Teaching of health-related physical activity in medical schools: the Brazilian scenario
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https://doi.org/10.12820/rbafs.24e0096Palabras clave:
Motor activity, Medical education, Curriculum, Counseling, Health promotionResumen
Physical activity engagement is a key strategy to improve population health and quality of life. However, studies show that physical activity counseling by physicians is low, and one of the main barriers reported is lack of specific knowledge. The aim of this study is to describe the existence of health-related physical activity content in the curricula of Brazilian Medicine undergraduate courses. A census-type descriptive study was carried out. Online documentation available in institutional websites of all Brazilian Medicine courses curricula were assessed and, when not available, faculty members were contacted. In 2015 we identified 233 medicine courses in Brazil, using data from the Brazilian Ministry of Education. We assessed the documentation in detail of 158 courses (67.8%). We observed that only 12% of curricula presented health-related physical activity and/or physical exercise contents. This proportion was higher in public Medical schools compared to private ones (21.5% vs. 5.4%; p = 0.002). Teaching of health-related physical activity in Brazilian Medicine courses is scarce. We highlight the need for adjustment of curricula considering the well-established benefits of physical activity for public health.
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Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380(9838):219-29.
Hebert ET, Caughy MO, Shuval K. Primary care providers' perceptions of physical activity counselling in a clinical setting: a systematic review. Br J Sports Med. 2012;46(9):625-31.
Weiler R, Stamatakis E. Physical activity in the UK: a unique crossroad? Br J Sports Med. 2015;44(13):912-4.
Heath GW, Parra DC, Sarmiento OL, Andersen LB, Owen N, Goenka S. et al. Evidence-based intervention in physical activity: lessons from around the world. Lancet. 2012;380(9838):272-81.
Kohl HW, 3rd, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, et al. The pandemic of physical inactivity: global action for public health. Lancet. 2012;380(9838):294-305.
Phillips E, Pojednic R, Polak R, Bush J, Trilk J. Including lifestyle medicine in undergraduate medical curricula. Med Educ Online. 2015;20:26150.
A.C.S.M. Exercise is Medicine. Physical Activity in Health Care. [quoted in 2015 Jul 21]. Available at: https://www.exerciseismedicine.org/support_page.php/physical-activity-in-health-care/.
Knuth. AG, Malta. DC, Cruz. DK, Freitas PC, Lopes MP, Fagundes J, et al. The physical activity national network coordinated by the Brazilian Ministry of Health: results and evaluative strategies. Rev Bras Ativ Fís Saúde. 2010;15(4):229-33.
Malta DC, Barbosa da Silva J. Policies to promote physical activity in Brazil. Lancet. 2011;380(9838):195-6.
Brasil MS. Unidades Básicas de Saúde – UBS. Ministério da Saúde; 2013 [quoted in 2015 Apr 4]. Available at: http://dados.gov.br/dataset/unidades-basicas-de-saude-ubs.
Siqueira FV, Nahas MV, Facchini LA, Silveira DS, Piccini RX, Tomasi E, et al. Aconselhamento para a prática de atividade física como estratégia de educação à saúde. Cad. Saúde Pública. 2009;25(1):203-3.
Joy EL, Blair SN, McBride P, Sallis R. Physical activity counselling in sports medicine: a call to action. Br J Sports Med. 2013;47(1):49-53.
Pipe A. Get active about physical activity. Ask, advise, assist: get your patients moving. Can Fam Physician. 2002;48:13-14, 21-13.
Angyan L. Promoting physical activity in medical education. Mini-review. Acta Physiol Hung. 2004;91(2):157-66.
Anand T, Tanwar S, Kumar R, Meena GS, Ingle GK. Knowledge, attitude, and level of physical activity among medical undergraduate students in Delhi. Indian J Med Sci. 2011;65(4):133-42.
Connaughton AV, Weiler RM, Connaughton DP. Graduating medical students' exercise prescription competence as perceived by deans and directors of medical education in the United States: implications for Healthy People 2010. Public Health Rep. 2001;116(3):226-34.
Dunlop M, Murray AD. Major limitations in knowledge of physical activity guidelines among UK medical students revealed: implications for the undergraduate medical curriculum. Br J Sports Med. 2013;47(11):718-20.
Garry JP, Diamond JJ, Whitley TW. Physical activity curricula in medical schools. Acad Med. 2002;77(8):818-20.
Cardinal BJ, Park EA, Kim M, Cardinal MK. If Exercise is Medicine(R), Where is Exercise in Medicine? Review of U.S. Medical Education Curricula for Physical Activity-Related Content. J Phys Act Health. 2015; 12:1336-43.
Weiler R, Chew S, Coombs N, Hamer M, Stamatakis E. Physical activity education in the undergraduate curricula of all UK medical schools: are tomorrow's doctors equipped to follow clinical guidelines? Br J Sports Med. 2012;46(14):1024-6.
Burke EJ, Hultgren PB. Will physicians of the future be able to prescribe exercise? J Med Educ. 1975;50(6):624-6.
Trilk JL, Phillips EM. Incorporating 'Exercise is Medicine' into the University of South Carolina School of Medicine Greenville and Greenville Health System. Br J Sports Med. 2014;48(3):165-7.
Cuff P, Vanselow N. Improving Medical Education: Enhancing the Behavioral and Social Science Content of Medical School Curricula. Washington, DC: National Academies Press; 2004.
Graber DR, Bellack JP, Musham C, O'Neil EH. Academic deans' views on curriculum content in medical schools. Acad Med. 1997;72(10):901-7.
MEC. Diretrizes curriculares nacionais do curso de graduação em medicina. Ministério da Educação. [quoted in 2015 Apr 4]. Available at: http://portal.mec.gov.br/cne/arquivos/pdf/Med.pdf.
Glasgow RE, Eakin EG, Fisher EB, Bacak SJ, Brownson RC. Physician advice and support for physical activity: results from a national survey. Am J Prev Med. 2001;21(3):189-96.
Vallance JK, Wylie M, MacDonald R. Medical students' self-perceived competence and prescription of patient-centered physical activity. Prev Med. 2009;48(2):164-6.
Lianov L, Johnson M. Physician competencies for prescribing lifestyle medicine. Jama. 2010;304(2):202-3.
CELAFISCS. Exercício é remédio. [quoted in 2020 Jan 29]. Available at: https://celafiscs.org.br/exercicio-e-remedio/.
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Derechos de autor 2019 Adriana Akemi Dourado, Pedro Rodrigues Curi Hallal, Marlos Rodrigues Domingues, Fernando Vinholes Siqueira
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Al enviar un manuscrito a la Revista Brasileira de Atividade Física & Saúde, los autores mantienen la titularidad de los derechos de autor sobre el artículo y autorizan a la Revista Brasileira de Atividade Física & Saúde a publicar este manuscrito bajo la Licencia Creative Commons Atribución 4.0 e identificarla como el vehículo de su publicación original.