Fatores associados ao aconselhamento para a atividade física realizado por profissionais da atenção primária à saúde

Abstract

The aim of this study was to analyze how sociodemographic characteristics, health conditions, knowledge about physical activity and work characteristics are associated with physical activity counseling carried out by health professionals working in Primary Health Care in São José dos Pinhais, Parana. Quantitative, observational, crosssectional study, carried out in 2019-2020, in which 148 professionals (29.7% doctors, 30.4% nurses, 39.9% health community workers) who work in the 15 Basic Health Units (UBS) participated ) of the urban area of the city. Counseling for physical activity was evaluated with the dichotomous answer to the question: ‘’ During your consultations and / or home visits, do you regularly provide counseling for the practice of physical activities for patients and or for UBS users? ‘’ (“No”, “yes”). Sociodemographic variables (gender, age, marital status, education, socioeconomic level), health (body mass index and physical activity during leisure), physical activity (recommendation) and work (having specialization in public health) variables were analyzed or public family, length of service at UBS, number of patients seen, duration of consultations). The data were analyzed using the multivariable Poisson regression in the SPSS and the significance level was maintained at 5%. The prevalence of counseling was 60.8%, with no significant difference between the professional categories (72.7% doctors, 48.9% nurses and 61.0% community health workers, p = 0.299). The sócio-demographic variable marital status (’’ divorced / widowed ‘’ PR: 1.63; 95% CI: 1.00-2.66) was positively associated with counseling, and the socioeconomic level variable (’’ B ‘’ PR: 0.59; 95% CI: 0.49-0.69) and (’’ C ‘’ PR: 0.64; 95% CI: 0.45-0.92) showed an inverse association with counseling. Regarding health variables, moderate physical activity during leisure time (’’ ≥10min ‘’ PR: 1.61; 95% CI: 1.27-2.02) and (’’ ≥150min ‘’ PR: 1.64; 95% CI: 1.32-2.03) and total physical activity at leisure (’’ ≥10min ‘’ PR: 1.62; 95% CI: 1.26-2.09) and (’’ ≥150min ‘’ PR : 1.70; 95% CI: 1.32-2.18) showed a positive association with counseling. And, among the variables of knowledge about the recommendations of physical activity, reporting knowing the recommendations of moderate or vigorous physical activity (’’ yes ‘’ PR: 1.78; 95% CI: 1.06-3.00) showed a positive association with counseling. It is concluded that counseling for physical activity is associated with health and knowledge variables about physical activity recommendations. This result can contribute to targeted actions being taken in order to empower health professionals to provide good quality advice to the population.