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应用于低社会经济水平地区人群的初级医疗保健环境中的身体活动促进干预措施:一项非随机对照试验的研究方案。

Interventions for physical activity promotion applied to the primary healthcare settings for people living in regions of low socioeconomic level: study protocol for a non-randomized controlled trial.

机构信息

Health Sicence Department, Cruzeiro do Sul University, Sao Paulo, Brazil.

出版信息

Arch Public Health. 2014 Mar 13;72(1):8. doi: 10.1186/2049-3258-72-8.

Abstract

BACKGROUND

Regular physical activity practice has been widely recommended for promoting health, but the physical activity levels remain low in the population. Therefore, the study of interventions to promote physical activity is essential.

OBJECTIVE

To present the methodology of two physical activity interventions from the "Ambiente Ativo" ("Active Environment") project.

METHODS

12-month non-randomized controlled intervention trial. 157 healthy and physically inactive individuals were selected: health education (n = 54) supervised exercise (n = 54) and control (n = 49). Intervention based on health education: a multidisciplinary team of health professionals organized the intervention in group discussions, phone calls, SMS and educational material. Intervention based on supervised exercise program: consisted of offering an exercise program in groups supervised by physical education professionals involving strength, endurance and flexibility exercises. The physical activity level was assessed by the International Physical Activity Questionnaire (long version), physical activities recalls, pedometers and accelerometers over a seven-day period.

RESULT

This study described two different proposals for promoting physical activity that were applied to adults attended through the public healthcare settings. The participants were living in a region of low socioeconomic level, while respecting the characteristics and organization of the system and its professionals, and also adapting the interventions to the realities of the individuals attended.

CONCLUSION

Both interventions are applicable in regions of low socioeconomic level, while respecting the social and economic characteristics of each region.

TRIAL REGISTRATION

ClinicalTrials.gov NCT01852981.

摘要

背景

经常进行身体活动已被广泛推荐以促进健康,但人群的身体活动水平仍然较低。因此,研究促进身体活动的干预措施至关重要。

目的

介绍“积极环境”项目中两种身体活动干预措施的方法学。

方法

12 个月的非随机对照干预试验。选择了 157 名健康且不活跃的个体:健康教育(n=54)、监督锻炼(n=54)和对照组(n=49)。基于健康教育的干预:一个由健康专业人员组成的多学科团队组织了小组讨论、电话、短信和教育材料的干预。基于监督锻炼计划的干预:包括提供由体育教育专业人员监督的团体锻炼计划,涉及力量、耐力和灵活性练习。身体活动水平通过国际体力活动问卷(长版本)、体力活动回忆、计步器和加速度计在七天内进行评估。

结果

本研究描述了两种不同的促进身体活动的建议,适用于通过公共医疗保健机构就诊的成年人。参与者居住在社会经济水平较低的地区,同时尊重系统及其专业人员的特点和组织,并使干预措施适应所就诊个体的实际情况。

结论

这两种干预措施都适用于社会经济水平较低的地区,同时尊重每个地区的社会经济特点。

试验注册

ClinicalTrials.gov NCT01852981。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05a3/3977937/7c4bb852060b/2049-3258-72-8-1.jpg

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