Association of knowledge, preventive counseling and personal health behaviors on physical activity and consumption of fruits or vegetables in community health workers

Association of knowledge, preventive counseling and personal health behaviors on physical activity and consumption of fruits or vegetables in community health workers

Author Florindo, Alex A. Google Scholar
Brownson, Ross C. Google Scholar
Mielke, Gregore I. Google Scholar
Gomes, Grace A. O. Google Scholar
Parra, Diana C. Google Scholar
Siqueira, Fernando V. Google Scholar
Lobelo, Felipe Google Scholar
Simoes, Eduardo J. Google Scholar
Ramos, Luiz R. Autor UNIFESP Google Scholar
Bracco, Mario M. Google Scholar
Hallal, Pedro C. Google Scholar
Institution Universidade de São Paulo (USP)
Washington Univ
Univ Fed Pelotas
Universidade Federal de São Carlos (UFSCar)
Emory Univ
Univ Missouri
Universidade Federal de São Paulo (UNIFESP)
Hosp Municipal Dr Moyses Deutsch MBoi Mirim
Abstract Background: There is evidence that if a health professional is active and has a healthy diet, he/she is more likely to advise patients about the benefits of physical activity and healthy eating the aims of this study were to: (1) describe the personal physical activity, consumption of fruits and vegetables behaviors and nutritional status of community health workers; (2) evaluate the association between knowledge, delivery of preventive counseling and personal behaviors among community health workers.Methods: This was a cross-sectional study conducted in a nationally sample of health professionals working in primary health care settings in Brazil in 2011. This survey was part of the second phase of the Guide for Useful Interventions for Activity in Brazil and Latin America project, and data were collected through telephone interviews of 269 community health workers from the Unified Health Care system of Brazil. We applied questionnaires about personal reported behaviors, knowledge and preventive counseling in physical activity and consumption of fruits and vegetables. We calculated the prevalence and associations between the variables with logistic regression.Results: the proportion of community health workers that practiced 150 minutes per week of physical activity in leisure time or transportation was high (64.9%). Half of community health workers were overweight and only 26.2% reported consuming five portions/day of fruits or vegetables. Most community health workers reported counseling about physical activity for more than six months (59.7%), and most were not knowledgeable of the fruits and vegetables and physical activity recommendations. Meeting the fruits and vegetables recommendations was associated with correct knowledge (OR = 4.5; CI95% 1.03; 19.7), with reporting 150 minutes or more of physical activity per week (OR = 2.0; CI95% 1.03; 3.7) and with reporting physical activity in leisure time (OR = 2.0; CI95% 1.05; 3.6). Regular physical activity counseling was associated with reporting 10-149 minutes per week (OR = 3.8; CI95% 1.1; 13.3) and with more than 150 minutes of physical activity per week (OR = 4.9; CI95% 1.5; 16.5).Conclusion: Actions to promote physical activity and healthy eating and to improve knowledge among community health workers within the health care system of Brazil could have a potential positive influence on delivery of preventive counseling to patients on this topic.
Keywords Physical activity
Consumption of fruits and vegetables
Community health workers
Primary health care settings
Knowledge
Preventive counseling
Personal behavior
Language English
Sponsor Centers for Disease Control and Prevention's Prevention Research Centers Program
Grant number Centers for Disease Control and Prevention's Prevention Research Centers Program: U48/DP001903
Date 2015-04-09
Published in Bmc Public Health. London: Biomed Central Ltd, v. 15, 8 p., 2015.
ISSN 1471-2458 (Sherpa/Romeo, impact factor)
Publisher Biomed Central Ltd
Extent 8
Origin http://dx.doi.org/10.1186/s12889-015-1643-3
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000353620600001
URI http://repositorio.unifesp.br/handle/11600/38995

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