Active and healthy lifestyle in Brazilian Primary Health Care user’s: A pragmatic clinical trial about "VAMOS" behavior change program

Aline Mendes Gerage,Cassiano Ricardo Rech,Tânia Rosane Bertoldo Benedetti,Elizabeth Nappi Corrêa,Camila Tomicki,Lisandra Maria Konrad

doi:10.33448/rsd-v10i13.20382

Aline Mendes Gerage, Cassiano Ricardo Rech + Show 4 more

Open Access

https://doi.org/10.33448/rsd-v10i13.20382

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Abstract

This study aimed to investigate the effectiveness and maintenance of the behavior change program "VAMOS", version 2.0, on behavioral and health outcomes in Brazilian users (≥ 18 years) of Primary Health Care (PHC) in Florianópolis, state of Santa Catarina, southern Brazil. A pragmatic clinical trial was carried out between 2016 and 2019 in Basic Health Units, with 265 users allocated in the intervention group (n = 125) and the control group (n = 140). The intervention group participated for three months in the VAMOS to promote physical activity (PA) and a healthy diet. The control group received in a single meeting counseling about the importance of an active and healthy lifestyle. Variables of PA (daily minutes in light PA, moderate-to-vigorous PA, total PA, and sedentary behavior), eating behavior (weekly consumption of fruits, vegetables, and soda drinks), anthropometry (body mass, waist circumference (WC), and body mass index), and quality of life (QOL) (positive or negative perception), were evaluated, through interviews and objective measures, in the pre-intervention, post-intervention, and 12 months after the end of the intervention. The intervention group increased moderate-to-vigorous PA bouts, consumed of vegetables and, QOL, and decreased the consumption of soda drinks and WC (p<0.05). The intervention was sufficient to maintain the achieved benefits of moderate-to-vigorous PA bouts, soda drink consumption, and WC. VAMOS effectively promote an active and healthy lifestyle in PHC users and, its strategies proved to be adequate to maintain the gains acquired. VAMOS is a pioneer and a health innovation.

Highlights

The lifestyle of the world population has changed in recent decades - influenced by demographic, epidemiological, nutritional, and technological transitions, leading to an increase in non-communicable chronic diseases (Thompson & Kent, 2017; Saldiva, 2018)
The magnitude of non-communicable chronic diseases, associated with low adherence to physical activity and healthy eating by the population, calls on managers and health professionals to reflect on their practices, directing them towards an approach aimed at improving health conditions (Benedetti et al, 2012; Marques et al, 2020)
2.9 Sample calculation Using GPower version 3.1.9.4, we identified that the minimum sample size for the variables physical activity (PA) and eating behavior (EB) would be 37 participants per group

Summary

Introduction

The lifestyle of the world population has changed in recent decades - influenced by demographic, epidemiological, nutritional, and technological transitions, leading to an increase in non-communicable chronic diseases (Thompson & Kent, 2017; Saldiva, 2018). The magnitude of non-communicable chronic diseases, associated with low adherence to physical activity and healthy eating by the population, calls on managers and health professionals to reflect on their practices, directing them towards an approach aimed at improving health conditions (Benedetti et al, 2012; Marques et al, 2020). Faced with this scenario and to promote health sustainably, the PHC intervention proposals started to adopt health education to guide people to adopt and maintain an active and healthy lifestyle (Benedetti et al, 2019; Benedetti et al, 2020)

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