Capability to promote physical activity in South American countries: an ecological study
DOI:
https://doi.org/10.12820/rbafs.30e0377Keywords:
Surveillance, Public policy, Ecological studies, Physical activity, South AmericaAbstract
Objective: To analyze the relationship between physical activity (PA) research, monitoring, and policy indicators and the prevalence of PA in South American countries. Methods: An ecological study was carried out based on PA information from a representative sample of the adult population, through national surveys, from all countries in South America. In each country, data on total and leisure time PA were assessed using survey-specific questionnaires, and information on research, monitoring, and policy indicators to promote PA was provided. Spearman correlation was carried out for the analysis. Results: The frequency of policies aimed only at promoting PA (rho = 0.67, p = 0.025) and the frequency of discontinued policies (rho = -0.65, p = 0.028) were correlated to the prevalence of leisure-time PA. No relationship was observed for the prevalence of total PA. Conclusion: Targeted and sustained public policies seems be related with leisure-time PA in South American countries.
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Ding D, Lawson KD, Kolbe-Alexander TL, Finkelstein EA, Katzmarzyk PT, van Mechelen W, et al. The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet. 2016;388(10051):1311-24. DOI: https://doi.org/10.1016/S0140-6736(16)30383-X
Klepac Pogrmilovic B, O'Sullivan G, Milton K, Biddle SJH, Pedisic Z. A systematic review of instruments for the analysis of national-level physical activity and sedentary behaviour policies. Health Res Policy Syst. 2019;17(1):86. DOI: https://doi.org/10.1186/s12961-019-0492-4
Klepac Pogrmilovic B, O'Sullivan G, Milton K, Biddle SJH, Bauman A, Bull F, et al. A global systematic scoping review of studies analysing indicators, development, and content of national-level physical activity and sedentary behaviour policies. Int J Behav Nutr Phys Act. 2018;15(1):123. DOI: https://doi.org/10.1186/s12966-018-0742-9
Strain T, Flaxman S, Guthold R. et al. National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5.7 million participants. The Lancet Global Health. (2024); 12(8), e1232–e1243.
Alghannam AF, Malkin JD, Al-Hazzaa HM, AlAhmed R, Evenson KR, Rakic S, et al. Public policies to increase physical activity and reduce sedentary behavior: a narrative synthesis of "reviews of reviews". Glob Health Action. 2023;16(1):2194715. DOI: https://doi.org/10.1080/16549716.2023.2194715
Gelius P, Messing S, Goodwin L, Schow D, Abu-Omar K. What are effective policies for promoting physical activity? A systematic review of reviews. Prev Med Rep. 2020;18: 101095. DOI: https://doi.org/10.1016/j.pmedr.2020.101095
Messing S, Tcymbal A, Abu-Omar K, Gelius P. Monitoring of physical activity policies conducted by research versus government: a systematic review at different levels of government. Health Res Policy Sys. 2023;21(1):124. DOI: https://doi.org/10.1186/s12961-023-01068-5
Varela AR, Pratt M. The GoPA! Second Set of Country Cards Informing Decision Making for a Silent Pandemic. J Phys Act Health. 2021;18(3):245-6. DOI: https://doi.org/10.1123/jpah.2020-0873
Klepac Pogrmilovic B, Ramirez Varela A, Pratt M, Milton K, Bauman A, Biddle SJH. National physical activity and sedentary behaviour policies in 76 countries: availability, comprehensiveness, implementation, and effectiveness. Int J Behav Nutr Phys Act. 2020; 17(1):1–13. DOI: https://doi.org/10.1186/s12966-020-01022-6
Araujo RHO, Werneck AO, Barboza LL, Ramírez-Vélez R, Martins CML, Tassitano RM, et al. Prevalence and sociodemographic correlates of physical activity and sitting time among South American adolescents: a harmonized analysis of nationally representative cross-sectional surveys. Int J Behav Nutr Phys Act. 2022;19(1):52. DOI: https://doi.org/10.1186/s12966-022-01291-3
Werneck AO, Araujo RHO, Anza-Ramírez C, Brazo-Sayavera J, García-Witulski C, Aguilar-Farias N, et al. Physical Activity and Sitting Time Patterns and Sociodemographic Correlates Among 155.790 South American Adults. J Phys Act Health. 2023;20(8):716-26. DOI: https://doi.org/10.1123/jpah.2022-0305
Mejía Grueso J, Pratt M, Resendiz E, Salvo D, Niño Cruz GI, Ruiz Gómez NY, Leandro Gómez RA, et al. Physical Activity Policies at National and Subnational Levels: A Study in Colombia, Costa Rica, Ecuador, and Mexico. J Phys Act Health. 2024 Feb 10;21(5):445-57. DOI: https://doi.org/10.1123/jpah.2023-0342
Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International Physical Activity Ques- tionnaire: 12-Country Reliability and Validity. Med Sci Sports Exerc. 2003; 35(8):1381-95. DOI: https://doi.org/10.1249/01.MSS.0000078924.61453.FB
Armstrong T, Bull F. Development of the World Health Organization Global Physical Activity Questionnaire (GPAQ). J Public Health. 2006;14:66-70. DOI: https://doi.org/10.1007/s10389-006-0024-x
Moreira AD, Claro RM, Felisbino-Mendes MS, Velasquez-Melendez G. Validade e reprodutibilidade de inquérito telefônico de atividade física no Brasil. Rev Bras Epidemiol. 2017;20:136-46. DOI: https://doi.org/10.1590/1980-5497201700010012
Global Observatory for Phisical Activity. Country Cards. 2nd ed. 2021: Disponível em: http://new.globalphysicalactivityobservatory.com/countrycards
Silva DR, Barboza LL, Baldew S, Anza-Ramirez C, Ramírez-Vélez R, Schuch FB, et al. Measurement of physical activity and sedentary behavior in national health surveys, South America. Rev Panam Salud Publica, 2022;46:e7. DOI: https://doi.org/10.26633/RPSP.2022.7
Klepac Pogrmilovic B, O’Sullivan G, Milton K, Biddle SJH, Bauman A, Bellew W, et al. The development of the Comprehensive Analysis of Policy on Physical Activity (CAPPA) framework. Int J Behav Nutr Phys Act. 2019;16(1):60 DOI: https://doi.org/10.1186/s12966-019-0822-5
Werneck AO, Araujo RHO, Aguilar-Farias, N, Ferrari G, Brazo-Sayavera J, García-Witulski C, et al. Time trends and inequalities of physical activity domains and sitting time in South America. J Glob Health. 2022;12:04027. DOI: https://doi.org/10.7189/jogh.12.04027
Ferry M, Bachtler J. Reassessing the concept of policy termination: the case of regional policy in England. Policy Studies. 2013;34(3):255-73. DOI: https://doi.org/10.1080/01442872.2013.768389
World Health Organization (WHO). Global action plan on physical activity 2018-2030: more active people for a healthier world. Geneva: World Health Organization; 2018.
Crochemore-Silva I, Knuth AG, Mielke GI, Loch MR. Promoção de atividade física e as políticas públicas no combate às desigualdades: reflexões a partir da Lei dos Cuidados Inversos e Hipótese da Equidade Inversa. Cad Saúde Pública. 2020;36(6). DOI: https://doi.org/10.1590/0102-311x00155119
Resendiz E, Ramírez-Varela A, Mejía-Grueso J, Moon J, Mitáš J, Brownson RC, et al. Breaking barriers: an innovative tool to assess the national and city-level physical activity policy development to practice disconnect. J Phys Act Health. 2024;21(5):425-33. DOI: https://doi.org/10.1123/jpah.2023-0471
Varela A, Salvo D, Pratt M, Milton K, Siefken K, Bauman A, et al. Worldwide use of the first set of physical activity country cards: The Global Observatory for Physical Activity - GoPA!. Int J Behav Nutr Phys. 2018;15(1):29. DOI: https://doi.org/10.1186/s12966-018-0663-7
Varela AR, Pratt M, Powell K, Lee IM, Bauman A, Heath G, et al. Worldwide Surveillance, Policy, and Research on Physical Activity and Health: The Global Observatory for Physical Activity. J Phys Act Health. 2017;14(9):701-9. DOI: https://doi.org/10.1123/jpah.2016-0626
Pratt M, Varela AR, Hallal PC. Celebrating 10 Years of the Global Observatory for Physical Activity — GoPA! J Phys Act Health. 2024; 15;21(5):423-4. DOI: https://doi.org/10.1123/jpah.2024-0233
Varela AR, Hallal PC. Does every move really count towards better health? The Lancet Global Health. 2024;12(8):e1215-e1216. DOI: https://doi.org/10.1016/S2214-109X(24)00173-6
Salvo D, Varela, AR, Jáuregui A. Moving Together to Advance Physical Activity Research in Low- and Middle-Income Countries: The Case of Latin America. J Phys Act Health. 2022;19(9):589-91. DOI: https://doi.org/10.1123/jpah.2022-0374
Loney T, Nagelkerke NJ. The individualistic fallacy, ecological studies and instrumental variables: a causal interpretation. Emerg Themes Epidemiol. 2014;11:18. DOI: https://doi.org/10.1186/1742-7622-11-18
Minatto G, Silva KS, Bandeira ADS, Dos Santos PC, Sandreschi PF, Manta SW, et al. National policies on physical activity from 64 countries with different economies: a scoping review with thematic analysis. Health Policy Plan. 2023;38(6):737-65. DOI: https://doi.org/10.1093/heapol/czad024

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Copyright (c) 2025 Ingrid Kelly Alves dos Santos Pinheiro, Kabir P. Sadarangani, Rafael Miranda Tassitano, Javier Brazo-Sayavera, Robinson Ramírez-Vélez, João Carlos do Nascimento Melo, Leandro dos Santos, Danilo Rodrigues Pereira da Silva

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