RESUMO
Is it possible to decolonize the field of physical activity and health? Decoloniality presupposes a body-geopolitical location, such as in the Brazilian and Latin American context, where it is crucial to use social identity lenses related to race, gender, sexuality, and other social markers that affect the body. Understanding health and physical activity from a decolonial perspective would bring the oppressions that connect capitalism, patriarchy, and racism to the center of the discussion. For a "physical activity other," we challenged the general recommendation of physical activity in the 4 domains. Physical activity should be understood as an end in itself, as a right, and as human development. Approaches that advocate physical activity at work, at home, and while commuting use other human activities to relate these domains to health without considering the inequalities and oppressions that constitute them in most parts of the world. Is it fair to apply "global recommendations" for physical activity to scenarios such as Brazil and Latin America, using models that are inappropriate to the context and history of these places, people, and cultures? Perhaps it is time to socially reorient and reposition physical activity from a decolonial perspective. We need Black, Indigenous, Latino, African, and other people from the Global South to move the research agenda, recommendations, and policies on physical activity from "any" health to a fair health.
Assuntos
Exercício Físico , Humanos , Brasil , América Latina , Colonialismo , RacismoRESUMO
The aim of this study was to evaluate the influence of adherence to mat Pilates training on lower and upper body strength and flexibility in breast cancer survivors. Breast cancer survivors (≥40 years) with cancer stages 0-III undergoing hormone therapy participated in this study. For this secondary investigation only the intervention group was analyzed, divided into low and high training adherence. Participants performed a 60-min session of mat Pilates, 3 times/wk, for 24 weeks. Concentric, eccentric, and isometric hip flexor-extensor muscle peak torque, and isometric maximal strength parameters of the shoulder abductors, trunk extensors, and handgrip were assessed. Physical activity level was analyzed as a control variable. The results showed that high training adherence improved (P<0.05) left shoulder abductor strength parameters and lower and upper body flexibility compared to baseline. The low training adherence group improved (P<0.05) trunk extensors, right and left shoulder abductor strength parameters, handgrip strength, and extensor-flexor peak torque compared to baseline. There were no differences (P>0.05) between high and low adherence for physical activity level before and after the intervention. Therefore, it appears that higher training adherence most influences some strength parameters and flexibility, while fewer sessions enable the achievement of significant results for shoulder abductor and hip extensor-flexor muscle strength parameters.
RESUMO
O estudo analisou os fatores associados as práticas de Apoio Matricial realizadas pelos Profissionais de Educação Física do Núcleo de Apoio à Saúde da Família (NASF) no Brasil e segundo as suas regiões. Foi realizado um estudo exploratório e descritivo com 296 profissionais de Educação Física credenciados nas equipes do NASF do Brasil. A amostra foi proporcional às regiões do Brasil e modalidades de NASF, sendo realizada entrevista telefônica entre julho a setembro de 2011. Os componentes de Apoio Matricial foram definidos a partir do modelo teórico do trabalho,foram eles: educação em saúde, educação permanente, controle social e clínica ampliada. Os componentes isolados e suas combinações foram associa-das as variáveis pessoais e de condições de trabalho dos profissionais.Para análise dos dados foi utilizado os testes de Regres-são Logística Binária, nas análises brutas e ajustadas,adotando significância de 5%.Os resultados apontaram os profissionais mais jovens(OR = 4,8; IC95%:1,2-18,0), os integrantes da equipe do NASF desde a implantação(OR = 3,9, IC95%: 1,1-14,0) e aqueles que receberam capacitação (OR = 2,6; IC95%:1,3-5,4) realizaram um maior número de atividades simultâneas.Os indicadores relacionados a condições de trabalho estáveis e a capacitação pela gestão de saúde ofereceram maior chance de os profissionais realizarem a prática do apoio matricial. Investimentos na qualificação dos profissionais podem reduzir as divergências na atuação dos profissionais de Educação Física do NASF nas diferentes regiões do Brasil.
The study analyzed the factors associated with the Matrix Support practices performed by the Physical Education Professionals at the Support Center for Family Health (NASF) in Brazil and according to their regions. Was carried out exploratory and descriptive study with 296 professionals of the Physical Education teams accredited of the NASF of Brazil. A sample was proportional regions of Brazil and modalities of NASF and selected by telephone interview, applied in the period from July to September 2011. The indicators of Matrix Support were defined from the theoretical work model: Health Education, Continuing Education, Social Control and Expanded Clinic. The isolated components and their combinations were associated personal and professional working conditions variables. The associations were to estimate through multinomial and binary logistic regression in crude and adjusted analysis, adopting a 5% significance. The results showed that younger professionals (OR: 4.8; CI95%: 1.2-18.0), the members the NASF team since implementation (OR: 3.9; CI%: 1.1-4.0) and those that received capacitation (OR: 2.6; CI%: 1.3-5.4) realized a higher numbers of simultaneous activities. The indicators related the stable working conditions and the training for health management were associated with higher chances of achieving of matrix support. Investment in the training of professionals can reduce the differences in the perfor-mance of professional of Physical Education of NASF in different regions of Brazil.