• Physical Activity Counseling in Primary Health Care in Brazil: A National Study on Prevalence & Associated Factors

    BMC Public Health 2013

    Alex Antonio Florindo, Gregore Iven Mielke, Grace Angélica Gomes, Luiz Roberto Ramos, Mário Maia Bracco, Diana C Parra, Eduardo J Simoes, Felipe Lobelo, & Pedro Curi Hallal

    A phone survey was carried out in 2011 with professionals working in primary health care in Brazil. The target sample consisted of 1,600 randomly selected primary care units covering all regions of the country. We successfully interviewed 529 professionals within the sampled units; 182 physicians and 347 nurses. The overall response rate was 49.6%. Multivariable logistic regression was used to estimate correlates of counseling in the whole sample and separately for physicians and nurses.

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  • Physical Activity Interventions in Latin America: A Systematic Review

    Am J Prev Med. 2008 Mar;34(3):224-233. Review.

    Christine M. Hoehner, PhD, MSPH, Jesus Soares, ScD, Diana Parra Perez, Isabela C. Ribeiro, Corinne E. Joshu, Michael Pratt,Branka D. Legetic, MD, PhD, MPH, Deborah Carvalho Malta, Victor R. Matsudo, Luiz Roberto Ramos, Eduardo J. Simões, Ross C. Brownson, PhD

    Recommendations for physical activity in the Guide to Community Preventive Services (the Community Guide) have not been systematically examined or applied in developing countries such as those in Latin America. The aim of this systematic review was to assess the current evidence base concerning interventions to increase physical activity in Latin America using a modified Community Guide process and to develop evidence-based recommendations for physical activity interventions.

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  • Effects of a Community-Based, Professionally Supervised Intervention on Physical Activity Levels Among Residents of Recife, Brazil

    Eduardo J. Simoes, MD, MPH, Pedro Hallal, PhD, Michael Pratt, MD, MPH, Luiz Ramos, MD, PhD, Marcia Munk, MS, Wilson Damascena, BA,
    Diana Parra Perez, CPT, Christine M. Hoehner, PhD, MSPH, David Gilbertz, MS, Deborah Carvalho Malta, MD, PhD, and Ross C. Brownson, PhD

    The global burden of chronic diseases is large and growing. Given that regular physical activity has a strong preventive effect against chronic disease, the Ministry of Health of Brazil began a program in 2003 designed to promote healthful living among the country’s population.

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  • Validity and Reliability of the Telephone-Administered International Physical Activity Questionnaire in Brazil

    Journal of Physical Activity and Health, 2010, 7, 402-409

    Pedro C. Hallal, Eduardo Simoes, Felipe F. Reichert, Mario R. Azevedo, Luiz R. Ramos, Michael Pratt, and Ross C. Brownson

    The questionnaire was administered by telephone to adults on days 1 and 6. On day 1, the same questionnaire was administered by face-to-face interview, and accelerometers were delivered to subjects. Reliability was measured by comparing data collected using the telephone questionnaire on days 1 and 6. Validity was measured by comparing the telephone questionnaire data with (a) face-to-face questionnaire and (b) accelerometry.

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  • School-Based Physical Education Programs: Evidence-Based Physical Activity Interventions for Youth in Latin America

    Global Health Promotion 1757-9759; Vol 17(2): 05–15

    Isabela C. Ribeiro, Diana C. Parra, Christine M. Hoehner, Jesus Soares, Andrea Torres, Michael Pratt, Branka Legetic, Deborah C. Malta, Victor Matsudo, Luiz R. Ramos, Eduardo J. Simoes and Ross C. Brownson

    This article focuses on results of the systematic review from the Guide for Useful Interventions for Activity in Latin America project related to school-based physical education (PE) programs in Latin America. The aims of the article are to describe five school-based PE programs from Latin America, discuss implications for effective school-based PE recommendations, propose approaches for implementing these interventions, and identify gaps in the research literature related to physical activity promotion in Latin American youth.

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  • Assessing Physical Activity in Public Parks in Brazil Using Systematic Observation

    American Journal of Public Health. 2010 Aug;100(8):1420-6

    Diana C. Parra, MPH, Thomas L. McKenzie, PhD, MSc, Isabela C. Ribeiro, PhD, MSc, Adriano A. Ferreira Hino, BA, Mariah Dreisinger, MPH, Kathryn Coniglio, MPH, Marcia Munk, MSc, Ross C. Brownson, PhD, Michael Pratt, MD, PhD, Christine M. Hoehner, PhD, MSPH, and Eduardo J. Simoes, MD, MPH

    Physical activity during leisure time has particular relevance for public health practitioners because of its important role in preventing chronic disease and improving mental health, perceived health status, and quality of life. Leisure-time physical activity can also contribute to increased social interactions and social support and promote a greater sense of community cohesion.

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  • Research on Physical Activity and Health: Where Is Latin America?

    Pedro C. Hallal, Diana C. Parra, Mario R. Azevedo, Michael Pratt, and Ross C. Brownson

    The initiative of devoting a supplement of the Journal of Physical Activity and Health to Latin American research could not be timelier. The region is experiencing rapid epidemiologic, demographic, and lifestyle transitions, which are leading to an increase in the prevalence of chronic diseases. Overweight and obesity now exceed underweight in most countries from Latin America and chronic diseases account for approximately 57% of total mortality in the region.

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  • Project GUIA: A Model for Understanding and Promoting Physical Activity in Brazil and Latin America

    Michael Pratt, Ross C. Brownson, Luiz Roberto Ramos, Deborah Carvalho Malta, Pedro C. Hallal, Rodrigo S. Reis, Diana C. Parra, and Eduardo J. Simões

    As noncommunicable or chronic diseases (NCDs) have spread across the globe, becoming the leading causes of death, disease, disability, and health care costs, it has become increasingly important for public health to address their underlying causes. Two approaches to doing so are gaining ascendancy: 1) examining and addressing underlying social determinants of health and 2) understanding and applying evidence-based strategies targeting the 4 key health behaviors underlying NCDs—physical activity, diet, tobacco use, and alcohol consumption.

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  • Promoting Physical Activity Through Community-Wide Policies and Planning: Findings From Curitiba, Brazil

    Journal of Physical Activity and Health, 2010, 7(Suppl 2), S137-S145

    Rodrigo S. Reis, Pedro C. Hallal, Diana C. Parra, Isabela C. Ribeiro, Ross C. Brownson, Michael Pratt, Christine M. Hoehner, & Luiz Ramos

    Community programs have been suggested to be an important and promising strategy for physical activity (PA) promotion. Limited evidence is available regarding knowledge of and participation in these programs in Latin America.

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  • Using Observational Methods to Evaluate Public Open Spaces and Physical Activity in Brazil

    Journal of Physical Activity and Health. 7 (2), S146 – S154

    Adriano Akira Ferreira Hino, Rodrigo S. Reis, Isabela C. Ribeiro, Diana C. Parra, Ross C. Brownson, Rogerio C. Fermino

    Open public spaces have been identified as important facilities to promote physical activity (PA) at the community level. The main goals of this study are to describe open public spaces user’s characteristics and to explore to what extent these characteristics are associated with PA behavior.

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  • Using Logic Models as Iterative Tools for Planning and Evaluating Physical Activity Promotion Programs in Curitiba, Brazil

    Journal of Physical Activity and Health. 7 (2), S155 – S162

    Isabela C. Ribeiro, Andrea Torres, Diana C. Parra, Rodrigo S. Reis, Christine Hoehner, Thomas L. Schmid, Michael Pratt, Luiz Roberto Ramos, Eduardo J. Simões, Ross C. Brownson

    The Guide for Useful Interventions for Activity in Brazil and Latin America (GUIA), a systematic review of community-based physical activity (PA) interventions in Latin American literature, selected the CuritibAtiva program for a comprehensive evaluation. We describe the process of developing logic models (LM) of PA community interventions from Curitiba, Brazil, and discuss influential factors.

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  • Association Between Perceived Environmental Attributes and Physical Activity Among Adults in Recife, Brazil

    Journal of Physical Activity and Health. 7 (2), S213 – S222

    Pedro C. Hallal, Rodrigo S. Reis, Diana C. Parra, Christine Hoehner, Ross C. Brownson, Eduardo J. Simões

    A random-digit-dialing telephone cross-sectional survey in Recife, Brazil, was conducted among individuals aged 16 years or older. Leisure-time and transport-related physical activity were measured using the long version of the International Physical Activity Questionnaire. Three outcome variables were used: leisure-time physical activity (min/wk), transport-related physical activity (min/wk), and walking for leisure (min/wk). A cutoff of 150 min/wk was used for all outcome variables. The environmental module of the questionnaire was based on the short version of the Neighborhood Environment Walkability Scale (A-NEWS), and included 12 environmental items

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  • Cross-Sectional Associations of Health-Related Quality of Life Measures With Selected Factors: A Population-Based Sample in Recife, Brazil

    Journal of Physical Activity and Health. 7 (2), S229 – S241

    Jesus Soares, Eduardo J. Simões, Luiz Roberto Ramos, Michael Pratt, Ross C. Brownson

    We generated odds ratios of 4 HRQoL measures (perception of overall health, mentally unhealthy days, physically unhealthy days, and physically and mentally unhealthy days impeding usual activities) by levels of environmental factors (number of destinations, neighborhood aesthetics, neighborhood crime safety, neighborhood traffic interference, and neighborhood walkability), physical activity behavior, and participation in the Academia da Cidade Program (ACP).

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  • Assembling the Puzzle for Promoting Physical Activity in Brazil: A Social Network Analysis

    Journal of Physical Activity and Health. 7 (2), S242 – S252

    Ross C. Brownson, Diana C. Parra, Marsela Dauti, Jenine K. Harris, Pedro C. Hallal, Christine Hoehner, Deborah Carvalho Malta, Rodrigo S. Reis, Luiz Roberto Ramos, Isabela C. Ribeiro, Jesus Soares, Michael Pratt

    Physical inactivity is a significant public health problem in Brazil that may be addressed by partnerships and networks. In conjunction with Project GUIA (Guide for Useful Interventions for Physical Activity in Brazil and Latin America), the aim of this study was to conduct a social network analysis of physical activity in Brazil.

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  • Lessons Learned After 10 Years of IPAQ Use in Brazil and Colombia

    Journal of Physical Activity and Health. S259 – S264

    Pedro C. Hallal, Luis Fernando Gomez, Diana C. Parra, Felipe Lobelo, Janeth Mosquera, Alex A. Florindo, Rodrigo S. Reis, Michael Pratt, Olga L. Sarmiento

    We present an analytical commentary, based on data from a review of the Latin American literature, as well as expert consultation and the authors’ experience in administering IPAQ to over 43,000 individuals in Brazil and Colombia between 1998 and 2008.

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  • Physical Activity Interventions in Latin America: What Value Might Be Added by Including Conference Abstracts in a Literature Review?

    Journal of Physical Activity and Health. 7 (2), S265 – S278

    Christine Hoehner, Jesus Soares, Diana C. Parra, Isabela C. Ribeiro, Michael Pratt, Mario Bracco, Pedro C. Hallal, Ross C. Brownson

    This review assessed whether conference abstracts yield useful information on the types and effectiveness of community-based physical activity (PA) interventions in Latin America, beyond that from interventions included in a recent systematic review of peer-reviewed literature.

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  • Perceived Environmental Correlates of Physical Activity for Leisure & Transportation in Curitiba, Brazil

    Prev. Med. (2011), doi:10.1016/j.ypmed.2010.12.008

    Diana C. Parra, Christine M. Hoehner, Pedro C. Hallal, Isabela C. Ribeiro, Rodrigo Reis, Ross C. Brownson, Michael Pratt, Eduardo J. Simoes

    A cross-sectional phone survey of adults was conducted in 2008 (n= 2097). The questionnaire included environmental perceptions and PA. Principal components analysis was used to identify groups of perceived environmental attributes. Multivariate methods tested the associations of PA with perceived environment characteristics.

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  • Promoting Physical Activity in Brazil: The Promise & the Challenge

    Revista Brasilera de Atividade fisica e Saude. Pelotas, . 2012 Fev 17(1):1-4 Diana Parra, Ross Brownson

    Brazil is one of the few countries around the world that has recognized the important priority of physical activity promotion and has granted it a prominent place on the national agenda. The Brazilian government, along with other important non-governmental organizations and academic institutions, are working together to support research, practice, and policy for promoting physical activity.

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  • Walking for Leisure Among Adults from Three Brazilian Cities and its Association with Perceived Environment Attributes & Personal Factors

    International Journal of Behavioral Nutrition and Physical Activity . 2011 Oct 13;8:111.

    Grace AO Gomes, Rodrigo S Reis, Diana C Parra, Isabela Ribeiro, Adriano AF Hino, Pedro C Hallal, Deborah C Malta and Ross C Brownson

    Walking is a popular form of physical activity and a convenient option to prevent chronic diseases. However, most of the evidence on this topic derives from high-income countries and little is known about walking patterns and its association with environmental features in low and middle income countries.

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  • Translating Evidence to Policy: Urban Interventions & Physical Activity Promotion in Bogotá, Colombia & Curitiba, Brazil

    Translational Behavioral Medicine Practice Policy Research.2011 1(2):350-3601

    Adriana Díaz del Castillo, Olga L Sarmiento, Rodrigo S Reis & Ross C Brownson

    The growing evidence of the influence of urban environment on physical activity (PA) underscore the need for novel policy solutions to address the inequality, lack of space, and limited PA resources in rapidly growing Latin American cities. This study aims to better understand the PA policy process by conducting two case studies of Bogotá’s Ciclovía and Curitiba’s CuritibAtiva.

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  • How Does Network Structure Affect Partnerships for Promoting Physical Activity? Evidence from Brazil & Colombia.

    Social Science & Medicine. 2011 Nov;73(9):1365-70.

    Parra DC, Dauti M, Harris JK, Reyes L, Malta DC, Brownson RC, Quintero MA, Pratt M.

    The objective of this study was to describe the network structure and factors associated with collaboration in two networks that promote physical activity (PA) in Brazil and Colombia. Organizations that focus on studying and promoting PA in Brazil and Colombia were identified using a modified
    one-step reputational snowball sampling process. Participants completed an on-line survey between December 2008 and March 2009 for the Brazil network, and between April and June 2009 for the Colombia network.

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  • The Built Environment & Recreational Physical Activity Among Adults in Curitiba, Brazil.

    Preventive Medicine. 2011 Jun;52(6):419-22

    Hino AA, Reis RS, Sarmiento OL, Parra DC, Brownson RC.

    A phone survey was carried among a random sample of 1206 people. Walking during leisure time (WLT) and moderate and vigorous recreational PA (MVPA) was measured using IPAQ. Characteristics of the BE were determined in an area of 500 m surrounding respondent’s homes. Multivariate logistic regression analysis was used to estimate the associations between recreational PA and BE.

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  • Bicycling and Walking for Transportation in Three Brazilian Cities

    Rodrigo S. Reis, PhD, Adriano A.F. Hino, MSc, Diana C. Parra, MPH, Pedro C. Hallal, PhD, Ross C. Brownson, PhD

    In 2007–2009, a random-digit-dialing telephone survey was conducted with residents (aged ≥ 18 years) of Curitiba, Vitoria, and Recife, sampled through a clustered multistage sampling process. Walking and cycling for transportation, perception of the environment related to physical activity, and demographic and health characteristics were collected. Poisson regression was used to examine associations between cycling and walking for transportation with covariates stratifıed by cities. All analyses were conducted in 2011.

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  • Developing a Research Agenda for Promoting Physical Activity in Brazil Through Environmental & Policy Change

    Rodrigo S. Reis, Cheryl M. Kelly, Diana C. Parra, Mauro Barros, Grace Gomes, Deborah Malta, Thomas Schmid, and Ross C. Brownson

    This was a mixed-methods study (qualitative and quantitative) conducted by Project GUIA (Guide for Useful Interventions for Activity in Brazil and Latin America) in February 2010–January 2011. A total of 240 individuals in the PA field (186 practitioners and 54 researchers) were asked to generate research ideas; 82 participants provided 266 original statements from which 52 topics emerged. Participants rated topics by “importance” and “fea- sibility;” a separate convenience sample of 21 individuals categorized them. Cluster analysis and multidimensional scaling were used to create concept maps and pattern matches.

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  • Physical Activity Interventions in Latin America: Expanding and Classifying the Evidence

    Am J Prev Med 2013;44(3):e31– e40

    Christine M. Hoehner, PhD, Isabela C. Ribeiro, PhD, Diana C. Parra, MPH, Rodrigo S. Reis, PhD, Mario R. Azevedo, MSc, Adriano A. Hino, MSc, Jesus Soares, PhD, Pedro C. Hallal, PhD, Eduardo J. Simões, MD, MSc, MPH, Ross C. Brownson, PhD

    Systematic reviews of public health interventions are useful for identifying effective strategies for informing policy and practice. The goals of this review were to (1) update a previous systematic review of physical activity interventions in Latin America which found that only school- based physical education had sufficient evidence to recommend widespread adoption; (2) assess the reporting of external validity elements; and (3) develop and apply an evidence typology for classifying interventions.

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  • Assessing Participation in Community-Based Physical Activity Programs in Brazil

    Rodrigo S. Reis, Yan Yan, Diana C. Parra, and Ross C. Brownson

    This study aimed to develop and validate a risk prediction model to examine the characteristics that are associated with participation in community-based physical activity programs in Brazil. We used pooled data from three surveys conducted from 2007 to 2009 in state capitals of Brazil with 6166 adults. A risk prediction model was built considering program participation as an outcome. Sociodemographic and health characteristics as well as perceptions of the environment are strong predictors of participation in community-based programs in selected cities of Brazil.

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  • Scaling up physical activity interventions in Brazil: how partnerships and research evidence contributed to policy action

    Diana C. Parra, Christine M. Hoehner, Pedro C. Hallal, Rodrigo S. Reis, Eduardo J. Simoes, Deborah C. Malta, Michael Pratt and Ross C. Brownson

    In this paper, we summarize key findings from a large-scale cross-national collaboration to understand physical activity promotion in Brazil. We describe the main aspects of the partnership of Project GUIA (Guide for Useful Interventions for Activity in Brazil and Latin America) that sustained the collaborative effort for eight years and describe how the evidence gathered from the collaboration triggered political action in Brazil to scale up a physical activity intervention at the national level. This example of scaling up is unprecedented for promoting health in the region and is an example that must be followed and evaluated.

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