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Master's Dissertation
DOI
https://doi.org/10.11606/D.6.2014.tde-04112014-104813
Document
Author
Full name
Taynã Ishii dos Santos
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2014
Supervisor
Committee
Florindo, Alex Antonio (President)
Brigagão, Jacqueline Isaac Machado
Salvador, Emanuel Péricles
Title in Portuguese
Estilo de vida e práticas profissionais para a promoção da atividade física em Agentes Comunitários de Saúde
Keywords in Portuguese
Agentes Comunitários de Saúde
Atividade Física
Estilo de Vida
Prática Profissional
Abstract in Portuguese
Introdução: Os Agentes Comunitários de Saúde (ACS) são profissionais importantes na promoção da atividade física (AF) no Sistema Único de Saúde. No entanto, poucos estudos têm investigado indicadores de saúde relacionados ao estilo de vida e práticas profissionais de ACS na promoção da AF. Objetivo: Descrever indicadores de estilo de vida de ACS e verificar a associação destes com práticas profissionais para a promoção da AF. Método: Foi realizado estudo transversal em 2011 com 30 ACS que atuavam em uma unidade básica de saúde (UBS) no distrito de Ermelino Matarazzo, zona leste da cidade São Paulo. Foram avaliadas a prática de AF (questionário e pedômetro), a qualidade da alimentação (questionário), medidas antropométricas (peso, estatura e perímetro da cintura), aptidão física (força, flexibilidade e aptidão cardiorrespiratória) e pressão arterial. As práticas profissionais para a promoção da AF foram investigadas por meio de duas questões: 1) Se os ACS recomendavam AF para os usuários da UBS há pelo menos seis meses: 2) Se os ACS lideravam ou participavam de grupos de AF oferecidos para usuários da UBS. Foram realizadas análises descritivas e análises de diferenças de médias por meio do teste t de Student para amostras independentes para verificar se existiam diferenças nas variáveis de estilo de vida segundo as práticas profissionais. Todas as análises foram realizadas no software SPSS (versão 15.0). Resultados: Todos os ACS eram do sexo feminino e a maioria tinha até 39 anos de idade, escolaridade até o ensino médio completo e trabalhava há menos de cinco anos na UBS. A maioria das ACS não praticava pelo menos 150 minutos de AF no lazer, não atingiu a recomendação de pelo menos 10 mil passos diários de caminhada e não tinha qualidade da alimentação classificada como boa. Metade das profissionais estava com excesso de peso, obesidade abdominal e escore de aptidão física ruim ou regular. Sobre as práticas profissionais, 51,9% relataram recomendar AF para os usuários há pelo menos seis meses e 53,6% relataram liderar ou participar de grupos de AF para usuários. As ACS que recomendavam AF para os usuários tiveram maior média de passos diários de caminhada (p=0,039) em comparação com as que não recomendavam. Conclusão: Indicadores de saúde relacionados ao estilo de vida estavam inadequados neste grupo de profissionais. Os ACS que recomendavam AF para os usuários praticaram mais caminhada, o que mostrou que as práticas profissionais tiveram associação com a prática de AF nestes profissionais.
Title in English
Lifestyle and physical activity promotion practices among Community Health Workers
Keywords in English
Community Health Workers
Lifestyle
Physical Activity
Professional Practice
Abstract in English
Introduction: The Community Health Workers (CHWs) are important professionals to promote physical activity (PA) within the Brazilian Unified Health Service. However, few studies have investigated lifestyle-related health indicators and professional practices associated with PA promotion among CHWs. Objective: To describe CHWs' lifestyle indicators and verify the association between these indicators and professional practices related with PA promotion. Method: A crosssectional study was performed in 2011 with 30 CHWs who were working in a primary healthcare unit (PHU) located in the Ermelino Matarazzo district, East zone of Sao Paulo city. Were assessed PA practice (questionnaire and pedometer), diet quality (questionnaire), anthropometric measurements (weight, height, and waist circumference), physical fitness (strength, flexibility, and cardiorespiratory fitness), and blood pressure. Professional practices related to PA promotion were investigated using two questions: 1) Whether the CHWs used to recommend PA for PHU users to at least six months: 2) Whether the CHWs used to lead or attend PA groups offered for the PHU users. Descriptive analyses and Student's t test for independent samples, to verify difference of means, were performed to determine whether differences in lifestyle variables existed according to professional practices. All analyzes were performed using the SPSS software (version 15.0). Results: All CHWs were female and most were up to 39 years old, completed the high school, and were working in the PHU for less than five years. Most CHWs did not practice 150 minutes/week or more of PA in their leisure time, did not reach the recommendation of at least 10,000 daily steps, and did not have a good diet quality. Half of all professionals were overweight, with abdominal obesity, and with fair or poor physical fitness scores. About professional practices, 51.9% reported recommending PA for PHU users for at least six months and 53.6% reported to lead or attend PA groups for the PHU users. CHWs that recommended PA for the PHU users had higher average daily steps (p = 0.039) than those that not recommended. Conclusion: Lifestyle-related health indicators were inadequate in this group of professionals. CHWs that recommended PA for the PHU users also practiced more walking, what showed professional practices were associated with PA practice among these professionals.
 
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Publishing Date
2015-01-27
 
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