RESUMEN

Background: Preschool is a crucial period for developing motor skills. Objective: This study evaluated factors associated with motor competence in preschoolers from a Brazilian urban area. Methods: A total of 211 preschoolers (51.2% girls and 48.8% boys) were evaluated. Body mass index was calculated; the Brazilian Economic Research Criterion, the Mini-Mental Scale (MMC) and the Early Childhood Environment Rating Scale®, Revised (ECERS-R™) were applied; the Habitual Physical Activity time was recorded; the Test of Gross Motor Development (TGMD-2) was performed. Univariate analysis was performed using simple linear regression for the independent variables, considering the motor test subscales as dependent variables. Variables with p < 0.20 in the univariate analysis were considered for the multiple linear regression model and were entered into the stepwise method. Results: The independent variables remaining in the Standard Score Locomotor model were BMI, presence of park at school, and MMC (R2 = 0.16). The independent variables remaining in the Standard Object Control score were MMC and gender (R2 = 0.03). The variables associated with the highest scores of Gross Motor Quotient were MMC, body mass index, and presence of a park at school, respectively (R2 = 0.11). Conclusion: Male eutrophic preschoolers who are physically active and attend schools with parks or courtyards in a Brazilian urban area have the highest scores for global cognitive function and motor competence.

RESUMEN

O presente estudo teve como objetivo traduzir para o português do Brasil e analisar a validade de conteúdo da Leisure Attitude Scale (LAS), propondo assim a versão brasileira do instrumento a Escala de Atitudes ao Lazer (EAL). Seguindo os critérios estabelecidos por Herdman, Fox-Rushby e Badia (1998) o método utilizado para a tradução e adaptação transcultural foi constituído pelas análises das equivalências conceitual, de itens, semântica, operacional e de mensuração. As etapas do processo foram: tradução e retrotradução, revisão técnica, avaliação da clareza da linguagem, pertinência prática e relevância teórica, aplicação dos instrumentos em grupo focal; reteste, e, por fim, a aplicação do instrumento finalizado em amostra de indivíduos adultos. Participaram do estudo adultos de ambos os sexos, trabalhadores do setor industriário da Grande Florianópolis ­ SC/Brasil. A amostra foi composta por 180 trabalhadores para análise da reprodutibilidade e 992 para os indicadores de consistência interna. Além disso, onze especialistas na área do lazer contribuíram para o processo de adaptação transcultural e validade de conteúdo do instrumento. Os especialistas atribuíram valores satisfatórios para a análise de conteúdo nos itens clareza e linguagem (CVCt = 0,818), pertinência prática (CVCt = 0,782) e relevância teórica (X = 3,91; DP = 0,83). Os índices de reprodutibilidade por meio da análise de correlação intraclasse em teste-reteste foram considerados adequados em todos os domínios da LAS (cognitivo = 0,785 - bom; emocional = 0,847 - ótimo; comportamental = 0,923 - excelente). Além disso, o Alpha de Cronbach apresentou valor de 0,958. Pode-se afirmar que a EAL se constitui em instrumento válido para a investigação das atitudes dos adultos face ao lazer nos domínios cognitivo, afetivo e comportamental, apresentando adequados indicadores psicométricos de validade, reprodutibilidade e consistência interna.

The purpose of this study was to translate to Brazilian Portuguese and to analyze the content validity of the Leisure Attitude Scale (LAS), thus proposing the Brazilian version of the instrument, the Brazilian Leisure Attitude Scale (EAL). Following the criteria established by Herdman, Fox-Rushby e Badia (1998), the methodology used for transcultural translation and adaptation, the conceptual, item, semantic, operational and measurement equivalences were respected. The stages of the process were: translation and back-translation, technical review, language clarity assessment, practical relevance and theoretical relevance, application of the focus group tools; retest, and, finally, the application of the completed instrument. The study included adults of both sexes, workers from the industrial sector of Greater Florianopolis - SC / Brazil. The sample consisted of 180 workers for analysis of reproducibility and 992 for indicators of internal consistency. In addition, eleven experts in the field of leisure have contributed to the process of cross-cultural adaptation and content validity of the instrument. The authors attributed satisfactory values to the content analysis in terms of clarity and language (CVCt = 0.818), practical relevance (CVCt = 0.782) and theoretical relevance (X = 3.91, SD = 0.83). The reproducibility indices by the intra-class correlation in test-retest were considered adequate in all domains of LAS (cognitive = 0.785- good, emotional = 0.847 - optimal, behavioral = 0.923 - excellent). In addition, Cronbach's Alpha presented a value of 0.958. We can say that the Brazilian version of LAS, the EAL is a valid instrument for the investigation of adults' attitudes towards leisure in the cognitive, affective and behavioral domains, presenting adequate psychometric indicators of validity, reproducibility and internal consistency.

Asunto(s)

RESUMEN

abstract - This paper is an update of the systematic review on Active Play published in 2018 by Mendes et al. This systematic review included studies published between 2018 and 2019. The search for potential articles was performed on the following electronic databases: Pubmed/Medline, Web of Science, Bireme, Scielo and Scopus. Initially, 471 papers met the eligibility criteria. However, after deeply analyzed, only two studies remained and were included in the present review. From these articles only one presented individual information on play activity among adolescents age (12-17 years) from Curitiba-PR and it reveals that 77,2% of them were physically active in their free time. The other study included was about the preferences for leisure activities among adolescents from Florianopolis-SC participants in two cross sectional studies in 2001 and 2011. It showed a significant reduction in the preferences for practicing physical activities, while the opposite occurs with sedentary activities like watching TV, playing video games, and using computers. These results along with the inconsistencies in benchmarks of the domain active play among countries involved in the Global Matrix 3.0 made clear the necessity of a standard definition and a proper tool to measure it.

resumo - Este artigo é uma atualização da revisão sistemática sobre Active Play publicada em 2018 por Mendes et al. Esta revisão sistemática incluiu estudos publicados entre 2018 até 2019. A busca de potenciais artigos foi realizada nas seguintes bases de dados eletrônicas: Pubmed / Medline, Web of Science, Bireme, Scielo e Scopus. Inicialmente, 471 artigos atenderam aos critérios de elegibilidade. Porém, após análise aprofundada, apenas dois estudos permaneceram e foram incluídos na presente revisão. Destes artigos, apenas um apresentou informações individuais sobre a atividade física entre adolescentes de 12 a 17 anos de idade de Curitiba-PR e revelou que 77,2% deles eram fisicamente ativos no tempo livre. O outro estudo foi sobre as preferências por atividades de lazer entre adolescentes de Florianópolis-SC avaliados nos anos de 2001 e 2011. Este apresentou redução significativa na preferência pela prática de atividades físicas, enquanto o contrário foi observado para atividades sedentárias, como assistir TV, jogar videogame e usar o computador. Esses resultados, juntamente com as inconsistências nos pontos de corte do domínio active play entre os países envolvidos na Matriz Global 3.0, deixaram claro a necessidade de uma definição padrão e de uma ferramenta adequada para medi-la.

RESUMEN

OBJECTIVES: To analyze the perceived availability of public open space (POS) in the neighborhood for physical activity (PA) over the years and its association to practice of leisure-time physical activity (LTPA) among Brazilian adult population. METHODS: Data from the surveillance system of risk and protection factors for chronic diseases by telephone survey (Vigitel) from 2011 to 2015 were analyzed (n = 247,548). Prais-Winsten regression was used to investigate the trend of the perceived availability of POS, and Poisson regression to analyze its association to the LTPA. RESULTS: The perceived availability of POS in the neighborhood for PA remained fairly stable, from 73.4% in 2011 to 74.0% in 2015. The perception of this availability positively associated with the sufficient practice of LTPA (≥ 150 min/week) (RP = 1.27; p < 0.05), and with the practice of different types, weekly frequency and daily duration of the activities. CONCLUSIONS: In addition to the building and maintenance of POS, the proximity and physical accessibility of the population must be guaranteed, so that those spaces are perceived as a favorable environment for the practice of LTPA.

Asunto(s)

RESUMEN

Objective: To evaluate the effect of individual lower urinary tract symptoms (LUTS) and LUTS-specific bother on daily/leisure activities, work productivity and treatment behaviors and satisfaction in a Brazilian population reporting symptoms of the overactive bladder (OAB) syndrome.Methods: Secondary analysis of Brazil LUTS study data, including individuals ≥40 years old with a possible diagnosis of OAB, based on a score of ≥8 on the OAB-V8 questionnaire. Participants used a 5-point Likert scale to rate occurrence of LUTS during the previous month. Regression models were constructed to analyze association of symptom frequency and bother, controlled for demographics, comorbid conditions, habits and body mass index, to outcomes related to people's lives and treatment patterns.Results: This analysis included 5184 individuals (53% female), 24.4% of whom received a possible diagnosis of OAB. There was a greater likelihood of OAB symptoms in men reporting depression/anxiety (2.0 times), diabetes (1.8 times), or constipation (1.9 times) and women reporting depression/anxiety (2.6 times), constipation (1.7 times), and being overweight (1.4 times) or obese (1.8 times). Symptoms of all categories, including voiding, storage, and post-micturition, were associated with a negative impact on individuals' lives, quality of life and treatment-related outcomes. Treatment seeking for OAB was low among men and women overall (35.1 and 43.6%, respectively), with highest rates among individuals in the 60-69 age group.Conclusions: LUTS of all categories impacted all domains studied. These results highlight the importance of comprehensive LUTS assessment in OAB patients, including voiding, storage and post-micturition symptoms.

Asunto(s)

RESUMEN

OBJECTIVES: This study investigated the association of built, natural and social environment variables with the practice of physical activity (PA) during leisure time and commuting. METHODS: Household interviews were carried out with a representative sample of individuals aged 18 years or older from a municipality in southern Brazil. PA was measured by the International Physical Activity Questionnaire, and households were georeferenced with a 500-m buffer. RESULTS: Few associations between environmental variables and PA practice were identified. Only proximity to the seafront, presence of private gyms or sports clubs and higher average monthly income of the household head were associated with the practice of PA. In addition, there were inconsistencies in the findings showing that the associations varied based on the intensity and modality of PA within the same domain. CONCLUSIONS: This study provides evidence on the lack of association between objective environmental measures and the practice of PA. Although there were few significant results and the presence of inconsistencies in the findings, some environmental variables were associated with a more frequent practice of PA.

Asunto(s)

RESUMEN

Abstract A systematic review of the prevalence of Active Play in Brazilian children and adolescents was performed. Only fully available scientific papers that measured Active Play or leisure time physical activity independently from other types of physical activity in Brazilian children and/or adolescents were considered for inclusion. The search for potential articles was performed on the following electronic databases: Pubmed/Medline, Web of Science, Bireme, Scielo and Scopus. Initially, 63 papers met the eligibility criteria. However, after deeply analyzed, seven studies remained and were included in the present review. The overall prevalence of Active Play was 36%, in which varied from 27.2% to 79.3%. Boys presented a prevalence of 47%, ranging from 39,1% to 79.9%, while the prevalence in girls reached 26%, varying from 13.9% to 78.7%. Although the prevalence of Active Play in Brazil in not satisfactory, the potential to present a reliable data regarding this theme should be highlighted. In agreement with some other studies, boys presented a higher prevalence of physical activity than girls. Also, any socioeconomic pattern regarding the prevalence of Active Play in children and adolescents was observed when the results from this study were compared to other studies developed in other countries from several socioeconomic status. The Active Play should be further investigated individually, as a pivotal component of physical activity, as well as its impact on physical inactivity-related comorbidities.

Resumo Foi realizada Revisão sistemática acerca da prevalência de brincadeiras ativas em crianças e adolescentes brasileiros. Apenas trabalhos científicos totalmente disponíveis que mediram a atividade física praticada como brincadeira ou lazer em crianças e/ou adolescentes brasileiros foram considerados para inclusão. A busca por artigos foi realizada nas seguintes bases de dados eletrônicas: PubMed/Medline, Web of Science, Bireme, Scielo e Scopus. Inicialmente, 63 artigos preencheram os critérios de elegibilidade, e após análise minuciosa, sete estudos foram incluídos na presente revisão. A prevalência geral de brincadeiras ativas foi de 36%, variando de 27,2% a 79,3%. Os meninos apresentaram prevalência de 47%, variando de 39,1% a 79,9%, enquanto a prevalência nas meninas chegou a 26%, variando de 13,9% a78,7%. Embora no Brasil essa prevalência não seja satisfatória, destaca-se o potencial de apresentar dados relevantes sobre esta temática. Corroborando com outros estudos, os meninos apresentaram maior prevalência de atividade física como brincadeira ou lazer que as meninas. Além disso, não foi encontrado um padrão socioeconômico em relação à prevalência de brincadeiras ativas em crianças e adolescentes quando os resultados deste estudo foram comparados com outros estudos desenvolvidos em outros países de diferentes condições socioeconômicas. Portanto, brincadeiras ativas devem ser investigadas individualmente, como um componente essencial da atividade física, bem como seu impacto nas comorbidades relacionadas à inatividade física.

Asunto(s)

RESUMEN

AIMS: The present study set out to investigate the relation of the high-density lipoprotein cholesterol (HDL-C) level to cognitive performance and its interplay with key markers of cognitive reserve in a large sample of older adults. METHODS: We assessed tests of working memory, immediate and delayed cued recall in 701 older adults from Amazonas, Brazil. The HDL-C level was derived from fasting blood samples. In addition, we interviewed individuals on their education, past occupation, and cognitive leisure activity. RESULTS: A critically low HDL-C level (<40 mg/dL) was significantly related to lower performance in working memory, immediate and delayed cued recall. Moderation analyses suggested that the relations of the HDL-C level to working memory and delayed cued recall were negligible in individuals with longer education, a higher cognitive level of the job, and greater engagement in cognitive leisure activity. CONCLUSION: Cognitive reserve accumulated during the life course may reduce the detrimental influences of a critically low HDL-C level on cognitive functioning in old age.

Asunto(s)

RESUMEN

Abstract Physical activity levels in adults are low and strategies should be put in place to change this. The aim of this study was to investigate whether building an urban park can increase adult neighborhood residents' intentions to partake in physical activity. In total, 395 adults living near where the park was being built participated in the study. The following information was collected: sociodemographic characteristics, current physical activity levels, and intention to use the park for physical activity. Around 80% of the subjects intended to use the park for physical activity. This frequency was higher among those who were classified as physically active and gradually higher as the distance between the home of the subject and the park decreased (p < 0.05). The offer of a public leisure space can contribute positively to changing population behavior related to regular physical activity.

Asunto(s)

RESUMEN

Abstract Background Engagement in pleasant activities for elders with cognitive impairment may improve mood and reduce behavior problems. The Pleasant Events Schedule-Alzheimer’s Disease (PES-AD) has been described as a useful tool for this purpose, and its transcultural adaptation allows professionals to aid caretakers and elders in identifying pleasurable activities. Objective Submit the PES-AD to process of cross-cultural adaptation to Brazilian Portuguese. Methods The PES-AD was submitted to a five-stage process of cross-cultural adaptation as follows: 1) translation; 2) summary of translation; 3) back-translation; 4) evaluation of equivalences: semantic, idiomatic, cultural, conceptual; and 5) pre-testing. Results The five-stage process was conducted on 36 items and three were adjusted. In the evaluation of equivalencies, four items had a level of agreement less than 0.8 and so were modified according to judges’ suggestions. Discussion Submitting the PES-AD to a five-stage, cross-cultural adaptation maintained the original instrument’s content validity.

Asunto(s)

RESUMEN

Com o passar dos anos, a relação entre o idoso e a atividade física se tornou extremamente comum na sociedade. A mídia, o saber médico e o Estado propagam a importância de um estilo de vida ativo, afeto ao lazer, que potencializa as chances de longevidade. Este estudo buscou compreender como o campo das práticas de atividades físicas para os idosos se configurou no Brasil. Através de quatro entrevistas não estruturadas, do tipo guiada, construímos uma versão para o processo de gênese das práticas de atividades físicas para idosos. A Teoria do Campo de Pierre Bourdieu possibilitou analogias e interpretações das prováveis influências entre diversos campos sociais, primordialmente com o campo internacional. O período compreendido entre 1960 e 1980 foi o recorte temporal utilizado. Observou-se que a influência dos campos econômico, político, da saúde e educacional, em maior ou menor escala, acabou por forjar o campo da prática de atividade física pelo idoso na sociedade brasileira.

Over the years the relationship between the elderly and physical activity has become extremely common in society. The media, medical knowledge and the State spread the importance of an active lifestyle, related to leisure, which enhances the chances of longevity. This study investigated how the of practice of physical activities for seniors is set in Brazil. Through four guided unstructured interviews, we built a version for the genesis process of physical activities practice for seniors. Pierre Bourdieu?s Field Theory led to analogies and interpretations of the likely influences between different social s, primarily with international . The study considered the time frame period between 1960 and 1980. The results showed that the influence of economic, political, health and educational s, to a greater or lesser extent, eventually forged the of physical activities practiced by the elderly in Brazilian society.

Asunto(s)

RESUMEN

RESUMOA prática de atividade física contribui para o envelhecimento saudável favorecendo a qualidade de vida. O objetivo do estudo foi verificar a associação das condições de saúde e qualidade de vida com a prática de atividade física (PAF) no lazer em idosos rurais. Trata-se de inquérito domiciliar transversal e analítico conduzido com 850 idosos residentes em área rural. Utilizou-se análise descritiva, testes qui-quadrado e t-Student e regressões logística e linear múltipla (p<0,05). Idosos inativos apresentaram maior indicativo de depressão (p<0,003) e número de morbidades (p=0,035). A PAF no lazer foi associada aos maiores escores nos domínios físico (p<0,001), psicológico (p=0,001) e meio ambiente (p<0,001). A prática de atividade física no lazer deve ser incentivada tendo em vista o seu impacto positivo nas condições de saúde e na qualidade de vida.

ABSTRACTRegular physical activity contributes to healthy aging favoring quality of life. The aim of the study was to investigate the association of health and quality of life with physical activity (PAF) at leisure in the rural elderly. It is cross-sectional analytical household survey conducted with 850 elderly living in rural areas. We used descriptive analysis, chi-square and t-Student and logistics and multiple linear regressions (p<0.05). Inactive elderly showed greater indicative of depression (p<0.003) and number of comorbidities (p=0.035). The PAF during leisure time was associated with higher scores in (p<0.001), psychological (p=0.001) and environment (p<0.001) physical domains. The practice of physical activity in leisure time should be encouraged in view of its positive impact on health and quality of life.

RESUMEN

Aim. Previous studies support the concept that obesity is a common comorbid condition in patients with epilepsy (PWE). In this study, we present the body mass index (BMI) and data from a survey to assess physical activity in a sample of PWE from an epilepsy clinic. Methods. Between June of 2011 and January of 2013, 100 PWE from an adult epilepsy clinic were included. We obtained BMI, waist circumference, and information regarding physical activity using a standardised questionnaire. Clinical, demographic, electrographic, and imaging parameters were collected from charts. Results. Mean age of patients was 40 ± 14 (18-77) years. The BMI distribution was as follows: 2 patients (2%) underweight, 26 (26%) normal weight, 34 (34%) overweight, 25 (25%) obese, and 13 (13%) with morbid obesity. In our study, obesity was defined as having a BMI ≥ 30. We found 38 (38%) patients in this range. There was no difference in the rate of drug-resistant epilepsy between obese and non-obese patients (55 vs. 55%; p=0.05). Leisure time habit was reported in 82% of obese patients and 79% of patients without obesity. Overall, the most frequent activity was walking (70%). Factors associated with obesity were generalised epilepsy (OR: 2.7, 1.1-6.6; p=0.012), idiopathic syndrome (OR: 2.7, 1.04-7; p=0.018), and family history of epilepsy (OR: 6.1, 1.5-24.2; p=0.002). Conclusion. Our study suggests an association between obesity, idiopathic generalised epilepsy, and family history of epilepsy. Our study shows that PWE are physically active and there is no clear relation between exercise and obesity. We could not identify any association between drug-resistant epilepsy and obesity. Absence of direct comparison with a control non-epileptic population; a cross-sectional design not allowing evaluation of a causal association among variables; and reliance on self-reported physical activity are to be considered as limitations of the present study.

Asunto(s)

RESUMEN

O presente estudo pretendeu compreender qual foi o papel do Programa ?Pintando a Liberdade e Cidadania? na inclusão social em Feira de Santana. O estudo teve caráter etnográfico, e utilizou a técnica de análise de conteúdo para examinar os dados restantes da análise documental, da observação participante e de entrevistas. A maioria dos dados aponta o poder de unir e transformar as pessoas a principal razão para utilização do desporto como tema central do Programa. Dentre os seus principais objetivos, salientam-se o gerar trabalho, renda e a solidariedade. As estratégias principais utilizadas centraram-se em possibilitar oportunidades de vida aos mais carenciados e na formalização de convênios. A profissionalização e inserção profissional foram identificados como sendo os principais resultados obtidos. Entre as principais razões para o seu sucesso, salientam-se a liderança e a organização, o reconhecimento da comunidade e a busca de superação.

This study sought to understand what the role of the program "Pintando a Liberdade e Cidadania" meant to social inclusion in Feira de Santana. This ethnographic study used the technique of content analysis to examine the remaining data in all document analysis, participant observation, and interviews. Most of the data highlights the power to transform and unite people as the main reason for using sport as the central theme of the program. Among its main objectives, this program focuses on creating job opportunities, incomes, and solidarity. The strategies used focused primarily on providing assistance and better opportunities to needy families, as well as on formalizing agreements. As a result, professionalism and employability were identified as the main results achieved. Leadership, organization, community recognition, and the quest to overcome limits are greatly highlighted among the core reasons for this program?s success.

Asunto(s)

RESUMEN

Introdução: O sedentarismo é visto como um importante problema de saúde pública, estando relacionado às doenças e aos agravos não transmissíveis. A prática de atividade física de lazer tem sido associada à redução desses riscos para a saúde. Objetivo: Identificar a prevalência da prática de atividade física de lazer e fatores associados na população adulta. Método: Trata-se de um inquérito populacional em saúde, realizado em adultos entre 18 e 65 anos de idade, residentes no município de Rio Branco, Acre, por meio de amostragem probabilística. Os dados foram analisados no programa STATA v.10 e foi adotado o nível de significância de p<0,05. Resultados: Foram entrevistadas 1.407 pessoas, 44% do sexo masculino e 56% do sexo feminino. Dos entrevistados, apenas 13,8% referiram praticar exercícios físicos nas horas de lazer. Entre as mulheres, 10% foram consideradas ativas e entre os homens 18%. Os fatores que estiveram associados à atividade física na hora de lazer foram sexo, escolaridade, acesso a locais adequados à prática de exercícios físicos e idade. Conclusões: Observou-se um baixo percentual de indivíduos que praticava exercícios físicos nas horas de lazer, sendo que as mulheres, o grupo de maior faixa etária, os de baixa escolaridade, os fumantes diários e aqueles que não possuem acesso a locais destinados à prática de exercícios apresentaram maior estimativa de risco para a inatividade física na hora do lazer.

Introduction: Physical inactivity is seen as an important public health problem, being related to diseases and noncommunicable diseases. The practice of leisure time physical activity has been linked to reducing these health risks. Objective: To identify the prevalence of physical activity for leisure and associated factors in the adult population. Method: This is a population health survey conducted in adults between 18 and 65 years of age, living in Rio Branco, Acre, by means of probability sampling. Data were analyzed using the STATA software v.10, and was adopted the significance level of p<0.05. Results: We interviewed 1407 people, 44% male and 56% female. Of the respondents, only 13.8% of the population reported physical exercise during leisure time. Among women, 10% were considered active and 18% among men. The factors that were associated with physical activity in leisure time were sex, education, access to suitable sites to physical exercise and age. Conclusions: A low percentage of the population of Rio Branco engage in exercise during leisure time; women, the older age group, those with low education, daily smokers and those who do not have access to places for the exercise have a higher risk estimate for physical inactivity in leisure time

Introducción: El sedentarismo es visto como un importante problema de salud pública, estando relacionado a las enfermedades no transmisibles. La práctica de actividad física de ocio ha sido asociada a la reducción de esos riesgos para la salud. Objetivo: Identificar la prevalencia de la práctica de actividad física de ocio y factores asociados en la población adulta. Método: Se trata de una encuesta poblacional en salud, realizada en adultos entre 18 y 65 años de edad, residentes en el municipio de Rio Branco, Acre, por medio de muestreo probabilístico. Los datos fueron analizados en el programa STATA v.10 y fue adoptado el nível de significancia de p<0,05. Resultados: Fueron entrevistadas 1.407 personas, 44% del sexo masculino y 56% del sexo femenino. De los entrevistados, apenas 13,8% refirieron practicar ejercicios físicos en las horas de ocio. Entre las mujeres, 10% fueron consideradas activas y entre los hombres 18%. Los factores que estuvieron asociados a la actividad física en la hora de ocio fueron sexo, escolaridad, acceso a locales adecuados a la práctica de ejercicios físicos y edad. Conclusiones: Se observó un bajo porcentaje de individuos que practicaba ejercicios físicos en las horas de ocio, siendo que las mujeres, el grupo de mayor franja etárea, los de baja escolaridad, los fumadores diarios y aquellos que no poseen acceso a locales destinados a la práctica de ejercicios presentaron mayor estimativa de riesgo para la inactividad física en la hora del ocio.

Asunto(s)

RESUMEN

O objetivo deste estudo foi analisar a validade e fidedignidade de um instrumento para avaliar a percepção de barreiras para o uso da bicicleta no lazer e no transporte em adultos. Os itens que compuseram o instrumento foram selecionados a partir da revisão da literatura sobre o tema. A validade de conteúdo foi analisada pelo parecer consensual de especialistas da área de atividade física. A fidedignidade foi verificada por meio da consistência interna (alfa de Cronbach) e concordância (correlação intraclasse-CCI, coeficiente de Kappa e concordância relativa), em uma amostra de 66 adultos (18-79 anos), selecionados em três setores censitários de Curitiba-PR. Os dados foram analisados pelo programa SPSS versão 17.0, com nível de significância de 5%. A maior parte da amostra foi composta por mulheres (59%), com idade >40 anos (47%) e nível socioeconômico médio (68%). A frequência de utilização de bicicleta no lazer foi maior do que no transporte (15,2 vs 7,6%). A consistência interna dos itens apresentou valor de alpha Cronbach (α) significativo, tanto no lazer (α=0,77) quanto no transporte (α=0,82) e os itens da escala apresentaram concordância elevada no lazer (80,3 a 93,9%) e no transporte (76,9 a 90,8%). Os valores de Kappa foram moderados a elevados para os dois domínios (lazer: 0,41-0,82 e transporte: 0,53-0,82). O CCI dos subescores foi de 0,93 (IC95%: 0,88-0,96) e 0,89 (IC95%: 0,82-0,94) para o lazer e transporte, respectivamente. Conclui-se que o instrumento apresenta qualidade psicométrica adequada para avaliar barreiras para o uso de bicicleta em adultos.

The purpose of this study was to analyze the validity and reliability of an instrument to assess the perception of barriers related to bicycling for leisure and transportation in adults. The items composing the instrument were selected from the literature review on the subject. Content validity was analyzed by consulting experts in physical activity field. The reliability was assessed through internal consistency (Cronbach's alpha) and agreement (intraclass correlation coefficient (ICC), kappa coefficient and relative agreement in a sample of 66 adults (18-79 years old) selected from three census tracts in Curitiba-PR. Data were analyzed using SPSS 17.0, with a significance level of 5%. Most of the sample consisted of women (60%), aged> 40 years (47%) and intermediate socioeconomic level (68%). The frequency of bicycling in leisure time was higher than for transportation means (15.2 vs 7.6%). The internal consistency (Cronbach's alpha) was significant, both in leisure time (α=0.77) and transportation (α=0.82). The agreement was higher for leisure (80.3 to 93.9%) than compared to commuting (76.9 to 90.8%). Kappa values were moderate to high (leisure: 0.41 to 0.82: commuting: 0.53 to 0.82). The ICC sub-scores were 0.93 (CI95%: 0.88 to 0.96) and 0.89 (CI95%: 0.82 to 0.94) for leisure and transport, respectively. It follows that the instrument has psychometric quality suitable for measuring the barriers to bicycle use in adults.

RESUMEN

O objetivo deste estudo foi identificar a associação das características do ambiente urbano e social percebidos com o não atendimento das recomendações em relação à atividade física (NARAF), no lazer (AFL) e no deslocamento (AFD) em adultos de Florianópolis, SC. Amostra sistemática de 746 pessoas da região continental obtida por lista telefônica. Utilizou-se o questionário internacional de atividade física versão longa e o questionário da escala de mobilidade ativa no ambiente comunitário News Adaptado. Os desfechos investigados foram: NARAF nas AFL e AFD. As variáveis exploratórias foram características sócio-demográfi cas, percepção do ambiente, saúde geral e índice de massa corporal. Análise de regressão logística para estimar as razões de chance bruta e ajustada dos atributos do ambiente urbano e social das pessoas que NARAF. A Prevalência de pessoas que NARAF nas AFL foi de 77% e nas AFD foi de 72,4% (IC95%). No modelo múltiplo, nas AFD, os atributos do ambiente associados a menos chance de NARAF foram: morar na área até 500m e a 501-1000m da costa (áreas residencial e comercial) e ter agência bancária até 10 minutos de casa. Nas AFL, os atributos associados a menos chance de NARAF foram: ruas iluminadas e clubes esportivos próximo de casa e morar próximo a orla marítima. Com base nos resultados alcançados, programas de promoção de AFL são favorecidos pela atratividade dos locais, ruas iluminadas, segurança, proximidade de local para caminhar e de clube esportivo. Morar próximo a centros de compras e agências bancárias é favorável para promover as AFD.

The aim study was to identify the association of characteristics of the perceived social and urban environment and non-compliance with the recommendations in relation to physical activity (NARAF), leisure (AFL) and transportation (AFD) in adults of Florianópolis, SC. Systematic sample of 746 people in the continental region obtained by the phone book. It was the utilized the International physical activity questionnaire, long version and the questionnaire of neighborhood active mobility in a community setting Adapted News. The outcomes investigated were: NARAF in AFL and the AFD. The exploratory variables were socio-demographic characteristics, perception of the environment, general health, and body mass index. Logistic regression analysis to estimate odds ratios and adjusted gross attributes of the urban environment and social NARAF people. The prevalence of people who NARAF at AFL was 77% and the AFD was 72,4% (CI 95%). In the multiple regression model, the AFD, the environmental attributes associated with less chance of NARAF were living in area up to 500m and 501-1000m from the coast (residential and commercial areas) and have banks agencies within 10 minutes from home. In AFL, the associated attributes with less chance of NARAF were lighted streets, security, proximity to coast walking area and health club. Living close to shopping centers and bank agencies is favorable to promote the AFD.

Asunto(s)

RESUMEN

O estudo teve como objetivo analisar os fatores associados à atividade física no lazer entre residentes em áreas urbanas. Estudo epidemiológico de corte transversal com amostra representativa da população urbana de Feira de Santana, Bahia, Brasil, de 15 anos ou mais de idade. A amostra foi constituída por 3.597 indivíduos, 71,4 por cento do sexo feminino e 28,6 por cento do sexo masculino. Foi utilizado um questionário contendo informações sociodemograficas, doenças referidas e prática de atividade física no lazer. Foram estimadas as razões de prevalência e respectivos intervalos de confiança a 95 por cento. Adotou-se nível de significância estatística de 5 por cento (p>0,05). Encontrou-se uma frequência de 27,7 por cento de indivíduos considerados ativos no lazer. A análise dos dados revelou que características sociodemográficas (sexo, renda e escolaridade) estavam associadas à maior frequência de atividade física. A população do município de Feira de Santana apresenta uma elevada frequência de indivíduos inativos no lazer, principalmente, entre as mulheres, pessoas de baixa renda e entre aqueles com menor escolaridade. Estes achados fomentam a discussão sobre a necessidade de implementação de políticas públicas de saúde e a criação de espaços de prática do lazer ativo.

The objective of this study was to analyze factors associated with leisure-time physical activity among residents of urban areas. A cross-sectional epidemiological study was conducted on a representative sample of the urban population of Feira de Santana, Bahia, Brazil, aged 15 years or older. The sample consisted of 3,597 subjects, including 71.4 percent females and 28.6 percent males. A questionnaire containing sociodemographic data, self-reported diseases, and leisure-time physical activity was applied. Prevalence ratios and 95 percent confidence intervals were calculated, adopting a level of significance of p > 0.05. The frequency of subjects considered to be active during leisure time was 27.7 percent. Sociodemographic characteristics (gender, income, and educational level) were associated with a higher frequency of physical activity. In conclusion, the frequency of leisure-time inactivity was high in the population from the municipality of Feira de Santana, especially among women, low-income subjects, and subjects with low educational level. These findings contribute to the discussion about the need to implement public health policies and to create spaces for active leisure-time activity.

RESUMEN

OBJETIVO: Este trabalho visa a verificar se de fato existe relação entre o risco de demência e a falta de estímulo físico ou mental em idosos. MÉTODOS: Trezentos e três idosos, com idade de 80 anos ou mais, foram estudados por meio de questionários específicos e distribuídos em três grupos de acordo com a prática de atividade física ou mental. Todos foram submetidos ao Miniexame do Estado Mental (MEEM) e, a partir da pontuação obtida, considerando diferentes pontos de corte, de acordo com a escolaridade, foi comparado o risco de desenvolvimento de demência entre os grupos. RESULTADOS: Não houve diferença da pontuação entre sexos. Comparando as incidências de risco aumentado de demência, os indivíduos que não praticavam atividade alguma tiveram risco relativo de 4,27, quando comparados com os indivíduos que praticavam atividade mental, e de 2,21, quando comparados aos praticantes de atividade física. Esses últimos tiveram risco relativo de 1,93, em relação aos praticantes de atividade mental. CONCLUSÃO: A prática regular de atividades físicas e mentais retarda o declínio cognitivo, reduzindo o risco de demência. Entre essas atividades, as mentais foram mais eficazes.

OBJECTIVE: This study aims to verify if there is a relation between risk of dementia and the absence of physical or mental stimulation in the elderly. METHODS: Three hundred and three elderly people with the age of 80 years old or over, were assessed by means of the specific questionnaires. They were divided into three groups according to practice of physical or mental activity. They were submitted to the Mini-Mental State Examination (MMSE) and assessed according to their educational level and the risk of dementia. RESULTS: There was not difference in scores between the genders. When comparing the increased risk of dementia incidence, individuals who did not practice any activity had a 4.27 relative risk when compared to individuals who practiced mental activity, and 2.21 when compared to practitioners of physical activity. The practitioners of physical activity had a 1.93 relative risk in relation to practitioners of mental activity. CONCLUSION: The regular practice of physical and mental activities delays the cognitive decline, reducing the risk of dementia. The mental activity was more effective.