Difusión e implementación de programas de actividad física para personas con prehipertensión: una revisión sistemática

Resumen

Los estudios sobre prevención de enfermedades en personas con prehipertensión a través de la actividad física ocupan un lugar destacado. Sin embargo, un punto a ser investigado más a fondo es precisamente el potencial de estos estudios para proporcionar información que sirva de base para las políticas de salud pública. Así, el objetivo de este artículo fue analizar si las producciones científicas sobre programas de actividad física para personas con prehipertensión cumplen las dimensiones de validez externa e interna utilizando el modelo RE-AIM. Se realizaron búsquedas en las bases de datos PubMed, Scopus, Biblioteca Virtual en Salud y PsycINFO (2007-2017), en inglés, portugués y español, resultando en 15 artículos de 65.870. Los programas fueron en su mayoría de actividades aeróbicas (3,3%) y se observó reducción de la presión (93,33%). Sin embargo, el 67,2% de los ítems del RE-AIM no fueron informados, mostrando bajos resultados en población objetivo/participantes, efectividad, características del equipo/organización e implementación. No se observaron datos de mantenimiento. Se concluye que los artículos no relatan los ítems de las dimensiones del modelo RE-AIM, perjudicando el análisis de informaciones sobre la validez externa e interna de los programas de actividad física para personas con prehipertensión. Dicha información es necesaria para orientar las políticas de salud pública y aumentar el impacto en la comunidad.

Palabras clave: Prehipertensión, Ejercicio físico, Diseminación de la información, Enfermedad crónica

Referencias

Abu-Omar, K., Rütten, A., Burlacu, I., Schätzlein, V., Messing, S., e Suhrcke, M. (2017). The cost-effectiveness of physical activity interventions: A systematic review of reviews. Preventive Medicine Reports, 8, 72-78. https://doi.org/10.1016/j.pmedr.2017.08.006

Antikainen, I., e Ellis, R. (2011). A RE-AIM evaluation of theory-based physical activity interventions. International Journal of Sport and Exercise Psychology, 33(2), 198-214. https://doi.org/10.1123/jsep.33.2.198

Azadpour, N., Tartibian, B., e Koşar, S.N. (2017). Effects of aerobic exercise training on ACE and ADRB2 gene expression, plasma angiotensin II level, and flow-mediated dilation: a study on obese postmenopausal women with prehypertension. Menopause, 24(3), 269-277. https://doi.org/10.1097/GME.0000000000000762

Beck, D.T., Martin, J.S., Casey, D.P., e Braith, R.W. (2013). Exercise training improves endothelial function in young prehypertensives. Experimental Biology and Medicine, 238(4), 433-441. https://doi.org/10.1038/jhh.2013.109

Benedetti, T.R.B., Schwingel, A., Chodzko-Zajko, W., Meurer, S.T., Brito, F.A., e Almeida, F.A. (2014). RE-AIM: a proposal for evaluating physical activity programs. Revista Kairós Gerontologia, 17(2), 295-314. https://revistas.pucsp.br/kairos/article/download/21745/16019/0

Benjamim, G.C. (2020). Ensuring health equity during the COVID-19 pandemic: the role of public health infrastructure. Revista Panamericana de Salud Pública, 29(44), e70. https://doi.org/10.26633/RPSP.2020.70

Bhuiyan, N., Singh, P., Harden, S.M., e Mama, S.K. (2019). Rural physical activity interventions in the United States: a systematic review and RE-AIM evaluation. International Journal of Behavioral Nutrition and Physical Activity, 16, 140. https://doi.org/10.1186/s12966-019-0903-5

Blackman, KC, Zoellner, J., Berrey, LM, Alexander, R., Fanning, J., Hill, JL, e Estabrooks, PA (2013). Assessing the internal and external validity of mobile health physical activity promotion interventions: a systematic literature review using the RE-AIM framework. Journal of Medical Internet Research, 15(10), e224. https://doi.org/10.2196/jmir.2745

Blumenthal, JA, Babyak. MA, Hinderliter, A., Watkins, L., Craighead, L., Lin, PH, Caccia, C., Johnson, J., Waugh, R., e Sherwood, A. (2010). Effects of the DASH diet alone and in combination with exercise and weight loss on blood pressure and cardiovascular biomarkers in men and women with high blood pressure: the ENCORE study. Archives of Internal Medicine, 170(2), 126-135. https://doi.org/10.1001/archinternmed.2009.470

Brito, FA, Benedetti, TRB, Tomicki, C., Konrad, LM, Sandreschi, PF, Manta, SW, e Almeida, F. (2018). Tradução e adaptação do Check List RE-AIM para a realidade Brasileira. Rev. Bras. Ativ. Fís. Saúde, 23, e0033. https://doi.org/10.12820/rbafs.23e0033

Cornelissen, V.A., Fagard, R.H., Coeckelberghs, E., e Vanhees, L. (2011). Impact of resistance training on blood pressure and other cardiovascular risk factors: a meta-analysis of randomized, controlled trials. Hypertension, 58(5), 950-958. https://doi.org/10.1161/HYPERTENSIONAHA.111.177071

Craike, M., Hill, B., Gaskin, C.J., e Skouteris, H. (2017). Interventions to improve physical activity during pregnancy: a systematic review on issues of internal and external validity using the RE-AIM framework. British Journal of Obstetrics and Gynaecology, 124(4), 573-583. https://doi.org/10.1111/1471-0528.14276

Fairbrother, K., Cartner, B., Alley, J., Curry, C., Dickinson, D., Morris, D., e Collier, S. (2014). Effects of exercise timing on sleep architecture and nocturnal blood pressure in prehypertensives. Vascular Health and Risk Management, 10, 691-698. https://doi.org/10.2147/VHRM.S73688

Figueroa, A., Kalfon, R., Madzima, T.A., e Wong, A. (2014). Whole-body vibration exercise training reduces arterial stiffness in postmenopausal women with prehypertension and hypertension. Menopause, 21(2), 131-136. https://doi.org/10.1097/GME.0b013e318294528c

Gaglio, B., Shoup, J.A., e Glasgow, R.E. (2013). The RE-AIM framework: a systematic review of use over time. Journal of the American Public Health, 103(6), 38-46. https://doi.org/10.2105/AJPH.2013.301299

Galaviz, KI, Harden, SM, Smith, E., Blackman, KCA, Berrey, LM, Mama, SK., Almeida, FA, Lee, RE, e Estabrooks, PA (2014). Physical activity promotion in Latin American populations: a systematic review on issues of internal and external validity. International Journal of Behavioral Nutrition and Physical Activity, 11, 77. https://doi.org/10.1186/1479-5868-11-77

Glasgow, RE, Harden, SM, Gaglio, B., Rabin, B., Smith, ML, Porter, GC, Ory, MG, e Estabrooks, PA (2019). RE-AIM planning and evaluation framework: adapting to new science and practice with a 20-year review. Frontiers in Public Health, 7, 64. https://doi.org/10.3389/fpubh.2019.00064

Glasgow, R.E., Vogt, T.M., e Boles, S.M. (1999). Evaluating the public health impact of health promotion interventions: the RE-AIM framework. American Journal of Public Health, 89(9), 1322-1327. https://doi.org/10.2105/ajph.89.9.1322

Green, L.W., Ottoson, J.M., García, C., e Hiatt, R.A. (2009). Diffusion theory and knowledge dissemination, utilization, and integration in public health. Annual Review of Public Health, 30, 151-174. https://doi.org/10.1146/annurev.publhealth.031308.100049

Hagins, M., Rundle, A., Consedine, N.S., e Khalsa, S.B. (2014). A randomized controlled trial comparing the effects of yoga with an active control on ambulatory blood pressure in individuals with prehypertension and stage 1 hypertension. Journal of Clinical Hypertension, 16(1), 54-62. https://doi.org/10.1111/jch.12244

Harden, SM, Gaglio, B., Shoup, JA, Kinney, KA, Johnson, SB, Brito, F., Blackman, KCA, Zoellner, JM, Hill, JL, Almeida, FA, Glasgow, RE, e Estabrooks, PA (2015). Fidelity to and comparative results across behavioral interventions evaluated through the RE-AIM framework: a systematic review. Systematic Reviews, 4, 155. https://doi.org/10.1186/s13643-015-0141-0

Holtrop, J.S., Rabin, B.A., e Glasgow, R.E. (2018). Dissemination and implementation science in primary care research and practice: contributions and opportunities. Journal of the American Board of Family Medicine, 31(3), 466-478. https://doi.org/10.3122/jabfm.2018.03.170259

Liu, S., Goodman, J., Nolan, R., Lacombe, S., e Thomas, S.G. (2012). Blood pressure responses to acute and chronic exercise are related in prehypertension. Medicine & Science in Sports & Exercise, 44(9), 1644-1652. https://doi.org/10.1249/MSS.0b013e31825408fb

Maani, N., Abadallas, S., e Galea, S. (2021).Avoiding a legacy of unequal non-communicable disease burden after the COVID-19 pandemic. Lancet Diabetes Endocrinology, 9(3), 133-135. https://doi.org/10.1016/S2213-8587(21)00026-7

Márquez-Celedonio, F.G., Téxon-Fernández, O., Chávez-Negrete, A., Hernández-López, S., Marín-Rendón, S., e Berlín-Lascurain, S. (2009). Eficacia clínica de la modificación del estilo de vida en el riesgo cardiovascular en prehipertensos: estudio PREHIPER I. Revista Española de Cardiología, 62(1), 86-90. https://doi.org/10.1016/S0300-8932(09)70025-9

Mazini Filho, M.L., Vianna, J.M., Venturini, G.R. de O., Matos, D.G. de, e Ferreira, M.E.C. (2016). Effects of different physical exercise programs on blood pressure and anthropometric indicators of the elderly. Motricidade, 12(S2), 147-154.

McDermott, K., Kumar, D., Goldman, V., Feng, H., Mehling, W., Moskowitz, JT, Souza, RB, e Hecht, FM (2015). Training in ChiRunning to reduce blood pressure: a randomized controlled pilot study. BMC Complementary Medicine and Therapies, 15, 368. https://doi.org/10.1186/s12906-015-0895-x

National High Blood Pressure Education Program (2004). The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Bethesda, National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/sites/default/files/media/docs/jnc7full.pdf

Noronha, K.V.M. de S., e Ferreira, M.F. (2020). The COVID-19 pandemic in Brazil: analysis of supply and demand of hospital and ICU beds and mechanical ventilators under different scenarios. Caderno de Saúde Pública, 36(6), e00115320. https://doi.org/10.1590/0102-311X00115320

Page, MJ, McKenzie, JE, Bossuyt, PM, Boutron, I., Hoffmann, TC, Mulrow, CD, Shamseer, L., Tetzlaff, JM, Akl, EA, Brennan, SE, Chou, R., Glanville, J., Grimshaw, JM, Hróbjartsson, A., Lalu, MM, Li, T., Loder, EW, Mayo-Wilson, E., McDonald, S., McGuinness, LA, Stewart, LA, Thomas, J., Tricco, AC, Welch, VA, Whiting, P., e Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Systematic Reviews, 10(1), 89. https://doi.org/10.1136/bmj.n71

Pescatello, LS, Buchner, DM, Jakicic, JM, Powell, KE, Kraus, WE, Bloodgood, B., Campbell, WW, Dietz, S., Dipietro, L., George, SM, Macko, RF, Mctiernan, A., Pate, RR, Piercy, KL, for The 2018 Physical Activity Guidelines Advisory Committee (2019). Physical activity to prevent and treat hypertension: a systematic review. Medicine & Science in Sports & Exercise, 51(6), 1314-1323. https://doi.org/10.1249/MSS.0000000000001943

Rabarison, K.M., Bish, C.L., Massoudi, M.S., e Giles, W.H. (2015). Economic Evaluation Enhances Public Health Decision Making. Frontiers in Public Health, 3, 164. https://doi.org/10.3389/fpubh.2015.00164

RE-AIM (2021). Tools & resources. http://www.re-aim.org/resources-and-tools/measures-and-checklists/re-aim-data-extraction-coding-file

Reddy, K.S. (2020). Measuring mortality from non-communicable diseases: broadening the band. The Lancet Global Health, 8(4), e456-e457. https://doi.org/10.1016/S2214-109X(20)30064-4

Ribeiro, L.A., e Scatena, J.H. (2019). The evaluation of primary health care in Brazil: an analysis of the scientific production between 2007 and 2017. Saúde e Sociedade, 28(2), 95-110. https://doi.org/10.1590/S0104-12902019180884

Sales, ARK, Silva, BM, Neves, FJ, Rocha, NG, Medeiros, RF, Castro, RRT, e Nóbrega, ACL (2012). Diet and exercise training reduce blood pressure and improve autonomic modulation in women with prehypertension. European Journal of Applied Physiology, 112(9), 3369-3378. https://doi.org/10.1007/s00421-012-2315-y

Schillinger, D. (2010). An introduction to effectiveness, dissemination and implementation research: a resource manual for community-engaged research. Clinical Translational Science Institute Community Engagement Program. https://accelerate.ucsf.edu/files/CE/edi_introguide.pdf

Shelton, R.C., Lee, M., Brotzman, L.E., Wolfenden, L., Nathan, N., e Wainberg, M. L. (2020). What is dissemination and implementation science? an introduction and opportunities to advance behavioral medicine and public health globally. International Journal of Behavioral Medicine, 27(1), 3-20. https://doi.org/10.1007/s12529-020-09848-x

Silva, J.E., Teixeira, A.M.B., Dantas, E.H.M., e Rama, L.M.P.L. (2015). Blood pressure behaviour in pre-hypertensive men engaged in a regular swimming program. Revista Brasileira de Medicina do Esporte, 21(3), 178-181. https://doi.org/https://doi.org/10.1590/1517-8692201521032115

Silva, J.A. da, Gonçalves, E.C. de A., Silva, D.A.S., e Silva, K.S. (2019). Assistance programs for physical activity in Brazilian schools: a review based on the RE-AIM model. Ciências e Saúde Coletiva, 24(9), 3443-3456. https://doi.org/10.1590/1413-81232018249.23502017

Squarcini, C.F.R., Lopes, A.S.L., Silva, K.S., e Almeida, F.A. (2020). Disseminação e implementação de programas em saúde pública - o uso do modelo RE-AIM de avaliação. In: S.V. Rocha, G.E. Furtado, N. Amaro, e R. Matos. Temas emergentes em atividade física, saúde e bem-estar: realidades de Brasil e Portugal. Escola Superior de Educação e Ciências Sociais. https://www.ipleiria.pt/esecs/wp-content/uploads/sites/15/2020/09/Livro_atv_fisica_AF.pdf

Squarcini, C.F.R., Rocha, S.V., Munaro, H.L.R., Benedetti, T.R.B., e Almeida, F.A. (2015). Physical activity programs for elderly persons: an evaluation of Brazilian scientific production using the RE-AIM framework. Revista Brasileira de Geriatria e Gerontologia, 18(4), 909-920. https://doi.org/https://doi.org/10.1590/1809-9823.2015.14103

Squarcini, C.F.R., Silva, N.A., Bastos Junior, C.L., Macedo, D.A., e Souza, J.V. (2019). Physical exercise programs for pre-hypertensive individuals: review based on the RE-AIM. Saúde (Santa Maria), 45(2), 1-14. http://dx.doi.org/10.5902/2236583437121

Staffileno, B.A., Minnick, A., Coke, L.A., e Hollenberg, S.M. (2007). Blood pressure responses to lifestyle physical activity among young, hypertension-prone African-American women. European Journal of Cardiovascular Nursing, 22(2), 107-117. https://doi.org/10.1097/00005082-200703000-00007

Zaar, A., Reis, V.M., e Sbardelotto, M.L. (2014). Effects of a physical exercise program on blood pressure and anthropometric measurements. Revista Brasileira de Medicina do Esporte, 20(1), 13-16. https://doi.org/10.1590/S1517-86922014000100002

Zago, A.S., Park, J.Y., Fenty-Stewart, N., Kokubun, E., e Brown, M.D. (2010). Effects of aerobic exercise on the blood pressure, oxidative stress and eNOS gene polymorphism in pre-hypertensive older people. European Journal of Applied Physiology, 110(4), 825-832. https://doi.org/10.1007/s00421-010-1568-6

Biografía del autor/a

Camila Fabiana Rossi Squarcini,

http://lattes.cnpq.br/2065132660887675

Hildo Leonardo Gonçalves Pinto,

http://lattes.cnpq.br/5185534475101160

Danielle de Amaral Macedo,

http://lattes.cnpq.br/7020690695457789

Joslei Viana de Souza,

http://lattes.cnpq.br/8737446468331264

Saulo Vasconcelos Rocha,

http://lattes.cnpq.br/3027216749756766

Publicado
2022-11-10
Cómo citar
Squarcini, C. F. R., Pinto, H. L. G., Macedo, D. de A., Brito, F. A., Souza, J. V. de, & Rocha, S. V. (2022). Difusión e implementación de programas de actividad física para personas con prehipertensión: una revisión sistemática. Lecturas: Educación Física Y Deportes, 27(294), 221-239. https://doi.org/10.46642/efd.v27i294.3424
Sección
Artículos de Revisión