0161/2020 - Identificação e análise das diretrizes nacionais de atividade física nas Américas Identification and analysis of national physical activity guidelines in the Americas
Visto o potencial das abordagens institucionais à promoção da saúde, o presente estudo buscou identificar os países do continente americano que possuem diretrizes nacionais de atividade física (AF) chanceladas por órgãos nacionais de saúde. Em maio de 2019 realizou-se uma revisão de escopo, com buscas em cinco bases de dados eletrônicas, sítios eletrônicos dos órgãos nacionais de saúde e contato com integrantes da Rede de Atividade Física das Américas. Foram encontradas diretrizes nacionais de AF em dez dos 36 países pesquisados (27,8%), publicadas entre 2011 e 2018, com maioria nos países da América do Sul (n=6). Todas as diretrizes apresentaram “abordagens e estratégias para a atenção primária em saúde”, “recomendações de AF para a saúde” e o “envolvimento de distintos domínios da AF”, contudo, poucas diretrizes abordaram o “ambiente construído e infraestrutura” (n=3), assim como “ações de monitoramento e vigilância” (n=5). Pode-se concluir que, ao passo que poucos países do continente americano dispõem de diretrizes para a AF e, que boa parte das disponíveis aborda a AF de maneira limitada, novas diretrizes nacionais, fundamentadas na complexidade dos determinantes, monitoramento e consequências da AF são necessárias para a orientação e incentivo de políticas de promoção da AF no contexto populacional.
Palavras-chave:
Atividade física; Política pública; Promoção da saúde
Abstract:
Considering the potential of institutional approaches to health promotion, this study sought to identify which countries in the American continent that have national guidelines for physical activity (PA) approved by its health agencies. In May, 2019a scoping review was developed, with searches in five electronic databases, on the websites of the national health agencies of these countries and contact with members of the Physical Activity Network of the Americas. In all, national PA guidelines were found in ten of the 36 countries surveyed (27.8%), published between 2011 and 2018, with a majority in South American countries (n = 6). All guidelines presented “approaches and strategies for primary health care”, “PA recommendations for health” and “involvement of different PA domains”, however, few guidelines addressed “built environment and infrastructure” (n = 3), as well as “monitoring and surveillance actions” (n = 5). It can be concluded that, while few countries in the American continent have guidelines for PA and that most of the available ones address PA in a limited way, new national guidelines, based on the complexity of the determinants, monitoring and consequences of PA are needed to guide and encourage policies to promote PA in the population context.
Keywords:
Physical activity; Public policy; Health promotion
Identification and analysis of national physical activity guidelines in the Americas
Resumo (abstract):
Considering the potential of institutional approaches to health promotion, this study sought to identify which countries in the American continent that have national guidelines for physical activity (PA) approved by its health agencies. In May, 2019a scoping review was developed, with searches in five electronic databases, on the websites of the national health agencies of these countries and contact with members of the Physical Activity Network of the Americas. In all, national PA guidelines were found in ten of the 36 countries surveyed (27.8%), published between 2011 and 2018, with a majority in South American countries (n = 6). All guidelines presented “approaches and strategies for primary health care”, “PA recommendations for health” and “involvement of different PA domains”, however, few guidelines addressed “built environment and infrastructure” (n = 3), as well as “monitoring and surveillance actions” (n = 5). It can be concluded that, while few countries in the American continent have guidelines for PA and that most of the available ones address PA in a limited way, new national guidelines, based on the complexity of the determinants, monitoring and consequences of PA are needed to guide and encourage policies to promote PA in the population context.
Palavras-chave (keywords):
Physical activity; Public policy; Health promotion
