Atividade física, comportamento sedentário e saúde da mulher: um mapa de evidências
DOI:
https://doi.org/10.12820/rbafs.28e0318Palavras-chave:
Comportamento sedentário, Exercício físico, Saúde da mulherResumo
A atividade física (AF) regular contribui para prevenção e controle de doenças crônicas não transmissíveis, auxilia na manutenção do peso corporal e previne declínio cognitivo e sintomas depressivos. Diante de maior prevalência de inatividade física no sexo feminino, assim como as particularidades da mulher que interferem na condição de saúde, surge a necessidade de identificar e sumarizar os efeitos de intervenções para mudança de estilo de vida (MEV) na saúde da mulher. O objetivo do estudo foi mapear a literatura sobre AF, comportamento sedentário e saúde da mulher a partir da elaboração de um mapa de evidências. Após a busca na literatura em 7 bases de dados em abril de 2022, foram selecionadas 29 revisões sistemáticas e metanálises sobre intervenções de MEV com ênfase em incentivo à prática de AF e treinamento com exercício em mulheres. Ao todo, foram avaliados os efeitos de 22 tipos de intervenções distribuídos em 7 grupos para 159 desfechos em saúde. Os efeitos das intervenções associadas aos desfechos foram classificados como positivo (n = 83), potencialmente positivo (n = 20), inconclusivo (n = 10) e sem efeito (n = 42). O nível de confiança foi baixo para 12 estudos, médio para 10 e alto somente em 7 estudos. As evidências foram mais consistentes e robustas em relação a AF, treinamento concorrente e/ou combinado, exercício aeróbio, exercício para musculatura do assoalho pélvico e exercício multicomponente, sobretudo durante os cuidados pré-natais e para o manejo de incontinência urinária e câncer.
Downloads
Referências
Archer J. The reality and evolutionary significance of human psychological sex differences. Biol Rev Camb Philos Soc. 2019;94(4):1381-1415.
Yoshimoto T, Takai Y, Fukunaga Y, Fujita E, Yamamoto M, Kanehisa H. Effects of school-based squat training in adolescent girls. J Sports Med Phys Fitness. 2016;56:678-83.
Bredella MA. Sex Differences in Body Composition. Adv Exp Med Biol. 2017;1043:9-27.
Hoga L, Rodolpho J, Gonçalves B, Quirino B. Women's experience of menopause: a systematic review of qualitative evidence. JBI Database System Rev Implement Rep. 2015;13(8):250-337.
Ministério da Saúde. Protocolos da Atenção Básica: Saúde das Mulheres/Ministério da Saúde, Instituto Sírio-Libanês de Ensino e Pesquisa – Brasília: Ministério da Saúde, 2016. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/protocolos_atencao_basica_saude_mulheres.pdf [2022 Junho].
Minkin MJ. Menopause: Hormones, Lifestyle, and Optimizing Aging. Obstet Gynecol Clin North Am. 2019;46(3):501-514.
Instituto Brasileiro de Geografia e Estatística – IBGE. Percepção do estado de saúde, estilos de vida, doenças crônicas e saúde bucal– Rio de Janeiro: IBGE, 2019. Disponível em: https://biblioteca.ibge.gov.br/index.php/biblioteca-catalogo?view=detalhes&id=2101764 [2022 Maio].
Gonzalez-Jaramillo N, Wilhelm M, Arango-Rivas A, Gonzalez-Jaramillo V, Mesa-Vieira C, Minder B, et al. Systematic review of physical activity trajectories and mortality in patients with coronary artery disease. J Am Coll Cardiol. 2022;79(17)1690-1700.
Ministério da Saúde. Boletim Epidemiológico. 3th ed. Brasília: Ministério da Saúde; 2021. Disponível em: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/epidemiologicos/edicoes/2021/boletim_epidemiologico_svs_29.pdf/view [2022 Agosto].
Milsom I, Altman D, Cartwright R, Lapitan MC, Nelson R, Sillén U, et al. Epidemiology of urinary incontinence (UI) and other lower urinary tract symptoms (LUTS), pelvic organ prolapse (POP) and anal (AI) incontinence. In: Abrams P, Cardozo L, Wagg A, Wein A, eds. Incontinence. 6th ed. Paris: Health Publications Ltd; 2016:17-24.
World Health Organization (WHO). WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization; 2020. Disponível em: https://www.who.int/publications/i/item/9789240015128 [2022 Maio].
Ekelund U, Tarp J, Steene-Johannessen J, Hansen BH, Jefferis B, Fagerland MW, et al. Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: systematic review and harmonised meta-analysis. BMJ. 2019; 21;366:l4570.
Bauer SR, Kenfield SA, Sorensen M, Subak LL, Phelan S, Gupta LR, et al. Physical Activity, Diet, and Incident Urinary Incontinence in Postmenopausal Women: Women's Health Initiative Observational Study. J Gerontol A Biol Sci Med Sci. 2021;76(9):1600-7.
Troy KL, Mancuso ME, Butler TA, Johnson JE. Exercise Early and Often: Effects of physical activity and exercise on women's bone health. Int J Environ Res Public Health. 2018;15(5):878.
Bellettiere J, LaMonte MJ, Evenson KR, Rillamas-Sun E, Kerr J, Lee IM et al. Sedentary behavior and cardiovascular disease in older women: The Objective Physical Activity and Cardiovascular Health (OPACH) Study. Circulation. 2019;139(8):1036-46.
Chomistek AK, Manson JE, Stefanick ML, Lu B, Sands-Lincoln M, Going SB et al. Relationship of sedentary behavior and physical activity to incident cardiovascular disease: results from the Women's Health Initiative. J Am Coll Cardiol. 2013;61(23):2346-54.
Miake-Lye IM, Hempel S, Shanman R, Shekelle PG. What is an evidence map? A systematic review of published evidence maps and their definitions, methods, and products. Syst Rev. 2016;10(5):28.
Snilstveit B, Vojtkova M, Bhavsar A, Stevenson J, Gaarder M. Evidence & Gap Maps: A tool for promoting evidence informed policy and strategic research agendas. J Clin Epidemiol. 2016;79:120-9.
Blount DS, McDonough DJ, Gao Z. Effect of wearable technology-based physical activity interventions on breast cancer survivors' physiological, cognitive, and emotional outcomes: a systematic review. J Clin Med. 2021;10(9):1-19.
Jones, E.J., Fraley, H.E. & Mazzawi, J. Appreciating recent motherhood and culture: A systematic review of multimodal postpartum lifestyle interventions to reduce diabetes risk in women with prior gestational diabetes. Matern Child Health. 2017;21:45-57.
Sherifali D, Nerenberg KA, Wilson S, Semeniuk K, Ali MU, Redman LM, et al. The effectiveness of ehealth technologies on weight management in pregnant and postpartum women: systematic review and meta-analysis. J Med Internet Res. 2017;19(10):e337.
James P, Morgant R, Merviel P, Saraux A, Giroux-Metges MA, Guillodo Y, et al. How to promote physical activity during pregnancy: A systematic review. J Gynecol Obstet Hum Reprod. 2020;49(9):1018-64.
Magro-Malosso ER, Saccone G, Di Mascio D, Di Tommaso M, Berghella V. Exercise during pregnancy and risk of preterm birth in overweight and obese women: a systematic review and meta-analysis of randomized controlled trials. Acta Obstet Gynecol Scand. 2017;96(3):263-73.
Campbell, F, Johnson, M, Messina, J, Guillaume L, Goyder E. Behavioural interventions for weight management in pregnancy: A systematic review of quantitative and qualitative data. BMC Public Health. 2011;11:491.
Han S, Middleton P, Crowther CA. Exercise for pregnant women for preventing gestational diabetes mellitus. Cochrane Database Syst Rev. 2012;11(7):CD009021.
Brown J, Ceysens G, Boulvain M. Exercise for pregnant women with gestational diabetes for improving maternal and fetal outcomes. Cochrane Database Syst Rev. 2017:22;6(6):CD012202.
Nguyen TM, Do TTT, Tran TN, Kim JH. Exercise and quality of life in women with menopausal symptoms: a systematic review and meta-analysis of randomized controlled trials. Int J Environ Res Public Health. 2020;17(19):7049.
Mamataz T, Ghisi GLM, Pakosh M, Grace SL. Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review. BMC Cardiovasc Disord. 2021;21(1):459.
Hay-Smith J, Herbison P, Mørkved S. Physical therapies for prevention of urinary and faecal incontinence in adults. Cochrane Database Syst Rev. 2002;7(2):1-39.
Martínez-Domínguez SJ, Lajusticia H, Chedraui P, Pérez-López FR. Health Outcomes and Systematic Analyses (HOUSSAY) Project. The effect of programmed exercise over anxiety symptoms in midlife and older women: a meta-analysis of randomized controlled trials. Climacteric. 2018;21(2):123-31.
Shaikh H, Bradhurst P, Ma LX, Tan SYC, Egger SJ, Vardy JL. Body weight management in overweight and obese breast cancer survivors. Cochrane Database Syst Rev. 2020;12(12):CD012110.
Carcelén-Fraile MDC, Aibar-Almazán A, Martínez-Amat A, Cruz-Díaz D, Díaz-Mohedo E, Redecillas-Peiró MT, et al. Effects of physical exercise on sexual function and quality of sexual life related to menopausal symptoms in peri- and postmenopausal women: a systematic review. Int J Environ Res Public Health. 2020;17(8):2680.
Hagen S, Stark D. Conservative prevention and management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2011;7(12):CD003882.
Choi H, Palmer MH, Park J. Meta-analysis of pelvic floor muscle training: randomized controlled trials in incontinent women. Nurs Res. 2007;56(4):226-34.
Mollarahimi Maleki F, Massahikhaleghi P, Tehrani-Banihashemi A, Davoudi F, Nojomi M. Community-Based Preventive Interventions for Depression and Anxiety in Women. Arch Iran Med. 2020;23(3):197-206.
Vannorsdall TD, Straub E, Saba C, Blackwood M, Zhang J, Stearns K, Smith KL. Interventions for multidimensional aspects of breast cancer-related fatigue: a meta-analytic review. Support Care Cancer. 2021;29(4):1753-64.
Kelley GA, Kelley KA, Tran ZV. Aerobic exercise and resting blood pressure: a meta-analytic review of randomized, controlled trials. Prev Cardiol. 2001;4(2):73-80.
Zhang Y, Xu L, Zhang X, Yao Y, Sun Y, Qi L. Effects of different durations of aerobic exercise on the cardiovascular health in untrained women: a meta-analysis and meta-regression. J Sports Med Phys Fitness. 2018;58(10):1525-36.
Ma D, Wu L, He Z. Effects of walking on the preservation of bone mineral density in perimenopausal and postmenopausal women: a systematic review and meta-analysis. Menopause. 2013;20(11):1216-26.
Furmaniak AC, Menig M, Markes MH. Exercise for women receiving adjuvant therapy for breast cancer. Cochrane Database Syst Rev. 2016;21(9):CD005001.
Mollarahimi Maleki F, Massahikhaleghi P, Tehrani-Banihashemi A, Davoudi F, Nojomi M. Community-based preventive interventions for depression and anxiety in women. Arch Iran Med. 2020;23(3):197-206.
Guo J, Chen JL, Whittemore R, Whitaker E. Postpartum Lifestyle interventions to prevent type 2 diabetes among women with history of gestational diabetes: a systematic review of randomized clinical trials. J Womens Health (Larchmt). 2016;25(1):38-49.
Lahart IM, Metsios GS, Nevill AM, Carmichael AR. Physical activity for women with breast cancer after adjuvant therapy. Cochrane Database Syst Rev. 2018;29(1):CD011292.
Kołomańska-Bogucka D, Mazur-Bialy AI. Physical Activity and the Occurrence of postnatal depression-a systematic review. Medicina (Kaunas). 2019;55(9):560.
Jiménez-Mérida MR, Romero-Saldaña M, Molina-Luque R, Molina-Recio G, Meneses-Monroy A, De Diego-Cordero R, et al. Women-centred workplace health promotion interventions: a systematic review. Int Nurs Rev. 2021;68(1):90-8.
Wieland LS, Shrestha N, Lassi ZS, Panda S, Chiaramonte D, Skoetz N. Yoga for treating urinary incontinence in women. Cochrane Database Syst Rev. 2019;28;2(2):CD012668.
Shirvani M., Heidari M. Qualidade de Vida em Membros Femininos na Pós-menopausa e Não Membros da Associação de Apoio ao Idoso. J Menopausa Med. 2016; 22:154-60.
Nações Unidas, Envelhecimento da População Mundial 2015 (Divisão de População, Departamento de Assuntos Econômicos e Sociais, Secretariado das Nações Unidas, 2015).
Vounzoulaki E, Khunti K, Abner SC, Tan BK, Davies MJ, Gillies CL. Progression to type 2 diabetes in women with a known history of gestational diabetes: systematic review and meta-analysis. BMJ. 2020;13;369:1361.
Owens GM. Gender differences in health care expenditures, resource utilization, and quality of care. Journal of managed care pharmacy: JMCP. Manag Care Pharm. 2008;14(3 Suppl):2-6.
Kocarnik JM, Compton K, Dean FE, Fu W, Gaw BL, Harvey JDM et al. Cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life years for 29 cancer groups from 2010 to 2019: a systematic analysis for the Global Burden of Disease Study 2019. JAMA Oncol. 2022;8(3):420-44.
Campos MSB, Buglia S, Colombo CSSS, Buchler RDD, Brito ASX, Mizzaci CC, et al. Posicionamento sobre Exercícios Físicos na Gestação e no Pós-Parto – 2021. Arq Bras Cardiol. 2021;117(1):160-8.
OPAS. Organização Pan Americana da Saúde. Disponível em: https://www.paho.org/pt/topicos/doencas-cardiovasculares [2022 Julho].
Ekelund U, Brown WJ, Steene-Johannessen J, Fagerland MW, Owen N, Powell KE et al. Do the associations of sedentary behaviour with cardiovascular disease mortality and cancer mortality differ by physical activity level? A systematic review and harmonised meta-analysis of data from 850 060 participants. Br J Sports Med. 2019;53(14):886-94.
Peters SAE, Woodward M, Jha V, Kennedy S, Norton R. Women’s health: a new global agenda. BMJ Global Health. 2016;1(3):e000080.
Kruse CS, Krowski N, Rodriguez B, Tran L, Vela J, Brooks M. Telehealth and patient satisfaction: a systematic review and narrative analysis. BMJ Open. 2017;7(8):e016242.
O'Neill J, Tabish H, Welch V, Petticrew M, Pottie K, Clarke M, et al. Applying an equity lens to interventions: using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health. J Clin Epidemiol. 2014;67(1):56-64.
Scimago Institutions Rankings. Disponível em: https://www.scimagojr.com/countryrank.php [2022 Julho].
Bolanthakodi C, Raghunandan C, Saili A, Mondal S, Saxena P. Prenatal Yoga: Effects on Alleviation of Labor Pain and Birth Outcomes. J Altern Complement Med. 2018;24(12):1181-8.
Gong H, Ni C, Shen X, Wu T, Jiang C. Yoga for prenatal depression: a systematic review and meta-analysis. BMC Psychiatry. 2015;5(15):14.
Cramer H, Sellin C, Schumann D, Dobos G. Yoga in arterial hypertension. Deutsches Aerzteblatt. 2018;115(50):833-9.
Wang WL, Chen KH, Pan YC, Yang SN, Chan YY. The effect of yoga on sleep quality and insomnia in women with sleep problems: a systematic review and meta-analysis. BMC Psychiatry. 2020;20(1):195.
Marmot M, Bell R. Desafiando as desigualdades de saúde – implicações para o local de trabalho. Med Ocupac. 2010;60(3):162-4
Sayer A, McCartney G. Economic relationships and health inequalities: improving public health recommendations. Public Health. 2021;199:103-6.
Haddaway NR, Macura B, Whaley P, Pullin AS. 2017. ROSES flow diagram for systematic maps. Version 1.0.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2024 Revista Brasileira de Atividade Física & Saúde
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Todo o conteúdo da revista, exceto onde indicado de outra forma, é licenciado sob uma 