IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i2p267-d198828.html
   My bibliography  Save this article

Effect of a Multicomponent Intervention on Lifestyle Factors among Brazilian Adolescents from Low Human Development Index Areas: A Cluster-Randomized Controlled Trial

Author

Listed:
  • Valter Cordeiro Barbosa Filho

    (Federal Institute of Education, Science and Technology of Ceara, 63870-000 Boa Viagem, Brazil
    Post-graduate Program in Collective Health, Ceara State University, 60741-000 Fortaleza, Brazil)

  • Alexsandra da Silva Bandeira

    (Research Center for Physical Activity and Health, Federal University of Santa Catarina, 88040-000 Florianopolis, Brazil)

  • Giseli Minatto

    (Research Center for Physical Activity and Health, Federal University of Santa Catarina, 88040-000 Florianopolis, Brazil)

  • Jair Gomes Linard

    (Post-graduate Program in Collective Health, Ceara State University, 60741-000 Fortaleza, Brazil)

  • Jaqueline Aragoni da Silva

    (Research Center for Physical Activity and Health, Federal University of Santa Catarina, 88040-000 Florianopolis, Brazil)

  • Rafael Martins da Costa

    (Research Center for Physical Activity and Health, Federal University of Santa Catarina, 88040-000 Florianopolis, Brazil)

  • Sofia Wolker Manta

    (Research Center for Physical Activity and Health, Federal University of Santa Catarina, 88040-000 Florianopolis, Brazil)

  • Soraya Anita Mendes de Sá

    (Research Center for Physical Activity and Health, Federal University of Santa Catarina, 88040-000 Florianopolis, Brazil)

  • Thiago Sousa Matias

    (Research Center for Physical Activity and Health, Federal University of Santa Catarina, 88040-000 Florianopolis, Brazil)

  • Kelly Samara da Silva

    (Research Center for Physical Activity and Health, Federal University of Santa Catarina, 88040-000 Florianopolis, Brazil)

Abstract

Promoting healthy lifestyle factors (e.g., physical activity, healthy eating, less screen time) among young people is a relevant and challenging step toward reducing non-communicable diseases. This study aimed to evaluate the effect of a multicomponent intervention on lifestyle factors among adolescents from schools in low Human Development Index (HDI < 0.500) areas. The Fortaleça sua Saúde program was conducted with 548 adolescents aged 11–18 years old in the intervention group and 537 in the control group. The four-month intervention included strategies focused on training teachers, new opportunities for physical activity in the school environment, and health education strategies for the school community (including parents). Moderate- to-vigorous physical activity level (≥420 min/week), TV watching and computer use/gaming (<2 h/day), daily consumption of fruit juice, fruit, vegetables, soft drinks, savory foods and sweets, and current alcohol and tobacco use were measured before and after intervention. McNemar’s test and logistic regression (odds ratio [OR] and a 95% confidence interval [95% CI]) were used, considering p < 0.05. In the intervention schools, a significant increase occurred in the number of adolescents who met physical activity guidelines (5.3%; 95% CI = 0.8; 9.8) and who reported using computer for <2 h a day (8.6%; 95% CI = 3.8; 13.4) after intervention. No changes were observed in the control schools. At the end of the intervention, adolescents from intervention schools were more likely to practice physical activity at recommended levels (OR = 1.44; 95% CI = 1.00; 2.08) than adolescents from control schools. No significant change was observed for the other lifestyle factors. In conclusion, this multicomponent intervention was effective in promoting physical activity among adolescents from vulnerable areas. However, other lifestyle factors showed no significant change after intervention. This study is registered at Clinicaltrials.gov NCT02439827.

Suggested Citation

  • Valter Cordeiro Barbosa Filho & Alexsandra da Silva Bandeira & Giseli Minatto & Jair Gomes Linard & Jaqueline Aragoni da Silva & Rafael Martins da Costa & Sofia Wolker Manta & Soraya Anita Mendes de S, 2019. "Effect of a Multicomponent Intervention on Lifestyle Factors among Brazilian Adolescents from Low Human Development Index Areas: A Cluster-Randomized Controlled Trial," IJERPH, MDPI, vol. 16(2), pages 1-12, January.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:2:p:267-:d:198828
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/2/267/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/2/267/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Hale, D.R. & Fitzgerald-Yau, N. & Viner, R.M., 2014. "A systematic review of effective interventions for reducing multiple health risk behaviors in adolescence," American Journal of Public Health, American Public Health Association, vol. 104(5), pages 19-41.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Rodolfo Carlos dos Santos Silva Filho & Jeffer Eidi Sasaki & Alex Pinheiro Gordia & Alynne Christian Ribeiro Andaki, 2023. "Effects of a Physical Exercise Program and Health Advice on Sedentary Behavior of Adolescents," IJERPH, MDPI, vol. 20(2), pages 1-14, January.
    2. Valter Cordeiro Barbosa Filho & Wallingson Michael Gonçalves Pereira & Bianca de Oliveira Farias & Thereza Maria Magalhães Moreira & Paulo Henrique Guerra & Ana Carolina Melo Queiroz & Victor Hugo San, 2021. "Scoping Review on Interventions for Physical Activity and Physical Literacy Components in Brazilian School-Aged Children and Adolescents," IJERPH, MDPI, vol. 18(16), pages 1-16, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. García-Poole, Chloe & Byrne, Sonia & Rodrigo, María José, 2019. "How do communities intervene with adolescents at psychosocial risk? A systematic review of positive development programs," Children and Youth Services Review, Elsevier, vol. 99(C), pages 194-209.
    2. Cecilia M. S. Ma & Daniel T. L. Shek & Jenna M. T. Chen, 2019. "Changes in the Participants in a Community-Based Positive Youth Development Program in Hong Kong: Objective Outcome Evaluation Using a One-Group Pretest-Posttest Design," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 14(4), pages 961-979, September.
    3. Ramos, Dandara de Oliveira & Daly, Martin & Seidl-de-Moura, Maria Lucia & Nadanovsky, Paulo, 2017. "The role of city income inequality, sex ratio and youth mortality rates in the effect of violent victimization on health-risk behaviors in Brazilian adolescents," Social Science & Medicine, Elsevier, vol. 181(C), pages 17-23.
    4. Javier Rodrigo-Sanjoaquín & Julien E. Bois & Alberto Aibar Solana & Léna Lhuisset & Javier Zaragoza Casterad, 2020. "Identifying Promising School-Based Intervention Programs to Promote 24-Hour Movement Guidelines among Children: Protocol for a Systematic Review," Sustainability, MDPI, vol. 12(22), pages 1-11, November.
    5. Prachi Pundir & Ashrita Saran & Howard White & Ramya Subrahmanian & Jill Adona, 2020. "Interventions for reducing violence against children in low‐ and middle‐income countries: An evidence and gap map," Campbell Systematic Reviews, John Wiley & Sons, vol. 16(4), December.
    6. Magdalena Górnicka & Jadwiga Hamulka & Lidia Wadolowska & Joanna Kowalkowska & Eliza Kostyra & Marzena Tomaszewska & Jan Czeczelewski & Monika Bronkowska, 2020. "Activity–Inactivity Patterns, Screen Time, and Physical Activity: The Association with Overweight, Central Obesity and Muscle Strength in Polish Teenagers. Report from the ABC of Healthy Eating Study," IJERPH, MDPI, vol. 17(21), pages 1-21, October.
    7. Lixia Zhang & Liwei Zhang & Alexander Testa, 2022. "Childhood Adversity and Risky Behaviors among Chinese Rural Young Adults: The Mediation Effect of Perceived Stress and Moderation Effect of Social Support," IJERPH, MDPI, vol. 19(20), pages 1-14, October.
    8. Prince Atorkey & Christine Paul & John Wiggers & Billie Bonevski & Aimee Mitchell & Flora Tzelepis, 2021. "Barriers and Facilitators to the Uptake of Online and Telephone Services Targeting Health Risk Behaviours among Vocational Education Students: A Qualitative Study," IJERPH, MDPI, vol. 18(17), pages 1-15, September.
    9. Patricia Ann Barfield & Katelyn Ridder & Justin Hughes & Kelly Rice-McNeil, 2021. "Get Outside! Promoting Adolescent Health through Outdoor After-School Activity," IJERPH, MDPI, vol. 18(14), pages 1-12, July.
    10. Mi-Kyoung Cho & Yoon-Hee Cho, 2021. "Do Alcohol Prevention Programs Influence Adolescents’ Drinking Behaviors? A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
    11. Jonathan L. Kwong & Don A. Klinger & Ian Janssen & William Pickett, 2018. "Derivation of some contemporary scales to measure adolescent risk-taking in Canada," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(1), pages 137-147, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:2:p:267-:d:198828. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.