

confidence: 99%

Characteristics of physical activity programs in the Brazilian primary health care system

et al. 2014

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The aim of this study was to describe the characteristics of programs that promote physical activity in the public primary care system by region of Brazil, subject to the presence or absence of multidisciplinary primary care teams (NASF). We conducted a cross sectional and population-based telephone survey of the health unit coordinators from 1,251 health care units. Coordinators were asked about the presence and characteristics of physical activity programs. Four out of ten health units reported having a physical activity intervention program, the most common involving walking groups. Most of the activities were performed in the morning, once or twice a week, and in sessions of 30 minutes or more. Physical education professionals were primarily responsible for directing the activities. Interventions occurred in the health unit itself or in adjacent community spaces. In general, these characteristics were similar between units with or without NASF, but varied substantially across regions. These findings will guide future physical activity policies and programs within primary care in Brazil.

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“…Recent national actions have focused on the creation of community health clubs, for which the Health Ministry provides financing with the aim of reducing structural barriers to the access to physical activity practice, particularly among low-income populations. 44 In 2011, these actions were consolidated in the Strategic Action Plan to Confront Noncommunicable Diseases in Brazil, 2011 to 2022, which emphasizes population-based health promotion and prevention, and also prioritizes actions and investments in surveillance and comprehensive care. 45 It includes several quantitative goals to be achieved by 2022 (summarized in Table 3).…”

Section: Current and Novel Strategies For Disease Prevention And Treamentioning

confidence: 99%

Cardiovascular Health in Brazil

et al. 2016

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O ur article reviews the current situation of cardiovascular diseases (CVD) in Brazil, focusing on the influence of socioeconomic status and regional variation in the epidemiology of CVD; and on current and novel strategies to confront CVD. After a brief description of the geographic, economic, and demographic aspects, the organizational aspects of the Brazilian healthcare system are explained. Next, risk factors and morbidity and mortality by CVD are described, followed by a discussion of strategies to confront CVD, regarding both prevention and treatment. Finally, the gaps in knowledge and suggested steps to overcome limitations are highlighted. Hence, this article aims to contribute to efforts to raise awareness concerning the CVD burden around the world, while highlighting initiatives that may promote the improvement of health and the reduction of disparities and current problems. Moreover, we hope it creates opportunities for interaction between researchers, clinicians, and health policy makers. Geographic, Economic, and Demographic DataBrazil is a country of continental dimensions exhibiting large differences in climate, genetic background, and lifestyle adopted in its distinct regions. It occupies 47% of South America, mainly in the tropical region, and has an estimated population of 202 768 562, with 51% women.1 The country is the fifth in land area, sixth in population, and currently the seventh economy in the world.2 Regarding income distribution, Brazil remains one of the world´s most unequal countries.2 Even though social disparities have decreased considerably over the past 14 years, 3 they are still unacceptable. The Gini coefficient for family income, a measure of inequality in income distribution ranging from 0 (complete equality) to 1 (complete inequality), declined from 0.59 in 2000 to 0.53 in 2012. The proportion of people living in poverty, defined as earning

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Scaling up of physical activity interventions in Brazil: how partnerships and research evidence contributed to policy action

Cited by 29 publications

References 36 publications

Can Population Levels of Physical Activity Be Increased? Global Evidence and Experience

Can Population Levels of Physical Activity Be Increased? Global Evidence and Experience

Characteristics of physical activity programs in the Brazilian primary health care system

Cardiovascular Health in Brazil

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