Sedentary Behavior Counseling Received from Healthcare Professionals: An Exploratory Analysis in Adults at Primary Health Care in Brazil

André Snége, Alexandre Augusto de Paula da Silva, Grégore Iven Mielke, Cassiano Ricardo Rech, Fernando Carlos Vinholes Siqueira, Ciro Romelio Rodriguez-Añez and Rogério César Fermino ()
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André Snége: Research Group on Environment, Physical Activity and Health, Federal University of Technology-Paraná, Curitiba 81310-900, Brazil
Alexandre Augusto de Paula da Silva: Postgraduate Program in Health Sciences, Research Group on Physical Activity and Quality of Life, Pontifical Catholic University of Paraná, Curitiba 80215-901, Brazil
Grégore Iven Mielke: School of Public Health, The University of Queensland, Brisbane, QLD 4006, Australia
Cassiano Ricardo Rech: Research and Study Group in Urban Environment and Health, Federal University of Santa Catarina, Florianopolis 88040-900, Brazil
Fernando Carlos Vinholes Siqueira: Postgraduate Program in Physical Education, Federal University of Pelotas, Pelotas 96055-630, Brazil
Ciro Romelio Rodriguez-Añez: Research Group on Environment, Physical Activity and Health, Federal University of Technology-Paraná, Curitiba 81310-900, Brazil
Rogério César Fermino: Research Group on Environment, Physical Activity and Health, Federal University of Technology-Paraná, Curitiba 81310-900, Brazil

IJERPH, 2022, vol. 19, issue 16, 1-14

Abstract: Counseling by health professionals has promising results in behavior change and is recommended as part of integrated community interventions. However, the knowledge about sedentary behavior (SB) counseling is incipient. The study aimed to identify the prevalence and explore the associated factors with SB counseling received from healthcare professionals by adults in primary health care (PHC) in Brazil. A cross-sectional study was conducted in 2019 that included a representative sample of 779 users in all 15 basic health units (BHU) in São José dos Pinhais, Paraná. We identified those who reported having received SB counseling during a consultation. The association between the sociodemographic factors, chronic diseases, access to health services, physical activity, SB, and counseling were analyzed using Poisson regression in a hierarchical model. The prevalence of counseling was 12.2% (95% CI: 10.1–14.7%); it was higher in women (PR: 1.77; 95% CI: 1.10–2.83), those aged ≥60 yrs (PR: 1.84; 95% CI: 1.14–2.98), BMI ≥ 30 kg/m 2 (PR: 2.60; 95% CI: 1.31–5.17), who consume ≥3 medications (PR: 2.21; 95% CI: 1.06–4.59), and those who spend a prolonged period of the day engaged in SB (4th quartile PR: 3.44; 95% CI: 1.88–6.31). The results highlight that SB counseling is underutilized and incipient in PHC. Understanding these results can help managers and healthcare professionals in BHU teams to implement and direct specific actions to reduce SB in adults through counseling.

Keywords: sitting time; directive advice; epidemiological studies; primary health care; public health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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