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Impacto de um programa de promoção de estilo de vida ativo e saudável em parâmetros de qualidade de vida, na gravidez e no pós-parto - Revisão narrativa, validação de programa de exercício e estudo piloto
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Advisor(s)
Abstract(s)
Existe evidência científica que sustenta os benefícios da atividade física durante a gravidez e o
pós-parto, relativamente à saúde e condição física materna, tratando-se de importantes
assuntos de saúde pública. Neste seguimento torna-se necessário investigar sobre as
características dos programas de exercício mais eficazes, bem como a sua promoção,
destacando-se a pertinência de novos contributos através da realização de estudos sobre esta
população, mulheres em fase de gravidez e em situação pós-parto. Considerando esta
problemática, os objetivos deste trabalho foram: investigar e analisar a literatura sobre a
temática “Promoção de Estilo de Vida Ativo e Saudável na Gravidez e Pós-Parto” (Estudo 1);
desenvolver e validar um programa de intervenção complexa “MAMÃ FELIZ”, visando promover
o estilo de vida ativo e saudável na gravidez e pós-parto (Estudo 2); realizar um estudo
exploratório para avaliar a efetividade de um programa de promoção de estilo de vida ativo e
saudável na gravidez e pós-parto (Estudo 3). Para a validação do programa MAMÃ FELIZ foi
utilizada a Linha Orientadora Revista para Critérios de reporte sobre o Desenvolvimento e
Avaliação de Intervenções Complexas em Saúde (CReDECI2), assim como o Consenso sobre o
Modelo de Reporte de Programas de Exercício (CERT) para a descrição do programa. O programa
de exercício foi elaborado e validado por uma equipa multidisciplinar composta por profissionais
do exercício em parceria com profissionais de saúde. As diferentes fases do desenvolvimento do
programa permitiram a elaboração de um plano estrutural com base nas recomendações
internacionais para atividade física e exercício físico na gravidez e pós-parto e também no
Manual do Programa de Exercício Físico - Gravidez Ativa, o qual consistiu no portefólio de
exercícios para sustentar os planos de aula, assim como a fase do estudo de desenvolvimento e
avaliação. O estudo piloto realizou-se considerando uma intervenção de 12 semanas, com a
participação de 22 mulheres (15 primíparas e 7 secundíparas) admitidas no Programa MAMÃ
FELIZ. Foram aplicados os seguintes instrumentos: WHOQOL-Bref (versão em português de
Portugal do instrumento abreviado de avaliação da Qualidade de Vida da Organização Mundial
de Saúde), a escala EPDS (Versão em Português do instrumento escala de depressão pós-parto
de Edimburgo), a Escala SHS (Subjective Hapiness Scale), e o Pregnancy Physical Activity
Questionnaire (PPAQ). Esta pesquisa exploratória forneceu informações importantes para uma
investigação futura, com utilização das mesmas ferramentas, contudo, a recolha de dados
parece ser mais confiável se for assitida pelo entrevistador. Concluimos que a maioria das
mulheres participantes avaliou o programa com elevado índice de satisfação e não tendo sido
registados eventos adversos durante a implementação com o exercício, configura-se como uma
resposta na promoção de estilo de vida ativo e saudável na gravidez e pós-parto.
There is scientific evidence supporting the benefits of physical activity during pregnancy and the postpartum period in relation to maternal health and physical condition, as these are important public health issues. In this regard, it becomes necessary to investigate the characteristics of the most effective exercise programs, as well as their promotion, highlighting the pertinence of new contributions by carrying out studies on this population, women in the pregnancy phase and in the post-natal period. childbirth. Considering this issue, the objectives of this study were: to investigate and analyze the literature on the theme “Women's Quality of Life - from Pregnancy to Postpartum” (Study 1); to develop and validate a complex intervention program “MAMÃ HAPPY”, aiming to promote an active and healthy lifestyle during pregnancy and postpartum (Study 2); to carry out an exploratory study to analyze the impact of a program to promote an active and healthy lifestyle in pregnancy and postpartum as a complex intervention. (Study 3). To validate the MAMÃ FELIZ program, the Revised Guidelines for Reporting Criteria on the Development and Evaluation of Complex Health Interventions (CReDECI2) by Möhler et al. (2015), as well as the Consensus on Exercise Program Reporting Model (CERT) guidelines for program description according to Slade et al. (2016). The exercise program was designed and validated by a multidisciplinary team composed of exercise professionals in partnership with health professionals. A structural plan was developed and tested, based on the Physical Exercise Program Manual - Active Pregnancy, which consisted of the portfolio of exercises to support the session plans, as well as the pilot study and evaluation phase: 12 weeks, with the participation of 22 women (15 primiparas and 7 secundíparas) admitted to the MAMÃ FELIZ Program to validate the aforementioned intervention. The following instruments were applied: WHOQOL Bref (Portuguese version of the abbreviated instrument for assessing the Quality of Life of the World Health Organization), the EPDS scale (Portuguese version of the Edinburgh Postpartum Depression Scale instrument), the SHS Scale (Subjective Happiness Scale) (Lyubomirsky and Lepper, 1999), translated and validated into Portuguese by Spagnoli et al. (2010), and the Pregnancy Physical Activity Questionnaire (PPAQ). This exploratory research provided important information for future research, using the same tools, however, data collection appears to be qualitative if assisted by the interviewer. of the women participating in the program evaluated the same with a high level of satisfaction and no adverse events were recorded during the implementation with the exercise, it is configured as a response in the promotion of a healthy and active lifestyle during pregnancy and postpartum.
There is scientific evidence supporting the benefits of physical activity during pregnancy and the postpartum period in relation to maternal health and physical condition, as these are important public health issues. In this regard, it becomes necessary to investigate the characteristics of the most effective exercise programs, as well as their promotion, highlighting the pertinence of new contributions by carrying out studies on this population, women in the pregnancy phase and in the post-natal period. childbirth. Considering this issue, the objectives of this study were: to investigate and analyze the literature on the theme “Women's Quality of Life - from Pregnancy to Postpartum” (Study 1); to develop and validate a complex intervention program “MAMÃ HAPPY”, aiming to promote an active and healthy lifestyle during pregnancy and postpartum (Study 2); to carry out an exploratory study to analyze the impact of a program to promote an active and healthy lifestyle in pregnancy and postpartum as a complex intervention. (Study 3). To validate the MAMÃ FELIZ program, the Revised Guidelines for Reporting Criteria on the Development and Evaluation of Complex Health Interventions (CReDECI2) by Möhler et al. (2015), as well as the Consensus on Exercise Program Reporting Model (CERT) guidelines for program description according to Slade et al. (2016). The exercise program was designed and validated by a multidisciplinary team composed of exercise professionals in partnership with health professionals. A structural plan was developed and tested, based on the Physical Exercise Program Manual - Active Pregnancy, which consisted of the portfolio of exercises to support the session plans, as well as the pilot study and evaluation phase: 12 weeks, with the participation of 22 women (15 primiparas and 7 secundíparas) admitted to the MAMÃ FELIZ Program to validate the aforementioned intervention. The following instruments were applied: WHOQOL Bref (Portuguese version of the abbreviated instrument for assessing the Quality of Life of the World Health Organization), the EPDS scale (Portuguese version of the Edinburgh Postpartum Depression Scale instrument), the SHS Scale (Subjective Happiness Scale) (Lyubomirsky and Lepper, 1999), translated and validated into Portuguese by Spagnoli et al. (2010), and the Pregnancy Physical Activity Questionnaire (PPAQ). This exploratory research provided important information for future research, using the same tools, however, data collection appears to be qualitative if assisted by the interviewer. of the women participating in the program evaluated the same with a high level of satisfaction and no adverse events were recorded during the implementation with the exercise, it is configured as a response in the promotion of a healthy and active lifestyle during pregnancy and postpartum.
Description
Keywords
exercício físico estilo de vida saudável e ativo qualidade de vida depressão pós-parto felicidade satisfação com a vida gravidez e pós-parto physical exercise healthy and active lifestyle quality of life postpartum depression happiness satisfaction with life pregnancy and postpartum