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Promotion of physical activity in a developing country: The Agita São Paulo experience

Published online by Cambridge University Press:  22 December 2006

Victor Matsudo ,
Sandra Matsudo ,
Douglas Andrade ,
Timoteo Araujo ,
Erinaldo Andrade ,
Luis Carlos de Oliveira  and
Glaucia Braggion
Victor Matsudo*
Affiliation:
Center of Studies of the Physical Fitness Research Laboratory from São Caetano do Sul (CELAFISCS), Agita São Paulo Program, Brazil. Mailing address: Caixa Postal 268 – CEP 09501-000, Rua Heloísa Pamplona 279 – Bairro Fundacç São Caetano do Sul, São Paulo, Brazil, CEP 09520-320
Sandra Matsudo
Affiliation:
Center of Studies of the Physical Fitness Research Laboratory from São Caetano do Sul (CELAFISCS), Agita São Paulo Program, Brazil. Mailing address: Caixa Postal 268 – CEP 09501-000, Rua Heloísa Pamplona 279 – Bairro Fundacç São Caetano do Sul, São Paulo, Brazil, CEP 09520-320
Douglas Andrade
Affiliation:
Center of Studies of the Physical Fitness Research Laboratory from São Caetano do Sul (CELAFISCS), Agita São Paulo Program, Brazil. Mailing address: Caixa Postal 268 – CEP 09501-000, Rua Heloísa Pamplona 279 – Bairro Fundacç São Caetano do Sul, São Paulo, Brazil, CEP 09520-320
Timoteo Araujo
Affiliation:
Center of Studies of the Physical Fitness Research Laboratory from São Caetano do Sul (CELAFISCS), Agita São Paulo Program, Brazil. Mailing address: Caixa Postal 268 – CEP 09501-000, Rua Heloísa Pamplona 279 – Bairro Fundacç São Caetano do Sul, São Paulo, Brazil, CEP 09520-320
Erinaldo Andrade
Affiliation:
Center of Studies of the Physical Fitness Research Laboratory from São Caetano do Sul (CELAFISCS), Agita São Paulo Program, Brazil. Mailing address: Caixa Postal 268 – CEP 09501-000, Rua Heloísa Pamplona 279 – Bairro Fundacç São Caetano do Sul, São Paulo, Brazil, CEP 09520-320
Luis Carlos de Oliveira
Affiliation:
Center of Studies of the Physical Fitness Research Laboratory from São Caetano do Sul (CELAFISCS), Agita São Paulo Program, Brazil. Mailing address: Caixa Postal 268 – CEP 09501-000, Rua Heloísa Pamplona 279 – Bairro Fundacç São Caetano do Sul, São Paulo, Brazil, CEP 09520-320
Glaucia Braggion
Affiliation:
Center of Studies of the Physical Fitness Research Laboratory from São Caetano do Sul (CELAFISCS), Agita São Paulo Program, Brazil. Mailing address: Caixa Postal 268 – CEP 09501-000, Rua Heloísa Pamplona 279 – Bairro Fundacç São Caetano do Sul, São Paulo, Brazil, CEP 09520-320
*
*Corresponding author: Email matsudo@osite.com.br or celafiscs@celafiscs.com.br
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Abstract

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The purpose of this paper is to present key points of an intervention programme (Agita São Paulo Program) to promote physical activity in a developing country. Agita is a multi-level, community-wide intervention designed to increase knowledge about the benefits and the level of physical activity in a mega-population of 34 million inhabitants of São Paulo State, Brazil. The main message was taken from the Centers for Disease Control/American College of Sports Medicine (CDC/ACSM) recommendation that: ‘everyone should accumulate at least 30 minutes of physical activity, on most days of the weeks, of moderate intensity, in one single or in multiple sessions’. Activities were encouraged in three settings: home, transport and leisure time. Focus groups were students from elementary schools through to college, white and blue collar workers, and elderly people. Innovative aspects included: (1) a research centre leading the process, (2) scientific and institutional partnerships (over 160 groups), (3) a feasible approach – the ‘one-step-ahead’ model, (4) empowerment, (5) inclusion, (6) non-paid media, (7) social marketing, and (8) culture-linked. Data were obtained from 645 random, home-based questionnaires over four years – stratified by sex, age, education and socio-economic level. These data show that the Agita message reached 55.7% of the population, and among these, 23.1% knew the main message. Recall of Agita and knowledge of its purpose were well distributed among different socioeconomic levels, being known by 67% of the most educated. The prevalence of people reaching the recommendation was 54.8% (men 48.7%, women 61%); and risk of being sedentary was quite smaller among those who knew the Agita message (7.1%) compared with those who did not know (13.1%). In conclusion, based upon the Agita São Paulo experience, it appears that a multi-level, community-wide intervention to promote physical activity may obtain good results if the model contains the items listed above.

Keywords

Health promotionPhysical activityProgramme intervention
Type
Research Article
Information
Public Health Nutrition , Volume 5 , Issue 1a , February 2002 , pp. 253 - 261
Copyright
Copyright © CABI Publishing 2002

References

1Matsudo, VKR. Passport for health. World Health Org. Rep. 1997; 3: 16–7.Google Scholar
2Matsudo, VKR, Andrade, DR, Matsudo, SMM, Araujo, TL, Andrade, E, Figueira, AJ Jr, Oliveira, LC, Braggion, G. Physical education, health and well-being. In: Proceedings of the World Summit on Physical Education. Berlin, Brazil: ICSSPE, 2001; 85–94.Google Scholar
3: Ministério da Sáude Programas e Projetos Doenças Cardiovasculares [Online]. Available at http//:www.saude.gov.br/programas/cardio/cardio.htm Accessed 6 July 2000.Google Scholar
4Barreto, ML, Carmo, EH. Determinantes das condições de saúde e problemas prioritários no país. In: Proceedings of XI Conferência Nacional de Saúde, Brasília. Brasília, Brazil: Ministério da Saúde, 2000; 1–13.Google Scholar
5Monteiro, C, Benificio, M, Conde, W. Shifting obesity trends in Brazil. Eur.J. Clin. Nutr. 2000; 54: 342–6.CrossRefGoogle ScholarPubMed
6Lotufo, PA. Mortalidade precoce por doenças do coração no Brasil. Comparaçáo com outros países. Arquivos Brasileiros de Cardiologia 1998; 70: 321–5.CrossRefGoogle Scholar
7: Ministério da Saúde. Datasus [Online]. Available at http//:www.datasus,gov.br/cgi/tabcgi.exercício. Accessed 23 February 2001.Google Scholar
8Rego, A, Berardo, F, Rodrigues, S. Fatores de risco para doenças crônico não transmissíveis: inquérito domiciliar no município de São Paulo, SP (Brasil). Metodologia e resultados preliminares. Revista Brasileira de Saúde Pública 1990; 24: 277–85.CrossRefGoogle Scholar
9DATA FOLHA. Levantamento nacional de atividade física, Jornal Folha de São Paulo, São Paulo, Brazil, 1997.Google Scholar
10Farrell, SW, Kampert, JB, Kohl, HW III, Barlow, CE, Macera, CA, Paffenbarger, RS Jr, Gibbons, LW, Blair, SN. Influences of cardiorespiratory fitness levels and other predictors on cardiovascular disease mortality in men. Med. Sci. Sports Exerc. 1998; 30(6): 889–905.Google ScholarPubMed
11Kohl, H. What is the magnitude of risk for cardiovascular disease associated with sedentary living habits? In: Leon, A, ed. Physical Activity and Cardiovascular Health – A National Consensus. Champaign, IL: Human Kinetics, 1997; 26–33.Google Scholar
12Blair, S, Kampert, JB, Kohl, HW, Barlow, CE, Macera, CA, Paffenbarger, RS, Gibbons, LW. Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all- cause mortality in men and women. JAMA 1996; 276: 205–10.CrossRefGoogle ScholarPubMed
13Centers for Disease Control and Prevention (CDC). Promoting Physical Activity: A Best Buy in Public Health. Hyattsville, MD: CDC, 2000.Google Scholar
14Oliveira, LC, Matsudo, V, Matsudo, S. CELAFISCS – XX years of history in sports sciences. In: Proceedings of XIX International Symposium on Sports Sciences, São Paulo, Brazil. São Paulo, Brazil: CELAFISCS, 1994; 5–18.Google Scholar
15Prochaska, JO, Marcus, BH. The transtheoretical model: applications to exercise. In: Dishman, RK, ed. Advances in Exercise Adherence. Champaign, IL: Human Kinetics, 1994; 161–80.Google Scholar
16Bandura, A. Social Foundations of Thought and Action: A Social Cognitive Theory. Vol. 110. Englewood Cliffs, NJ: Prentice-Hall, 1986; 1–386.Google Scholar
17Bracht, N, Kingsbury, L, Rissel, C. A five-stage community organization model for health Promotion: empowerment and partnership strategies. In: Health Promotion at the Community Level 2: New Advances. Newbury Park, CA: Sage, 1999; 83–104.CrossRefGoogle Scholar
18Minkler, M, Wallerstein, N. Improving health through community organization and community building. In: Glanz, K, Lewis, FM, Rimer, BK, eds. Health Behaviour and Health Education: Theory, Research and Practice, 2nd ed. San Francisco, CA: Jossey-Bass, 1997; 241–69.Google Scholar
19Donovan, RJ, Owen, N. Social marketing and population interventions. In: Dishman, RK, ed. Advances in Exercise Adherence. Champaign, IL: Human Kinetics, 1994; 249–90.Google Scholar
20Lefebvre, R, Rochlin, I. Social marketing. In: Glanz, K, Lewis, FM, Rimer, BK, eds. Health Behavior and Health Education: Theory, Research and Practice, 2nd ed. San Francisco, CA: Jossey-Bass, 1997; 384–402.Google Scholar
21Sallis, J, Bauman, A, Pratt, M. Environmental and policy interventions to promote physical activity. Am. J. Prev. Med. 1998; 415: 379–97.CrossRefGoogle Scholar
22Mcleroy, KR, Bibeau, D, Steckler, A. An ecological perspective on health promotion programs. Healthy Educ. Quart. 1998; 15: 355–77.Google Scholar
23Sallis, J, Owen, N. Ecologic models. In: Glanz, K, Lewis, FM, Rimer, BK, eds. Health Behavior and Health Education: Theory, Research and Practice, 2nd ed. San Francisco, CA: Jossey-Bass, 1997; 403–24.Google Scholar
24Finnegan, J, Viswanath, K. Mass media and health promotion: lessons learned, with implications for public health campaigns. In: Health Promotion at the Community Level 2: New Advances. Newbury Park, CA: Sage, 1999; 119–34.CrossRefGoogle Scholar
25Pate, R, Pratt, M, Blair, SN, Haskell, W, Macera, CA, Bouchard, C, Buchner, D, Ettinger, W, Heath, G, King, AC, Kriska, A, Leon, AS, Marcus, BH, Morris, J, Paffenbarger, RS, Patrick, K, Pollock, MI, Rippe, JM, Sallis, J, Wilmore, JH. Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995; 273(5): 402–7.CrossRefGoogle Scholar
26Blair, S, Booth, M, Gyarfas, I. Development of public policy and physical activity initiatives internationally. Sports Med. 1996; 321: 157–63.CrossRefGoogle Scholar
27Andrade, DR, Matsudo, SMM, Matsudo, VKR, Figueira, A Jr, Araújo, T, Andrade, E, Oliveira, L. Barriers to exercise adherence among activity young adults. Med. Sci. Sports Exerc. 1998; 30(5): S182.CrossRefGoogle Scholar
28Oliveira, LC, Andrade, DR, Figueira, A Jr, Araújo, T, Matsudo, VKR, Matsudo, SMM, Andrade, E. Physical activity barrier as related to behavior stage in white collar workers. Med. Sci. Sports Exerc. 1998; 30(5): S121.CrossRefGoogle Scholar
29Maresman, S, Matsudo, VKR, Nieves, C, Araújo, TL, Matsudo, SMM, Andrade, DR, Andrade, EL, Oliveira, LC. Coaliciones Multisectoriales en Salud–La Experiencia de Agita São Paulo. Washington, DC: Pan American Health Organization, 2001 [in press].Google Scholar
30Governo do Estado de São Paulo, Secretaria de Estado da Saúde. Programa Agita São Paulo. Manual de Orientação. São Paulo: Governo do Estado de São Paulo, 1998.Google Scholar
31Governo do Estado de São Paulo, Secretaria de Estado da Saúde. Programa Agita São Paulo: the São Paulo manifesto promoting physical activity in the Americas. ICSSPE Bull. 2000; 28: 37.Google Scholar
32Matsudo, V, Matsudo, S, Araújo, T, Andrade, DR, Andrade, EL, Oliveira, LC, Figueira, AJ Jr, Bracco, MM, Braggion, G. Agitando o médico e os agentes de saúde/Agita São Paulo: proposta de intervenção em grupos de profissionais de saúde. In: Anais do XXII Simpósio Internacional de Ciências do Esporte, São Paulo, Brasil. São Paulo, Brazil: CELAFISCS, 1999; 162.Google Scholar
33Gonçalves, LG, Figueira, A Jr, Oliva, M, Matsudo, VKR. Atividade física espontânea relacionada com o nível Sócio – econômico. In: Anais do XVIII Simpósio Internacional de Ciências do Esporte, São Paulo, Brasil. São Paulo, Brazil: CELAFISCS, 1992; S22.Google Scholar
34Paschoal, V, Andrade, D, Matsudo, S, Matsudo, VKR. Nutrition knowledge and physical activities habits in Ilhabela (Brazil) and the United States. In: Proceedings of The International Pre-Olympic Scientific Congress, Dallas, TX: Dallas, EUA: COI, 1996; S1047.Google Scholar
35Matsudo, SMM, Matsudo, VKR, Andrade, DR, Rocha, JR. Physical fitness and time spent watching T.V. in children from low socioeconomic region. Med. Sci. Sports Exerc. 1997; 29(5): S237.CrossRefGoogle Scholar
36Hardman, K, Marshall, J. World-wide survey on the state and status of physical education in schools. In: Proceedings of the World Summit on Physical Education. Berlin: ICSSPE, 2001; 15–36.Google Scholar
37Andrade, DR, Matsudo, SMM, Matsudo, VK, Araújo, T, Andrade, EL, Rocha, A, Andrade, RE, Rocha, J. Physical activity patterns in girls and boys from low socioeconomic region physical activity level in adolescents. Paper presented at XIXth International Seminar on Pediatric Work Physiology, England, September 1997.Google Scholar
38Figueira, A Jr, Oliveira, LC, Araújo, TL, Matsudo, SMM, Andrade, DR, Andrade, EL, Matsudo, VKR. Impacto do programa de promoção de atividade física na mídia não paga: experiência do programa Agita São Paulo. Revista Brasileira de Atividade Física e Saúde 2000; 5(2): 38–47.Google Scholar
39Bracco, M, Araújo, T, Matsudo, VKR, Matsudo, S, Andrade, D, Andrade, E, Figueira, A Jr, Oliveira, LC, Braggion, G, Rocha, N. Atividade física: quanto e como fazer para a prevenção e controle do diabetes mellitus tipo 2. Revista Diabetes Clínica 2000; 4(5): 368–70.Google Scholar
40Costa, HD, Matsudo, VKR, Matsudo, SMM, Andrade, EL. Effect of walking program on physical fitness and glycemic control in patients with diabetes type II (NIDDM). Med. Sci. Sports Exerc. 1998; 30(5): S361.CrossRefGoogle Scholar
41Pereira, MHN. Mudança na adiposidade de mulheres adultas após um programa de exercícios enriquecidos das técncas de modificação do comportamento. Revista Brasileira de Ciência e Movimento 1990; 4(4): 18–27.Google Scholar
42Teodosio, JP, Araújo, TL, Figueira, A Jr, Raso, V, Matsudo, VKR. Tendência secular da adiposidade de escolares residentes em região de baixo nível Sócio-econômico. In: Proceedings of XXIII Simpósio Internacional de Ciências do Esporte, São Paulo, Brasil. São Paulo, Brazil: CELAFISCS, 2000; 149.Google Scholar
43Marques, AC, Araújo, TL, Figueira, a Jr, Raso, V, Matsudo, VKR. Tendência secular das variáveis de aptidão física relactionadas á saúde em adolescentes de uma região de baixo nível sócio-econômico. In: Proceedings of XXIII Simpósio Internacional de Ciências do Esporte, São Paulo, Brasil. São Paulo, Brazil: CELAFISCS, 2000; 125.Google Scholar
44Ferreira, M, Matsudo, S, Andrade, E, Braggion, G, Matsudo, V. Relação entre a adequação alimentar e variáveis antropométricas de mulheres de 55 a 75 anos fisicamente ativas. In: Proceedings of XXIII Simpósio Internacional de Ciências do Esporte, São Paulo, Brasil. São Paulo, Brazil: CELAFISCS, 2000; 99.Google Scholar
45Braggion, GF, Matsudo, SMM, Matsudo, VKR. Consumo alimentar, atividade física e percepção da aparência corporal em adolescentes. Revista Brasileira de Ciência e Movimento 2000; 8(1): 15–21.Google Scholar
46Braggion, GF, Matsudo, SMM, Matsudo, VKR, Andrade, EL. Energy intake, anthropometric variables and body image in active elderly women as related to age. Med. Sci. Sports Exerc. 2000; 32(5): S219.Google Scholar
47Andrade, EL, Matsudo, VKR, Matsudo, SMM, Andrade, DR, Araújo, TL, Oliveira, LC, Braggion, GF, Raso, V. Level of physical activity in adults, including and excluding walking, according to the knowledge of Agita São Paulo Program. Med. Sci. Sports Exerc. 2001; 33(5): S179.CrossRefGoogle Scholar
48Matsudo, V, Matsudo, S, Araújo, T, Andrade, DR, Andrade, EL, Oliveira, LC, Figueira, AJ Jr, Braggion, G. Moderate, vigorous, and walking messages adopting in a physical activity intervention program, as related to chronological age. Med. Sci. Sports Exerc. 2001; 33(5): S1192.CrossRefGoogle Scholar
49Matsudo, VKR, Andrade, DR, Matsudo, SMM, Araujo, T, Andrade, E, Figueira, A Jr, Oliveira, LC. Impact of a community–school intervention program on physical activity behavior of male and female adolescents. Med. Sci. Sports Exerc. 1999; 31(5): S1327.CrossRefGoogle Scholar
50Andrade, D, Matsudo, S, Matsudo, V, Araújo, T, Andrade, E, Figueira, A Jr, Oliveira, L, Braggion, GF. Changes in physical activity knowledge level as related to health promotion among students after one year intervention program. Med. Sci. Sports Exerc. 2000; 32(5): S94.Google Scholar