Restricted access

Purchase article

USD  $24.95

Student 1 year subscription

USD  $115.00

1 year subscription

USD  $153.00

Student 2 year subscription

USD  $218.00

2 year subscription

USD  $285.00

Background: Some studies have used the follow-up method to analyze real behavioral changes in research involving physical activity (PA) interventions. This has great scientific value; however, it is hard to apply without satisfactory resources and research funding. Little is known about how many studies have used this method to analyze PA interventions in low-income and middle-income countries, especially Brazil. Purpose: To describe Brazilian studies using follow-up analysis after PA interventions. Methods: A systematic review was performed including Brazilian studies with follow-up analysis after PA interventions; the analyzed papers were from the previous 10 years. The search was carried out in Portuguese, English, and Spanish in the following databases: SciELO, Latin American and Caribbean Health Science Literature, PubMed, and Scopus. The Preferred Reporting Items for Systematic Review and Meta-Analysis method was used. Results: In total, 6 of the 7 studies analyzed were from the southeast region, with the intervention time ranging from 2 to 12 months, carrying out follow-up every 5.3 months with 2.2 observations on average. The interventions had a behavioral approach and were generally carried out in universities, hospitals, and ambulatory care. Conclusion: Studies on PA interventions using follow-up analysis are scarce. Considering the relevance of follow-up studies to measure behavior changes, the results suggest that more studies about this topic are essential in Brazil.

Almeida is with the University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, Brazil. Casemiro, Baba, Monteiro, Fornazieri, Cerri, Fernandes, and Gomes are with the Universidade Federal de São Carlos, São Carlos, São Paulo, Brazil.

Gomes (graceaogomes@yahoo.com.br) is corresponding author.
  • 1.

    World Health Organization. Core Indicators—Health Situation in the Americas 2016. Washington, DC: Pan American Health Organization; 2016.

    • Search Google Scholar
    • Export Citation
  • 2.

    Lee IM, Shiroma EJ, Lobelo F, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380(9838):219–229. PubMed doi:10.1016/S0140-6736(12)61031-9

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Long G, Watkinson C, Søren B, et al. Mortality bene?ts of population-wide adherence to national physical activity guidelines: a prospective cohort study. Eur J Epidemiol. 2015;30:71–79. PubMed doi:10.1007/s10654-014-9965-5

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Heath GW, Parra DC, Sarmiento OL, et al. Evidence-based intervention in physical activity: lessons from around the world. Lancet. 2012;380:272–281.

  • 5.

    Reed JL, Harris JM, Midence L, Yee EB, Grace SL. Evaluating the Heart Wise Exercise™ program: a model for safe community exercise programming. BMC Public Health. 2016;16:190. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Herens M, Bakker EJ, van Ophem J, Wagemaker A, Koelen M. Health-related quality of life, self-efficacy and enjoyment keep the socially vulnerable physically active in community-based physical activity programs: a sequential cohort study. PLoS ONE. 2016;11(2):0150025. doi:10.1371/journal.pone.0150025

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Cezar NOC, Almeida ML, Padula GO, et al. Programas de promoção de atividade física envolvendo caminhadas nas universidades públicas brasileiras. Rev Bras Ativ Fis Saúde. 2014;19(4):441–454.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Gomes GAO, Kokubun E, Mieke GI, et al. Characteristics of physical activity programs in the Brazilian primary health care system. Cad Saúde Pública. 2014;30(10):2155–2168. PubMed doi:10.1590/0102-311X00085713

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Cerri NC, Arthur AC, Vieira LM, et al. Programa de caminhada em Unidades de Saúde da Família em um contexto de alta vulnerabilidade social. Rev Bras Ativ Fis Saúde. 2017;22(1):100–105.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Amorim TC, Knuth AG, Cruz DKA, Malta DC, Reis RS, Hallal PC. Description of the physical activity promotion programs funded by the Brazilian Ministry of Health. Rev Bras Ativ Fis Saúde. 2013;18(1):63–74. doi:10.12820/2317-1634.2013v18n1p63

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11.

    Turi BC, Codogno JS, Fernandes RA, Monteiro HL. Caminhada e gastos com saúde em adultos usuários do sistema público de saúde brasileiro: estudo transversal retrospectivo. Ciⓔnc Saúde Coletiva. 2015;20(11):3561–3568. PubMed

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Codogno JS, Araújo R. Prática de atividades físicas e custo do tratamento ambulatorial de diabéticos tipo 2 atendidos em unidade básica de saúde. Arq Bras Endocrinol Metab. 2012;56:6–11. doi:10.1590/S0004-27302012000100002

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Hoehner CM, Soares J, Parra DP, et al. Physical activity interventions in Latin America: expanding and classifying the evidence. Am J Prev Med. 2013;44(3):e31–40. doi:10.1016/j.amepre.2012.10.026

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Silva BGC, Rey-Lópex JP, Barbosa-Silva TG, Bieleman RM, Coll CVN. A contribuição do Brasil para a pesquisa em atividade física e saúde no cenário internacional. Rev Bras Ativ Fis Saúde. 2014;19(5):618–620.

    • Search Google Scholar
    • Export Citation
  • 15.

    Ministério da Saúde. Vigitel Brasil 2014: vigilância de fatores de risco e proteção para doenças crⓞnicas por inquérito telefⓞnico. Brasília, Brazil: Ministério da Saúde; 2015.

    • Search Google Scholar
    • Export Citation
  • 16.

    Ramos LR, Malta DC, Gomes GAO, et al. Prevalence of health promotion programs in primary health care units in Brazil. Rev Saúde Pública. 2014;48(5):837–844. doi:10.1590/S0034-8910.2014048005249

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Garber CE, Blissmer B, Deschenes MR, et al. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy 107 adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334–1359. PubMed doi:10.1249/MSS.0b013e318213fefb

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Costa PRF, Assis AMO, Silva MCM, et al. Mudança nos parâmetros antropométricos: a influⓔncia de um programa de intervenção nutricional e exercício físico em mulheres adultas. Cad Saúde Pública. 2009;25(8):1763–1773. doi:10.1590/S0102-311X2009000800012

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19.

    Torres HC, Franco LJ, Stradioto MA, Hortale VA, Schall VT. Avaliação estratégica de educação em grupo e individual no programa educativo em diabetes. Rev Saúde Pública. 2009;43(2):291–298. doi:10.1590/S0034-89102009005000001

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20.

    Theychene M, Costigan SA, Parker K. The association between sedentary behaviour and risk of anxiety: a systematic review. BMC Public Health. 2015;15(513):2–8.

    • Search Google Scholar
    • Export Citation
  • 21.

    Babamoto KS, Sey KA, Camilleri AJ, Karlan VJ, Catalasan J, Morisky DE. Improving diabetes care and health measures among Hispanics using community health workers: results from a randomized controlled trial. Health Educ Behav. 2009;36:113–126. PubMed doi:10.1177/1090198108325911

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Gomes R. Sexualidade Masculina, Gⓔnero e Saúde. Rio de Janeiro, Brazil: Editora Fiocruz; 2008.

  • 23.

    Prochaska JO, DiClemente CC. Transtheoretical therapy: toward a more integrative model of change. Psychother Theory Res Prac. 1982;19(3):276–288. doi:10.1037/h0088437

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24.

    Hagger MS, Chatzisarantis NL. An integrated behavior change model for physical activity. Am College Sports Med. 2014;42(2):62–69.

  • 25.

    Zimmerman GL, Olsen CG, Bosworth MF. A ‘stages of change’ approach to helping patients change behavior. Am Fam Physician. 2000;61(5):1409–1416. PubMed

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Prochaska JO, Diclemente CC. Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983;51(3):390–395. PubMed doi:10.1037/0022-006X.51.3.390

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Prochaska JO, Marcus BH. The transtheoretical model: applications to exercise. In: Dishman RK, ed. Advances in Exercise Adherence. Champaign, IL: Human Kinetics; 1994:181–190.

    • Search Google Scholar
    • Export Citation
  • 28.

    Oliveira NKR, Barros MVG, Reis RS, et al. Estágios de mudança de comportamento para a atividade física em adolescentes. Motriz: Rev Educ Fís. 2012;18(1):42–54.

    • Search Google Scholar
    • Export Citation
  • 29.

    Nahas MV, de Barros MV, de Assis MA, Hallal PC, Florindo AA, Konrad L. Methods and participant characteristics of a randomized intervention to promote physical activity and healthy eating among Brazilian high school students: the Saude na Boa Project. J Phys Act Health. 2009;6(2):153–162. doi:10.1123/jpah.6.2.153

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 30.

    Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997;12(1):38–48. doi:10.4278/0890-1171-12.1.38

  • 31.

    Brice GC, Gorey KM, Hall RM, Angelino S. The STAYWELL program-maximizing elders’ capacity for independent living through health promotion and disease prevention activities a quasi-experimental evaluation of its efficacy. Res Aging. 1996;18(2):202–218. doi:10.1177/0164027596182003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 32.

    Kocken PL, Voorham AJ. Effects of a peer-led senior health education program. Patient Educ Couns. 1998;34(1):15–23. PubMed doi:10.1016/S0738-3991(98)00042-1

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Bully P, Sánchez A, Zabaleta-del-Olmo E, Pombo H, Grandes G. Evidence from interventions based on theoretical models for lifestyle modification (physical activity, diet, alcohol and tobacco use) in primary care settings: a systematic review. Prev Med. 2015;76:S76–S93. PubMed doi:10.1016/j.ypmed.2014.12.020

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 34.

    Holtrop SJ, Dosh SA, Torres T, Thum YM. The community health educator referral liaison (CHERL): a primary care practice role for promoting healthy behaviors. Am J Prev Med. 2008;35:S365–S372. doi:10.1016/j.amepre.2008.08.012

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 35.

    Buscail C, Menai M, Salanave B, et al. Promoting physical activity in a low-income neighborhood of the Paris suburb of Saint-Denis: effects of a community-based intervention to increase physical activity. BMC Public Health. 2016;16(1):667. doi:10.1186/s12889-016-3360-y

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 36.

    Valerio MP, Novais FV, Ramos LR. Efeito de duas intervenções visando o aumento do nível de atividade física de idosos inativos no tempo de lazer. Rev Bras Ativ Fis Saúde. 2014;19(6):765–766. doi:10.12820/rbafs.v.19n6p765

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 37.

    Moher DLA, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264–270. doi:10.7326/0003-4819-151-4-200908180-00135

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38.

    Ursi E. Prevenção de lesões de pele no perioperatório: revisão integrativa da literature [dissertation]. Ribeirão Preto, Brazil: Universidade de São Paulo; 2005.

    • Search Google Scholar
    • Export Citation
  • 39.

    Rodrigues RCM, São João TM, Gallani MCBJ, Cornélio ME, Alexandre NMC. “Programa Coração em Movimento”: intervenção para promover atividade física entre pacientes com doença arterial coronária. Rev Latino-Am Enfermagem. 2013;21(Spec):[11 telas].

    • Search Google Scholar
    • Export Citation
  • 40.

    Jaime PC, Bandoni DH, Sarno F. Impact of an education intervention using email for the prevention of weight gain among adult workers. Public Health Nutr. 2013;17(7):1620–1627. PubMed doi:10.1017/S1368980013001936

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 41.

    Kayo AH, Peccin MS, Sanches CM, Trevisani VF. Effectiveness of physical activity in reducing pain in patients with fibromyalgia: a blinded randomized clinical trial. Rheumatol Int. 2012;32:2285–2292. PubMed doi:10.1007/s00296-011-1958-z

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 42.

    Ciolac EG, Bocchi EA, Greve JMD, Guimarães GV. Heart rate response to exercise and cardiorespiratory fitness of young women at high familial risk for hypertension: effects of interval vs continuous training. Eur J Cardiovasc Prev Rehabil. 2011;18(6):824–830.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 43.

    Almeida-Pititto B, Griffin SJ, Sharp SJ, Hirai AT, Gimeno SGA, Ferreira SRG. A behavioral intervention in a cohort of Japanese-Brasilians at high cardiometabolic risk. Rev Saúde Pública. 2012;46(4):602–609. doi:10.1590/S0034-89102012005000045

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 44.

    Hardcastle SJ, Taylor AH, Bailey MP, Harley RA, Hagger MS. Effectiveness of a motivational interviewing intervention on weight loss, physical activity and cardiovascular disease risk factors: a randomised controlled trial with a 12-month post-intervention follow-up. Int J Behav Nutr Phys Act. 2013;10:40–56. PubMed doi:10.1186/1479-5868-10-40

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 45.

    Pratt MOL, Bronwson RC, Ramos LR, et al. Project GUIA: a model for understanding and promoting physical activity in Brazil and Latin America. J Phys Act Health. 2010;7(2):S131–S134. doi:10.1123/jpah.7.s2.s131

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 46.

    Negri CE, Bacci E, Morgante S, et al. Supervised walking groups to increase physical activity in type 2 diabetic patients. Diabetes Care. 2011;33(11):2333–2335. doi:10.2337/dc10-0877

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 47.

    Waters LS, Reeves MM, Fjeldsoe BS, Eakin EG. Characteristics of control group participants who increase their physical activity in a cluster-randomized lifestyle intervention trial. BMC Public Health. 2011;11:27. doi:10.1186/1471-2458-11-27

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 48.

    Goode L, Reeves MM, Eakin EG. Telephone-delivered interventions for physical activity and dietary behavior change: an updated systematic review. Am J Prev Med. 2012;42(1):81–88. doi:10.1016/j.amepre.2011.08.025

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 49.

    Galavitz KI, Harden SM, Smith E, et al. Physical activity promotion in Latin American populations: a systematic review on issues of internal and external validity. Int J Behav Nutr Phys Act. 2014;11:77. doi:10.1186/1479-5868-11-77

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 50.

    Knuth AG, Malta DC, Dumith SC, et al. Prática de atividade física e sedentarismo em brasileiros: resultados da Pesquisa Nacional por Amostra de Domicílios (PNAD)–2008. Cien Saude Colet. 2011;16(9):3697–3705. PubMed doi:10.1590/S1413-81232011001000007

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 51.

    Hallal PC. Atividade física e saúde no Brasil: pesquisa, vigilância e políticas. Cad Saúde Pública. 2014;30(12):1–2. doi:10.1590/0102-311XED011214

    • Search Google Scholar
    • Export Citation
  • 52.

    Reis RR, Salvo D, Ogilvie D, Lambert EV, Goenka S, Brownson RC. Scaling up physical activity interventions worldwide: stepping up to larger and smarter approaches to get people moving. Lancet. 2016;388:1337–1348. PubMed doi:10.1016/S0140-6736(16)30728-0

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 53.

    Manteiga AM, Walker LE, Parra DC, Brownson RC, Hallal PC. Collaboration to promote physical activity: lessons from the Americas. Health Behav Policy Rev. 2015;2:305–316. doi:10.14485/HBPR.2.4.7

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 54.

    Malta DC, Leal MC, Costa MFL, Morais Neto OL. Inquéritos Nacionais de Saúde: experiⓔncia acumulada e proposta para o inquérito de saúde Brasileiro. Rev Bras Epidemiol. 2008;11(1):159–167. doi:10.1590/S1415-790X2008000500017

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 55.

    Franco OH, de Laet C, Peeters A, Jonker J, Mackenbach J, Nusselder W. Effects of physical activity on life expectancy with cardiovascular disease. Arch Intern Med. 2005;165:2355–2360. PubMed doi:10.1001/archinte.165.20.2355

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 56.

    Wen CP, Wai JPM, Tsai MK, et al. Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet. 2011;378:1244–1253. doi:10.1016/S0140-6736(11)60749-6

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 57.

    Ekelund ULF, Heather AW, Teresa N, Jian’an L, Anne MM, Elisabete W. Physical activity and all-cause mortality across levels of overall and abdominal adiposity in European men and women: the European Prospective Investigation into Cancer and Nutrition Study (EPIC). Am J Clin Nutr. 2015;101(3):613–621.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 58.

    Denison E, Vist GE, Underland V, Berg RC. Effects of Organized Follow-Up of Behaviour That May Increase Risk of Disease in Adults. Oslo, Norway: Norwegian Knowledge Centre for the Health Services; 2012. Report_2012_12.

    • Search Google Scholar
    • Export Citation
  • 59.

    Baxter S, Johnson M, Payne N, et al. Promoting and maintaining physical activity in the transition to retirement: a systematic review of interventions for adults around retirement age. Int J Behav Nutr Phys Act. 2016;13:12. PubMed doi:10.1186/s12966-016-0336-3

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 60.

    Uffelen JGZ, Khan A, Burton NW. Gender differences in physical activity motivators and context preferences: a population-based study in people in their sixties. BMC Public Health. 2017;17:624. doi:10.1186/s12889-017-4540-0

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 61.

    Heesch KC, Sahlqvist S, Garrard J. Gender differences in recreational and transport cycling: a cross-sectional mixed-methods comparison of cycling patterns, motivators, and constraints. Int J Behav Nutr Phys Act. 2012;9:106. PubMed doi:10.1186/1479-5868-9-106

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 62.

    Del Duca S, Serafini-Fracassini D, Cai G. Senescence and programmed cell death in plants: polyamine action mediated by transglutaminase. Front Plant Sci. 2014;5:120. PubMed doi:10.3389/fpls.2014.00120

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 63.

    Souza MZ, Leal GCL, Huzita EHM. Um exemplo de condução de estudo experimental guiado por um processo. Rev Tecnol. 2012;21:43–52.

  • 64.

    Kallings LV, Johnson JS, Fisher RM, et al. Beneficial effects of individualized physical activity on rescription on body composition and cardiometabolic risk factors: results from a randomized controlled trial. Eur J Cardiovasc Prev Rehabil. 2009;16(1):80–84. PubMed doi:10.1097/HJR.0b013e32831e953a

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 65.

    Tamayo A, Campos APM, Matos DR, Mendes GR, Santos JB, Carvalho NT. A influⓔncia da atividade física regular sobre o autoconceito. Estudos Psicol. 2001;6(2):157–165. doi:10.1590/S1413-294X2001000200004

    • Crossref
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 67 67 9
Full Text Views 0 0 0
PDF Downloads 1 1 1