Effects of school-based interventions on blood pressure in obese children: metanalysis

Ester Wiggers; Gabriel Peinado Costa; Evelyn Helena Corgosinho Ribeiro; Eduardo Caldas Costa; Átila Alexandre Trapé; Paulo Henrique Guerra

doi:10.12820/rbafs.29e0330

Autores

Ester Wiggers Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil. https://orcid.org/0000-0001-5304-0709
Gabriel Peinado Costa University of São Paulo, School of Physical Education and Sport of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil. https://orcid.org/0000-0003-0687-6671
Evelyn Helena Corgosinho Ribeiro University of São Paulo, Physical Activity Epidemiology Group, São Paulo, São Paulo, Brazil. https://orcid.org/0000-0002-3565-6830
Eduardo Caldas Costa Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil https://orcid.org/0000-0003-2807-7109
Átila Alexandre Trapé University of São Paulo, School of Physical Education and Sport of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil. https://orcid.org/0000-0001-6487-8160
Paulo Henrique Guerra Federal University of Fronteira Sul, Chapecó, Santa Catarina, Brazil. https://orcid.org/0000-0003-4239-0716

DOI:

https://doi.org/10.12820/rbafs.29e0330

Palavras-chave:

Crianças, Educação física, Escola, Pressão arterial, Excesso de peso, Obesidade

Resumo

Com base na declaração Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), foi realizada uma revisão sistemática com metanálise para identificar e sumarizar os efeitos de intervenções escolar baseadas na atividade física que buscaram o controle e / ou redução da pressão arterial (sistólica e diastólica) em crianças e / ou adolescentes com excesso de peso e / ou obesidade. Em setembro de 2022, estudos potenciais foram pesquisados em cinco bases de dados eletrônicas (Pubmed, Scielo, Scopus, Sportdiscus, e Web of Science) e em listas de referências. Foram considerados para a síntese ensaios controlados randomizados realizados em escolas, com intervenções que envolviam a atividade física e avaliação da pressão arterial sistólica e diastólica em crianças e adolescentes dos 6 aos 19 anos com excesso de peso e/ ou obesidade. O risco de viés foi avaliado utilizando uma versão adaptada do instrumento Effective Public Health Practice Project (EPHPP). A metanálise foi elaborada a partir do modelo randômico. Foram incluídos quatro estudos. Para a pressão arterial sistólica, observou-se um efeito sumarizado de -0,10 (IC 95%: -0,39; 0,19; I2 = 0%). Para a pressão diastólica, a metanálise indicou -0,33 (IC 95%: -0,62; -0,04; I2 = 11%). Considerando os efeitos promissores na pressão arterial diastólica, sugerimos o desenvolvimento de mais intervenções escolares fundamentadas na prática de atividade física às populações com sobrepeso e / ou obesidade, que possam agregar também, em suas estratégias, elementos ambientais, maior duração, abordagens multicomponentes e envolvimento dos pais / responsáveis.

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Biografia do Autor

Paulo Henrique Guerra, Federal University of Fronteira Sul, Chapecó, Santa Catarina, Brazil.

Professor Adjunto da Universidade Federal da Fronteira Sul (componente: Saúde Coletiva) e Pesquisador do Grupo de Estudos e Pesquisas Epidemiológicas em Atividade Física e Saúde (GEPAF), Universidade de São Paulo, Escola de Artes, Ciências e Humanidades (EACH-USP)

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Efeitos de intervenções de base escolar na pressão arterial de crianças com obesidade: metanálise

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Biografia do Autor

Paulo Henrique Guerra, Federal University of Fronteira Sul, Chapecó, Santa Catarina, Brazil.

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