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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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2018-10-01
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Series: | Frontiers in Pediatrics |
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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. |
first_indexed | 2024-12-11T20:22:54Z |
format | Article |
id | doaj.art-4715077a10934da380361064b22dffe5 |
institution | Directory Open Access Journal |
issn | 2296-2360 |
language | English |
last_indexed | 2024-12-11T20:22:54Z |
publishDate | 2018-10-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Pediatrics |
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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