Comportamento sedentário em adolescentes brasileiros: uma revisão sistemática
DOI:
https://doi.org/10.12820/rbafs.25e0139Palavras-chave:
Adolescente, Comportamento sedentário, Tempo de telaResumo
Objetivou-se descrever aspectos metodológicos da pesquisa em comportamento sedentário e identificar intervenções para redução do comportamento sedentário em adolescentes brasileiros. A busca de dados foi de outubro de 2014 a abril de 2019. As bases de dados utilizadas foram LILACS, Pubmed, SciELO e Scopus. Foram critérios de inclusão artigos originais publicados em revistas nacionais e internacionais, teses e dissertações completas disponíveis para download, com amostras que incluíssem adolescentes brasileiros. Encontrou-se 491 estudos e 38 foram incluídos na síntese qualitativa. Somente 13,1% dos trabalhos apresentaram desenho experimental. O tempo de tela foi o indicador mais utilizado para caracterizar o comportamento sedentário. O ponto de corte mais frequente foi o de 2 horas/dia, entretanto, identificou-se 17 pontos de corte diferentes. Apenas 13,1% das pesquisas utilizaram medidas objetivas para mensurar o comportamento sedentário. Conclui-se que a falta de padronização nos indicadores e pontos de corte do comportamento sedentário dificultam a comparação entre os resultados das pesquisas. É necessária a utilização de medidas objetivas para informações mais fidedignas. Há carência de estudos de intervenção na redução do comportamento sedentário em adolescentes brasileiros.
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Alberga AS, Sigal RJ, Goldfield G, Prud’ homme D, Kenny GP. Overweight and obese teenagers: why is adolescence a critical period?: the critical period of adolescence. Pediatr Obes. 2012;7(4):261-73.
Owen N, Healy GN, Matthews CE, Dunstan DW. Too much sitting: the population-health science of sedentary behavior. Exerc Sport Sci Rev. 2010;38(3):105-13.
Sardinha LB, Magalhães J. Comportamento sedentário: epidemiologia e relevância. Rev Factores Risco. 2012;27:54-64.
Charansonney OL. Physical activity and aging: a life- long story. Discov Med. 2011;12(64):177–85.
Charansonney OL, Després J-P. Disease prevention—should we target obesity or sedentary lifestyle? Nat Rev Cardiol. 2010;7(8):468–72.
Busch V, Ananda Manders L, Rob Josephus de Leeuw J. Screen time associated with health behaviors and outcomes in adolescents. Am J Health Behav. 2013;37(6):819–30.
Instituto Brasileiro de Geografia e Estatística. Pesquisa nacional de saúde do escolar. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2016.
Van der Ploeg HP, Hillsdon M. Is sedentary behaviour just physical inactivity by another name? Int J Behav Nutr Phys Act. 2017;14(1):142.
Guerra PH, Mielke GI, Garcia LMT. Comportamento sedentário. Rev Corpoconsciência. 2015;18(1):23-36.
Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary Behavior Research Network (SBRN) – terminology consensus project process and outcome. Int J Behav Nutr Phys Act. 2017;14(1):75.
Pearson N, Biddle SJH. Sedentary behavior and dietary intake in children, adolescents, and adults: a systematic review. Am J Prev Med. 2011;41(2):178-88.
Friedrich RR, Polet JP, Schuch I, Wagner MB. Effect of intervention programs in schools to reduce screen time: a meta‐analysis. J Pediatr. 2014;90(3):232-41.
Ramsey BL, Rooks-Peck CR, Finnie RKC, Wethington HR, Jacob V, Fulton JE, et al. Reducing recreational sedentary screen time. Am J Prev Med. 2016;50(3):402-15.
Biddle SJH, Petrolini I, Pearson N. Interventions designed to reduce sedentary behaviours in young people: a review of reviews. Br J Sports Med. 2014;48(3):182-6.
Principais itens para relatar revisões sistemáticas e meta-análises: a recomendação PRISMA. Epidemiol Serv Saúde. 2015;24(2):335-42.
World Health Organization, Group on Young People and "Health for All by the Year 2000". Young people's health: a challenge for society. Geneva: World Health Organization; 1986. (World Health Organization Technical Report Series; 731).
Barbosa Filho VC, Lopes AS, Lima AB, Souza EA, Gubert FA, Silva KS, et al. Rationale and methods of a cluster-randomized controlled trial to promote active and healthy lifestyles among Brazilian students: the “Fortaleça sua Saúde” program. BMC Public Health. 2015;15:1212.
Christofaro DGD, Andrade SM, Mesas AE, Fernandes RA, Farias Júnior JC. Higher screen time is associated with overweight, poor dietary habits and physical inactivity in Brazilian adolescents, mainly among girls. Eur J Sport Sci. 2015;16(4):498-506.
Farah BQ, Christofaro DGD, Balagopal PB, Cavalcante BR, de Barros MVG, Ritti-Dias RM. Association between resting heart rate and cardiovascular risk factors in adolescents. Eur J Pediatr. 2015;174(12):1621-8.
Ferrari GL, Araujo TL, Oliveira L, Matsudo V, Mire E, Barreira TV, et al. Association between television viewing and physical activity in 10-Year-old Brazilian children. J Phys Act Health. 2015;12(10):1401-8.
Ferrari GLM, Oliveira LC, Araujo TL, Matsudo V, Barreira TV, Tudor-Locke C, et al. Moderate-to-vigorous physical activity and sedentary behavior: independent associations with body composition variables in Brazilian children. Pediatr Exerc Sci. 2015;27(3):380-9.
Fronza FCAO, Minatto G, Martins CR, Petroski EL. Excessive TV viewing time and ssociated factors in Brazilian adolescents from a rural area. Hum Mov Sci. 2015;16(1):20-7.
Gordia AP, Quadros TMB, Silva LR, Mota J. Cut-off values for step count and TV viewing time as discriminators of hyperglycaemia in Brazilian children and adolescents. Ann Hum Biol. 2015;43(5):423-9.
Leme ACB, Philippi ST. The “Healthy Habits, Healthy Girls” randomized controlled trial for girls: study design, protocol, and baseline results. Cad Saúde Pública. 2015;31(7):1381-94.
Menezes AS, Duarte MFS. Condições de vida, inatividade física e conduta sedentária de jovens nas áreas urbana e rural. Rev Bras Med Esporte. 2015;21(5):338-44.
Romero A, Borges C, Slater B. Patterns of physical activity and sedentary behavior associated with overweight in Brazilian adolescents. Rev Bras Ativ Fís Saúde. 2015; 20:26-35.
Azeredo CM, Levy RB, Peres MFT, Menezes PR, Araya R. Patterns of health-related behaviours among adolescents: a cross-sectional study based on the National Survey of School Health Brazil 2012. BMJ Open. 2016;6(11):e011571.
Barbosa DG, Andrade RD, Teixeira CS, Gomes Filho Neto M, Felden ÉPG. Sintomas depressivos em adolescentes em situação de vulnerabilidade social. Cad Saúde Colet. 2016;24(2):221-7.
Felden ÉPG, Filipin D, Barbosa DG, Andrade RD, Meyer C, Beltrame TS, et al. Adolescentes com sonolência diurna excessiva passam mais tempo em comportamento sedentário. Rev Bras Med Esporte. 2016;22(3):186-90.
Ferreira RW, Rombaldi AJ, Ricardo LIC, Hallal PC, Azevedo MR, Ferreira RW, et al. Prevalence of sedentary behavior and its correlates among primary and secondary school students. Rev Paul Pediatr. 2016;34(1):56-63.
Leme ACB, Lubans DR, Guerra PH, Dewar D, Toassa EC, Philippi ST. Preventing obesity among brazilian adolescent girls: six-month outcomes of the healthy habits, healthy girls–Brazil school-based randomized controlled trial. Prev Med. 2016;86:77-83.
Matsudo VKR, Ferrari GLM, Araújo TL, Oliveira LC, Mire E, Barreira TV, et al. Indicadores de nível socioeconômico, atividade física e sobrepeso/obesidade em crianças brasileiras. Rev Paul Pediatr. 2016;34(2):162-70.
Moraes ACF, Fernández-Alvira JM, Rendo-Urteaga T, Julián-Almárcegui C, Beghin L, Kafatos A, et al. Effects of clustering of multiple lifestyle-related behaviors on blood pressure in adolescents from two observational studies. Prev Med. 2016; 82:111-7.
Regis MF, Oliveira LMFT, Santos ARM, Leonidio ACR, Diniz PRB, Freitas CMSM de, et al. Urban versus rural lifestyle in adolescents: associations between environment, physical activity levels and sedentary behavior. Einstein (Sao Paulo). 2016;14(4):461-7.
Silva DAS, Silva RJS. Soccer practice is associated with health-related behaviours among Brazilian male adolescents. Sport Sci Health. 2016;12(2):167-74.
Costa BGG, Silva KS, George AM, Assis MAA. Sedentary behavior during school-time: sociodemographic, weight status, physical education class, and school performance correlates in Brazilian schoolchildren. J Sci Med Sport. 2017;20(1):70-4.
Ferreira NL, Claro RM, Mingoti SA, Lopes ACS. Coexistence of risk behaviors for being overweight among Brazilian adolescents. Prev Med. 2017;100:135-42.
Greca JPA, Silva DAS. Sedentary behavior during school recess in Southern Brazil. Percept Mot Skills. 2017;124(1):105-17.
Ribeiro BVDS, Mendonça RG, Oliveira LL, Lima GS, Martins-Filho PRS, Moura NPR, et al. Anthropometry and lifestyle of children and adolescent in inland of Northeastern Brazil. Rev Bras Crescimento Desenvolv Hum. 2017;27(2):140-7.
Silva BGC, Menezes AMB, Wehrmeister FC, Barros FC, Pratt M. Screen-based sedentary behavior during adolescence and pulmonary function in a birth cohort. Int J Behav Nutr Phys Act. 2017;14(1):82.
Tebar WR, Vanderlei LCM, Scarabotollo CC, Zanuto EF, Saraiva BTC, Tebar FCSG, et al. Abdominal obesity: prevalence, sociodemographic- and lifestyle-associated factors in adolescents. Rev Bras Crescimento Desenvolv Hum. 2017;27(1):56-63.
Bacil EDA, Watanabe PI, Silva MP, Fantinelli ER, Bozza R, Campos W. Validade de um questionário de comportamento sedentário em escolares de 9 a 15 anos de idade. Rev Bras Ciênc Saúde. 2018;22(4):341-8.
Coledam DHC, Ferraiol PF, Greca JPA, Teixeira M, Oliveira AR. Aulas de educação física e desfechos relacionados à saúde em estudantes brasileiros. Rev Paul Pediatr. 2018;36(2):192-8.
Costa CS, Flores TR, Wendt A, Neves RG, Assunção MCF, Santos IS. Comportamento sedentário e consumo de alimentos ultraprocessados entre adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar (PeNSE), 2015. Cad Saúde Pública. 2018;34(3):e00021017.
Leme ACB, Baranowski T, Thompson D, Nicklas T, Philippi ST. Sustained impact of the “Healthy Habits, Healthy Girls – Brazil” school-based randomized controlled trial for adolescents living in low-income communities. Prev Med Rep. 2018;10:346-52.
Matias TS, Silva KS, Silva JA, Mello GT, Salmon J. Clustering of diet, physical activity and sedentary behavior among Brazilian adolescents in the national school - based health survey (PeNSE 2015). BMC Public Health. 2018;18:1283.
Oliveira LMFT, Ritti-Dias RM, Farah BQ, Christofaro DGD, Barros MVG, Diniz PRB, et al. Does the type of sedentary behaviors influence blood pressurein adolescents boys and girls? A cross-sectional study. Ciênc Saúde Colet. 2018;23(8):2575-85.
Oliveira SS, Bauermann GM, Alves MR, Toral N. Association of dietary intake with eating behavior, screen time, and physical activity among Brazilian adolescents. Rev Chil Nutr. 2018;45(4):349–55.
Silva RCR, Malta D, Rodrigues L, Ramos D, Fiaccone R, Machado D, et al. Social, environmental and behavioral determinants of asthma symptoms in Brazilian middle school students - A National School Health Survey (PeNSE 2012). Int J Environ Res Public Health. 2018;15(12):2904.
Santos MC, Castro Coutinho APC, Souza Dantas M, Yabunaka LAM, Guedes DP, Oesterreich SA. Correlates of metabolic syndrome among young Brazilian adolescents population. Nutr J. Dec. 2018;17(1):66.
Ulbricht L, Campos MF, Esmanhoto E, Ripka WL. Prevalence of excessive body fat among adolescents of a south Brazilian metropolitan region and state capital, associated risk factors, and consequences. BMC Public Health. 2018;18(1):312.
Barbosa Filho V, Bandeira A, Minatto G, Linard J, Silva J, Costa R, et al. Effect of a multicomponent intervention on lifestyle factors among Brazilian adolescents from low human development index areas: a cluster-randomized controlled trial. Int J Environ Res Public Health. 2019;16(2):267.
Silva DAS, Chaput J-P, Tremblay MS. Participation frequency in physical education classes and physical activity and sitting time in Brazilian adolescents. PLoS One. 2019; 14(3):e0213785.
Straatmann VS, Almquist YB, Oliveira AJ, Veiga GV, Rostila M, Lopes CS. Stability and bidirectional relationship between physical activity and sedentary behaviours in Brazilian adolescents: longitudinal findings from a school cohort study. PLoS One. 2019; 14(1):e0211470.
Guerra PH, Farias Júnior JC, Florindo AA. Sedentary behavior in Brazilian children and adolescents: a systematic review. Rev Saúde Publica. 2016;50:9.
Barbosa Filho VC, Campos W, Lopes AS. Epidemiology of physical inactivity, sedentary behaviors, and unhealthy eating habits among Brazilian adolescents. Ciên Saúde Colet. 2014;19(1):173-94.
Silva KS, Nahas MV, Hoefelmann LP, Lopes AS, Oliveira ES. Associações entre atividade física, índice de massa corporal e comportamentos sedentários em adolescentes. Rev Bras Epidemiol. 2008;11(1):159-68.
Silva KS, Nahas MV, Peres KG, Lopes AS. Fatores associados à atividade física, comportamento sedentário e participação na educação física em estudantes do ensino médio em Santa Catarina, Brasil. Cad Saúde Pública. 2009;25:2187-200.
Oliveira A, Germano-Soares AH, Silva B, Tassitano R. Prevalência do tempo de tela como indicador do comportamento sedentário em adolescentes brasileiros: uma revisão sistemática. Motricidade. 2016;12(S2):155-64.
Taveras EM, Field AE, Berkey CS, Rifas-Shiman SL, Frazier AL, Colditz GA, et al. Longitudinal relationship between television viewing and leisure-time physical activity during adolescence. Pediatrics. 2007;119(2):e314-19.
Bergmann, GG, Tassitano RM, Bergmann MLA, Tenório MCM, Mota J. Screen time, physical activity and cardiovascular risk factors in adolescents. Rev Bras Ativ Fís Saúde. 2018;23:e0008.
Busch V, Ananda Manders L, Rob Josephus de Leeuw J. Screen time associated with health behaviors and outcomes in adolescents. Am J Health Behav. 2013;37(6):819–30.
Hale L, Guan S. Screen time and sleep among school-aged children and adolescents: a systematic literature review. Sleep Med Rev. 2015;21:50–8.
Edwardson CL, Gorely T, Davies MJ, Gray LJ, Khunti K, Wilmot EG, et al. Association of sedentary behaviour with metabolic syndrome: a meta-analysis. PLoS One. 2012; 7(4):e34916.
Wang W-Y, Hsieh Y-L, Hsueh M-C, Liu Y, Liao Y. Accelerometer-measured physical activity and sedentary behavior patterns in taiwanese adolescents. Int J Environ Res Public Health. 2019;16(22).
Wu XY, Han LH, Zhang JH, Luo S, Hu JW, Sun K. The influence of physical activity, sedentary behavior on health-related quality of life among the general population of children and adolescents: a systematic review. PLoS One. 2017;12(11).
Vancampfort D, Stubbs B, Firth J, Van Damme T, Koyanagi A. Sedentary behavior and depressive symptoms among 67,077 adolescents aged 12–15 years from 30 low- and middle-income countries. Int J Behav Nutr Phys Act. 2018;15.
Butterworth P, Leach LS. Early onset of distress disorders and high-school dropout: prospective evidence from a national cohort of australian adolescents. Am J Epidemiol. 2018;187(6):1192–8.
Biddle SJ, O’Connell S, Braithwaite RE. Sedentary behaviour interventions in young people: a meta-analysis. Br J Sports Med. 2011;45(11):937-42.
McMichan L, Gibson A-M, Rowe DA. Classroom-based physical activity and sedentary behavior interventions in adolescents: a systematic review and meta-analysis. J Phys Act Health. 2018;15(5):383-93.
Young DR, Hivert M-F, Alhassan S, Camhi SM, Ferguson JF, Katzmarzyk PT, et al. Sedentary behavior and cardiovascular morbidity and mortality: a science advisory from the American Heart Association. Circulation. 2016;134(13):e262–79.
Ramires V, Becker L, Sadovsky A, Zago A, Bielemann R, Guerra P. Evolução da pesquisa epidemiológica em atividade física e comportamento sedentário no Brasil: atualização de uma revisão sistemática. Rev Bras Ativ Fís Saúde. 2014;19(5):529-47.
Hallal PC, Dumith SC, Bastos JP, Reichert FF, Siqueira FV, Azevedo MR. Evolution of the epidemiological research on physical activity in Brazil: a systematic review. Rev Saúde Pública. 2007;41(3):453-60.
Farias Júnior J. Atividade física e saúde no nordeste brasileiro. Rev Bras Ativ Fís Saúde. 2014;19(3):271-74.
Hardy LL, Hills AP, Timperio A, Cliff D, Lubans D, Morgan PJ, et al. A hitchhiker’s guide to assessing sedentary behaviour among young people: deciding what method to use. J Sci Med Sport. 2013;16(1):28-35.
Atkin AJ, Gorely T, Clemes SA, Yates T, Edwardson C, Brage S, et al. Methods of measurement in epidemiology: sedentary behaviour. Int J Epidemiol. 2012;41(5):1460-71.
Healy GN, Clark BK, Winkler EAH, Gardiner PA, Brown WJ, Matthews CE. Measurement of adults’ sedentary time in population-based studies. Am J Prev Med. 2011;41(2):216-27.
Lubans DR, Hesketh K, Cliff DP, Barnett LM, Salmon J, Dollman J, et al. A systematic review of the validity and reliability of sedentary behaviour measures used with children and adolescents: measurement of sedentary behaviour in youth. Obes Rev. 2011; 12(10):781-99.
Tremblay MS, Leblanc AG, Janssen I, Kho ME, Hicks A, Murumets K, et al. Canadian sedentary behaviour guidelines for children and youth. Appl Physiol Nutr Metab. 2011;36(1):59-64.
Department of Health (Australia). Australia’s Physical Activity and Sedentary Behaviour Guidelines and the Australian 24-Hour Movement Guidelines. Canberra: Australian Government Department of Health; 2019.
Amerian Academy of Pediatrics. Children, adolescents, and the media. Pediatrics. 2013;132(5):958-61.
Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act. 2011;8(1):98.
Moraes ACF, Adami F, Falcão MC. Understanding the correlates of adolescents' dietary intake patterns. A multivariate analysis. Appetite. 2012;58(3):1057–62.
Rey-López JP, Tomas C, Vicente-Rodriguez G, Gracia-Marco L, Jiménez-Pavón D, Pérez-Llamas F, et al. Sedentary behaviours and socio-economic status in Spanish adolescents: the AVENA study. Eur J Public Health. 2011;21(2):151–7.
Rey‐López JP, Ruiz JR, Vicente‐Rodríguez G, Gracia‐Marco L, Manios Y, Sjöström M, et al. Physical activity does not attenuate the obesity risk of TV viewing in youth. Pediatric Obesity. 2012;7(3):240–50.
Neumark-Sztainer DR, Friend SE, Flattum CF, Hannan PJ, Story MT, Bauer KW, et al. New Moves—Preventing Weight-Related Problems in Adolescent Girls: A Group-Randomized Study. American Journal of Preventive Medicine. 2010;39(5):421–32.
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