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Understanding the digital environment as an important space to enhance interaction with scientific communication and the society, since the beginning of its activities, the 20202022 board of the Brazilian Society of Physical Activity and Health (SBAFS) intensified its participation in social media. This essay describes the structuring and planning processes, as well as the progression of the work carried out on social networks at SBAFS. In this way, we can highlight the creation of a team of voluntary collaborators to work on social media (page and electronic address, ®Facebook, ®Instagram, ®Twitter and ®Youtube), based on continuous planning and work plan, focused on the strategic dissemination of knowledge, advances and interactions with people interested in the different subjects that permeate the topic of physical activity and health. On ®Instagram, due to the greater frequency of content posted, the increase in the number of followers and, consequently, interactions were notable. ®Twitter also showed impressive results, with a 23.2% increase in profile visits and an 18.8% increase in impressions in the number of views ("tweets"). Due to the work car-ried out, the spread of SBAFS actions among people interested in the subject increased considerably. This can be explained because, with the start of the COVID-19 pandemic, we saw the emergence of digital interactions and, therefore, greater engagement with the profile content was identified. Such information confirms the usefulness of social networks as a tool for scientific dissemination in a fast, dynamic, widely accessible, attractive, interactive, and practical way
Compreendendo o ambiente digital como um importante espaço para aumentar a interação com comunicação científica e aproximação entre as pessoas, desde o início de suas atividades, a gestão 202022 da Sociedade Brasileira de Atividade Física e Saúde (SBAFS) intensificou sua participação nas redes sociais. O presente ensaio descreve os processos de estruturação e planejamento, assim como a progressão do trabalho desenvolvido nas redes sociais da SBAFS. Dessa forma, pode-se destacar a criação de uma equipe de colaboradoras volun-tárias para o trabalho nas mídias sociais (página e endereço eletrônicos, ®Facebook, ®Instagram, ®Twitter e ®Youtube), partindo-se de planejamento e plano de trabalho contínuo, centrados na disseminação estratégica dos conhecimentos, avanços e interações com pessoas interessadas nos distintos assuntos que permeiam o tema atividade física e saúde. No ®Instagram, a partir da maior frequência de conteúdos postados, foi notável o au-mento no número de seguidores, e, consequentemente, de interações. O ®Twitter também apresentou resultados expressivos, com um aumento de 23,2% de visitas ao perfil e 18,8% de impressões na quantidade de visuali-zações ("tweets"). Devido ao trabalho desenvolvido, aumentou-se consideravelmente a capilarização das ações da SBAFS entre as pessoas interessadas sobre o assunto. Isso pode ser explicado, pois, com o início da pandemia da COVID-19, viu-se a emergência das interações por meio digital e, por isso, foi identificado um maior en-gajamento com o conteúdo do perfil. Tais informações ratificam a utilidade das redes sociais como instrumento de divulgação científica de forma rápida, dinâmica, amplamente acessível, atrativa, interativa e prática.
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Comunicación y Divulgación Científica , Red Social , Ejercicio Físico , SaludRESUMEN
BACKGROUND: the COVID-19 pandemic has impacted people's behaviors and mental health around the world. AIM: to verify the mediating role of physical activity (PA) level in the relationship between body mass index (BMI) and anxiety and depression symptoms. METHODS: this is a cross-sectional study with Brazilian adults aged ≥ 18 years (n = 2,000, 59.6 % women) selected by the nonprobabilistic snowball method through digital means of communication (WhatsApp®, Telegram®, Facebook®, Twitter®, e-mails). Linear regression models were fitted for PA level mediation analyses in the relationship between BMI and anxiety/depression symptoms. RESULTS: significant differences were found between the active/not overweight group and the other three groups (active/overweight, insufficiently active/not overweight and insufficiently active/overweight [p < 0.001]) for anxiety/depression after adjusting for age, gender, chronic diseases, alcohol consumption, and smoking. When testing the mediating role of daily PA in the association between BMI and anxiety/depression symptoms, BMI was negatively associated with daily PA in the first regression equation (p < 0.001); in the second, BMI was positively related to anxiety/depression symptoms (p < 0.001); and in the third, daily PA showed an inverse relationship with anxiety/depression symptoms (p < 0.001), and although BMI remained negatively associated with anxiety/depression symptoms, these associations maintained their statistical significance. CONCLUSIONS: the results suggest that the effect of BMI on anxiety and depression was partially mediated by daily PA.
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OBJECTIVE: To verify whether parental physical activity and social support are associated with adolescents meeting physical activity recommendations. METHODS: This is a cross-sectional study that selected 1,390 adolescents (59.6% girls) from Curitiba, Paraná, Brazil. The IPAQ (International Physical Activity Questionnaire), QAFA (Physical Activity Questionnaire for Adolescents), and ASAFA (Social Support for Physical Activity Practice in Adolescents) questionnaires were applied. Binary logistic regression was used to test the relationship among the study variables. RESULTS: For boys, having parents who "always attend" (OR = 1.96; 95%CI: 1.16-3.32) and having parents or legal guardians who meet the PA recommendations (OR = 2.78; 95%CI: 1.76-4.38) were associated with meeting the PA recommendations. Odds were greater after adjusting for socioeconomic status (OR = 3.47; 95%CI: 1.73-6.96) and schooling level (OR = 4.20; 95%CI: 1.96-9.02). For girls, those with parents or legal guardians who "sometimes encourage them" (OR = 0.61; 95%CI: 0.37-0.98) had lower odds of meeting PA recommendations. These odds were higher after adjusting for socioeconomic status (OR = 2.11; 95%CI: 1.36-3.29) and schooling level (OR = 4.30; 95%CI: 2.41-7.69). CONCLUSIONS: Boys and girls were more likely to meet PA recommendations daily by having parents who meet PA recommendations than by receiving parental social support. These results could help establish future interventions aimed at modifying behaviors related to PA in adolescents.
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Ejercicio Físico , Padres , Masculino , Femenino , Humanos , Adolescente , Estudios Transversales , Brasil , Apoyo SocialRESUMEN
ABSTRACT OBJECTIVE To verify whether parental physical activity and social support are associated with adolescents meeting physical activity recommendations. METHODS This is a cross-sectional study that selected 1,390 adolescents (59.6% girls) from Curitiba, Paraná, Brazil. The IPAQ (International Physical Activity Questionnaire), QAFA (Physical Activity Questionnaire for Adolescents), and ASAFA (Social Support for Physical Activity Practice in Adolescents) questionnaires were applied. Binary logistic regression was used to test the relationship among the study variables. RESULTS For boys, having parents who "always attend" (OR = 1.96; 95%CI: 1.16-3.32) and having parents or legal guardians who meet the PA recommendations (OR = 2.78; 95%CI: 1.76-4.38) were associated with meeting the PA recommendations. Odds were greater after adjusting for socioeconomic status (OR = 3.47; 95%CI: 1.73-6.96) and schooling level (OR = 4.20; 95%CI: 1.96-9.02). For girls, those with parents or legal guardians who "sometimes encourage them" (OR = 0.61; 95%CI: 0.37-0.98) had lower odds of meeting PA recommendations. These odds were higher after adjusting for socioeconomic status (OR = 2.11; 95%CI: 1.36-3.29) and schooling level (OR = 4.30; 95%CI: 2.41-7.69). CONCLUSIONS Boys and girls were more likely to meet PA recommendations daily by having parents who meet PA recommendations than by receiving parental social support. These results could help establish future interventions aimed at modifying behaviors related to PA in adolescents.
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Humanos , Masculino , Femenino , Relaciones Padres-Hijo , Apoyo Social , Ejercicio Físico , Adolescente , Conducta SedentariaRESUMEN
As aulas de educação física (EF) escolar representam um momento propício para conhecer e viven-ciar a pluralidade do movimento humano, favorecendo a promoção de uma vida ativa e saudável. A importância da EF escolar foi reconhecida pelo Guia de Atividade Física para a População Brasileira (Guia), que dedicou um capítulo para orientar a comunidade escolar sobre os benefícios à saúde e as estratégias de sucesso adotadas nas aulas de EF escolar. O objetivo deste estudo é apresentar o processo de elaboração das recomendações brasileiras de EF escolar para a população brasileira, mais especificamente os estudantes, professores, pais e responsáveis, e gestores. Esse capítulo do Guia foi desenvolvido por dez pesquisadores brasileiros, incluindo um representante do Ministério da Saúde. Três sínteses de evidências, escutas ao público-alvo e consulta pública foram realizadas para a construção das recomendações. Dados de 49 revisões sistemáticas sobre os benefícios da EF escolar à saúde e de 22 intervenções nas aulas de EF escolar com estudantes brasileiros foram sumarizados. Ainda, foram sintetizados 63 documentos nacionais e internacionais com estratégias recomendadas para a EF escolar, com foco nas dimensões: política e ambiente; currículo; instrução apropriada; avaliação; e estratégias que interagem com a EF escolar. Os grupos focais e a consulta pública fun-damentaram a elaboração e o aprimoramento da versão final das recomendações. Espera-se que estas recomendações alicercem a criação de políticas públicas, melhorem a conscientização sobre a importância da prática de atividade física na EF escolar e enfatizem a necessidade de realizar estudos futuros nesta área de conhecimento
Physical Education (PE) classes represent an appropriate time to know and experience the plurality of the human movement, favoring the promotion of a healthy and active life. The importance of PE was recognized by the Physical Activity Guide for the Brazilian Population, which dedicated a chapter to guide the school community on the health benefits and successful strategies adopted in PE classes. This study aimed to show the process of elaborating Brazilian recommendations for PE for the Brazilian population, more specifically students, teachers, parents and guardians, and managers. This chapter of the Guide was developed by ten Brazilian researchers, including a spokeswoman of the Ministry of Health. Three syntheses of evidence, focus groups/interviews and public consultation were carried out to construct the recommendations. Data from 49 systematic reviews on the health benefits of PE and 22 interventions in PE classes with Brazilian students were summarized. Also, 63 documents were synthesized with strategies recommended for PE classes, focusing on the dimensions: politics and environment; curriculum; appropriate instruction; evaluation; and strategies that interact with PE. The focus groups and the public consultation were the basis for the elaboration and improvement of the final version of the recommendations. It is expected that these recommendations can assist the creation of public policies, the improvement of practice PE and the need to conduct future studies in this area of knowledge
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Educación y Entrenamiento Físico , Instituciones Académicas , Estudiantes , Estrategias de Salud , Actividad MotoraRESUMEN
Resumo Introdução O esporte pode contribuir com a percepção de qualidade de vida dos adolescentes nessa fase de desenvolvimento. Objetivo Comparar os domínios da percepção de qualidade de vida de adolescentes, dos sexos masculino e feminino, praticantes de esporte no contraturno escolar (PE), praticantes de outra modalidade de exercício físico (PMEF) e não praticantes de exercício físico (NPEF). Método O estudo é transversal com delineamento ex post facto, com a população composta por adolescentes e com uma amostra de 374 sujeitos, dividida em três grupos. Para avaliar a percepção de qualidade de vida dos adolescentes, foi utilizado o questionário KIDSCREEN-52, e para a análise comparativa, o teste da Análise de variância (ANOVA) de um fator com post hoc de Scheffe. Resultados As comparações das dimensões de qualidade de vida (QV) mostraram que a prática esportiva é um importante fator para melhores percepções de QV e, consequentemente, uma melhor percepção de bem-estar, isto principalmente para o sexo masculino (F=5,38; 3,86; 4,79; 6,22; 7,93, para sentimentos; estado emocional; autopercepção; amigos; apoio social, respectivamente, p<0,05). Conclusão A prática esportiva, em especial na adolescência, merece destaque, já que os praticantes de esporte no contraturno apresentaram melhores percepções de QV nas diferentes dimensões analisadas.
Abstract Background Sports can enhance adolescents' quality of life perception in their important development phase. Objective compare the domains of quality of life perception of adolescents, male and female, who participate in sports (SP), or another type of physical exercise (PTPE) and non-physical exercise practitioners (NPEP) in the school counterpart. Method The study is cross-sectional with ex post facto design, and its population is composed of adolescents, with a total sample of 374 subjects, divided into three groups (SP, PTPE, NPEP). To evaluate the perception of quality of life of the adolescents, the KIDSCREEN-52 questionnaire was used, and for the comparative analysis of the data, the Analysis of variance (ANOVA) test of a factor with post hoc of Schefe. Results The comparison of quality of life (QoL) dimensions showed that sports practice is an important factor for better perceptions of QoL, consequently a better perception of well-being, especially for males (F = 5.38, 3.86, 4.79, 6.22, 7.93, for feelings, emotional state, self perception, friends, social support respectively and with p <0.05). Conclusion The sport practice, especially in adolescence, deserves to be highlighted, since those who participate in sports in the counterpart presented significant and better perceptions of QoL in the different dimensions analyzed.
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ABSTRACT Objective: To synthesize the evidence available in the literature on the relationship between the components of physical activity, physical fitness and academic achievement in adolescents. Methods: The review followed the methodological procedures described by PRISMA and was carried out in the Lilacs, Medline, SciELO, PubMed, Web of Science and Science Direct databases. Quantitative empirical studies published as of 2006 were included. The following descriptors and keywords were used: "Motor activity", "Physical fitness", "Physical activity", "Educational status", "Academic achievement", "Academic performance", and their equivalents in Portuguese and Spanish. Results: The most widely investigated variable was physical fitness (45.5%) followed by physical activity (40.9%), whereas only three studies (13.6%) investigated both. Conclusion: Physical activity and physical fitness are positively associated with the academic achievement of adolescents. In more than 80% of studies the association was considered strong. The physical fitness component most frequently associated with academic achievement was cardiorespiratory fitness. Level of evidence II; Systematic review.
RESUMO Objetivo: Sintetizar as evidências disponíveis na literatura acerca da relação entre os componentes da atividade física, da aptidão física e o desempenho acadêmico em adolescentes. Métodos: A revisão seguiu os procedimentos metodológicos descritos pelo PRISMA e foi realizada nas bases de dados Lilacs, Medline, SciELO, PubMed, Web of Science e Science Direct. Foram incluídos estudos empíricos, de natureza quantitativa, publicados a partir do ano de 2006. Os descritores e palavras chave utilizados foram: "Motor activity", "Physical fitness", "Physical activity", "Educational status", "Academic achievement", "Academic performance" e seus equivalentes em português e espanhol. Resultados: A aptidão física foi a variável mais investigada (45,5%), seguida da atividade físic (40,9%), sendo que três estudos (13,6%) investigaram ambas. Conclusão: Atividade física e aptidão física estão positivamente associadas ao desempenho acadêmico de adolescentes. Em mais de 80% dos estudos a associação foi considerada forte. O componente da aptidão física mais frequentemente associado ao desempenho acadêmico foi a aptidão cardiorrespiratória. Nível de evidência II; Revisão sistemática.
RESUMEN Objetivo: sintetizar las evidencias disponibles en la literatura sobre la relación entre los componentes de la actividad física, de la aptitud física y el desempeño académico en adolescentes. Métodos: La revisión siguió los procedimientos metodológicos descritos por PRISMA y se realizó en las bases de datos Lilacs, Medline, SciELO, PubMed, Web of Science y Science Direct. Se incluyeron estudios empíricos, de naturaleza cuantitativa, publicados a partir de 2006. Las palabras clave y los descriptores utilizados fueron: "Motor activity", "Physical fitness", "Physical activity", "Educational status", "Academic achievement", "Academic performance", y sus equivalentes en portugués y español. Resultados: La aptitud física fue la variable más investigada (45,5%), seguida de la actividad física (40,9%), siendo que tres estudios (13,6%) investigaron ambas. Conclusión: La actividad física y la aptitud física están positivamente asociados al desempeño académico de los adolescentes. En más de 80% de los estudios la asociación se consideró fuerte. El componente de la aptitud física más frecuentemente asociado al desempeño académico fue la aptitud cardiorrespiratoria. Nivel de evidencia II; Revisión sistemática.
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In order to identify the research that addressed the Academia da Cidade and Academia da Saúde Programs (ACP/ASP), a scoping review was conducted in April 2020 in five electronic databases and in reference lists aiming to identify scientific articles that had data collections carried out in the facilities of the ACP/ASP or, that somehow involved the populations of the localities where the programs were implemented. Of the 321 initial records, the descriptive synthesis consisted of 59 studies, which had as their most frequent characteristics: cross-sectional design, use of quantitative approaches in data collection and analysis, Nutrition as a central topic, and involvement of users (adults and the elderly). In conclusion, longitudinal studies involving all actors (managers, practitioners and users) and covering different health topics, besides promoting the approximation between academia and decision makers, may be promising in the sense of better evaluating the impact that the program represents in the life of the communities that are attended
No sentido de identificar as pesquisas que abordam os Programas Academia da Cidade e Academia da Saúde (PAC/PAS), em abril de 2020 foi conduzida uma revisão de escopo, em cinco bases de dados eletrônicas em listas de referências, a fim de identificar artigos científicos originais que tiveram coletas de dados realizadas nas instalações do PAC/PAS ou, que, de alguma forma envolveram as populações das localidades em que foram implantados os programas. De 321 registros iniciais, a síntese foi composta por 59 artigos científicos, que apresentaram como características mais frequentes: delineamento transversal, uso de abordagens quantitativas nas coletas e análises de dados, Nutrição como temática central e envolvimento de usuários (adultos e idosos). Em conclusão, estudos longitudinais envolvendo todos os atores (gestores, profissionais e usuários) e distintas temáticas da saúde, além de promoverem a aproximação entre a academia e tomadores de decisão, podem ser promissores no sentido de melhor avaliar o impacto que o programa representa na vida das comunidades que são atendidas
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Política Pública , Anciano , Revisión , Adulto , Promoción de la SaludRESUMEN
OBJECTIVE: To verify the prevalence and factors associated with active transportation to school (ATS) among Brazilian adolescents attending public schools. METHODS: Crossectional study with a representative sample of 1,984 adolescents (55.9% girls). Sociodemographic variables included were: gender, age, parental schooling, and socioeconomic status. Psychosocial factors included were: social support from parents and friends for physical activity. Walking, cycling, or skateboarding to school were considered models of active transportation. Binary logistic regression models verified sociodemographic and psychosocial factors association with ATS, adopting p < 0.05. RESULTS: The prevalence of active transportation to school was 37.7% (16.2% boys and 21.5% girls). For boys, ATS was associated with: social support from parents in practicing physical activity together as a family (OR = 1.57; 95%CI 1.09-2.25), giving them rides (OR = 1.56; 95%CI 1.04-2.32), and remarking their good performance on it (OR = 1.73; CI95 1.08-2.76); as well as the social support from friends in practicing physical activity together (OR = 2.23; 95%CI 1.35-3.69). For girls, the likelihood of using ATS increased with age (OR = 1.43; 95%CI 1.06-1.92) and having friends who practice physical activity together with them (OR = 1.48, 95%CI 1.04-2.10). CONCLUSION: Age and social support for physical activity were associated with ATS. Parents who practice together, give rides, and remark on physical activities increase the likelihood of adolescent boys using ATS. Social support from friends to physical activity increased the likelihood of both genders using ATS.
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Instituciones Académicas , Transportes/estadística & datos numéricos , Adolescente , Brasil , Estudios Transversales , Femenino , Humanos , Masculino , Prevalencia , Factores SocioeconómicosRESUMEN
The scope of this study was to verify the impact of associated factors with insufficient physical activity levels and high screen time among adolescents. A cross-sectional and representative study was conducted with 899 public high school adolescents from São José dos Pinhais, Paraná, Brazil. It involved measurement of physical activity levels and screen time and classification according to the norms of the World Health Organization and the American Academy of Pediatrics. The factors associated with insufficient physical activity levels and high screen time were gender, sexual maturation, social support and self-efficacy in terms of physical activity. Poisson regression was applied to test the associations. Population attributable fraction (PAF) and relative risk reduction (RRR) calculated the impact of associated factors with insufficient physical activity levels and high screen time among adolescents. In the combined presence of insufficient physical activity levels with high screen time, the female sex presented PAF = 13.04, a post-pubertal stage PAF = 9.91 and social support presented RRR = 31.00. The findings suggest that being female and post-pubescent are risk factors, while social support is a protective factor, for combined insufficient physical activity levels and high screen time among adolescents.
Verificar o impacto de fatores associados ao nível insuficiente de atividade física e elevado tempo de tela em adolescentes. Estudo transversal, representativo, com 899 alunos de ensino médio da rede pública de São José dos Pinhais, Paraná, Brasil. Foram mensurados o nível de atividade física e o tempo de tela e classificados respectivamente de acordo com as recomendações da Organização Mundial da Saúde e da American Academy of Pediatrics. Os fatores associados para o nível insuficiente de atividade física e tempo de tela foram: sexo, maturação sexual, apoio social e autoeficacia para a prática de atividade física. As associações foram testadas com a regressão de Poisson. E o impacto dos fatores associados ao nível insuficiente de atividade física e do elevado tempo de tela foram calculadas pela fração atribuível populacional (FAP) e a redução relativa do risco (RRR). Na presença combinada do nível insuficiente de atividades físicas com o elevado tempo de tela, o sexo feminino apresentou uma FAP = 13,04, o estágio pós-púbere FAP = 9,91 e o apoio social apresentou uma RRR = 31,00. Os achados sugerem sexo feminino e estar no estágio pós-púbere como fatores de risco, e apoio social como fator protetor a presença combinada do nível insuficiente de atividade física e do elevado tempo de tela.
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Actividad Motora , Tiempo de Pantalla , Adolescente , Brasil/epidemiología , Niño , Estudios Transversales , Ejercicio Físico , Femenino , Humanos , Factores SexualesRESUMEN
The study aimed to analyze the interaction of sociodemographic factors in the association between psychosocial factors and active commuting to school. This was a cross-sectional study in 2018 with a sample of 1,984 students. The target sociodemographic factors were sex, age, parents' schooling, and socioeconomic status. Social support and self-efficacy were measured with questionnaires. Active commuting to school was defined as walking, bicycling, or skateboarding to and from school. Binary logistic regression was used to verify the association between psychosocial factors and active commuting to school. Then, interaction terms with the sociodemographic variables (age, father's schooling, mother's schooling, socioeconomic status) were included in the relationship between psychosocial factors and active commuting to school. The sample consisted of 1,984 adolescents (55.9% females). Of these, 748 (37.7% of the sample) reported active commuting to school during a normal week. Analyses of interaction showed that high levels of schooling and high socioeconomic status were negatively associated with active commuting to school. Low socioeconomic status and low schooling were positively associated with such commuting. The peer social support scale showed more significant variables than the other scales. The results indicate that sociodemographic factors (parents' schooling and socioeconomic status) moderate the association between psychosocial factors and active commuting to school.
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Instituciones Académicas , Transportes , Adolescente , Ciclismo , Brasil , Estudios Transversales , Femenino , Humanos , Masculino , Factores Socioeconómicos , Encuestas y Cuestionarios , CaminataRESUMEN
OBJECTIVE: To verify the association between participation in physical activity (PA) and the clustering of health risk behaviors (HRB) in adolescents of both genders. METHODS: A cross-sectional study involving 862 adolescents (11 to 17 years old) enrolled in 14 randomly selected public schools from Curitiba, Paraná, Brazil. Participation in PA, screen time, consumption of fruit, vegetables, cigarettes and alcoholic beverages were the criteria evaluated. Multinomial logistic regression tested the association between participation in PA and clustering of HRB, and results are expressed Odds Ratio (OR) with 95% confidence intervals (95%CI). RESULTS: Adolescents with high participation in PA had lower odds of clustering 2-3 HRB (OR 0.38, 95%CI 0.21-0.68; p<0.01) and 4-5 HRB (OR 0.29; 95%IC 0.16-0.53; p<0.01). Boys with high participation in PA had lower chances of clustering 2-3 HRB (OR 0.31, 95%CI 0.13-0.75; p=0.01), and girls had lower odds of clustering 2-3 HRB (OR 0.41; 95%CI 0.17-0.99; p=0.04) and 4-5 HRB (OR 0.25; 95%CI 0.10-0.61; p<0.01). CONCLUSIONS: High participation in PA was inversely associated with the clustering of HRB in adolescents.
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Ejercicio Físico , Conductas de Riesgo para la Salud , Adolescente , Consumo de Bebidas Alcohólicas/epidemiología , Brasil/epidemiología , Niño , Análisis por Conglomerados , Estudios Transversales , Femenino , Frutas , Humanos , Modelos Logísticos , Masculino , Oportunidad Relativa , Instituciones Académicas/estadística & datos numéricos , Conducta Sedentaria , Factores Sexuales , Fumar/epidemiología , VerdurasRESUMEN
ABSTRACT Objective: To verify the association between participation in physical activity (PA) and the clustering of health risk behaviors (HRB) in adolescents of both genders. Methods: A cross-sectional study involving 862 adolescents (11 to 17 years old) enrolled in 14 randomly selected public schools from Curitiba, Paraná, Brazil. Participation in PA, screen time, consumption of fruit, vegetables, cigarettes and alcoholic beverages were the criteria evaluated. Multinomial logistic regression tested the association between participation in PA and clustering of HRB, and results are expressed Odds Ratio (OR) with 95% confidence intervals (95%CI). Results: Adolescents with high participation in PA had lower odds of clustering 2-3 HRB (OR 0.38, 95%CI 0.21-0.68; p<0.01) and 4-5 HRB (OR 0.29; 95%IC 0.16-0.53; p<0.01). Boys with high participation in PA had lower chances of clustering 2-3 HRB (OR 0.31, 95%CI 0.13-0.75; p=0.01), and girls had lower odds of clustering 2-3 HRB (OR 0.41; 95%CI 0.17-0.99; p=0.04) and 4-5 HRB (OR 0.25; 95%CI 0.10-0.61; p<0.01). Conclusions: High participation in PA was inversely associated with the clustering of HRB in adolescents.
RESUMO Objetivo: Verificar a associação entre a participação em atividade física (AF) e a agregação de comportamentos de risco à saúde (CRS) em adolescentes de ambos os sexos. Métodos: Estudo transversal com participação de 862 adolescentes (11 a 17 anos) matriculados em 14 escolas públicas, selecionadas aleatoriamente, da cidade de Curitiba, Paraná. Foram avaliados a participação em AF, o tempo em tela, o consumo de frutas, vegetais, cigarros e de bebidas alcoólicas por meio de questionários. Para a associação entre os níveis de participação em AF e a agregação dos CRS, foi utilizada a regressão logística multinominal com obtenção de razão de chances (RC) com intervalos de confiança de 95% (IC95%). Resultados: Os adolescentes com alta participação em AF apresentaram menores chances de agregação de 2-3 CRS (RC 0,38; IC95% 0,21-0,68; p<0,01) e 4-5 CRS (RC 0,29; IC95% 0,16-0,53; p<0,01). Meninos com alta participação em AF apresentaram menores chances de agregarem 2-3 CRS (RC 0,31; IC95% 0,13-0,75; p=0,01), e meninas, menores chances de agregação de 2-3 CRS (RC 0,41; IC95% 0,17-0,99; p=0,04) e 4-5 CRS (RC 0,25; IC95% 0,10-0,61; p<0,01). Conclusões: A alta participação em AF esteve inversamente associada com a agregação de CRS em adolescentes.
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Humanos , Masculino , Femenino , Niño , Adolescente , Ejercicio Físico , Conductas de Riesgo para la Salud , Instituciones Académicas/estadística & datos numéricos , Verduras , Brasil/epidemiología , Consumo de Bebidas Alcohólicas/epidemiología , Fumar/epidemiología , Análisis por Conglomerados , Modelos Logísticos , Oportunidad Relativa , Factores Sexuales , Estudios Transversales , Conducta Sedentaria , FrutasRESUMEN
Resumo: O objetivo foi investigar a interação dos fatores sociodemográficos na associação dos fatores psicossociais com o transporte ativo para a escola. Foi realizado estudo transversal, conduzido em 2018 com uma amostra de 1.984 estudantes. Os fatores sociodemográficos incluídos foram: sexo, idade, escolaridade dos pais e nível socioeconômico. O apoio social e a autoeficácia foram mensurados por questionários. Caminhar, pedalar ou usar skate foram considerados meios de transporte ativo para a escola. A regressão logística binária foi utilizada para verificar a associação dos fatores psicossociais com o transporte ativo para a escola. Em seguida, termos de interação com as variáveis sociodemográficas (idade, escolaridade pai, escolaridade mãe, nível socioeconômico) foram incluídos na relação dos fatores psicossociais com o transporte ativo para a escola. A amostra foi composta de 1984 adolescentes (55,9% feminino). Desses, 748 (37,7% da amostra) relataram utilizar transporte ativo para a escola em uma semana habitual. As análises de interação demonstraram que escolaridade e nível socioeconômico alto estão associados negativamente com transporte ativo para escola. Nível socioeconômico baixo e escolaridade baixa estão associados positivamente. A escala de apoio social dos amigos apresentou um número maior de variáveis significativas quando comparada às demais escalas. Os resultados indicam que os fatores sociodemográficos (escolaridade dos pais e nível socioeconômico) moderam a associação dos fatores psicossociais com o transporte ativo para a escola.
Abstract: The study aimed to analyze the interaction of sociodemographic factors in the association between psychosocial factors and active commuting to school. This was a cross-sectional study in 2018 with a sample of 1,984 students. The target sociodemographic factors were sex, age, parents' schooling, and socioeconomic status. Social support and self-efficacy were measured with questionnaires. Active commuting to school was defined as walking, bicycling, or skateboarding to and from school. Binary logistic regression was used to verify the association between psychosocial factors and active commuting to school. Then, interaction terms with the sociodemographic variables (age, father's schooling, mother's schooling, socioeconomic status) were included in the relationship between psychosocial factors and active commuting to school. The sample consisted of 1,984 adolescents (55.9% females). Of these, 748 (37.7% of the sample) reported active commuting to school during a normal week. Analyses of interaction showed that high levels of schooling and high socioeconomic status were negatively associated with active commuting to school. Low socioeconomic status and low schooling were positively associated with such commuting. The peer social support scale showed more significant variables than the other scales. The results indicate that sociodemographic factors (parents' schooling and socioeconomic status) moderate the association between psychosocial factors and active commuting to school.
Resumen: El objetivo fue investigar la interacción de los factores sociodemográficos en la asociación de los factores psicosociales con el transporte activo hacia la escuela. Estudio transversal, llevado a cabo en 2018, con una muestra de 1.984 estudiantes. Los factores sociodemográficos incluidos fueron: sexo, edad, escolaridad de los padres y nivel socioeconómico. El apoyo social y la autoeficacia fueron medidos por medio de cuestionarios. Se consideró transporte activo hacia la escuela: caminar, pedalear o usar monopatín. La regresión logística binaria se utilizó para verificar la asociación de los factores psicosociales con el transporte activo a la escuela. Después, los términos de interacción con las variables sociodemográficas (edad, escolaridad del padre, escolaridad de la madre, nivel socioeconómico) se incluyeron en la relación de los factores psicosociales con el transporte activo hacia la escuela. La muestra estaba compuesta por 1.984 adolescentes (55,9% de sexo femenino). De ellos, 748 (37,7% de la muestra) informaron utilizar transporte activo hacia la escuela durante una semana normal. Los análisis de interacción demostraron que escolaridad y nivel socioeconómico alto están asociados negativamente con el transporte activo hacia la escuela. El nivel socioeconómico bajo y la escolaridad baja están asociados positivamente. La escala de apoyo social de los amigos presentó un número mayor de variables significativas, cuando se compara con las demás escalas. Los resultados indican que los factores sociodemográficos (escolaridad de los padres y nivel socioeconómico) moderan la asociación de los factores psicosociales con el transporte activo hacia la escuela.
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Instituciones Académicas , Transportes , Factores Socioeconómicos , Ciclismo , Brasil , Estudios Transversales , Encuestas y Cuestionarios , CaminataRESUMEN
ABSTRACT OBJECTIVE: To verify the prevalence and factors associated with active transportation to school (ATS) among Brazilian adolescents attending public schools. METHODS: Crossectional study with a representative sample of 1,984 adolescents (55.9% girls). Sociodemographic variables included were: gender, age, parental schooling, and socioeconomic status. Psychosocial factors included were: social support from parents and friends for physical activity. Walking, cycling, or skateboarding to school were considered models of active transportation. Binary logistic regression models verified sociodemographic and psychosocial factors association with ATS, adopting p < 0.05. RESULTS: The prevalence of active transportation to school was 37.7% (16.2% boys and 21.5% girls). For boys, ATS was associated with: social support from parents in practicing physical activity together as a family (OR = 1.57; 95%CI 1.09-2.25), giving them rides (OR = 1.56; 95%CI 1.04-2.32), and remarking their good performance on it (OR = 1.73; CI95 1.08-2.76); as well as the social support from friends in practicing physical activity together (OR = 2.23; 95%CI 1.35-3.69). For girls, the likelihood of using ATS increased with age (OR = 1.43; 95%CI 1.06-1.92) and having friends who practice physical activity together with them (OR = 1.48, 95%CI 1.04-2.10). CONCLUSION: Age and social support for physical activity were associated with ATS. Parents who practice together, give rides, and remark on physical activities increase the likelihood of adolescent boys using ATS. Social support from friends to physical activity increased the likelihood of both genders using ATS.
RESUMO OBJETIVO: Verificar a prevalência e os fatores associados ao transporte ativo para a escola em adolescentes brasileiros de escolas públicas. MÉTODOS: Estudo transversal, com amostra representativa de 1.984 adolescentes (55,9% meninas). Os fatores sociodemográficos incluídos foram sexo, idade, escolaridade dos pais e nível socioeconômico. Os fatores psicossociais incluídos foram apoio social dos pais e dos amigos para a atividade física. Foi considerado transporte ativo o ato de caminhar, pedalar ou usar skate no deslocamento para a escola. Modelos de regressão logística binária verificaram a associação dos fatores sociodemográficos e psicossociais ao transporte ativo para a escola adotando p < 0,05. RESULTADOS: A prevalência de transporte ativo para a escola foi de 37,7% (16,2% meninos e 21,5% meninas). Para meninos, o apoio social dos pais ao praticar atividade física junto (RC = 1,57; IC95% 1,09-2,25), transportar para a atividade física (RC = 1,56; IC95% 1,04-2,32) e comentar que o adolescente faz a atividade física bem (RC = 1,73; IC95% 1,08-2,76), assim como o apoio dos amigos ao praticar junto (RC = 2,23; IC95% 1,35-3,69), foram associados ao transporte ativo. Para meninas, a idade (RC = 1,43; IC95% 1,06-1,92) e ter amigos que praticam atividade física junto (RC = 1,48; IC95% 1,04-2,10) aumentaram as chances de transporte ativo para a escola. CONCLUSÃO: A idade e o apoio social para a prática de atividade física foram associados ao transporte ativo para a escola. Pais que praticam junto, transportam e comentam sobre a atividade aumentaram as chances para adolescentes meninos. O apoio social dos amigos para a atividade física aumentou as chances para ambos os sexos.
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Instituciones Académicas , Transportes/estadística & datos numéricos , Factores Socioeconómicos , Brasil , Prevalencia , Estudios TransversalesRESUMEN
ABSTRACT Objective: To describe the use of exergames, associated factors and to quantify the time attributed to the use of exergames within the time spent on video games in a sample of adolescents from Curitiba, Paraná, Brazil. Methods: This was a cross-sectional study that evaluated frequency and weekly volume of physical activities using the Physical Activity Questionnaire for Adolescents. Weekly frequency and daily time of use of exergames and videogames were self-reported. Mann-Whitney and Kruskal Wallis tests were used to compare the time spent playing exergames, and Poisson regression was used to test the associations (p<0.05). Results: 495 adolescents were interviewed (51.3% girls), predominantly aged between 12 and 13 years (41.3%), under/normal weight (60.4%), medium socioeconomic status (39.8 %) and from public schools (69.3%). Most of the participants did not have video games in their bedroom (74.3%) and did not reach recommended levels of physical activity (55.5%). One in five adolescents used exergames (16.4%). Age (RP: 0.54; 95%CI 0.30-0.97, p=0.039) and having a console in the bedroom (RP: 1.89; 95%CI 1.27- 2.81, p=0.002) were associated with exergame use. Male sex (X_: 195.0; AIQ: 486.3; p=0.024) practice of leisure time physical activity (X_: 160.0; AIQ: 350.0; p=0.048) were associated with weekly volume of exergame use. Conclusions: Overall, less than two out of ten adolescents used exergames, and the use was higher among young adolescents and those who had a console in their bedrooms. Volume of use was higher among boys and those performing more than five hours of leisure time physical activity per week. In addition, a considerable part of the time devoted to the use of video games, was in fact, destined to the use of exergames.
RESUMO Objetivo: Descrever o uso de exergames, os fatores associados e quantificar o tempo atribuído ao uso de exergames dentro do tempo total de uso de videogames em uma amostra de adolescentes de Curitiba, Paraná. Métodos: Estudo com delineamento transversal no qual a frequência e o volume semanal de atividades físicas foram avaliados com o Questionário de Atividade Física para Adolescentes. A frequência semanal e o tempo diário de uso de exergames e de videogames foram autorreportados. Os testes U de Mann-Whitney e Kruskal-Wallis compararam o tempo de uso dos exergames; e a regressão de Poisson, as associações (p<0,05). Resultados: Foram entrevistados 495 adolescentes (51,3% meninas), predominantemente com idade entre 12 e 13 anos (41,3%), baixo peso/normal (60,4%), nível socioeconômico médio (39,8%) e de escolas públicas (69,3%). A maioria não possuía videogame no quarto (74,3%) e não cumpria a recomendação de atividade física (55,5%). Um em cada cinco adolescentes usava exergames (16,4%). A idade (razão de prevalência [RP] 0,54; intervalo de confiança de 95% [IC95%] 0,30-0,97; p=0,039) e a posse de videogames no quarto (RP 1,89; IC95% 1,27-2,81; p=0,002) foram associadas com o uso. Ainda, o sexo masculino (X_: 195,0; AIQ: 486,3; p=0,024) e a prática de atividade física no lazer (X_: 160,0; AIQ: 350,0; p=0,048) apresentaram associação com o volume semanal. Conclusões: Ao todo, menos de dois em cada dez adolescentes utilizam exergames, sendo a frequência maior entre os mais novos e que possuem consoles de jogos nos quartos. O volume de uso é maior entre os meninos e entre adolescentes que praticam mais do que cinco horas de atividades físicas de lazer na semana. Além disso, parte considerável do tempo destinado ao uso de videogames foi, na realidade, destinada ao uso de exergames.
Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Ejercicio Físico , Conducta del Adolescente , Juegos de Video , Conducta Sedentaria , Factores de Tiempo , Brasil , Conductas Relacionadas con la Salud , Estudios Transversales , Salud del Adolescente , AutoinformeRESUMEN
OBJECTIVE: To describe the use of exergames, associated factors and to quantify the time attributed to the use of exergames within the time spent on video games in a sample of adolescents from Curitiba, Paraná, Brazil. METHODS: This was a cross-sectional study that evaluated frequency and weekly volume of physical activities using the Physical Activity Questionnaire for Adolescents. Weekly frequency and daily time of use of exergames and videogames were self-reported. Mann-Whitney and Kruskal Wallis tests were used to compare the time spent playing exergames, and Poisson regression was used to test the associations (p<0.05). RESULTS: 495 adolescents were interviewed (51.3% girls), predominantly aged between 12 and 13 years (41.3%), under/normal weight (60.4%), medium socioeconomic status (39.8 %) and from public schools (69.3%). Most of the participants did not have video games in their bedroom (74.3%) and did not reach recommended levels of physical activity (55.5%). One in five adolescents used exergames (16.4%). Age (RP: 0.54; 95%CI 0.30-0.97, p=0.039) and having a console in the bedroom (RP: 1.89; 95%CI 1.27- 2.81, p=0.002) were associated with exergame use. Male sex (X_: 195.0; AIQ: 486.3; p=0.024) practice of leisure time physical activity (X_: 160.0; AIQ: 350.0; p=0.048) were associated with weekly volume of exergame use. CONCLUSIONS: Overall, less than two out of ten adolescents used exergames, and the use was higher among young adolescents and those who had a console in their bedrooms. Volume of use was higher among boys and those performing more than five hours of leisure time physical activity per week. In addition, a considerable part of the time devoted to the use of video games, was in fact, destined to the use of exergames.
Asunto(s)
Conducta del Adolescente , Ejercicio Físico , Conducta Sedentaria , Juegos de Video , Adolescente , Salud del Adolescente , Brasil , Niño , Estudios Transversales , Femenino , Conductas Relacionadas con la Salud , Humanos , Masculino , Autoinforme , Factores de TiempoRESUMEN
ABSTRACT Introduction Various studies have been developed and published in relation to the recommendations for physical activity and associated factors. However, there is a lack of studies that detail the places where physical activity is practiced, as well as its frequency, duration and volume. Objective To describe the places, types, frequency, duration and volume of physical activities performed by adolescents in Curitiba, Brazil. Methods A cross-sectional study conducted in 2013-2014, through a household survey with 495 adolescents (12 to 17 years). The places used, and the frequencies of the practice of physical activity were self-reported as either "goes" or "does not go." The practice of physical activity was determined through the Physical Activity Questionnaire for Adolescents, by type, frequency, duration and weekly volume. The types of physical activity were described with frequency distribution, weekly frequency, duration, and volume, by the median and interquartile range. Gender comparison was tested with the Chi-square and Mann-Whitney U tests (p<0.05). Results The most frequently reported places for physical activity were public squares, parks, soccer fields, schools and sports halls. Soccer fields, schools, sports halls and skate parks were more used by boys, while girls attended gyms (p<0.05). The physical activities most practiced were soccer, skating/rollerblading, cycling, walking and active games. A higher proportion of boys practiced soccer, skating/rollerblading, cycling, running/jogging, and basketball (p<0.05), whereas the physical activities most practiced by girls were walking, walking the dog, dancing, playing games, and gyms (p<0.05). Sports (720 min/week), aerobic exercises (400 min/week) and conditioning exercises (345 min/week) were the activities with the highest weekly volume. Boys showed higher weekly frequency, duration and volume of practice of sports and active games than girls (p<0.05). Conclusion Public places with structures were the most used places, and sports were the most practiced activities. Level of Evidence III; Study of nonconsecutive patients; without consistently applied ''gold'' reference standard.
RESUMO Introdução Vários estudos sobre as recomendações de atividade física e fatores associados têm sido desenvolvidos e publicados. No entanto, faltam estudos que detalhem os locais para prática de atividade físicas, além da frequência, duração e volume. Objetivo Descrever os locais, tipos, frequência, duração e volume das atividades físicas realizadas por adolescentes de Curitiba, Brasil. Métodos Estudo transversal realizado entre 2013-2014, por meio de inquérito domiciliar com 495 adolescentes (12 a 17 anos). Os locais para prática de atividades físicas foram autorrelatados de acordo com a frequência semanal e divididos em "não frequenta" e "frequenta". A prática de atividade física foi obtida por meio do Questionário de Atividade Física para Adolescentes por tipo, frequência, duração e volume semanal. Os tipos de atividade física foram descritos com a distribuição de frequências, e a frequência, a duração e o volume, pela mediana e amplitude interquartílica. A comparação entre os sexos foi realizada com os testes de Qui-quadrado e U de Mann-Whitney (p < 0,05). Resultados Os locais mais relatados para a prática foram praças, parques, campos de futebol, escolas e ginásios de esportes. Campos de futebol, escolas, ginásios e pistas de skate foram mais utilizados por meninos, enquanto meninas utilizavam mais as academias (p < 0,05). As atividades físicas mais praticadas foram futebol, skate/patins, ciclismo, caminhada e games ativos. Uma proporção maior de meninos praticavam futebol, skate/patins, ciclismo, corrida/trote e basquete (p<0,05) enquanto as meninas realizavam caminhada, passeio com cães, dança, jogos e brincadeiras e ginástica de academia (p < 0,05). Os esportes (720 min/semana), exercícios aeróbicos (400 min/semana) e de condicionamento (345 min/semana) foram as atividades com maior volume semanal. Os meninos apresentaram maior frequência, duração e volume de prática de esportes e games ativos do que as meninas (p < 0,05). Conclusão Locais públicos e com estruturas foram os mais utilizados e atividades esportivas as mais praticadas. Nível de Evidência III; Estudo de pacientes não consecutivos; sem padrão de referência "ouro" aplicado uniformemente.
RESUMEN Introducción Varios estudios sobre las recomendaciones de actividad física y factores asociados han sido desarrollados y publicados. Sin embargo, faltan estudios que detallan los lugares para la práctica actividad física, además de la frecuencia, la duración y el volumen. Objetivo Describir los lugares, tipos, frecuencia, duración y volumen de las actividades físicas realizadas por adolescentes de Curitiba, Brasil. Métodos Estudio transversal realizado entre 2013 y 2014, por medio de encuesta domiciliar con 495 adolescentes (12 a 17 años). Los locales para la práctica de actividades físicas fueron auto-relatados de acuerdo con la frecuencia semanal y divididos en "No frecuenta" y "frecuenta". La práctica de actividad física fue obtenida por medio del Cuestionario de Actividad Física para Adolescentes por tipo, frecuencia, duración y volumen semanal. Los tipos de actividad física fueron descritos con la distribución de frecuencias y la frecuencia semanal, la duración y el volumen, por la mediana y la amplitud interquartílica. La comparación entre los sexos se realizó con Qui-cuadrado y U de Mann-Whitney (p < 0,05). Resultados Los lugares más relatados fueron plazas, parques, campos de fútbol, escuelas y gimnasios de deportes. Los campos de fútbol, escuelas, gimnasios y pistas de skate fueron más utilizados por niños, mientras que las niñas utilizaban más gimnasios (p < 0,05). Las actividades físicas más practicadas fueron fútbol, skate/patines, ciclismo, caminata y juegos electrónicos activos. Una proporción mayor de niños practicaban fútbol, skate/patines, ciclismo, carrera/trote y baloncesto (p < 0,05), mientras las niñas realizaban caminata, pasear con perros, baile, juegos y juguetes y ejercicio en gimnasios (p < 0,05). Los deportes (720 min/semana), ejercicios aeróbicos (400 min/semana) y de acondicionamiento (345 min/semana) fueron las actividades con mayor volumen semanal. Los niños presentaron mayor frecuencia semanal, duración y volumen de práctica de deportes y juegos electrónicos activos que las niñas (p < 0,05). Conclusiones Lugares públicos y con estructuras fueron los más utilizados y las actividades deportivas fueron más practicadas. Nivel de evidencia III; Estudio de pacientes no consecutivos; sin el estándar de referencia 'oro' aplicado constantemente.
RESUMEN
ABSTRACT Objective: To identify the impact of physical activity correlates with the isolated and combined presence of insufficient physical activity and high screen time among adolescents. Methods: A cross-sectional representative study was carried out with a sample of 786 adolescents (16.0±1.0 years; 53.9% girls) randomly selected in the schools of São José dos Pinhais, Paraná, Southern Brazil. The physical activity correlates analyzed were sex, nutritional status, economic class and sexual maturation. Physical activity level and screen time were measured and classified according to reference criteria. The associations were tested with Poisson regression and the population attributable fraction (PAF) verified the impact of correlates on the combined presence of insufficient level of physical activity and high screen time by the prevalence ratio (PR). Results: Among the studied adolescents, 84.7% (n=666) were considered insufficiently active, 96.4% (n=758) reported high screen time and 82.1% (n=645) presented the combined presence of these behaviors. The female sex and the high economic status were positively associated with the insufficient level of physical activity (PR=1.19; 95% confidence interval - 95%CI 1.12-1.27; PAF=15.97 - female/adjusted; PR=1,1; 95%CI 1,01-1,19; PAF=9,09 - high/adjusted class). The female sex also was positively associated to high screen time after adjustments (PR=1.18; 95%CI 1.10-1.27; PAF=15.25). The female sex was positively associated with the combined presence of these behaviors (PR=1.18; 95%CI 1.10-1.27) with a 15.25% impact on these behaviors. Conclusions: Physical activity correlates can have an impact on the insufficient level of physical activity and high screen time, especially among girls.
RESUMO Objetivo: Identificar o impacto dos correlatos da atividade física (AF) com a presença isolada e a combinada da prática insuficiente de AFs e do elevado tempo de tela em adolescentes. Métodos: Estudo transversal, representativo, com amostra de 786 adolescentes (16,2±1,1 anos; 53,9% de meninas) selecionados aleatoriamente nas escolas de São José dos Pinhais, PR. Foram analisados: sexo, estado nutricional, classe econômica e maturação sexual. Foram mensurados o nível de AF e o tempo de tela. As associações foram testadas com a regressão de Poisson e a fração atribuível populacional (FAP) verificou o impacto dos correlatos na presença combinada do nível insuficiente de AF e do elevado tempo de tela pela razão de prevalência (RP). Resultados: Foram considerados insuficientemente ativos 84,7% (n=666), com elevado tempo de tela, 96,4% (n=758), e 82,1% (n=645) dos adolescentes apresentaram a presença combinada desses comportamentos. O sexo feminino e a classificação econômica elevada estiveram positivamente associados aos níveis insuficientes de AF (RP=1,19; intervalo de confiança de 95% [IC95%] 1,12-1,27; FAP=15,97 - feminino/ajustado; RP=1,1; IC95% 1,01-1,19; FAP=9,09 - classe elevada/ajustado). O primeiro também se apresentou positivamente associado ao elevado tempo de tela após os ajustes (RP=1,18; IC95% 1,10-1,27; FAP=15,25) e mostrou-se associado positivamente à presença combinada desses comportamentos (RP=1,18; IC95% 1,10-1,27), com um impacto de 15,25% sobre essas condutas. Conclusões: Correlatos da AF podem ter impacto sobre o nível insuficiente de AFs e elevado tempo de tela, quando investigados de formas isolada e combinada, principalmente em relação às meninas.