Matsudo, Public Health Nutrition, Feb 2002 AGITA SÃO PAULO PROGRAM Scientific Evidences Other Countries Experiences Other Countries Experiences Epidemiological

Matsudo, Public Health Nutrition, Feb 2002 AGITA SÃO PAULO PROGRAM

Scientific EvidencesScientific Evidences

Other CountriesExperiences

Other CountriesExperiences

EpidemiologicalEpidemiological

Former BrazilianExperiences

Former BrazilianExperiences

Matsudo, Public Health Nutrition, Feb 2002

University of JyväskyläUniversity of JyväskyläUniversity of JyväskyläUniversity of Jyväskylä

5th Annual Congress of the5th Annual Congress of theEuropean College of Sports SciencesEuropean College of Sports Sciences

5th Annual Congress of the5th Annual Congress of theEuropean College of Sports SciencesEuropean College of Sports Sciences

Lessons of the Past for Guidance in the Future:Lessons of the Past for Guidance in the Future:Matching the Needs and PossibilitiesMatching the Needs and Possibilities

Lessons of the Past for Guidance in the Future:Lessons of the Past for Guidance in the Future:Matching the Needs and PossibilitiesMatching the Needs and Possibilities

Agita São Paulo ProgramAgita São Paulo ProgramVictor MatsudoVictor Matsudo

Agita São Paulo ProgramAgita São Paulo ProgramVictor MatsudoVictor Matsudo


Medical CommitteeMedical CommitteeMedical AssociationMedical Association

Medical TVMedical TVHealth ProfessionalsHealth Professionals

Medical StudentsMedical Students

Publishing inPublishing inScientific JournalsScientific Journals

OrthopedistsOrthopedistsProfileProfile

Other AreaOther AreaCongressesCongresses


Participation in RecommendedParticipation in RecommendedPhysical ActivityPhysical Activity

Excluding WalkingExcluding Walking Excluding WalkingExcluding Walking

OverallOverallOverallOverall

MenMenMenMen

WomenWomenWomenWomen

AGITA SÃO PAULO PROGRAM

GenderGender PercentPercent 95% CI95% CIGenderGender PercentPercent 95% CI95% CI

39.739.739.739.7

32.132.132.132.1

47.447.447.447.4

35.6 - 43.935.6 - 43.935.6 - 43.935.6 - 43.9

26.5 - 37.626.5 - 37.626.5 - 37.626.5 - 37.6

41.4 - 53.441.4 - 53.441.4 - 53.441.4 - 53.4



Including WalkingIncluding Walking Including WalkingIncluding Walking


MaleMaleMaleMale

FemaleFemaleFemaleFemale

GenderGender PercentPercent 95% CI95% CIGenderGender PercentPercent 95% CI95% CI

54.854.854.854.8

48.748.748.748.7

61.061.061.061.0

50.6 - 59.050.6 - 59.050.6 - 59.050.6 - 59.0

42.8 - 54.642.8 - 54.642.8 - 54.642.8 - 54.6

55.1 - 66.855.1 - 66.855.1 - 66.855.1 - 66.8





18 - 2918 - 2918 - 2918 - 29

30 - 4930 - 4930 - 4930 - 49

AgeAge PercentPercent 95% CI95% CIAgeAge PercentPercent 95% CI95% CI

39.739.739.739.7

54.354.354.354.3

36.036.036.036.0

35.6 - 43.935.6 - 43.935.6 - 43.935.6 - 43.9

45.7 - 63.045.7 - 63.045.7 - 63.045.7 - 63.0

30.0 - 42.030.0 - 42.030.0 - 42.030.0 - 42.0


> 50> 50> 50> 50 33.533.533.533.5 26.3 - 40.826.3 - 40.826.3 - 40.826.3 - 40.8





18 - 2918 - 2918 - 2918 - 29

30 - 4930 - 4930 - 4930 - 49

AgeAge PercentPercent 95% CI95% CIAgeAge PercentPercent 95% CI95% CI

54.854.854.854.8

63.563.563.563.5

47.247.247.247.2

50.6 - 59.050.6 - 59.050.6 - 59.050.6 - 59.0

55.2 - 71.955.2 - 71.955.2 - 71.955.2 - 71.9

41.0 - 53.441.0 - 53.441.0 - 53.441.0 - 53.4

> 50> 50> 50> 50 59.659.659.659.6 52.1 - 67.152.1 - 67.152.1 - 67.152.1 - 67.1








NoNoNoNo

YesYesYesYes

Know Principal Objective?Know Principal Objective? Percent Percent 95% CI 95% CIKnow Principal Objective?Know Principal Objective? Percent Percent 95% CI 95% CI

38.138.138.138.1

35.335.335.335.3

43.043.043.043.0

32.5 - 43.732.5 - 43.732.5 - 43.732.5 - 43.7

28.4 - 42.228.4 - 42.228.4 - 42.228.4 - 42.2

33.5 - 52.533.5 - 52.533.5 - 52.533.5 - 52.5






NoNoNoNo

YesYesYesYes


31.831.831.831.8

33.133.133.133.1

29.629.629.629.6

26.4 - 37.326.4 - 37.326.4 - 37.326.4 - 37.3

26.2 - 39.926.2 - 39.926.2 - 39.926.2 - 39.9

20.7 - 38.520.7 - 38.520.7 - 38.520.7 - 38.5

InactiveInactive InactiveInactive






NoNoNoNo

YesYesYesYes


55.955.955.955.9

53.953.953.953.9

59.559.559.559.5

50.2 - 61.750.2 - 61.750.2 - 61.750.2 - 61.7

46.7 - 61.146.7 - 61.146.7 - 61.146.7 - 61.1

50.1 - 68.950.1 - 68.950.1 - 68.950.1 - 68.9






NoNoNoNo

YesYesYesYes


10.910.910.910.9

13.113.113.113.1

7.17.17.17.1

7.2 - 14.57.2 - 14.57.2 - 14.57.2 - 14.5

8.1 - 18.08.1 - 18.08.1 - 18.08.1 - 18.0

2.0 - 12.12.0 - 12.12.0 - 12.12.0 - 12.1

InactiveInactive InactiveInactive


WorkersWorkers

StudentsStudents

ElderlyElderly

Targeting GroupsTargeting Groups



SurveillanceSurveillance

Physical Activity AttitudesPhysical Activity Attitudes

Physical Activity LevelPhysical Activity Level

Program KnowledgeProgram Knowledge

Behavior StagesBehavior Stages

KnowledgeKnowledge

BarriersBarriers


SciencesSciences

MysthicsMysthics

EthicsEthics

Partners SuccessPartners Success

AGITA SÃO PAULO PROGRAMPAHO ADVISER REPORT, 2000


Banners

Hand-fanCar tapeFolders

Bu

s-do

or

Mou

se p

ad

Um

brel

laT-Shirts

Posters

Stickers

Stickers

Marketing Materials



OutdoorOutdoor

PensPens

SlidesPresentation

SlidesPresentation

WrapWrap

PyramidsPyramids

PinsPins

Key-holderKey-holder

PlasticBags

PlasticBags

BallonsBallonsVideosVideos

BookmarkBookmark

BottonsBottons

Draft PapersBlock

Draft PapersBlock

RefrigeratorMagnetic

RefrigeratorMagnetic

MarketingMaterials

MarketingMaterials


Intellectual PartnershipIntellectual Partnership

• NationalNational• NationalNational

• InternationalInternational• InternationalInternational

• Scientific BoardScientific Board• Scientific BoardScientific Board


• GovernmentalGovernmental• GovernmentalGovernmental

• Non-GovernmentalNon-Governmental• Non-GovernmentalNon-Governmental

• Executive Board (Monthly Meeting)Executive Board (Monthly Meeting)• Executive Board (Monthly Meeting)Executive Board (Monthly Meeting)


Institution PartnershipInstitution Partnership


Inclusion PrincipleInclusion Principle• IntellectualIntellectual• IntellectualIntellectual

• InstitutionalInstitutional• InstitutionalInstitutional

• Using the Existing Structured Programs and GroupsUsing the Existing Structured Programs and Groups• Using the Existing Structured Programs and GroupsUsing the Existing Structured Programs and Groups

• One-step-ahead ModelOne-step-ahead Model• One-step-ahead ModelOne-step-ahead Model

• Message:Message:• Message:Message:

- Moderate- Moderate- Moderate- Moderate - Cumulative- Cumulative - Cumulative- Cumulative


• Brazilian Ministery of HealthBrazilian Ministery of Health• Brazilian Ministery of HealthBrazilian Ministery of Health


Political AspectsPolitical Aspects• São Paulo State Secretary of HealthSão Paulo State Secretary of Health• São Paulo State Secretary of HealthSão Paulo State Secretary of Health

• The São Paulo ManifestoThe São Paulo Manifesto• The São Paulo ManifestoThe São Paulo Manifesto

• World Health Organization (WHO)World Health Organization (WHO)• World Health Organization (WHO)World Health Organization (WHO)

• Pan-American Health Organization (PAHO)Pan-American Health Organization (PAHO)• Pan-American Health Organization (PAHO)Pan-American Health Organization (PAHO)

• Centers for Disease Control and Prevention (CDC)Centers for Disease Control and Prevention (CDC)• Centers for Disease Control and Prevention (CDC)Centers for Disease Control and Prevention (CDC)


Politics Environment Curriculum on Health Education Extra-Curriculum Activities Family Involvement Human Resources Training Health Services Community Programs Evaluation

Politics Environment Curriculum on Health Education Extra-Curriculum Activities Family Involvement Human Resources Training Health Services Community Programs Evaluation

RECOMMENDATIONS TO INTERVENTION PROGRAMSTO PROMOTE PHYSICAL ACTIVITY POPULATION

RECOMMENDATIONS TO INTERVENTION PROGRAMSTO PROMOTE PHYSICAL ACTIVITY POPULATION


TYPES OF ECOLOGICAL MODELSTYPES OF ECOLOGICAL MODELSTYPES OF ECOLOGICAL MODELSTYPES OF ECOLOGICAL MODELS

Number of behavior settingsNumber of behavior settings

Acess to behavior settingsAcess to behavior settings

Use of activity behavior settingsUse of activity behavior settings

The number of supervised programsThe number of supervised programs

Acess to, and quality of, programsAcess to, and quality of, programs

Use of youth activity programsUse of youth activity programs

Number of behavior settingsNumber of behavior settings

Acess to behavior settingsAcess to behavior settings

Use of activity behavior settingsUse of activity behavior settings

The number of supervised programsThe number of supervised programs

Acess to, and quality of, programsAcess to, and quality of, programs

Use of youth activity programsUse of youth activity programs


São Paulo Rio de Janeiro Porto Alegre Belo Horizonte Curitiba Brasília

São Paulo Rio de Janeiro Porto Alegre Belo Horizonte Curitiba Brasília

CARDIO-VASCULAR MORTALITY RATES

(Deaths/100.000) 45-64 ys


(Deaths/100.000) 45-64 ys

306.2400.1402.2210.8389.9139.3

306.2400.1402.2210.8389.9139.3

107.7143.2123.8 62.7135.4 58.4

107.7143.2123.8 62.7135.4 58.4

MenMen WomenWomen

XIII World Congress of Cardiology , Brazil 1998XIII World Congress of Cardiology , Brazil 1998


300.000820

341

300.000820

341

CARDIO-VASCULAR MORTALITY IN BRAZILCARDIO-VASCULAR

MORTALITY IN BRAZIL

Deaths per yearDeaths per dayDeaths per hourDeaths every 2 min

Deaths per yearDeaths per dayDeaths per hourDeaths every 2 min



Florianopolis Salvador Recife Belem Natal Campo Grande

Florianopolis Salvador Recife Belem Natal Campo Grande


(Deaths/100.000) 45-64 ys


(Deaths/100.000) 45-64 ys

234.4182.9274.7220.0206.2307.4

234.4182.9274.7220.0206.2307.4

62.4 79.4100.9 80.3 51.2133.9

62.4 79.4100.9 80.3 51.2133.9

MenMen WomenWomen



NationalNationalNationalNational

Scientific BoardScientific BoardScientific BoardScientific Board

Agita São PauloAgita São PauloState Health State Health

SecretarySecretaryState Health State Health

SecretarySecretary

Executive BoardExecutive BoardExecutive BoardExecutive Board

InternationalInternationalInternationalInternational Non-GovernmentalNon-GovernmentalNon-GovernmentalNon-GovernmentalGovernmentalGovernmentalGovernmentalGovernmental

Target GroupsTarget GroupsTarget GroupsTarget Groups

StudentsStudentsStudentsStudents WorkersWorkersWorkersWorkers ElderlyElderlyElderlyElderly

CELAFISCSCELAFISCSCELAFISCSCELAFISCS


BRAZILIAN RATES MORTALITY BRAZILIAN RATES MORTALITY

30

40

50

60

70

80

90

100

80 82 84 86 88 90 92 94 95

DEATHS /100000

STROKE STROKE

CANCERCANCER

HEART ATTACK HEART ATTACK

YEARS

DATA SUS

TUBERCULOSISTUBERCULOSIS


FoldersFolders FlyersFlyers AgitaNewsletter

AgitaNewsletter

PostersPostersEducationalMaterials

EducationalMaterials

VideosVideos

ManualManual Cable TVConferenceCable TV

ConferenceHome-pageHome-page


Program ImpactProgram Impact• Participation in Scientific MeetingsParticipation in Scientific Meetings 2828• Participation in Scientific MeetingsParticipation in Scientific Meetings 2828

• Participation in Meetings of PartnersParticipation in Meetings of Partners 7979• Participation in Meetings of PartnersParticipation in Meetings of Partners 7979

• Presentation of ProgramPresentation of Program 197 197• Presentation of ProgramPresentation of Program 197 197

• Scientific StudiesScientific Studies 2020• Scientific StudiesScientific Studies 2020

• Publication in NewspapersPublication in Newspapers 8686• Publication in NewspapersPublication in Newspapers 8686

• Publication in National JournalsPublication in National Journals 1414• Publication in National JournalsPublication in National Journals 1414

AGITA SÃO PAULO PROGRAM18 MONTHS PERIOD


Program ImpactProgram Impact• Publication in Journals of the PartnersPublication in Journals of the Partners 5252• Publication in Journals of the PartnersPublication in Journals of the Partners 5252

• National Broadcasting TVNational Broadcasting TV 3535• National Broadcasting TVNational Broadcasting TV 3535

• International Broadcasting TVInternational Broadcasting TV 5 5• International Broadcasting TVInternational Broadcasting TV 5 5

• Radio ProgramsRadio Programs 2525• Radio ProgramsRadio Programs 2525

• Questionnaire AppliedQuestionnaire Applied 21.117 21.117• Questionnaire AppliedQuestionnaire Applied 21.117 21.117

• Person/Message AttainedPerson/Message Attained 83.749.602 83.749.602• Person/Message AttainedPerson/Message Attained 83.749.602 83.749.602

AGITA SÃO PAULO PROGRAM18 MONTHS PERIOD


WorkersWorkers

AgitaAgitaGaleraGalera

ActiveElderlyActiveElderly

MegaeventsMegaevents



• Everyday Home ActivitiesEveryday Home Activities• Everyday Home ActivitiesEveryday Home Activities

• Transport ActivitiesTransport Activities• Transport ActivitiesTransport Activities

• Leisure Time ActivitiesLeisure Time Activities• Leisure Time ActivitiesLeisure Time Activities

SettingsSettings



• WorkshopsWorkshops• WorkshopsWorkshops

• Agita AgentsAgita Agents• Agita AgentsAgita Agents

• Agita-NetAgita-Net• Agita-NetAgita-Net

Human ResourcesHuman Resources



• Inclusion PrincipleInclusion Principle• Inclusion PrincipleInclusion Principle

• Partnership: Intellectual and InstitutionalPartnership: Intellectual and Institutional• Partnership: Intellectual and InstitutionalPartnership: Intellectual and Institutional

• Empowering the Partnership AgendaEmpowering the Partnership Agenda• Empowering the Partnership AgendaEmpowering the Partnership Agenda

• Similar Cause and Differences in ActionSimilar Cause and Differences in Action• Similar Cause and Differences in ActionSimilar Cause and Differences in Action

• Inter and Intrasectorial Partnership BalanceInter and Intrasectorial Partnership Balance• Inter and Intrasectorial Partnership BalanceInter and Intrasectorial Partnership Balance

Lessons of the Past for Guidance in the Lessons of the Past for Guidance in the Future:Future:

Matching the Needs and PossibilitiesMatching the Needs and Possibilities








• Non-Paid Media ApproachNon-Paid Media Approach• Non-Paid Media ApproachNon-Paid Media Approach

• Scientific SoundScientific Sound• Scientific SoundScientific Sound

• One Step-Ahead ModelOne Step-Ahead Model• One Step-Ahead ModelOne Step-Ahead Model

• Clear, Simple, and Feasible MessageClear, Simple, and Feasible Message• Clear, Simple, and Feasible MessageClear, Simple, and Feasible Message

• Cultural Adaptation - PleasureCultural Adaptation - Pleasure• Cultural Adaptation - PleasureCultural Adaptation - Pleasure

• SurveillanceSurveillance• SurveillanceSurveillance


Learned LessonsLearned Lessons• PartnershipsPartnerships• PartnershipsPartnerships

• Dream and Act With PotentialitiesDream and Act With Potentialities• Dream and Act With PotentialitiesDream and Act With Potentialities

• Empowering the Partnership AgendaEmpowering the Partnership Agenda• Empowering the Partnership AgendaEmpowering the Partnership Agenda

• Similar Cause and Differences in ActionSimilar Cause and Differences in Action• Similar Cause and Differences in ActionSimilar Cause and Differences in Action

• Scientific Knowledge + Practical ActionsScientific Knowledge + Practical Actions• Scientific Knowledge + Practical ActionsScientific Knowledge + Practical Actions

• Clear, Simple, and Feasible MessageClear, Simple, and Feasible Message• Clear, Simple, and Feasible MessageClear, Simple, and Feasible Message


Learned LessonsLearned Lessons• Improve Capacities and PotentialitiesImprove Capacities and Potentialities• Improve Capacities and PotentialitiesImprove Capacities and Potentialities

• Low Level of Demanding in the PartnershipLow Level of Demanding in the Partnership• Low Level of Demanding in the PartnershipLow Level of Demanding in the Partnership

• Personal Relationship SuccessPersonal Relationship Success• Personal Relationship SuccessPersonal Relationship Success

• Work + PleasureWork + Pleasure• Work + PleasureWork + Pleasure

• People Make the Partnership, Not Only the InstitutionsPeople Make the Partnership, Not Only the Institutions• People Make the Partnership, Not Only the InstitutionsPeople Make the Partnership, Not Only the Institutions

• Autonomy and FreedomAutonomy and Freedom• Autonomy and FreedomAutonomy and Freedom

• Manage Potential Differences Among InstitutionsManage Potential Differences Among Institutions• Manage Potential Differences Among InstitutionsManage Potential Differences Among Institutions

SEDENTARYSEDENTARYSEDENTARYSEDENTARY

SOMEWHAT ACTIVESOMEWHAT ACTIVE SOMEWHAT ACTIVESOMEWHAT ACTIVE

REGULARLY ACTIVEREGULARLY ACTIVEREGULARLY ACTIVEREGULARLY ACTIVE

VERY ACTIVEVERY ACTIVEVERY ACTIVEVERY ACTIVE

ONEONESTEPSTEP

AHEADAHEADMODELMODEL

ONEONESTEPSTEP

AHEADAHEADMODELMODEL


G O VERNM ENTALINSTITUTIO NS

NON-GOVERNMENTALINSTITUTIO NS

EXECUTIVE BO ARD

HEALTH SECRETARY

NATIO NAL INTERNATIO NAL

SCIENTIFIC BO ARD

CELAFISCS

AGITA SÃO PAULOAGITA SÃO PAULOAGITA SÃO PAULOAGITA SÃO PAULO

CELAFISCSCELAFISCS


NON - PAID MEDIA IMPACTNON - PAID MEDIA IMPACT TELEVISIONTELEVISION

• TV - LectureTV - Lecture 240 min240 min• Children ProgramChildren Program 30 min30 min• Adolescent ProgramAdolescent Program 30 min30 min• Docummentary Docummentary 30 min30 min

ProgramsPrograms

News ReportsNews Reports 23 flashes23 flashes 245 min 245 min

OnlookersOnlookers 21,400,00021,400,000

RADIORADIO25 Flashes 25 Flashes 240 min240 minAudienceAudience 1,400,0001,400,000


Estimated People Reached Single MessageEstimated People Reached Single Message

35,944,22535,944,225

Saved money U$ 12,960,000Saved money U$ 12,960,000Saved money U$ 12,960,000Saved money U$ 12,960,000

Costs of TV Program 30 sec : U$ 12,000Costs of TV Program 30 sec : U$ 12,000

Money saved in TV timeMoney saved in TV time

COMMUNITY IMPACTCOMMUNITY IMPACTCOMMUNITY IMPACTCOMMUNITY IMPACT


AGITOLAGITOL

THE FORMULA FOR ACTIVE

LIVING

THE FORMULA FOR ACTIVE

LIVING


0

10

20

30

40

50

60

70

80

90

Alcholism Obesity Hypertension Tabagism Sedentarism

Prevalence of Risk Factors São Paulo CityPrevalence of Risk Factors São Paulo City

Rego et al. Public Health Journal, 1990Rego et al. Public Health Journal, 1990

MalesMalesFemalesFemalesOverallOverall

%%


7,7 9,7

1822,3

37,9

69,3

0

10

20

30

40

50

60

70

Alcholism Diabetes Obesity Hypertension Tabagism Sedentarism

Prevalence of Risk Factors São Paulo CityPrevalence of Risk Factors São Paulo City

Rego et al. Public Health Journal, 1990Rego et al. Public Health Journal, 1990

%%


How many days in a usual week doyou do vigorous PA at least 10 min. ?How many days in a usual week do

you do vigorous PA at least 10 min. ?

0

10

20

30

40

50

60

None 1 - 4 5 - 7

%%

n = 641 (312 men and 329 women / São Paulo Metropolitan Arean = 641 (312 men and 329 women / São Paulo Metropolitan Area

26.526.5

55.555.5

Days/weekDays/week

12.812.8


Agita

AmericaAgita

America


Agita

WorldAgita

World


Agita

São PauloAgita

São Paulo


0

10

20

30

40

50

60

70

0

10

20

30

40

50

60

0

10

20

30

40

50

60

How many days in a usual week do you do vigorous PA at least 10 min.?

How many days in a usual week do you do vigorous PA at least 10 min.?

São Bernardo do CampoSão Bernardo do CampoSão Caetano do SulSão Caetano do Sul

Santo AndréSanto André

%%

%% %%

NoneNone

1 to 4/week1 to 4/week

5 to 7/week5 to 7/week

54.754.7

26.726.7

14.914.9

60.460.4

26.726.7

9.99.9

50.050.0

25.925.9

14.114.1


How much time do you spend perday in vigorous PA ?

How much time do you spend perday in vigorous PA ?

0

5

10

15

20

25

30

35

40

45

50

%%

0 - 400 - 40

Santo AndréSão Bernardo do CampoSão Caetano do Suln = 641 (312 men and 329 women)


49.249.2

24.624.6

Minutes per dayMinutes per day

19.919.9

6.06.0

41 - 16041 - 160 161 - 360161 - 360 361 - 600361 - 600


0

5

10

15

20

25

30

35

40

%%

NoneNone 1 to 41 to 4 5 to 75 to 7



30.530.5

37.437.4

Days per weekDays per week

28.328.3

How many days in a usual weekdo you do moderate PA at least 10 min.?

How many days in a usual weekdo you do moderate PA at least 10 min.?


0

5

10

15

20

25

30

35

40

45

%%

0 - 400 - 40



40.740.7

23.923.9

Minutes per dayMinutes per day

27.127.1

7.27.2

41 - 16041 - 160 161 - 360161 - 360 361 - 600361 - 600

How much time do you spend perday in PA moderate?

How much time do you spend perday in PA moderate?


0

20

40

60

80

100

>150 min < 150 min

0

20

40

60

80

>150 min < 150 min

STUDENTS PHYSICAL ACTIVTY INVOLVEMENT (%) IN VIGOROUS ACTIVITIES PRE AND POST

INTERVENTION

STUDENTS PHYSICAL ACTIVTY INVOLVEMENT (%) IN VIGOROUS ACTIVITIES PRE AND POST

INTERVENTION

MALE FEMALE

PRE INTERVENTION POST INTERVENTION

MATSUDO, V. et al, ACSM 99MATSUDO, V. et al, ACSM 99

*

* p < .05


0

20

40

60

80

100

>150 min < 150 min

0

20

40

60

80

100

>150 min < 150 min

STUDENTS PHYSICAL ACTIVTY INVOLVEMENT (%) IN MODERATE ACTIVITIES PRE AND POST

INTERVENTION

STUDENTS PHYSICAL ACTIVTY INVOLVEMENT (%) IN MODERATE ACTIVITIES PRE AND POST

INTERVENTION

MALE FEMALE

PRE INTERVENTION POST INTERVENTION

MATSUDO, V. et al, ACSM 99MATSUDO, V. et al, ACSM 99


Agita (top of mind) X Educational LevelAgita (top of mind) X Educational Level

0

10

20

30

40

50

60

70

%%

0 - 30 - 3 4 - 74 - 7 8 - 108 - 10 11 - 1411 - 14 > 14> 14

Years at schoolYears at school

1818

4848

61616464 5353

Andrade, E.L. et al. Impact of a physical activity promotion program according to education years.Pre-Olympic Scientific Congress,

Brisbane, Australia, 2000. Andrade, E.L. et al. Impact of a physical activity promotion program according to education years.Pre-Olympic Scientific Congress,

Brisbane, Australia, 2000.

n = 641 (312 men and 329 women)São Paulo Metropolitan Arean = 641 (312 men and 329 women)São Paulo Metropolitan Area


0

5

10

15

20

25

30

35

40

%%

0 - 30 - 3 4 - 74 - 7 8 - 108 - 10 11 - 1411 - 14 > 14> 14

years at schoolyears at school

44

1212

22222424

3737

Agita Purpose X Educational LevelAgita Purpose X Educational Leveln = 641 (312 men and 329 women)São Paulo Metropolitan Arean = 641 (312 men and 329 women)São Paulo Metropolitan Area

Andrade, E.L. et al. Impact of a physical activity promotion program according to education years. Pre-Olympic Scientific Congress,

Brisbane, Australia, 2000. Andrade, E.L. et al. Impact of a physical activity promotion program according to education years. Pre-Olympic Scientific Congress,

Brisbane, Australia, 2000.


Matsudo, S.M.M. et al. Impact of a physical activity promotion program on the three different communities. Pre-Olympic Scientific

Congress, Brisbaine, Austrália, 2000. Matsudo, S.M.M. et al. Impact of a physical activity promotion program on the three different communities. Pre-Olympic Scientific

Congress, Brisbaine, Austrália, 2000.

0 10 20 30 40 50 60

Knowledge level about AgitaKnowledge level about Agita

Heard about programHeard about program

Message missingMessage missing

Message fineMessage fine

n = 641 (312 men and 329 women) São Paulo metropolitan arean = 641 (312 men and 329 women) São Paulo metropolitan area

%%

53.053.0

33.533.5

19.519.5


Matsudo, S.M.M. et al. Impact of a physical activity promotion program on the three different communities. Pre-Olympic Scientific

Congress, Brisbaine, Austrália, 2000. Matsudo, S.M.M. et al. Impact of a physical activity promotion program on the three different communities. Pre-Olympic Scientific

Congress, Brisbaine, Austrália, 2000.

Knowledge level about AgitaKnowledge level about Agita

n = 641 (312 men and 329 women) São Paulo metropolitan arean = 641 (312 men and 329 women) São Paulo metropolitan area

%%0 20 40 60

Heradedmessage

Never heard

Message Fine Messgem Missing

47.047.0

33.533.519.519.5


Agita Purpose X Socioeconomic LevelAgita Purpose X Socioeconomic Level

Oliveira, L.C. et al. Level of knowledge about a physical activity program according to socioeconomic level. Pre-Olympic Scientific

Congress, Brisbane, Australia, 2000. Oliveira, L.C. et al. Level of knowledge about a physical activity program according to socioeconomic level. Pre-Olympic Scientific

Congress, Brisbane, Australia, 2000.

0

10

20

30

40

50

60

70

%%

AA B1B1 B2B2 CC DD

Socio-economic levelSocio-economic level

67,667,6

28,828,834,434,4 33,833,8 33,333,3

n = 641 (312 men and 329 women)São Paulo Metropolitan Arean = 641 (312 men and 329 women)São Paulo Metropolitan Area


Araújo, T.L. Physical activity patterns among adults in a developing country. Pre-Olympic Scientific Congress, Brisbaine, Austrália, 2000. Araújo, T.L. Physical activity patterns among adults in a developing country. Pre-Olympic Scientific Congress, Brisbaine, Austrália, 2000.

PA pattern in adults from São Paulometropolitan area

PA pattern in adults from São Paulometropolitan area

37% no register moderate PA (> 10 min.session-1)

59% envolving in moderate PA

28% moderate PA (> 5 days/week)

56% no register vigorous PA (> 10min.session-1)

39.0% envolving in vigorous PA (at least 10 min.session-1)

34.9% no walk in moderate step (at least 10 min.day-1)

34.8% walk > 5 days/week

37% no register moderate PA (> 10 min.session-1)

59% envolving in moderate PA

28% moderate PA (> 5 days/week)

56% no register vigorous PA (> 10min.session-1)

39.0% envolving in vigorous PA (at least 10 min.session-1)

34.9% no walk in moderate step (at least 10 min.day-1)

34.8% walk > 5 days/week


Physical activity levelPhysical activity level

Muévete BogotaMuévete Bogota

Physically inactiveNo report of any type of physical activity at least 10

minutes

Irregularly activeReport ativity of any intensity, < 4 days per week

and/or < 30 minutes/day or both

Regularly activeReport ativity of any intensity, more than 4 days per

week and more than 30 minutes per day

Physically inactiveNo report of any type of physical activity at least 10

minutes

Irregularly activeReport ativity of any intensity, < 4 days per week

and/or < 30 minutes/day or both

Regularly activeReport ativity of any intensity, more than 4 days per

week and more than 30 minutes per day


Physical activity level - BogotaPhysical activity level - BogotaPhysical activity level - BogotaPhysical activity level - Bogota

33333333

63636363

4444

%%%%

SedentarySedentarySedentarySedentary

Irregularly activeIrregularly activeIrregularly activeIrregularly active

Regularly activeRegularly activeRegularly activeRegularly active

Muévete BogotaMuévete BogotaMuévete BogotaMuévete Bogota

0

10

20

30

40

50

60

70

Regular Irregular Sedentary

0

10

20

30

40

50

60

70

Regular Irregular Sedentary


63 subjects - Senior center63 subjects - Senior center63 subjects - Senior center63 subjects - Senior center

Self-report & interview concordanceSelf-report & interview concordanceSelf-report & interview concordanceSelf-report & interview concordance

• Moderate PA FreqModerate PA Freq

• Moderate PA TimeModerate PA Time

• Vigorous PA FreqVigorous PA Freq

• Vigorous PA TimeVigorous PA Time

• Transport FreqTransport Freq

• Transport TimeTransport Time

QUESTIONQUESTIONQUESTIONQUESTION SelfSelfSelfSelf IntervieIntervieww

IntervieIntervieww

2.572.571.141.14

57.1957.1945.8645.864.584.580.840.84

38.4838.4843.7543.752.712.711.561.5637.837.8

16.9916.99

2.572.571.141.14

57.1957.1945.8645.864.584.580.840.84

38.4838.4843.7543.752.712.711.561.5637.837.8

16.9916.99* p < .01* p < .01* p < .01* p < .01

xxssxxssxxssxxssxxssxxss

xxssxxssxxssxxssxxssxxss

2.702.701.711.71

64.4164.4150.4250.423.723.722.122.12

62.9362.9363.0863.083.673.672.242.2453.953.9

29.7629.76

2.702.701.711.71

64.4164.4150.4250.423.723.722.122.12

62.9362.9363.0863.083.673.672.242.2453.953.9

29.7629.76

.12.12

.01.01

.01.01

.62*.62*

-.09-.09

.25*.25*

.12.12

.01.01

.01.01

.62*.62*

-.09-.09

.25*.25*

rrrr


n: 16 - Adolescents low socioeconomic regionn: 16 - Adolescents low socioeconomic regionn: 16 - Adolescents low socioeconomic regionn: 16 - Adolescents low socioeconomic region

REPRODUCIBILITYREPRODUCIBILITYREPRODUCIBILITYREPRODUCIBILITY

Moderate PA FreqModerate PA Freq

Moderate PA TimeModerate PA Time

Vigorous PA FreqVigorous PA Freq

Vigorous PA TimeVigorous PA Time

QUESTIONQUESTIONQUESTIONQUESTION PrePrePrePre PostPostPostPost

3.813.812.192.19

84.6984.6972.1572.154.314.313.343.34

60.1360.1355.8755.87

3.813.812.192.19

84.6984.6972.1572.154.314.313.343.34

60.1360.1355.8755.87

* p < .01* p < .01* p < .01* p < .01

xxssxxssxxssxxss

xxssxxssxxssxxss

3.813.812.172.17

69.6969.6969.1569.15

3.53.52.972.97

45.1845.1849.6849.68

3.813.812.172.17

69.6969.6969.1569.15

3.53.52.972.97

45.1845.1849.6849.68

.87*.87*

.82*.82*

.66*.66*

.72*.72*

.87*.87*

.82*.82*

.66*.66*

.72*.72*

rrrr


MORTE TABAGISMOMORTE TABAGISMO

BocaBoca

EsôfagoEsôfago

PâncreasPâncreas

PulmãoPulmão

BexigaBexigaMMWR, 42:645-649, 1990MMWR, 42:645-649, 1990

HomemHomem MulherMulher

27,527,5 5,65,6

7,67,6 10,310,3

2,12,1 2,32,3

22,422,4 11,911,9

2,92,9 2,62,6

XX

Documents

Matsudo, Public Health Nutrition, Feb 2002 AGITA SÃO PAULO PROGRAM Scientific Evidences Other Countries Experiences Other Countries Experiences Epidemiological