Recomendações de atividade física: uma mensagem para o profissional de saúde

Autores

DOI:

https://doi.org/10.35454/rncm.v2n2.006

Palavras-chave:

exercício, mortalidade, promoção de atividade física

Resumo

A atividade física (AF) regular está associada à prevenção e ao tratamento da maioria das doenças crônicas, como as cardiovasculares, diabetes, obesidade e alguns tipos de cáncer e à redução da mortalidade prematura. A AF tem efeitos importantes na saúde mental e cognitiva, na qualidade do sono, no desempenho cognitivo, na prevenção de quedas e fraturas a na melhoria da capacidade funcional em idosos. Portanto, a AF deve fazer parte das recomendações de qualquer profissional de saúde. As diretrizes de AF para promoção da saúde recomendam que todos em qualquer idade façam AF moderada, pelo menos 30 minutos diários para adultos e 60 minutos para crianças e adolescentes e devem incluir exercícios de força muscular no mínimo dois dias por semana. Além disso, o profissional de saúde deve recomendar a redução do tempo em comportamentos sedentários, e a mover-se sempre que possível. Mais minutos e mais intensidade da AF trazem benefícios em qualquer idade e em qualquer condição clínica

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Referências

American College of Sports Medicine. Guidelines for exercise testing and prescription. Tenth edition. Philadelphia, PA: Wolters Kluwer Health, 2018.

Katzmarzyk PT, Powell KE, Jakicic JM, Troiano RP, Piercy K, Tennant B, et al. Sedentary behavior and health: update from the 2018 Physical Activity Guidelines Advisory Committee. Med Sci Sports Exerc. 2019;51(6):1227–41.

Patterson R, McNamara E, Tainio M, de Sá TH, Smith AD, Sharp SJ, et al. Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis. Eur J Epidemiol. 2018;33(9):811–29.

Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995;273(5): 402-7.

Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39(8):1423-34.

Campbell WW, Kraus WE, Powell KE, Haskell WL, Janz KF, Jakicic JM, et al. High-intensity interval training for cardiometabolic disease prevention. Med Sci Sports Exerc. 2019;51(6):1220–6.

Viana RB, Naves JPA, Coswig VS, de Lira CAB, Steele J, Fisher JP, et al. Is interval training the magic bullet for fat loss? A systematic review and meta-analysis comparing moderate-intensity continuous training with high-intensity interval training (HIIT). Br J Sports Med. 2019;53(10):655–64.

Jakicic JM, Kraus WE, Powell KE, Campbell WW, Janz KF, Troiano RP, et al. Association between bout duration of physical activity and health: systematic review. Med Sci Sports Exerc. 2019;51(6):1213–9.

Zhao M, Veeranki SP, Li S, Steffen M, Xi B. Beneficial associations of low and large doses of leisure time physical activity with all-cause, cardiovascular disease and cancer mortality: a national cohort study of 88,140 US adults. Br J Sports Med. 2019. pii:bjsports-2018-099254

Glazer NL, Lyass A, Esliger DW, Blease SJ, Freedson PS, Massaro JM, et al. Sustained and shorter bouts of physical activity are related to cardiovascular health. Med Sci Sports Exerc. 2013;45(1):109-15.

Saint-Maurice PF, Troiano RP, Matthews CE, Kraus WE. Moderate-to-vigorous physical activity and all-cause mortality: do bouts matter? J Am Heart Assoc. 2018;7(6): pii: e007678.

Villablanca PA, Alegria JR, Mookadam F, Holmes DR, Wright RS, Levine JA. Nonexercise Activity Thermogenesis in Obesity Management. Mayo Clin Proc. 2015;90(4):509-19.

Ekblom-Bak E, Ekblom B, Vikström M, de Faire U, Hellénius M. The importance of non-exercise physical activity for cardiovascular health and longevity. Br J Sports Med. 2014;48(3):233-8.

Ravussin E. Physiology. A NEAT way to control weight? Science. 2005; 307(5709):530-1.

Chastin SFM, De Craemer M, De Cocker K, Powell L, Van Cauwenberg J, Dall P, et al. How does light-intensity physical activity associate with adult cardiometabolic health and mortality? Systematic review with meta-analysis of experimental and observational studies. Br J Sports Med. 2019;53(6):370–6.

Jefferis BJ, Parsons TJ, Sartini C, Ash S, Lennon LT, Papacosta O, et al. Objectively measured physical activity, sedentary behaviour and all-cause mortality in older men: does volume of activity matter more than pattern of accumulation? Br J Sports Med. 2018;0:1–8.

Jakicic JM, Clark K, Coleman E, Donnelly JE, Foreyt J, Melanson E, et al. American College of Sports Medicine position stand. Appropriate intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2001;33(12):2145-56.

Saris WH, Blair SN, van Baak MA, Eaton SB, Davies PS, Di Pietro L, et al. How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement. Obes Rev. 2003; 4(2):101-14.

Jakicic JM, Powell KE, Campbell WW, Dipietro L, Pate RR, Pescatello LS, et al. Physical activity and the prevention of weight gain in adults: a systematic review. Med. Sci. Sports Exerc. 2019;51(6):1262–9.

Lee IM, Shiroma EJ, Kamada M, Bassett DR, Matthews CE, Buring JE. Association of step volume and intensity with all-cause mortality in older women. JAMA Intern Med. 2019;179(8):1105-1112. doi:10.1001/jamainternmed.2019.0899

Kraus WE, Janz KF, Powell KE, Campbell WW, Jakicic JM, Troiano RP, et al. Daily step counts for measuring physical activity exposure and its relation to health. Med Sci Sports Exerc. 2019;51(6):1206–12.

Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, et al. The physical activity guidelines for americans. JAMA. 2018;320(19):2020-8.

U.S. Department of Health and Human Services. Physical activity guidelines for americans [Internet]. Washington, DC: U.S. Department of Health and Human Services; 2018. [Fecha de consulta: 1 de junio 2019]. Disponible en: https://health.gov/paguidelines/second-edition/pdf/Physical_Activity_Guidelines_2nd_edition.pdf

García-Hermoso A, Ramírez-Campillo R, Izquierdo M. Is muscular fitness associated with future health benefits in children and adolescents? A systematic review and meta-analysis of longitudinal studies. Sports Med. 2019;49(7):1079-94.

Grgic J, Schoenfeld BJ, Davies TB, Lazinica B, Krieger JW, Pedisic Z. Effect of resistance training frequency on gains in muscular strength: a systematic review and meta-analysis. Sports Med. 2018;48(5):1207-20.

Physical Activity Guidelines Advisory Comittee. Physical activity guidelines Advisory Committee Scientific Report [Internet]. Washington, DC: Department of Health and Human Services; 2018. [Fecha de consulta: 1 de junio 2019]. Disponible en: https://health.gov/paguidelines/second-edition/report/pdf/PAG_Advisory_Committee_Report.pdf

Kraus WE, Powell KE , Haskell WL, Janz KF, Campbell WW, Jakicic JM, et al. Physical activity, all-cause and cardiovascular mortality, and cardiovascular disease. Med Sci Sports Exerc. 2019;51(6):1270–81.

Bangsbo J, Krustrup P, Duda J, Hillman C, Andersen LB, Weiss M, et al. The Copenhagen Consensus Conference 2016: children, youth, and physical activity in schools and during leisure time. Br J Sports Med. 2016;50(19):1177-8.

Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical activity/exercise and diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2016;39(11):2065–79.

Riddell MC, Gallen IW, Smart CE, Taplin CE, Adolfsson P, Lumb AN, et al. Exercise management in type 1 diabetes: a consensus statement. Lancet Diabetes Endocrinol. 2017;5(5):377–90.

American College of Sports Medicine, Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, et al. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009;41(7):1510-30.

de Souto Barreto P, Morley JE, Chodzko-Zajko W, H Pitkala K, Weening-Djiksterhuis E, Rodriguez-Mañas L, et al. Recommendations on physical activity and exercise for older adults living in long-term care facilities: a taskforce report. J Am Med Dir Assoc. 2016;17(5):381-92.

Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334-59.

Bouchard C, Blair SN, Katzmarzyk PT. Less sitting, more Physical activity, or higher fitness? Mayo Clin Proc. 2015;90(11):1533-40.

Lobelo F, Rohm Young D, Sallis R, Garber MD, Billinger SA, Duperly J, et al. Routine assessment and promotion of physical activity in healthcare settings. A scientific statement from the American Heart Association. Circulation. 2018;137(18): e495-e522.

Tudor-Locke C, Craig CL, Brown WJ, Clemes SA, De Cocker K, Giles-Corti B, et al. How many steps/day are enough? For adults. Int J Behav Nutr Phys Act. 2011;8:79.

Bennie JA, Lee DC, Khan A, Wiesner GH, Bauman AE, Stamatakis E, et al. Muscle-strengthening exercise among 397,423 U.S. adults: prevalence, correlates, and associations with health conditions. Am J Prev Med. 2018;55(6):864−74.

Berra K, Rippe J, Manson JE. Making physical activity counseling a priority in clinical practice: the time for action is now. JAMA. 2015;314(24):2617-8.

Bowen PG, Mankowski RT, Harper SA, Buford TW. Exercise is medicine as a vital sign: challenges and opportunities. Transl J Am Coll Sports Med. 2019:4(1):1-7.

Exercise is Medicine®. A global health initiative managed by the American College of Sports Medicine [Internet]. Indianapolis: American College of Sports Medicine; 2019. [Fecha de consulta: 1 de agosto 2019]. Disponible en https://www.exerciseismedicine.org/latinamerica/

Publicado

2019-10-01

Como Citar

Mahecha Matsudo, S. M. (2019). Recomendações de atividade física: uma mensagem para o profissional de saúde. Jornal De Nutrição Clínica E Metabolismo, 2(2), 44–54. https://doi.org/10.35454/rncm.v2n2.006