Comportamento Sedentário: prevalência e fatores associados em agentes comunitários de saúde

Abstract

The association between Sedentary Behavior and health outcomes is a public health problem, especially in the workers population. In this sense, this dissertation is an epidemiological, census, cross-sectional and analytical study arising from a part of the research entitled "Work and health conditions of Community Health Agents in the north of Minas Gerais: a longitudinal study", carried out with the ACS in the 135 units of the Family Health Strategy in the municipality of Montes Claros-MG, between August and October 2018. From such data, six main products were produced, one article, three health education events, elaboration of a profile on the social network Instagram and a technical report. The article aimed to estimate the prevalence of Sedentary Behavior and associated factors in ACS. Data collection took place at the Regional Worker's Health Center, by previously trained researchers and scientific initiation students, using questionnaires and tests. The outcome variable Sedentary Behavior was investigated using the last two questions present in the International Physical Activity Questionnaire, short version, in addition to the independent variables: sociodemographic, work, clinical, cardiorespiratory fitness and anthropometric factors. For data analysis, descriptive analyzes were performed according to gender. Subsequently, bivariate analyzes were performed between the dependent variable and the independent variables, using Pearson's chi square test. Variables with a p-value ≤0.25 in the bivariate analysis were selected for multiple analysis, adopting the hierarchical Poisson regression model. A total of 675 Community Health Agents participated in the study, predominantly female (83.7%). The prevalence of Sedentary Behavior was 41.2% in women and 47.3% in men. In the hierarchical multivariate analysis, the association between Sedentary Behavior and factors at the distal level was verified: age greater than 37 years (PR=0.53;CI95%0.30-093) and white skin color (PR=1.54;CI95% 1.02-2.31) for men, and for women, age greater than 37 years (PR=0.70;CI95%0.57-0.87) and higher education level (PR=0.74 ;CI95%0.61-0.91). At the intermediate level, poor perception of health status (PR=1.25;CI95%1.01-1.48) and having depressive symptoms (PR=1.64;CI95%1.01- 2.67). It concludes a high prevalence of Sedentary Behavior in both sexes, and the associated factors refer to sociodemographic conditions in both sexes, and clinical conditions in men. The events entitled “1st and 2nd Week of the Community Health Agent: taking care of those who care” carried out through online lectures, had the participation of around 900 views on the Youtube platform and, the second, 923 subscribers on the Even3 platform. “CHA Day” promoted an afternoon with topics on health. In addition, the creation of a profile on the social network "Instagram", called "Portal do ACS" and a Technical Report on the health and work conditions of the investigated population. Thus, it is important to emphasize the need for health interventions aimed at raising awareness and helping these professionals to adopt a healthy lifestyle, with a view to reducing the possible damage caused by Sedentary Behavior in the health/disease process.