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AGITA SÃO PAULO PROGRAM

Scientific Evidences. Epidemiological. Other Countries Experiences. Former Brazilian Experiences. AGITA SÃO PAULO PROGRAM. Lessons of the Past for Guidance in the Future: Matching the Needs and Possibilities. Agita São Paulo Program Victor Matsudo. 5th Annual Congress of the

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AGITA SÃO PAULO PROGRAM

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  1. Scientific Evidences Epidemiological Other Countries Experiences Former Brazilian Experiences AGITA SÃO PAULO PROGRAM

  2. Lessons of the Past for Guidance in the Future: Matching the Needs and Possibilities Agita São Paulo Program Victor Matsudo 5th Annual Congress of the European College of Sports Sciences University of Jyväskylä

  3. Medical Committee Medical Association Orthopedists Profile Medical Students Other Area Congresses Medical TV Health Professionals Publishing in Scientific Journals AGITA SÃO PAULO PROGRAM

  4. Participation in Recommended Physical Activity Gender Percent 95% CI Overall 39.7 35.6 - 43.9 Men 32.1 26.5 - 37.6 41.4 - 53.4 Women 47.4 Excluding Walking AGITA SÃO PAULO PROGRAM

  5. Participation in Recommended Physical Activity Including Walking Gender Percent 95% CI Overall 54.8 50.6 - 59.0 Male 48.7 42.8 - 54.6 55.1 - 66.8 Female 61.0 AGITA SÃO PAULO PROGRAM

  6. Participation in Recommended Physical Activity Excluding Walking Age Percent 95% CI Overall 39.7 35.6 - 43.9 18 - 29 54.3 45.7 - 63.0 30.0 - 42.0 30 - 49 36.0 26.3 - 40.8 > 50 33.5 AGITA SÃO PAULO PROGRAM

  7. Participation in Recommended Physical Activity Including Walking Age Percent 95% CI Overall 54.8 50.6 - 59.0 18 - 29 63.5 55.2 - 71.9 41.0 - 53.4 30 - 49 47.2 52.1 - 67.1 > 50 59.6 AGITA SÃO PAULO PROGRAM

  8. Participation in Recommended Physical Activity Excluding Walking Know Principal Objective? Percent 95% CI Overall 38.1 32.5 - 43.7 No 35.3 28.4 - 42.2 33.5 - 52.5 Yes 43.0 AGITA SÃO PAULO PROGRAM

  9. Participation in Recommended Physical Activity Excluding Walking Inactive Know Principal Objective? Percent 95% CI Overall 31.8 26.4 - 37.3 No 33.1 26.2 - 39.9 20.7 - 38.5 Yes 29.6 AGITA SÃO PAULO PROGRAM

  10. Participation in Recommended Physical Activity Including Walking Know Principal Objective? Percent 95% CI Overall 55.9 50.2 - 61.7 No 53.9 46.7 - 61.1 50.1 - 68.9 Yes 59.5 AGITA SÃO PAULO PROGRAM

  11. Participation in Recommended Physical Activity Including Walking Inactive Know Principal Objective? Percent 95% CI Overall 10.9 7.2 - 14.5 No 13.1 8.1 - 18.0 2.0 - 12.1 Yes 7.1 AGITA SÃO PAULO PROGRAM

  12. Targeting Groups Students Workers Elderly AGITA SÃO PAULO PROGRAM

  13. Surveillance Physical Activity Level Knowledge Program Knowledge Behavior Stages Barriers Physical Activity Attitudes AGITA SÃO PAULO PROGRAM

  14. Partners Success Mysthics Sciences Ethics AGITA SÃO PAULO PROGRAM PAHO ADVISER REPORT, 2000

  15. Marketing Materials T-Shirts Posters Umbrella Car tape Folders Hand-fan Banners Stickers Bus-door Mouse pad AGITA SÃO PAULO PROGRAM

  16. Slides Presentation Outdoor Pyramids Pens Wrap Refrigerator Magnetic Bottons Marketing Materials Bookmark Pins Plastic Bags Draft Papers Block Videos Key-holder Ballons

  17. Intellectual Partnership • National • International • Scientific Board AGITA SÃO PAULO PROGRAM

  18. Institution Partnership • Governmental • Non-Governmental • Executive Board (Monthly Meeting) AGITA SÃO PAULO PROGRAM

  19. Inclusion Principle • Intellectual • Institutional • Using the Existing Structured Programs and Groups • One-step-ahead Model • Message: - Moderate - Cumulative AGITA SÃO PAULO PROGRAM

  20. Political Aspects • São Paulo State Secretary of Health • Brazilian Ministery of Health • The São Paulo Manifesto • World Health Organization (WHO) • Pan-American Health Organization (PAHO) • Centers for Disease Control and Prevention (CDC) AGITA SÃO PAULO PROGRAM

  21. RECOMMENDATIONS TO INTERVENTION PROGRAMS TO PROMOTE PHYSICAL ACTIVITY POPULATION • Politics • Environment • Curriculum on Health Education • Extra-Curriculum Activities • Family Involvement • Human Resources Training • Health Services • Community Programs • Evaluation

  22. TYPES OF ECOLOGICAL MODELS Number of behavior settings Acess to behavior settings Use of activity behavior settings The number of supervised programs Acess to, and quality of, programs Use of youth activity programs

  23. CARDIO-VASCULAR MORTALITY RATES (Deaths/100.000) 45-64 ys Men Women • São Paulo • Rio de Janeiro • Porto Alegre • Belo Horizonte • Curitiba • Brasília 306.2 400.1 402.2 210.8 389.9 139.3 107.7 143.2 123.8 62.7 135.4 58.4 XIII World Congress of Cardiology , Brazil 1998

  24. CARDIO-VASCULAR MORTALITY IN BRAZIL 300.000 820 34 1 Deaths per year Deaths per day Deaths per hour Deaths every 2 min XIII World Congress of Cardiology , Brazil 1998

  25. CARDIO-VASCULAR MORTALITY RATES (Deaths/100.000) 45-64 ys Men Women • Florianopolis • Salvador • Recife • Belem • Natal • Campo Grande 234.4 182.9 274.7 220.0 206.2 307.4 62.4 79.4 100.9 80.3 51.2 133.9 XIII World Congress of Cardiology , Brazil 1998

  26. Agita São Paulo State Health Secretary CELAFISCS Scientific Board Executive Board National International Non-Governmental Governmental Target Groups Students Workers Elderly

  27. BRAZILIAN RATES MORTALITY DEATHS /100000 TUBERCULOSIS CANCER HEART ATTACK STROKE DATA SUS YEARS AGITA SÃO PAULO PROGRAM

  28. Agita Newsletter Folders Flyers Educational Materials Videos Posters Manual Cable TV Conference Home-page

  29. Program Impact • Participation in Scientific Meetings 28 • Participation in Meetings of Partners 79 • Presentation of Program 197 • Scientific Studies 20 • Publication in Newspapers 86 • Publication in National Journals 14 AGITA SÃO PAULO PROGRAM 18 MONTHS PERIOD

  30. Program Impact • Publication in Journals of the Partners 52 • National Broadcasting TV 35 • International Broadcasting TV 5 • Radio Programs 25 • Questionnaire Applied 21.117 • Person/Message Attained 83.749.602 AGITA SÃO PAULO PROGRAM 18 MONTHS PERIOD

  31. Megaevents Agita Galera Active Elderly Workers AGITA SÃO PAULO PROGRAM

  32. Settings • Everyday Home Activities • Transport Activities • Leisure Time Activities AGITA SÃO PAULO PROGRAM

  33. Human Resources • Workshops • Agita Agents • Agita-Net AGITA SÃO PAULO PROGRAM

  34. Lessons of the Past for Guidance in the Future: Matching the Needs and Possibilities • Inclusion Principle • Partnership: Intellectual and Institutional • Inter and Intrasectorial Partnership Balance • Empowering the Partnership Agenda • Similar Cause and Differences in Action

  35. Lessons of the Past for Guidance in the Future: Matching the Needs and Possibilities • Scientific Sound • Non-Paid Media Approach • Clear, Simple, and Feasible Message • Cultural Adaptation - Pleasure • One Step-Ahead Model • Surveillance

  36. Learned Lessons • Partnerships • Dream and Act With Potentialities • Empowering the Partnership Agenda • Similar Cause and Differences in Action • Scientific Knowledge + Practical Actions • Clear, Simple, and Feasible Message

  37. Learned Lessons • Improve Capacities and Potentialities • Low Level of Demanding in the Partnership • Personal Relationship Success • Work + Pleasure • People Make the Partnership, Not Only the Institutions • Autonomy and Freedom • Manage Potential Differences Among Institutions

  38. SEDENTARY ONE STEP AHEAD MODEL SOMEWHAT ACTIVE REGULARLY ACTIVE VERY ACTIVE

  39. AGITA SÃO PAULO CELAFISCS

  40. NON - PAID MEDIA IMPACT TELEVISION • TV - Lecture 240 min • Children Program 30 min • Adolescent Program 30 min • Docummentary 30 min Programs News Reports 23 flashes 245 min Onlookers21,400,000 RADIO 25 Flashes 240 min Audience1,400,000

  41. COMMUNITY IMPACT Estimated People Reached Single Message 35,944,225 Costs of TV Program 30 sec : U$ 12,000 Money saved in TV time Saved money U$ 12,960,000

  42. AGITOL THE FORMULA FOR ACTIVE LIVING

  43. Prevalence of Risk Factors São Paulo City Males Females Overall % Rego et al. Public Health Journal, 1990

  44. Prevalence of Risk Factors São Paulo City % Rego et al. Public Health Journal, 1990

  45. How many days in a usual week do you do vigorous PA at least 10 min. ? % 55.5 26.5 12.8 Days/week n = 641 (312 men and 329 women / São Paulo Metropolitan Area

  46. Agita America

  47. Agita World

  48. Agita São Paulo

  49. How many days in a usual week do you do vigorous PA at least 10 min.? % 54.7 None 1 to 4/week 26.7 5 to 7/week 14.9 Santo André % % 60.4 50.0 25.9 26.7 14.1 9.9 São Bernardo do Campo São Caetano do Sul

  50. How much time do you spend per day in vigorous PA ? Santo André São Bernardo do Campo São Caetano do Sul n = 641 (312 men and 329 women) 49.2 % 24.6 19.9 6.0 161 - 360 361 - 600 0 - 40 41 - 160 Minutes per day

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