Methodological evaluation of leisure-time physical activity interventions in adults with obesity: a systematic review
DOI:
https://doi.org/10.12820/rbafs.23e0029Palabras clave:
Program evaluation, Motor activity, Obesity, Adults, ReviewResumen
The aim of the present study was to systematize and analyze the methodological quality of physical activity interventions in leisure time in obese adults. A systematic review was conducted between June and August 2017 through four electronic databases (PubMed, Lilacs, ScienceDirect and Web of Science). A total of two researchers selected articles and, through consensus, analyzed these articles using the RE-AIM framework, which aims to identify the following dimensions: reach, effectiveness, adoption, implementation and maintenance of interventions. Of the 2,334 articles selected, nine met all eligibility criteria. The mean duration of the interventions was 14 weeks, with strategies including mainly aerobic exercises and nutritional monitoring. When the individual studies were taken into consideration, 67% reported at least one category of each dimension. The dimension with the highest reported proportion was “reach”, found in 65% of the interventions. The “effectiveness”, “adoption” (organizational and staff), “implementation” and “maintenance” dimensions (individual and organizational) were reported in less than 40% of the items investigated for this information. The conclusion is that most of intervention studies reported the “reach” dimension, while only a few described “maintenance”. Thus, it is suggested that future studies should previously look at the presentation of the total effect of the intervention and the methods applied, offering detailed information about each procedure. The scientific and practical scenario will provide relevant information about construction, application and subsequent follow-up of the interventions in leisure-time physical activity for obese adults.
Descargas
Los datos de descargas todavía no están disponibles.
Citas
1. Francisqueti FV, Nascimento AF, Corrêa CR. Obesidade, inflamação e complicações metabólicas. Nutrire. 2015;40(1):81–9.
2. Goossens GH. The role of adipose tissue dysfunction in the pathogenesis of obesity-related insulin resistance. Physiol Behav. 2008;94(2):206-18.
3. GBD Global Burden of Disease Study 2015. Obesity and Overweight Prevalence 1980-2015 [online]. Institute for Health Metrics and Evaluation; 2017. [citado 2018 jan 17]. Disponível em: http://ghdx.healthdata.org/record/global-burden-disease-study-2015-gbd-2015-obesity-and-overweight-prevalence-1980-2015.
4. ABESO. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. Mapa da Obesidade [Online]. 2009 [citado 2017 out 24]. Disponível em: http://www.abeso.org.br/atitude- saudavel/mapa-obesidade.
5. Goyal A, Nimmakayala KR, Zonszein J. Is there a paradox in obesity? Cardiol Rev. 2014;22(4):163-70.
6. WHO. World Health Organization. Obesity [Online]. WHO. [citado 2018 fev 1]. Disponível em: http://www.who.int/topics/obesity/en/.
7. Webb VL, Wadden TA. Intensive lifestyle intervention for obesity: principles, practices, and results. Gastroenterology. 2017;152(7):1752-64.
8. Del Duca GF, Rombaldi AJ, Knuth AG, Azavedo MR, Nahas MV, Hallal PC. Associação entre nível econômico e inatividade física em diferentes domínios. Rev Bras Ati Fis Saúde. 2009;14(2):123-31.
9. Pucci GCMF, Rech CR, Fermino RC, Reis RS. Associação entre atividade física e qualidade de vida em adultos. Rev Saúde Pública. 2012;46(1):166-79.
10. Balboa-Castillo T, León-Muñoz LM, Graciani A, Rodríguez-Artalejo F, Guallar-Castillón P. Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults. Health Qual Life Outcomes. 2011;9:47.
11. Sarma S, Devlin RA, Gilliland J, Campbell MK, Zaric GS. The Effect of Leisure‐Time Physical Activity on Obesity, Diabetes, High BP and Heart Disease Among Canadians: Evidence from 2000/2001 to 2005/2006. Health Econ. 2015;24(12):1531–47.
12. Nahas MV. Atividade física, saúde e qualidade de vida: conceitos e sugestões para um estilo de vida ativo. Londrina: Midiograf, 2010.
13. Edmunds J, Ntoumanis N, Duda JL. Adherence and well-being in overweight and obese patients referred to an exercise on prescription scheme: A self-determination theory perspective. Psychol Sport Exerc. 2007;8(5):722–40.
14. WHO. World Health Organizatiom. Overweight and obesity 2015 [Online]. [citado 2017 ago 26]. Disponível em: http://www.who.int/gho/ncd/risk_factors/overweight/en/#,.
15. Gram AS, Bladbjerg EM, Quist JS, Petersen MB, Rosenkilde M, Stallknecht B. Anti-inflammatory effects of active commuting and leisure time exercise in overweight and obese women and men: A randomized controlled trial. Atherosclerosis. 2017;265:318–24.
16. Quist JS, Rosenkilde M, Petersen MB, Gram AS, Sjödin A, Stallknecht B. Effects of active commuting and leisure-time exercise on fat loss in women and men with overweight and obesity: a randomized controlled trial. Int J Obes (Lond). 2018;42(3):469-78.
17. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg. 2010;8(5):336-341.
18. WLRA. World Leisure and Recreation Association. Carta internacional de educação para o lazer, 1993. [online]. [citado 2018 jan 13]. Disponível em: http://www.cev.org/biblioteca/carta-internacional-educaca-para-o-lazer.
19. Portal periódicos CAPES [Internet]. [citado 1o de junho de 2018]. Disponível em: http://www.periodicos.capes.gov.br/
20. Almeida FA, Brito FA, Estabrooks PA. Modelo RE-AIM: tradução e adaptação cultural para o Brasil. Rev Fam Ciclos Vida Saúde Contexto Soc. 2013;1(1):6-16.
21. Belza B, Toobert DJ, Glasgow RE. RE-AIM for program planning: overview and applications. Natl Counc Aging. [online]2007. [citado 2017 nov 15]. Disponível em: https://fromhungertohealth.files.wordpress.com/2013/02/re-aim_issue_brief.pdf.
22. Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999;89(9):1322–7.
23. Antikainen I, Ellis R. A RE-AIM evaluation of theory-based physical activity interventions. J Sport Exerc Psychol. 2011;33(2):198–214.
24. Jauregui E, Pacheco AM, Soltero EG, O’Connor TM, Castro CM, Estabrooks PA, et al. Using the RE-AIM framework to evaluate physical activity public health programs in México. BMC Public Health. 2015;15:162.
25. Lee RE, Galavíz KI, Soltero EG, Chavez JR, Jauregui E, Lévesque L, et al. Aplicando o modelo RE-AIM para a promoção da atividade física em países de baixa e média renda. Rev Latino-Am Enfermagem. 2017;25:e2923.
26. Moroshko I, Brennan L, O’Brien P. Predictors of dropout in weight loss interventions: a systematic review of the literature. Obes Rev. 2011;12 (11):912–34.
27. Hadgraft NT, Lynch BM, Clark BK, Healy GN, Owen N, Dunstan DW. Excessive sitting at work and at home: correlates of occupational sitting and TV viewing time in working adults. BMC Public Health. 2015;15:899.
28. Aadland E, Jepsen R, Andersen JR, Anderssen SA. Increased physical activity improves aerobic fitness, but not functional walking capacity, in severely obese subjects participating in a lifestyle intervention. J Rehabil Med. 2013;45(10):1071–7.
29. Aadland E, Jepsen R, Andersen JR, Anderssen SA. Differences in fat loss in response to physical activity among severely obese men and women. J Rehabil Med. 2014;46(4):363–9.
30. Bond DS, Vithiananthan S, Thomas JG, Trautvetter J, Unick JL, Jakicic JM, et al. Bari-Active: a randomized controlled trial of a preoperative intervention to increase physical activity in bariatric surgery patients. Surg Obes Relat Dis. 2015;11(1):169–77.
31. Ross R, Blair SN, Godwin M, Hotz S, Katzmarzyk PT, Lam M, et al. Prevention and Reduction of Obesity through Active Living (PROACTIVE): rationale, design and methods. Br J Sports Med. 2009;43(1):57–63.
32. Nakade M, Aiba N, Suda N, Morita A, Miyachi M, Sasaki S, et al. Behavioral change during weight loss program and one year follow-up: Saku Control Obesity Program (SCOP) in Japan. Asia Pac J Clin Nutr. 2012;21(1):22–34.
33. Provencher V, Bégin C, Tremblay A, Mongeau L, Corneau L, Dodin S, et al. Health-at-every-size and eating behaviors: 1-year follow-up results of a size acceptance intervention. J Am Diet Assoc. 2009;109(1):1854–61.
34. Villanova N, Pasqui F, Burzacchini S, Forlani G, Manini R, Suppini A, et al. A physical activity program to reinforce weight maintenance following a behavior program in overweight/obese subjects. Int J Obes. 2006;30(4):697-703.
35. Hemmingsson E, Hellénius ML, Ekelund U, Bergström J, Rössner S. Impact of social support intensity on walking in the severely obese: a randomized clinical trial. Obesity (Silver Spring). 2008;16(6):1308–13.
36. Errickson SP, Kolotkin RL, Skidmore MS, Endress G, Østbye T, Crosby R, et al. Improvements in Functional Exercise Capacity after a Residential Behavioural Change, Diet and Fitness Program for Obese Adults. Physiother Res Int. 2016;21(2):84–90.
2. Goossens GH. The role of adipose tissue dysfunction in the pathogenesis of obesity-related insulin resistance. Physiol Behav. 2008;94(2):206-18.
3. GBD Global Burden of Disease Study 2015. Obesity and Overweight Prevalence 1980-2015 [online]. Institute for Health Metrics and Evaluation; 2017. [citado 2018 jan 17]. Disponível em: http://ghdx.healthdata.org/record/global-burden-disease-study-2015-gbd-2015-obesity-and-overweight-prevalence-1980-2015.
4. ABESO. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. Mapa da Obesidade [Online]. 2009 [citado 2017 out 24]. Disponível em: http://www.abeso.org.br/atitude- saudavel/mapa-obesidade.
5. Goyal A, Nimmakayala KR, Zonszein J. Is there a paradox in obesity? Cardiol Rev. 2014;22(4):163-70.
6. WHO. World Health Organization. Obesity [Online]. WHO. [citado 2018 fev 1]. Disponível em: http://www.who.int/topics/obesity/en/.
7. Webb VL, Wadden TA. Intensive lifestyle intervention for obesity: principles, practices, and results. Gastroenterology. 2017;152(7):1752-64.
8. Del Duca GF, Rombaldi AJ, Knuth AG, Azavedo MR, Nahas MV, Hallal PC. Associação entre nível econômico e inatividade física em diferentes domínios. Rev Bras Ati Fis Saúde. 2009;14(2):123-31.
9. Pucci GCMF, Rech CR, Fermino RC, Reis RS. Associação entre atividade física e qualidade de vida em adultos. Rev Saúde Pública. 2012;46(1):166-79.
10. Balboa-Castillo T, León-Muñoz LM, Graciani A, Rodríguez-Artalejo F, Guallar-Castillón P. Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults. Health Qual Life Outcomes. 2011;9:47.
11. Sarma S, Devlin RA, Gilliland J, Campbell MK, Zaric GS. The Effect of Leisure‐Time Physical Activity on Obesity, Diabetes, High BP and Heart Disease Among Canadians: Evidence from 2000/2001 to 2005/2006. Health Econ. 2015;24(12):1531–47.
12. Nahas MV. Atividade física, saúde e qualidade de vida: conceitos e sugestões para um estilo de vida ativo. Londrina: Midiograf, 2010.
13. Edmunds J, Ntoumanis N, Duda JL. Adherence and well-being in overweight and obese patients referred to an exercise on prescription scheme: A self-determination theory perspective. Psychol Sport Exerc. 2007;8(5):722–40.
14. WHO. World Health Organizatiom. Overweight and obesity 2015 [Online]. [citado 2017 ago 26]. Disponível em: http://www.who.int/gho/ncd/risk_factors/overweight/en/#,.
15. Gram AS, Bladbjerg EM, Quist JS, Petersen MB, Rosenkilde M, Stallknecht B. Anti-inflammatory effects of active commuting and leisure time exercise in overweight and obese women and men: A randomized controlled trial. Atherosclerosis. 2017;265:318–24.
16. Quist JS, Rosenkilde M, Petersen MB, Gram AS, Sjödin A, Stallknecht B. Effects of active commuting and leisure-time exercise on fat loss in women and men with overweight and obesity: a randomized controlled trial. Int J Obes (Lond). 2018;42(3):469-78.
17. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg. 2010;8(5):336-341.
18. WLRA. World Leisure and Recreation Association. Carta internacional de educação para o lazer, 1993. [online]. [citado 2018 jan 13]. Disponível em: http://www.cev.org/biblioteca/carta-internacional-educaca-para-o-lazer.
19. Portal periódicos CAPES [Internet]. [citado 1o de junho de 2018]. Disponível em: http://www.periodicos.capes.gov.br/
20. Almeida FA, Brito FA, Estabrooks PA. Modelo RE-AIM: tradução e adaptação cultural para o Brasil. Rev Fam Ciclos Vida Saúde Contexto Soc. 2013;1(1):6-16.
21. Belza B, Toobert DJ, Glasgow RE. RE-AIM for program planning: overview and applications. Natl Counc Aging. [online]2007. [citado 2017 nov 15]. Disponível em: https://fromhungertohealth.files.wordpress.com/2013/02/re-aim_issue_brief.pdf.
22. Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999;89(9):1322–7.
23. Antikainen I, Ellis R. A RE-AIM evaluation of theory-based physical activity interventions. J Sport Exerc Psychol. 2011;33(2):198–214.
24. Jauregui E, Pacheco AM, Soltero EG, O’Connor TM, Castro CM, Estabrooks PA, et al. Using the RE-AIM framework to evaluate physical activity public health programs in México. BMC Public Health. 2015;15:162.
25. Lee RE, Galavíz KI, Soltero EG, Chavez JR, Jauregui E, Lévesque L, et al. Aplicando o modelo RE-AIM para a promoção da atividade física em países de baixa e média renda. Rev Latino-Am Enfermagem. 2017;25:e2923.
26. Moroshko I, Brennan L, O’Brien P. Predictors of dropout in weight loss interventions: a systematic review of the literature. Obes Rev. 2011;12 (11):912–34.
27. Hadgraft NT, Lynch BM, Clark BK, Healy GN, Owen N, Dunstan DW. Excessive sitting at work and at home: correlates of occupational sitting and TV viewing time in working adults. BMC Public Health. 2015;15:899.
28. Aadland E, Jepsen R, Andersen JR, Anderssen SA. Increased physical activity improves aerobic fitness, but not functional walking capacity, in severely obese subjects participating in a lifestyle intervention. J Rehabil Med. 2013;45(10):1071–7.
29. Aadland E, Jepsen R, Andersen JR, Anderssen SA. Differences in fat loss in response to physical activity among severely obese men and women. J Rehabil Med. 2014;46(4):363–9.
30. Bond DS, Vithiananthan S, Thomas JG, Trautvetter J, Unick JL, Jakicic JM, et al. Bari-Active: a randomized controlled trial of a preoperative intervention to increase physical activity in bariatric surgery patients. Surg Obes Relat Dis. 2015;11(1):169–77.
31. Ross R, Blair SN, Godwin M, Hotz S, Katzmarzyk PT, Lam M, et al. Prevention and Reduction of Obesity through Active Living (PROACTIVE): rationale, design and methods. Br J Sports Med. 2009;43(1):57–63.
32. Nakade M, Aiba N, Suda N, Morita A, Miyachi M, Sasaki S, et al. Behavioral change during weight loss program and one year follow-up: Saku Control Obesity Program (SCOP) in Japan. Asia Pac J Clin Nutr. 2012;21(1):22–34.
33. Provencher V, Bégin C, Tremblay A, Mongeau L, Corneau L, Dodin S, et al. Health-at-every-size and eating behaviors: 1-year follow-up results of a size acceptance intervention. J Am Diet Assoc. 2009;109(1):1854–61.
34. Villanova N, Pasqui F, Burzacchini S, Forlani G, Manini R, Suppini A, et al. A physical activity program to reinforce weight maintenance following a behavior program in overweight/obese subjects. Int J Obes. 2006;30(4):697-703.
35. Hemmingsson E, Hellénius ML, Ekelund U, Bergström J, Rössner S. Impact of social support intensity on walking in the severely obese: a randomized clinical trial. Obesity (Silver Spring). 2008;16(6):1308–13.
36. Errickson SP, Kolotkin RL, Skidmore MS, Endress G, Østbye T, Crosby R, et al. Improvements in Functional Exercise Capacity after a Residential Behavioural Change, Diet and Fitness Program for Obese Adults. Physiother Res Int. 2016;21(2):84–90.
Descargas
Publicado
2018-11-20
Cómo citar
1.
Christofoletti M, Streb AR, da Silva RP, Benedetti TRB, Almeida FA, Del Duca GF. Methodological evaluation of leisure-time physical activity interventions in adults with obesity: a systematic review. Rev. Bras. Ativ. Fís. Saúde [Internet]. 20 de noviembre de 2018 [citado 18 de mayo de 2024];23:1-8. Disponible en: https://rbafs.org.br/RBAFS/article/view/13207
Número
Sección
Artículo de revisión
