Tackling Youth Inactivity and Sedentary Behavior in an Entire Latin America City

Real-world interventions are fundamental to bridge the research-practice gap in healthy lifestyle promotion. This study aimed to assess the impact of a 7-month, intensive, city-wide intervention (“Life of Health”) on tackling youth inactivity and sedentary behavior in an entire Latin-American city (...

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Main Authors: Marcio Atalla, Ana Jessica Pinto, Gregore Iven Mielke, Erica Passos Baciuk, Fabiana Braga Benatti, Bruno Gualano
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-10-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fped.2018.00298/full
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author Marcio Atalla
Ana Jessica Pinto
Gregore Iven Mielke
Gregore Iven Mielke
Erica Passos Baciuk
Fabiana Braga Benatti
Bruno Gualano
author_facet Marcio Atalla
Ana Jessica Pinto
Gregore Iven Mielke
Gregore Iven Mielke
Erica Passos Baciuk
Fabiana Braga Benatti
Bruno Gualano
author_sort Marcio Atalla
collection DOAJ
description Real-world interventions are fundamental to bridge the research-practice gap in healthy lifestyle promotion. This study aimed to assess the impact of a 7-month, intensive, city-wide intervention (“Life of Health”) on tackling youth inactivity and sedentary behavior in an entire Latin-American city (Jaguariuna, Brazil). For youth, a program focused on tackling inactivity/sedentary behavior was delivered at every school (n = 18). Plausibility assessments (pre-to-post design) were performed with 3,592 youth (out of 8,300 individuals at school age in the city) to test the effectiveness of the intervention. Primary outcomes were physical activity and sedentary behavior. Secondary outcome was BMI z-score. Physical activity did not change (0; 95%CI:-2.7–2.8 min/day; p = 0.976), although physically inactive sub-group increased physical activity levels (11.2; 95%CI:8.8–13.6 min/day; p < 0.001). Weekday television and videogame time decreased, whereas computer time increased. Participants with overweight and obesity decreased BMI z-score (-0.08; 95%CI:-0.11−0.05; p < 0.001; −0.15; 95%CI:-0.19−0.11; p < 0.001). This intervention was not able to change the proportion of physical inactivity and sedentary behavior in youth at a city level. Nonetheless, physically inactive individuals increased PA levels and participants with overweight and obesity experienced a reduction in BMI z-score, evidencing the relevance of the intervention. Education-based lifestyle programs should be supplemented with environmental changes to better tackle inactivity/sedentary behavior in the real-world.
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spelling doaj.art-4715077a10934da380361064b22dffe52022-12-22T00:52:01ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602018-10-01610.3389/fped.2018.00298415883Tackling Youth Inactivity and Sedentary Behavior in an Entire Latin America CityMarcio Atalla0Ana Jessica Pinto1Gregore Iven Mielke2Gregore Iven Mielke3Erica Passos Baciuk4Fabiana Braga Benatti5Bruno Gualano6Wellness Center, São Paulo, BrazilClinical Hospital HCFMUSP, School of Medicine FMUSP, University of São Paulo, São Paulo, BrazilPostgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, BrazilSchool of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, AustraliaCentro Universitário de Jaguariúna, Jaguariúna, BrazilClinical Hospital HCFMUSP, School of Medicine FMUSP, University of São Paulo, São Paulo, BrazilClinical Hospital HCFMUSP, School of Medicine FMUSP, University of São Paulo, São Paulo, BrazilReal-world interventions are fundamental to bridge the research-practice gap in healthy lifestyle promotion. This study aimed to assess the impact of a 7-month, intensive, city-wide intervention (“Life of Health”) on tackling youth inactivity and sedentary behavior in an entire Latin-American city (Jaguariuna, Brazil). For youth, a program focused on tackling inactivity/sedentary behavior was delivered at every school (n = 18). Plausibility assessments (pre-to-post design) were performed with 3,592 youth (out of 8,300 individuals at school age in the city) to test the effectiveness of the intervention. Primary outcomes were physical activity and sedentary behavior. Secondary outcome was BMI z-score. Physical activity did not change (0; 95%CI:-2.7–2.8 min/day; p = 0.976), although physically inactive sub-group increased physical activity levels (11.2; 95%CI:8.8–13.6 min/day; p < 0.001). Weekday television and videogame time decreased, whereas computer time increased. Participants with overweight and obesity decreased BMI z-score (-0.08; 95%CI:-0.11−0.05; p < 0.001; −0.15; 95%CI:-0.19−0.11; p < 0.001). This intervention was not able to change the proportion of physical inactivity and sedentary behavior in youth at a city level. Nonetheless, physically inactive individuals increased PA levels and participants with overweight and obesity experienced a reduction in BMI z-score, evidencing the relevance of the intervention. Education-based lifestyle programs should be supplemented with environmental changes to better tackle inactivity/sedentary behavior in the real-world.https://www.frontiersin.org/article/10.3389/fped.2018.00298/fullphysical activitysedentarismhealthy lifestyleschool-based interventionobesity
spellingShingle Marcio Atalla
Ana Jessica Pinto
Gregore Iven Mielke
Gregore Iven Mielke
Erica Passos Baciuk
Fabiana Braga Benatti
Bruno Gualano
Tackling Youth Inactivity and Sedentary Behavior in an Entire Latin America City
Frontiers in Pediatrics
physical activity
sedentarism
healthy lifestyle
school-based intervention
obesity
title Tackling Youth Inactivity and Sedentary Behavior in an Entire Latin America City
title_full Tackling Youth Inactivity and Sedentary Behavior in an Entire Latin America City
title_fullStr Tackling Youth Inactivity and Sedentary Behavior in an Entire Latin America City
title_full_unstemmed Tackling Youth Inactivity and Sedentary Behavior in an Entire Latin America City
title_short Tackling Youth Inactivity and Sedentary Behavior in an Entire Latin America City
title_sort tackling youth inactivity and sedentary behavior in an entire latin america city
topic physical activity
sedentarism
healthy lifestyle
school-based intervention
obesity
url https://www.frontiersin.org/article/10.3389/fped.2018.00298/full
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