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Matsudo, Public Health Nutrition, Feb 2002 AGITA SÃO PAULO PROGRAM
Scientific EvidencesScientific Evidences
Other CountriesExperiences
Other CountriesExperiences
EpidemiologicalEpidemiological
Former BrazilianExperiences
Former BrazilianExperiences
Matsudo, Public Health Nutrition, Feb 2002
University of JyväskyläUniversity of JyväskyläUniversity of JyväskyläUniversity of Jyväskylä
5th Annual Congress of the5th Annual Congress of theEuropean College of Sports SciencesEuropean College of Sports Sciences
5th Annual Congress of the5th Annual Congress of theEuropean College of Sports SciencesEuropean College of Sports Sciences
Lessons of the Past for Guidance in the Future:Lessons of the Past for Guidance in the Future:Matching the Needs and PossibilitiesMatching the Needs and Possibilities
Lessons of the Past for Guidance in the Future:Lessons of the Past for Guidance in the Future:Matching the Needs and PossibilitiesMatching the Needs and Possibilities
Agita São Paulo ProgramAgita São Paulo ProgramVictor MatsudoVictor Matsudo
Agita São Paulo ProgramAgita São Paulo ProgramVictor MatsudoVictor Matsudo
Matsudo, Public Health Nutrition, Feb 2002 AGITA SÃO PAULO PROGRAM
Medical CommitteeMedical CommitteeMedical AssociationMedical Association
Medical TVMedical TVHealth ProfessionalsHealth Professionals
Medical StudentsMedical Students
Publishing inPublishing inScientific JournalsScientific Journals
OrthopedistsOrthopedistsProfileProfile
Other AreaOther AreaCongressesCongresses
Matsudo, Public Health Nutrition, Feb 2002
Participation in RecommendedParticipation in RecommendedPhysical ActivityPhysical Activity
Excluding WalkingExcluding Walking Excluding WalkingExcluding Walking
OverallOverallOverallOverall
MenMenMenMen
WomenWomenWomenWomen
AGITA SÃO PAULO PROGRAM
GenderGender PercentPercent 95% CI95% CIGenderGender PercentPercent 95% CI95% CI
39.739.739.739.7
32.132.132.132.1
47.447.447.447.4
35.6 - 43.935.6 - 43.935.6 - 43.935.6 - 43.9
26.5 - 37.626.5 - 37.626.5 - 37.626.5 - 37.6
41.4 - 53.441.4 - 53.441.4 - 53.441.4 - 53.4
Matsudo, Public Health Nutrition, Feb 2002
Participation in RecommendedParticipation in RecommendedPhysical ActivityPhysical Activity
Including WalkingIncluding Walking Including WalkingIncluding Walking
OverallOverallOverallOverall
MaleMaleMaleMale
FemaleFemaleFemaleFemale
GenderGender PercentPercent 95% CI95% CIGenderGender PercentPercent 95% CI95% CI
54.854.854.854.8
48.748.748.748.7
61.061.061.061.0
50.6 - 59.050.6 - 59.050.6 - 59.050.6 - 59.0
42.8 - 54.642.8 - 54.642.8 - 54.642.8 - 54.6
55.1 - 66.855.1 - 66.855.1 - 66.855.1 - 66.8
AGITA SÃO PAULO PROGRAM
Matsudo, Public Health Nutrition, Feb 2002
Participation in RecommendedParticipation in RecommendedPhysical ActivityPhysical Activity
OverallOverallOverallOverall
18 - 2918 - 2918 - 2918 - 29
30 - 4930 - 4930 - 4930 - 49
AgeAge PercentPercent 95% CI95% CIAgeAge PercentPercent 95% CI95% CI
39.739.739.739.7
54.354.354.354.3
36.036.036.036.0
35.6 - 43.935.6 - 43.935.6 - 43.935.6 - 43.9
45.7 - 63.045.7 - 63.045.7 - 63.045.7 - 63.0
30.0 - 42.030.0 - 42.030.0 - 42.030.0 - 42.0
Excluding WalkingExcluding Walking Excluding WalkingExcluding Walking
> 50> 50> 50> 50 33.533.533.533.5 26.3 - 40.826.3 - 40.826.3 - 40.826.3 - 40.8
AGITA SÃO PAULO PROGRAM
Matsudo, Public Health Nutrition, Feb 2002
Participation in RecommendedParticipation in RecommendedPhysical ActivityPhysical Activity
OverallOverallOverallOverall
18 - 2918 - 2918 - 2918 - 29
30 - 4930 - 4930 - 4930 - 49
AgeAge PercentPercent 95% CI95% CIAgeAge PercentPercent 95% CI95% CI
54.854.854.854.8
63.563.563.563.5
47.247.247.247.2
50.6 - 59.050.6 - 59.050.6 - 59.050.6 - 59.0
55.2 - 71.955.2 - 71.955.2 - 71.955.2 - 71.9
41.0 - 53.441.0 - 53.441.0 - 53.441.0 - 53.4
> 50> 50> 50> 50 59.659.659.659.6 52.1 - 67.152.1 - 67.152.1 - 67.152.1 - 67.1
AGITA SÃO PAULO PROGRAM
Including WalkingIncluding Walking Including WalkingIncluding Walking
Matsudo, Public Health Nutrition, Feb 2002
Participation in RecommendedParticipation in RecommendedPhysical ActivityPhysical Activity
Excluding WalkingExcluding Walking Excluding WalkingExcluding Walking
AGITA SÃO PAULO PROGRAM
OverallOverallOverallOverall
NoNoNoNo
YesYesYesYes
Know Principal Objective?Know Principal Objective? Percent Percent 95% CI 95% CIKnow Principal Objective?Know Principal Objective? Percent Percent 95% CI 95% CI
38.138.138.138.1
35.335.335.335.3
43.043.043.043.0
32.5 - 43.732.5 - 43.732.5 - 43.732.5 - 43.7
28.4 - 42.228.4 - 42.228.4 - 42.228.4 - 42.2
33.5 - 52.533.5 - 52.533.5 - 52.533.5 - 52.5
Matsudo, Public Health Nutrition, Feb 2002
Participation in RecommendedParticipation in RecommendedPhysical ActivityPhysical Activity
Excluding WalkingExcluding Walking Excluding WalkingExcluding Walking
AGITA SÃO PAULO PROGRAM
OverallOverallOverallOverall
NoNoNoNo
YesYesYesYes
Know Principal Objective?Know Principal Objective? Percent Percent 95% CI 95% CIKnow Principal Objective?Know Principal Objective? Percent Percent 95% CI 95% CI
31.831.831.831.8
33.133.133.133.1
29.629.629.629.6
26.4 - 37.326.4 - 37.326.4 - 37.326.4 - 37.3
26.2 - 39.926.2 - 39.926.2 - 39.926.2 - 39.9
20.7 - 38.520.7 - 38.520.7 - 38.520.7 - 38.5
InactiveInactive InactiveInactive
Matsudo, Public Health Nutrition, Feb 2002
Participation in RecommendedParticipation in RecommendedPhysical ActivityPhysical Activity
AGITA SÃO PAULO PROGRAM
Including WalkingIncluding Walking Including WalkingIncluding Walking
OverallOverallOverallOverall
NoNoNoNo
YesYesYesYes
Know Principal Objective?Know Principal Objective? Percent Percent 95% CI 95% CIKnow Principal Objective?Know Principal Objective? Percent Percent 95% CI 95% CI
55.955.955.955.9
53.953.953.953.9
59.559.559.559.5
50.2 - 61.750.2 - 61.750.2 - 61.750.2 - 61.7
46.7 - 61.146.7 - 61.146.7 - 61.146.7 - 61.1
50.1 - 68.950.1 - 68.950.1 - 68.950.1 - 68.9
Matsudo, Public Health Nutrition, Feb 2002
Participation in RecommendedParticipation in RecommendedPhysical ActivityPhysical Activity
Including WalkingIncluding Walking Including WalkingIncluding Walking
AGITA SÃO PAULO PROGRAM
OverallOverallOverallOverall
NoNoNoNo
YesYesYesYes
Know Principal Objective?Know Principal Objective? Percent Percent 95% CI 95% CIKnow Principal Objective?Know Principal Objective? Percent Percent 95% CI 95% CI
10.910.910.910.9
13.113.113.113.1
7.17.17.17.1
7.2 - 14.57.2 - 14.57.2 - 14.57.2 - 14.5
8.1 - 18.08.1 - 18.08.1 - 18.08.1 - 18.0
2.0 - 12.12.0 - 12.12.0 - 12.12.0 - 12.1
InactiveInactive InactiveInactive
Matsudo, Public Health Nutrition, Feb 2002
WorkersWorkers
StudentsStudents
ElderlyElderly
Targeting GroupsTargeting Groups
AGITA SÃO PAULO PROGRAM
Matsudo, Public Health Nutrition, Feb 2002 AGITA SÃO PAULO PROGRAM
SurveillanceSurveillance
Physical Activity AttitudesPhysical Activity Attitudes
Physical Activity LevelPhysical Activity Level
Program KnowledgeProgram Knowledge
Behavior StagesBehavior Stages
KnowledgeKnowledge
BarriersBarriers
Matsudo, Public Health Nutrition, Feb 2002
SciencesSciences
MysthicsMysthics
EthicsEthics
Partners SuccessPartners Success
AGITA SÃO PAULO PROGRAMPAHO ADVISER REPORT, 2000
Matsudo, Public Health Nutrition, Feb 2002
Banners
Hand-fanCar tapeFolders
Bu
s-do
or
Mou
se p
ad
Um
brel
laT-Shirts
Posters
Stickers
Stickers
Marketing Materials
AGITA SÃO PAULO PROGRAM
Matsudo, Public Health Nutrition, Feb 2002
OutdoorOutdoor
PensPens
SlidesPresentation
SlidesPresentation
WrapWrap
PyramidsPyramids
PinsPins
Key-holderKey-holder
PlasticBags
PlasticBags
BallonsBallonsVideosVideos
BookmarkBookmark
BottonsBottons
Draft PapersBlock
Draft PapersBlock
RefrigeratorMagnetic
RefrigeratorMagnetic
MarketingMaterials
MarketingMaterials
Matsudo, Public Health Nutrition, Feb 2002 AGITA SÃO PAULO PROGRAM
Intellectual PartnershipIntellectual Partnership
• NationalNational• NationalNational
• InternationalInternational• InternationalInternational
• Scientific BoardScientific Board• Scientific BoardScientific Board
Matsudo, Public Health Nutrition, Feb 2002
• GovernmentalGovernmental• GovernmentalGovernmental
• Non-GovernmentalNon-Governmental• Non-GovernmentalNon-Governmental
• Executive Board (Monthly Meeting)Executive Board (Monthly Meeting)• Executive Board (Monthly Meeting)Executive Board (Monthly Meeting)
AGITA SÃO PAULO PROGRAM
Institution PartnershipInstitution Partnership
Matsudo, Public Health Nutrition, Feb 2002 AGITA SÃO PAULO PROGRAM
Inclusion PrincipleInclusion Principle• IntellectualIntellectual• IntellectualIntellectual
• InstitutionalInstitutional• InstitutionalInstitutional
• Using the Existing Structured Programs and GroupsUsing the Existing Structured Programs and Groups• Using the Existing Structured Programs and GroupsUsing the Existing Structured Programs and Groups
• One-step-ahead ModelOne-step-ahead Model• One-step-ahead ModelOne-step-ahead Model
• Message:Message:• Message:Message:
- Moderate- Moderate- Moderate- Moderate - Cumulative- Cumulative - Cumulative- Cumulative
Matsudo, Public Health Nutrition, Feb 2002
• Brazilian Ministery of HealthBrazilian Ministery of Health• Brazilian Ministery of HealthBrazilian Ministery of Health
AGITA SÃO PAULO PROGRAM
Political AspectsPolitical Aspects• São Paulo State Secretary of HealthSão Paulo State Secretary of Health• São Paulo State Secretary of HealthSão Paulo State Secretary of Health
• The São Paulo ManifestoThe São Paulo Manifesto• The São Paulo ManifestoThe São Paulo Manifesto
• World Health Organization (WHO)World Health Organization (WHO)• World Health Organization (WHO)World Health Organization (WHO)
• Pan-American Health Organization (PAHO)Pan-American Health Organization (PAHO)• Pan-American Health Organization (PAHO)Pan-American Health Organization (PAHO)
• Centers for Disease Control and Prevention (CDC)Centers for Disease Control and Prevention (CDC)• Centers for Disease Control and Prevention (CDC)Centers for Disease Control and Prevention (CDC)
Matsudo, Public Health Nutrition, Feb 2002
Politics Environment Curriculum on Health Education Extra-Curriculum Activities Family Involvement Human Resources Training Health Services Community Programs Evaluation
Politics Environment Curriculum on Health Education Extra-Curriculum Activities Family Involvement Human Resources Training Health Services Community Programs Evaluation
RECOMMENDATIONS TO INTERVENTION PROGRAMSTO PROMOTE PHYSICAL ACTIVITY POPULATION
RECOMMENDATIONS TO INTERVENTION PROGRAMSTO PROMOTE PHYSICAL ACTIVITY POPULATION
Matsudo, Public Health Nutrition, Feb 2002
TYPES OF ECOLOGICAL MODELSTYPES OF ECOLOGICAL MODELSTYPES OF ECOLOGICAL MODELSTYPES OF ECOLOGICAL MODELS
Number of behavior settingsNumber of behavior settings
Acess to behavior settingsAcess to behavior settings
Use of activity behavior settingsUse of activity behavior settings
The number of supervised programsThe number of supervised programs
Acess to, and quality of, programsAcess to, and quality of, programs
Use of youth activity programsUse of youth activity programs
Number of behavior settingsNumber of behavior settings
Acess to behavior settingsAcess to behavior settings
Use of activity behavior settingsUse of activity behavior settings
The number of supervised programsThe number of supervised programs
Acess to, and quality of, programsAcess to, and quality of, programs
Use of youth activity programsUse of youth activity programs
Matsudo, Public Health Nutrition, Feb 2002
São Paulo Rio de Janeiro Porto Alegre Belo Horizonte Curitiba Brasília
São Paulo Rio de Janeiro Porto Alegre Belo Horizonte Curitiba Brasília
CARDIO-VASCULAR MORTALITY RATES
(Deaths/100.000) 45-64 ys
CARDIO-VASCULAR MORTALITY RATES
(Deaths/100.000) 45-64 ys
306.2400.1402.2210.8389.9139.3
306.2400.1402.2210.8389.9139.3
107.7143.2123.8 62.7135.4 58.4
107.7143.2123.8 62.7135.4 58.4
MenMen WomenWomen
XIII World Congress of Cardiology , Brazil 1998XIII World Congress of Cardiology , Brazil 1998
Matsudo, Public Health Nutrition, Feb 2002
300.000820
341
300.000820
341
CARDIO-VASCULAR MORTALITY IN BRAZILCARDIO-VASCULAR
MORTALITY IN BRAZIL
Deaths per yearDeaths per dayDeaths per hourDeaths every 2 min
Deaths per yearDeaths per dayDeaths per hourDeaths every 2 min
XIII World Congress of Cardiology , Brazil 1998XIII World Congress of Cardiology , Brazil 1998
Matsudo, Public Health Nutrition, Feb 2002
Florianopolis Salvador Recife Belem Natal Campo Grande
Florianopolis Salvador Recife Belem Natal Campo Grande
CARDIO-VASCULAR MORTALITY RATES
(Deaths/100.000) 45-64 ys
CARDIO-VASCULAR MORTALITY RATES
(Deaths/100.000) 45-64 ys
234.4182.9274.7220.0206.2307.4
234.4182.9274.7220.0206.2307.4
62.4 79.4100.9 80.3 51.2133.9
62.4 79.4100.9 80.3 51.2133.9
MenMen WomenWomen
XIII World Congress of Cardiology , Brazil 1998XIII World Congress of Cardiology , Brazil 1998
Matsudo, Public Health Nutrition, Feb 2002
NationalNationalNationalNational
Scientific BoardScientific BoardScientific BoardScientific Board
Agita São PauloAgita São PauloState Health State Health
SecretarySecretaryState Health State Health
SecretarySecretary
Executive BoardExecutive BoardExecutive BoardExecutive Board
InternationalInternationalInternationalInternational Non-GovernmentalNon-GovernmentalNon-GovernmentalNon-GovernmentalGovernmentalGovernmentalGovernmentalGovernmental
Target GroupsTarget GroupsTarget GroupsTarget Groups
StudentsStudentsStudentsStudents WorkersWorkersWorkersWorkers ElderlyElderlyElderlyElderly
CELAFISCSCELAFISCSCELAFISCSCELAFISCS
Matsudo, Public Health Nutrition, Feb 2002 AGITA SÃO PAULO PROGRAM
BRAZILIAN RATES MORTALITY BRAZILIAN RATES MORTALITY
30
40
50
60
70
80
90
100
80 82 84 86 88 90 92 94 95
DEATHS /100000
STROKE STROKE
CANCERCANCER
HEART ATTACK HEART ATTACK
YEARS
DATA SUS
TUBERCULOSISTUBERCULOSIS
Matsudo, Public Health Nutrition, Feb 2002
FoldersFolders FlyersFlyers AgitaNewsletter
AgitaNewsletter
PostersPostersEducationalMaterials
EducationalMaterials
VideosVideos
ManualManual Cable TVConferenceCable TV
ConferenceHome-pageHome-page
Matsudo, Public Health Nutrition, Feb 2002
Program ImpactProgram Impact• Participation in Scientific MeetingsParticipation in Scientific Meetings 2828• Participation in Scientific MeetingsParticipation in Scientific Meetings 2828
• Participation in Meetings of PartnersParticipation in Meetings of Partners 7979• Participation in Meetings of PartnersParticipation in Meetings of Partners 7979
• Presentation of ProgramPresentation of Program 197 197• Presentation of ProgramPresentation of Program 197 197
• Scientific StudiesScientific Studies 2020• Scientific StudiesScientific Studies 2020
• Publication in NewspapersPublication in Newspapers 8686• Publication in NewspapersPublication in Newspapers 8686
• Publication in National JournalsPublication in National Journals 1414• Publication in National JournalsPublication in National Journals 1414
AGITA SÃO PAULO PROGRAM18 MONTHS PERIOD
Matsudo, Public Health Nutrition, Feb 2002
Program ImpactProgram Impact• Publication in Journals of the PartnersPublication in Journals of the Partners 5252• Publication in Journals of the PartnersPublication in Journals of the Partners 5252
• National Broadcasting TVNational Broadcasting TV 3535• National Broadcasting TVNational Broadcasting TV 3535
• International Broadcasting TVInternational Broadcasting TV 5 5• International Broadcasting TVInternational Broadcasting TV 5 5
• Radio ProgramsRadio Programs 2525• Radio ProgramsRadio Programs 2525
• Questionnaire AppliedQuestionnaire Applied 21.117 21.117• Questionnaire AppliedQuestionnaire Applied 21.117 21.117
• Person/Message AttainedPerson/Message Attained 83.749.602 83.749.602• Person/Message AttainedPerson/Message Attained 83.749.602 83.749.602
AGITA SÃO PAULO PROGRAM18 MONTHS PERIOD
Matsudo, Public Health Nutrition, Feb 2002
WorkersWorkers
AgitaAgitaGaleraGalera
ActiveElderlyActiveElderly
MegaeventsMegaevents
AGITA SÃO PAULO PROGRAM
Matsudo, Public Health Nutrition, Feb 2002
• Everyday Home ActivitiesEveryday Home Activities• Everyday Home ActivitiesEveryday Home Activities
• Transport ActivitiesTransport Activities• Transport ActivitiesTransport Activities
• Leisure Time ActivitiesLeisure Time Activities• Leisure Time ActivitiesLeisure Time Activities
SettingsSettings
AGITA SÃO PAULO PROGRAM
Matsudo, Public Health Nutrition, Feb 2002
• WorkshopsWorkshops• WorkshopsWorkshops
• Agita AgentsAgita Agents• Agita AgentsAgita Agents
• Agita-NetAgita-Net• Agita-NetAgita-Net
Human ResourcesHuman Resources
AGITA SÃO PAULO PROGRAM
Matsudo, Public Health Nutrition, Feb 2002
• Inclusion PrincipleInclusion Principle• Inclusion PrincipleInclusion Principle
• Partnership: Intellectual and InstitutionalPartnership: Intellectual and Institutional• Partnership: Intellectual and InstitutionalPartnership: Intellectual and Institutional
• Empowering the Partnership AgendaEmpowering the Partnership Agenda• Empowering the Partnership AgendaEmpowering the Partnership Agenda
• Similar Cause and Differences in ActionSimilar Cause and Differences in Action• Similar Cause and Differences in ActionSimilar Cause and Differences in Action
• Inter and Intrasectorial Partnership BalanceInter and Intrasectorial Partnership Balance• Inter and Intrasectorial Partnership BalanceInter and Intrasectorial Partnership Balance
Lessons of the Past for Guidance in the Lessons of the Past for Guidance in the Future:Future:
Matching the Needs and PossibilitiesMatching the Needs and Possibilities
Lessons of the Past for Guidance in the Lessons of the Past for Guidance in the Future:Future:
Matching the Needs and PossibilitiesMatching the Needs and Possibilities
Matsudo, Public Health Nutrition, Feb 2002
Lessons of the Past for Guidance in the Lessons of the Past for Guidance in the Future:Future:
Matching the Needs and PossibilitiesMatching the Needs and Possibilities
Lessons of the Past for Guidance in the Lessons of the Past for Guidance in the Future:Future:
Matching the Needs and PossibilitiesMatching the Needs and Possibilities
• Non-Paid Media ApproachNon-Paid Media Approach• Non-Paid Media ApproachNon-Paid Media Approach
• Scientific SoundScientific Sound• Scientific SoundScientific Sound
• One Step-Ahead ModelOne Step-Ahead Model• One Step-Ahead ModelOne Step-Ahead Model
• Clear, Simple, and Feasible MessageClear, Simple, and Feasible Message• Clear, Simple, and Feasible MessageClear, Simple, and Feasible Message
• Cultural Adaptation - PleasureCultural Adaptation - Pleasure• Cultural Adaptation - PleasureCultural Adaptation - Pleasure
• SurveillanceSurveillance• SurveillanceSurveillance
Matsudo, Public Health Nutrition, Feb 2002
Learned LessonsLearned Lessons• PartnershipsPartnerships• PartnershipsPartnerships
• Dream and Act With PotentialitiesDream and Act With Potentialities• Dream and Act With PotentialitiesDream and Act With Potentialities
• Empowering the Partnership AgendaEmpowering the Partnership Agenda• Empowering the Partnership AgendaEmpowering the Partnership Agenda
• Similar Cause and Differences in ActionSimilar Cause and Differences in Action• Similar Cause and Differences in ActionSimilar Cause and Differences in Action
• Scientific Knowledge + Practical ActionsScientific Knowledge + Practical Actions• Scientific Knowledge + Practical ActionsScientific Knowledge + Practical Actions
• Clear, Simple, and Feasible MessageClear, Simple, and Feasible Message• Clear, Simple, and Feasible MessageClear, Simple, and Feasible Message
Matsudo, Public Health Nutrition, Feb 2002
Learned LessonsLearned Lessons• Improve Capacities and PotentialitiesImprove Capacities and Potentialities• Improve Capacities and PotentialitiesImprove Capacities and Potentialities
• Low Level of Demanding in the PartnershipLow Level of Demanding in the Partnership• Low Level of Demanding in the PartnershipLow Level of Demanding in the Partnership
• Personal Relationship SuccessPersonal Relationship Success• Personal Relationship SuccessPersonal Relationship Success
• Work + PleasureWork + Pleasure• Work + PleasureWork + Pleasure
• People Make the Partnership, Not Only the InstitutionsPeople Make the Partnership, Not Only the Institutions• People Make the Partnership, Not Only the InstitutionsPeople Make the Partnership, Not Only the Institutions
• Autonomy and FreedomAutonomy and Freedom• Autonomy and FreedomAutonomy and Freedom
• Manage Potential Differences Among InstitutionsManage Potential Differences Among Institutions• Manage Potential Differences Among InstitutionsManage Potential Differences Among Institutions
SEDENTARYSEDENTARYSEDENTARYSEDENTARY
SOMEWHAT ACTIVESOMEWHAT ACTIVE SOMEWHAT ACTIVESOMEWHAT ACTIVE
REGULARLY ACTIVEREGULARLY ACTIVEREGULARLY ACTIVEREGULARLY ACTIVE
VERY ACTIVEVERY ACTIVEVERY ACTIVEVERY ACTIVE
ONEONESTEPSTEP
AHEADAHEADMODELMODEL
ONEONESTEPSTEP
AHEADAHEADMODELMODEL
Matsudo, Public Health Nutrition, Feb 2002
G O VERNM ENTALINSTITUTIO NS
NON-GOVERNMENTALINSTITUTIO NS
EXECUTIVE BO ARD
HEALTH SECRETARY
NATIO NAL INTERNATIO NAL
SCIENTIFIC BO ARD
CELAFISCS
AGITA SÃO PAULOAGITA SÃO PAULOAGITA SÃO PAULOAGITA SÃO PAULO
CELAFISCSCELAFISCS
Matsudo, Public Health Nutrition, Feb 2002
NON - PAID MEDIA IMPACTNON - PAID MEDIA IMPACT TELEVISIONTELEVISION
• TV - LectureTV - Lecture 240 min240 min• Children ProgramChildren Program 30 min30 min• Adolescent ProgramAdolescent Program 30 min30 min• Docummentary Docummentary 30 min30 min
ProgramsPrograms
News ReportsNews Reports 23 flashes23 flashes 245 min 245 min
OnlookersOnlookers 21,400,00021,400,000
RADIORADIO25 Flashes 25 Flashes 240 min240 minAudienceAudience 1,400,0001,400,000
Matsudo, Public Health Nutrition, Feb 2002
Estimated People Reached Single MessageEstimated People Reached Single Message
35,944,22535,944,225
Saved money U$ 12,960,000Saved money U$ 12,960,000Saved money U$ 12,960,000Saved money U$ 12,960,000
Costs of TV Program 30 sec : U$ 12,000Costs of TV Program 30 sec : U$ 12,000
Money saved in TV timeMoney saved in TV time
COMMUNITY IMPACTCOMMUNITY IMPACTCOMMUNITY IMPACTCOMMUNITY IMPACT
Matsudo, Public Health Nutrition, Feb 2002
AGITOLAGITOL
THE FORMULA FOR ACTIVE
LIVING
THE FORMULA FOR ACTIVE
LIVING
Matsudo, Public Health Nutrition, Feb 2002
0
10
20
30
40
50
60
70
80
90
Alcholism Obesity Hypertension Tabagism Sedentarism
Prevalence of Risk Factors São Paulo CityPrevalence of Risk Factors São Paulo City
Rego et al. Public Health Journal, 1990Rego et al. Public Health Journal, 1990
MalesMalesFemalesFemalesOverallOverall
%%
Matsudo, Public Health Nutrition, Feb 2002
7,7 9,7
1822,3
37,9
69,3
0
10
20
30
40
50
60
70
Alcholism Diabetes Obesity Hypertension Tabagism Sedentarism
Prevalence of Risk Factors São Paulo CityPrevalence of Risk Factors São Paulo City
Rego et al. Public Health Journal, 1990Rego et al. Public Health Journal, 1990
%%
Matsudo, Public Health Nutrition, Feb 2002
How many days in a usual week doyou do vigorous PA at least 10 min. ?How many days in a usual week do
you do vigorous PA at least 10 min. ?
0
10
20
30
40
50
60
None 1 - 4 5 - 7
%%
n = 641 (312 men and 329 women / São Paulo Metropolitan Arean = 641 (312 men and 329 women / São Paulo Metropolitan Area
26.526.5
55.555.5
Days/weekDays/week
12.812.8
Matsudo, Public Health Nutrition, Feb 2002
Agita
AmericaAgita
America
Matsudo, Public Health Nutrition, Feb 2002
Agita
WorldAgita
World
Matsudo, Public Health Nutrition, Feb 2002
Agita
São PauloAgita
São Paulo
Matsudo, Public Health Nutrition, Feb 2002
0
10
20
30
40
50
60
70
0
10
20
30
40
50
60
0
10
20
30
40
50
60
How many days in a usual week do you do vigorous PA at least 10 min.?
How many days in a usual week do you do vigorous PA at least 10 min.?
São Bernardo do CampoSão Bernardo do CampoSão Caetano do SulSão Caetano do Sul
Santo AndréSanto André
%%
%% %%
NoneNone
1 to 4/week1 to 4/week
5 to 7/week5 to 7/week
54.754.7
26.726.7
14.914.9
60.460.4
26.726.7
9.99.9
50.050.0
25.925.9
14.114.1
Matsudo, Public Health Nutrition, Feb 2002
How much time do you spend perday in vigorous PA ?
How much time do you spend perday in vigorous PA ?
0
5
10
15
20
25
30
35
40
45
50
%%
0 - 400 - 40
Santo AndréSão Bernardo do CampoSão Caetano do Suln = 641 (312 men and 329 women)
Santo AndréSão Bernardo do CampoSão Caetano do Suln = 641 (312 men and 329 women)
49.249.2
24.624.6
Minutes per dayMinutes per day
19.919.9
6.06.0
41 - 16041 - 160 161 - 360161 - 360 361 - 600361 - 600
Matsudo, Public Health Nutrition, Feb 2002
0
5
10
15
20
25
30
35
40
%%
NoneNone 1 to 41 to 4 5 to 75 to 7
Santo AndréSão Bernardo do CampoSão Caetano do Suln = 641 (312 men and 329 women)
Santo AndréSão Bernardo do CampoSão Caetano do Suln = 641 (312 men and 329 women)
30.530.5
37.437.4
Days per weekDays per week
28.328.3
How many days in a usual weekdo you do moderate PA at least 10 min.?
How many days in a usual weekdo you do moderate PA at least 10 min.?
Matsudo, Public Health Nutrition, Feb 2002
0
5
10
15
20
25
30
35
40
45
%%
0 - 400 - 40
Santo AndréSão Bernardo do CampoSão Caetano do Suln = 641 (312 men and 329 women)
Santo AndréSão Bernardo do CampoSão Caetano do Suln = 641 (312 men and 329 women)
40.740.7
23.923.9
Minutes per dayMinutes per day
27.127.1
7.27.2
41 - 16041 - 160 161 - 360161 - 360 361 - 600361 - 600
How much time do you spend perday in PA moderate?
How much time do you spend perday in PA moderate?
Matsudo, Public Health Nutrition, Feb 2002
0
20
40
60
80
100
>150 min < 150 min
0
20
40
60
80
>150 min < 150 min
STUDENTS PHYSICAL ACTIVTY INVOLVEMENT (%) IN VIGOROUS ACTIVITIES PRE AND POST
INTERVENTION
STUDENTS PHYSICAL ACTIVTY INVOLVEMENT (%) IN VIGOROUS ACTIVITIES PRE AND POST
INTERVENTION
MALE FEMALE
PRE INTERVENTION POST INTERVENTION
MATSUDO, V. et al, ACSM 99MATSUDO, V. et al, ACSM 99
*
* p < .05
Matsudo, Public Health Nutrition, Feb 2002
0
20
40
60
80
100
>150 min < 150 min
0
20
40
60
80
100
>150 min < 150 min
STUDENTS PHYSICAL ACTIVTY INVOLVEMENT (%) IN MODERATE ACTIVITIES PRE AND POST
INTERVENTION
STUDENTS PHYSICAL ACTIVTY INVOLVEMENT (%) IN MODERATE ACTIVITIES PRE AND POST
INTERVENTION
MALE FEMALE
PRE INTERVENTION POST INTERVENTION
MATSUDO, V. et al, ACSM 99MATSUDO, V. et al, ACSM 99
Matsudo, Public Health Nutrition, Feb 2002
Agita (top of mind) X Educational LevelAgita (top of mind) X Educational Level
0
10
20
30
40
50
60
70
%%
0 - 30 - 3 4 - 74 - 7 8 - 108 - 10 11 - 1411 - 14 > 14> 14
Years at schoolYears at school
1818
4848
61616464 5353
Andrade, E.L. et al. Impact of a physical activity promotion program according to education years.Pre-Olympic Scientific Congress,
Brisbane, Australia, 2000. Andrade, E.L. et al. Impact of a physical activity promotion program according to education years.Pre-Olympic Scientific Congress,
Brisbane, Australia, 2000.
n = 641 (312 men and 329 women)São Paulo Metropolitan Arean = 641 (312 men and 329 women)São Paulo Metropolitan Area
Matsudo, Public Health Nutrition, Feb 2002
0
5
10
15
20
25
30
35
40
%%
0 - 30 - 3 4 - 74 - 7 8 - 108 - 10 11 - 1411 - 14 > 14> 14
years at schoolyears at school
44
1212
22222424
3737
Agita Purpose X Educational LevelAgita Purpose X Educational Leveln = 641 (312 men and 329 women)São Paulo Metropolitan Arean = 641 (312 men and 329 women)São Paulo Metropolitan Area
Andrade, E.L. et al. Impact of a physical activity promotion program according to education years. Pre-Olympic Scientific Congress,
Brisbane, Australia, 2000. Andrade, E.L. et al. Impact of a physical activity promotion program according to education years. Pre-Olympic Scientific Congress,
Brisbane, Australia, 2000.
Matsudo, Public Health Nutrition, Feb 2002
Matsudo, S.M.M. et al. Impact of a physical activity promotion program on the three different communities. Pre-Olympic Scientific
Congress, Brisbaine, Austrália, 2000. Matsudo, S.M.M. et al. Impact of a physical activity promotion program on the three different communities. Pre-Olympic Scientific
Congress, Brisbaine, Austrália, 2000.
0 10 20 30 40 50 60
Knowledge level about AgitaKnowledge level about Agita
Heard about programHeard about program
Message missingMessage missing
Message fineMessage fine
n = 641 (312 men and 329 women) São Paulo metropolitan arean = 641 (312 men and 329 women) São Paulo metropolitan area
%%
53.053.0
33.533.5
19.519.5
Matsudo, Public Health Nutrition, Feb 2002
Matsudo, S.M.M. et al. Impact of a physical activity promotion program on the three different communities. Pre-Olympic Scientific
Congress, Brisbaine, Austrália, 2000. Matsudo, S.M.M. et al. Impact of a physical activity promotion program on the three different communities. Pre-Olympic Scientific
Congress, Brisbaine, Austrália, 2000.
Knowledge level about AgitaKnowledge level about Agita
n = 641 (312 men and 329 women) São Paulo metropolitan arean = 641 (312 men and 329 women) São Paulo metropolitan area
%%0 20 40 60
Heradedmessage
Never heard
Message Fine Messgem Missing
47.047.0
33.533.519.519.5
Matsudo, Public Health Nutrition, Feb 2002
Agita Purpose X Socioeconomic LevelAgita Purpose X Socioeconomic Level
Oliveira, L.C. et al. Level of knowledge about a physical activity program according to socioeconomic level. Pre-Olympic Scientific
Congress, Brisbane, Australia, 2000. Oliveira, L.C. et al. Level of knowledge about a physical activity program according to socioeconomic level. Pre-Olympic Scientific
Congress, Brisbane, Australia, 2000.
0
10
20
30
40
50
60
70
%%
AA B1B1 B2B2 CC DD
Socio-economic levelSocio-economic level
67,667,6
28,828,834,434,4 33,833,8 33,333,3
n = 641 (312 men and 329 women)São Paulo Metropolitan Arean = 641 (312 men and 329 women)São Paulo Metropolitan Area
Matsudo, Public Health Nutrition, Feb 2002
Araújo, T.L. Physical activity patterns among adults in a developing country. Pre-Olympic Scientific Congress, Brisbaine, Austrália, 2000. Araújo, T.L. Physical activity patterns among adults in a developing country. Pre-Olympic Scientific Congress, Brisbaine, Austrália, 2000.
PA pattern in adults from São Paulometropolitan area
PA pattern in adults from São Paulometropolitan area
37% no register moderate PA (> 10 min.session-1)
59% envolving in moderate PA
28% moderate PA (> 5 days/week)
56% no register vigorous PA (> 10min.session-1)
39.0% envolving in vigorous PA (at least 10 min.session-1)
34.9% no walk in moderate step (at least 10 min.day-1)
34.8% walk > 5 days/week
37% no register moderate PA (> 10 min.session-1)
59% envolving in moderate PA
28% moderate PA (> 5 days/week)
56% no register vigorous PA (> 10min.session-1)
39.0% envolving in vigorous PA (at least 10 min.session-1)
34.9% no walk in moderate step (at least 10 min.day-1)
34.8% walk > 5 days/week
Matsudo, Public Health Nutrition, Feb 2002
Physical activity levelPhysical activity level
Muévete BogotaMuévete Bogota
Physically inactiveNo report of any type of physical activity at least 10
minutes
Irregularly activeReport ativity of any intensity, < 4 days per week
and/or < 30 minutes/day or both
Regularly activeReport ativity of any intensity, more than 4 days per
week and more than 30 minutes per day
Physically inactiveNo report of any type of physical activity at least 10
minutes
Irregularly activeReport ativity of any intensity, < 4 days per week
and/or < 30 minutes/day or both
Regularly activeReport ativity of any intensity, more than 4 days per
week and more than 30 minutes per day
Matsudo, Public Health Nutrition, Feb 2002
Physical activity level - BogotaPhysical activity level - BogotaPhysical activity level - BogotaPhysical activity level - Bogota
33333333
63636363
4444
%%%%
SedentarySedentarySedentarySedentary
Irregularly activeIrregularly activeIrregularly activeIrregularly active
Regularly activeRegularly activeRegularly activeRegularly active
Muévete BogotaMuévete BogotaMuévete BogotaMuévete Bogota
0
10
20
30
40
50
60
70
Regular Irregular Sedentary
0
10
20
30
40
50
60
70
Regular Irregular Sedentary
Matsudo, Public Health Nutrition, Feb 2002
63 subjects - Senior center63 subjects - Senior center63 subjects - Senior center63 subjects - Senior center
Self-report & interview concordanceSelf-report & interview concordanceSelf-report & interview concordanceSelf-report & interview concordance
• Moderate PA FreqModerate PA Freq
• Moderate PA TimeModerate PA Time
• Vigorous PA FreqVigorous PA Freq
• Vigorous PA TimeVigorous PA Time
• Transport FreqTransport Freq
• Transport TimeTransport Time
QUESTIONQUESTIONQUESTIONQUESTION SelfSelfSelfSelf IntervieIntervieww
IntervieIntervieww
2.572.571.141.14
57.1957.1945.8645.864.584.580.840.84
38.4838.4843.7543.752.712.711.561.5637.837.8
16.9916.99
2.572.571.141.14
57.1957.1945.8645.864.584.580.840.84
38.4838.4843.7543.752.712.711.561.5637.837.8
16.9916.99* p < .01* p < .01* p < .01* p < .01
xxssxxssxxssxxssxxssxxss
xxssxxssxxssxxssxxssxxss
2.702.701.711.71
64.4164.4150.4250.423.723.722.122.12
62.9362.9363.0863.083.673.672.242.2453.953.9
29.7629.76
2.702.701.711.71
64.4164.4150.4250.423.723.722.122.12
62.9362.9363.0863.083.673.672.242.2453.953.9
29.7629.76
.12.12
.01.01
.01.01
.62*.62*
-.09-.09
.25*.25*
.12.12
.01.01
.01.01
.62*.62*
-.09-.09
.25*.25*
rrrr
Matsudo, Public Health Nutrition, Feb 2002
n: 16 - Adolescents low socioeconomic regionn: 16 - Adolescents low socioeconomic regionn: 16 - Adolescents low socioeconomic regionn: 16 - Adolescents low socioeconomic region
REPRODUCIBILITYREPRODUCIBILITYREPRODUCIBILITYREPRODUCIBILITY
Moderate PA FreqModerate PA Freq
Moderate PA TimeModerate PA Time
Vigorous PA FreqVigorous PA Freq
Vigorous PA TimeVigorous PA Time
QUESTIONQUESTIONQUESTIONQUESTION PrePrePrePre PostPostPostPost
3.813.812.192.19
84.6984.6972.1572.154.314.313.343.34
60.1360.1355.8755.87
3.813.812.192.19
84.6984.6972.1572.154.314.313.343.34
60.1360.1355.8755.87
* p < .01* p < .01* p < .01* p < .01
xxssxxssxxssxxss
xxssxxssxxssxxss
3.813.812.172.17
69.6969.6969.1569.15
3.53.52.972.97
45.1845.1849.6849.68
3.813.812.172.17
69.6969.6969.1569.15
3.53.52.972.97
45.1845.1849.6849.68
.87*.87*
.82*.82*
.66*.66*
.72*.72*
.87*.87*
.82*.82*
.66*.66*
.72*.72*
rrrr
Matsudo, Public Health Nutrition, Feb 2002
MORTE TABAGISMOMORTE TABAGISMO
BocaBoca
EsôfagoEsôfago
PâncreasPâncreas
PulmãoPulmão
BexigaBexigaMMWR, 42:645-649, 1990MMWR, 42:645-649, 1990
HomemHomem MulherMulher
27,527,5 5,65,6
7,67,6 10,310,3
2,12,1 2,32,3
22,422,4 11,911,9
2,92,9 2,62,6
XX