Physical activity interventions in Latin America: a systematic review.
ABSTRACT Recommendations for physical activity in the Guide to Community Preventive Services (the Community Guide) have not been systematically examined or applied in developing countries such as those in Latin America. The aim of this systematic review was to assess the current evidence base concerning interventions to increase physical activity in Latin America using a modified Community Guide process and to develop evidence-based recommendations for physical activity interventions.
In 2006, a literature review of both peer-reviewed and non-peer-reviewed literature in Portuguese, Spanish, and English was carried out to identify physical activity interventions conducted in community settings in Latin America. Intervention studies were identified by searching ten databases using 16 search terms related to physical activity, fitness, health promotion, and community interventions. All intervention studies related to physical activity were summarized into tables. Six reviewers independently classified the intervention studies by the categories used in the Community Guide and screened the studies for inclusion in a systematic abstraction process to assess the strength of the evidence. Five trained researchers conducted the abstractions.
The literature search identified 903 peer-reviewed articles and 142 Brazilian theses related to physical activity, of which 19 were selected for full abstraction. Only for school-based physical education classes was the strength of the evidence from Latin America sufficient to support a practice recommendation.
This systematic review highlights the need for rigorous evaluation of promising interventions to increase physical activity in Latin America. Implementation and maintenance of school physical education programs and policies should be strongly encouraged to promote the health of Latin American children.
Full-textDOI: · Available from: Diana C Parra, Aug 10, 2015
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- "Despite having high access to public transportation options and the highest public transportation ridership in Brazil (85%), the city also has the highest car/inhabitant ratio (1:2) of the country. A cross-sectional random-digit-dialing telephone survey was carried out between May and June 2008 as part of Project GUIA (Guide for Useful Interventions for Physical Activity in Brazil and Latin America) in order to examine and promote evidence-based PA strategies in Latin America, particularly in Brazil (Hoehner et al., 2008; Simoes et al., 2009). Detailed information about the sampling strategy used for this study can be found elsewhere (Reis et al., 2010). "
ABSTRACT: Physical activity (PA) has consistently been associated with perceived environmental characteristics. To examine the association between perceived environmental attributes and various forms of PA in Curitiba, Brazil. A cross-sectional phone survey of adults was conducted in 2008 (n=2097). The questionnaire included environmental perceptions and PA. Principal components analysis was used to identify groups of perceived environmental attributes. Multivariate methods tested the associations of PA with perceived environment characteristics. Perceptions of moderate and high personal safety were positively associated with walking for transportation (53.0%, 53.1% vs. 47.3%, both adjusted ORs [aOR]=1.5). Number of destinations within a 10-minute walk (4 and >6 vs. <3) was positively associated with bicycling for transportation (7.8%, 9.9% vs.4.8%, aOR=2.5). Perception of high accessibility was positively associated with MVPA during leisure time (35.1% vs. 19.1, aOR=1.7) and meeting recommendations for total PA (58.7% vs. 45.1%, aOR=1.4). Perception of high quality of the pedestrian space (57.3% vs. 46.5%, aOR=1.4) and moderate levels of personal safety (54.3% vs. 47.6%, aOR=1.3) were also positively associated with meeting recommendations for total PA. Different environmental attributes were associated with different PA outcomes, suggesting that these relationships are complex and may differ from those in high-income countries.Preventive Medicine 12/2010; 52(3-4):234-8. DOI:10.1016/j.ypmed.2010.12.008 · 2.93 Impact Factor
Preventive Medicine 10/2009; 50 Suppl 1:S95-6. DOI:10.1016/j.ypmed.2009.10.013 · 2.93 Impact Factor
- "However, countries throughout Latin America are developing and evaluating innovative approaches to physical activity focused on youth. For instance, a recent study reviewing community-based physical activity intervention studies in Latin America provided strong evidence of the effectiveness of school-based physical education programs (Hoehner et al., 2008). A recent study showed that use of infrastructure, such as parks, by young people was high, but physical activity practice was related to the social context, particularly the perception of safety (Reis et al., 2009). "
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- "An important benefit of CDC's global work has been incorporating into PA promotion in the U.S. innovation from around the world in areas such as environmental and policy interventions (Europe and Bogotá, Colombia) and community and media campaigns (Brazil and Australia). PA is part of the leading edge of the evidence-based public health practice movement in the US — first with the systematic reviews and recommendations of the Community Guide (Kahn et al., 2002), then with health impact assessment (HIA), cost effectiveness analyses (Roux et al., 2008), PA policy research (Schmid et al., 2006), and most recently with the extension of the Community Guide process to Latin America (Hoehner et al., 2008). The VERB Campaign, a high profile, successful combination of mass media and community strategies targeting 9–12 year olds to change their PA levels is another example of innovation led by CDC, built upon international experience, well evaluated, and funded at a scale which actually made a difference at the population level (Huhman et al., 2008). "
ABSTRACT: This commentary reviews the role that the U.S. Centers for Disease Control and Prevention (CDC) has played since 1964 in moving science, policy, and practice from exercise and fitness to physical activity and health.Preventive Medicine 07/2009; 49(4):301-2. DOI:10.1016/j.ypmed.2009.06.011 · 2.93 Impact Factor