Your browser doesn't support javascript.
loading
Barriers to physical activity among adults in primary healthcare units in the National Health System: a cross-sectional study in Brazil
Souza, Ana Luísa Kuehn de; Santos, Letícia Pechnicki dos; Rech, Cassiano Ricardo; Rodriguez-Añez, Ciro Romelio; Alberico, Claudia; Borges, Lucélia Justino; Fermino, Rogério César.
  • Souza, Ana Luísa Kuehn de; Fundação Oswaldo Cruz. Sergio Arouca National School of Public Health. Rio de Janeiro. BR
  • Santos, Letícia Pechnicki dos; Universidade Tecnológica Federal do Paraná. Curitiba. BR
  • Rech, Cassiano Ricardo; Universidade Federal de Santa Catarina. Postgraduate Program on Physical Education and Study Group on Urban Environment and Health. Florianópolis. BR
  • Rodriguez-Añez, Ciro Romelio; Universidade Tecnológica Federal do Paraná. Postgraduate Program on Physical Education and Research Group on Environment, Physical Activity and Health. Curitiba. BR
  • Alberico, Claudia; North Carolina Central University. Biomedical/Biotechnology Research Institute. Durham. US
  • Borges, Lucélia Justino; Universidade Federal do Paraná. Department of Physical Education. Curitiba. BR
  • Fermino, Rogério César; Universidade Tecnológica Federal do Paraná. Postgraduate Program on Physical Education and Research Group on Environment, Physical Activity and Health. Curitiba. BR
São Paulo med. j ; 140(5): 658-667, Sept.-Oct. 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1410213
ABSTRACT
ABSTRACT

BACKGROUND:

Many factors may negatively impact physical activity (PA), but studies lack evidence of individual predictors of perceived barriers to PA among adults in primary healthcare units.

OBJECTIVE:

To analyze associations between sociodemographic characteristics, health conditions, leisure-time physical activity (LTPA), PA counseling and perceived barriers to LTPA among adult patients in primary healthcare units of the National Health System in Brazil. DESIGN AND

SETTING:

Cross-sectional study on a representative sample of adults in primary healthcare units in São José dos Pinhais, Paraná, Brazil.

METHODS:

This study was conducted in 2019, among 779 adults (70% women). Barriers to LTPA, sociodemographic characteristics (sex, age, marital status, skin color, education and income), health conditions (body mass index, hypertension, diabetes, dyslipidemia, coronary disease and medications), LTPA level and PA counseling received were measured using validated, standardized procedures. The data were analyzed using chi-square and Mann-Whitney U tests.

RESULTS:

The most prevalent barriers were "feeling too tired" (53%) and "lack of time" (52%). PA counseling was inversely associated with "lack of time" (45% versus 57%; P < 0.001) but positively associated with "injury or disease" (38% versus 29%; P = 0.008). There was an inverse linear trend between the number of barriers and LTPA (walking and total) (P < 0.001). Most barriers differed in comparisons of sociodemographic characteristics, health conditions, LTPA and counseling (P < 0.05).

CONCLUSIONS:

The barriers vary according to the individual predictors. Counseling strategies need to be specific for each barrier and may be promising for promoting LTPA within primary healthcare.


Full text: Available Index: LILACS (Americas) Type of study: Observational study / Prevalence study / Prognostic study / Risk factors Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2022 Type: Article / Project document Affiliation country: Brazil / United States Institution/Affiliation country: Fundação Oswaldo Cruz/BR / North Carolina Central University/US / Universidade Federal de Santa Catarina/BR / Universidade Federal do Paraná/BR / Universidade Tecnológica Federal do Paraná/BR

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Type of study: Observational study / Prevalence study / Prognostic study / Risk factors Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2022 Type: Article / Project document Affiliation country: Brazil / United States Institution/Affiliation country: Fundação Oswaldo Cruz/BR / North Carolina Central University/US / Universidade Federal de Santa Catarina/BR / Universidade Federal do Paraná/BR / Universidade Tecnológica Federal do Paraná/BR