Move4Future: implementação e efeitos de um programa piloto de exercício físico para crianças e jovens em risco provenientes de famílias com múltiplos problemas
DOI:
https://doi.org/10.47197/retos.v66.110568Palavras-chave:
Crianças, desenvolvimento, saúde, fitness, atividade física, ansiedadeResumo
Introdução e Objectivo: As famílias multiproblemáticas incluem vários factores de risco (por exemplo, saúde mental e problemas de peso). O exercício físico pode ser uma estratégia para prevenir, tratar e ultrapassar inúmeras doenças. Assim, este estudo teve como objetivo analisar os efeitos da implementação do programa piloto Mo-ve4Future, em crianças e adolescentes, nas seguintes variáveis: i) níveis de ansiedade, ii) composição corporal, iii) aptidão física, e iv) níveis de atividade física.
Metodologia: Dez participantes (10,61±2,40 anos) completaram um programa de exercício físico de 12 semanas com uma frequência semanal de uma sessão e foram avaliados no início e após a intervenção. Foram aplicadas a Escala Revisada de Ansiedade Manifesta para Crianças, a massa corporal, a altura, a prega cutânea tricipital, a prega cutânea da barriga da perna, a circunferência do braço relaxado, a circunferência da cintura, a circunferência da barriga da perna e a bateria de testes FITescola® (flexões, salto horizontal, agilidade, flexibilidade dos ombros e flexibilidade dos membros inferiores).
Resultados e Conclusões: Os principais resultados evidenciaram um menor traço de ansiedade, embora esta alteração não tenha sido estatisticamente significativa (z=-1,832, p=0,067), um aumento significativo da altura (z=-2,197, p=0,028), uma diminuição significativa do índice de massa corporal (z=-2,366, p=0,018) e da circunferência da cintura (z=-2,201, p=0,028). O programa piloto Move4Future mostra melhoria nos valores médios dos níveis de ansiedade, composição corporal e força física superior. Contudo, uma intervenção multicomponente, incluindo famílias e mais sessões por semana, pode ser importante para obter melhores resultados.
Referências
ACSM. (2021). ACSM's Guidelines for Exercise Testing and Prescription (11th ed.). Wolters Kluwer Health.
Al-Naggar, R. A., & Al-Naggar, D. H. (2012). Prevalence and Associated Factors of Emotional Disorder among Malaysian University Students. International journal of collaborative research on inter-nal medicine and public health, 4.
American Psychological Association. (2020). What’s the difference between stress and anxiety? Re-trieved 30th June from https://www.apa.org/topics/stress/anxiety-difference
Augustine, J., & Kimbro, R. (2013). Family Structure and Obesity Among U.S. Children. Journal of Ap-plied Research on Children: Informing Policy for Children at Risk, 4. https://doi.org/10.58464/2155-5834.1115
Bachler, E., Fruehmann, A., Bachler, H., Aas, B., Nickel, M., & Schiepek, G. K. (2017). Patterns of Change in Collaboration Are Associated with Baseline Characteristics and Predict Outcome and Dropout Rates in Treatment of Multi-Problem Families. A Validation Study. Frontiers in Psychology, 8. https://doi.org/10.3389/fpsyg.2017.01221
Bachler, E., Frühmann, A., Bachler, H., Aas, B., Strunk, G., & Nickel, M. (2016). Differential effects of the working alliance in family therapeutic home‐based treatment of multi‐problem families. Jour-nal of Family Therapy, 38(1), 120-148. https://doi.org/10.1111/1467-6427.12063
Barrera, T. L., & Norton, P. J. (2009). Quality of life impairment in generalized anxiety disorder, social phobia, and panic disorder. Journal of Anxiety Disorders, 23(8), 1086-1090. https://doi.org/10.1016/j.janxdis.2009.07.011
Biddle, S. J., & Asare, M. (2011). Physical activity and mental health in children and adolescents: a re-view of reviews. British Journal of Sports Medicine, 45(11), 886-895. https://doi.org/10.1136/bjsports-2011-090185
Bompa, T. O., & Buzzichelli, C. (2018). Periodization: Theory and Methodology of Training. Human Ki-netics. https://books.google.pt/books?id=xPR6DwAAQBAJ
Boreham, C., & Riddoch, C. (2001). The physical activity, fitness and health of children. Journal of Sports Sciences, 19(12), 915-929. https://doi.org/10.1080/026404101317108426
Caldwell, K. L., Bergman, S. M., Collier, S. R., Triplett, N. T., Quin, R., Bergquist, J., & Pieper, C. F. (2016). Effects of tai chi chuan on anxiety and sleep quality in young adults: lessons from a randomized controlled feasibility study. Nature and Science of Sleep, 8, 305-314. https://doi.org/10.2147/nss.S117392
Carter, T., Pascoe, M., Bastounis, A., Morres, I. D., Callaghan, P., & Parker, A. G. (2021). The effect of phys-ical activity on anxiety in children and young people: a systematic review and meta-analysis. Journal of Affective Disorders, 285, 10-21. https://doi.org/https://doi.org/10.1016/j.jad.2021.02.026
Chávez Erives, A. I., Ortiz Rodríguez, C. J., Islas Guerra, S. A., Trevizo, A. M., López-Alonso, S. J., & Gasté-lum-Cuadras, G. (2023). Prevalencia de sobre peso y obesidad en escuelas primarias por zonas socioeconómicas de la ciudad de Chihuahua (Prevalence of overweight and obesity in elemen-tary schools by socioeconomic zones in socioeconomic zones of the city of Chihuahua). Retos, 51, 778-781. https://doi.org/10.47197/retos.v51.99706
Chen, L., Liu, Q., Xu, F., Wang, F., Luo, S., An, X., Chen, J., Tang, N., Jiang, X., & Liang, X. (2024). Effect of physical activity on anxiety, depression and obesity index in children and adolescents with obe-sity: A meta-analysis. Journal of Affective Disorders, 354, 275-285. https://doi.org/https://doi.org/10.1016/j.jad.2024.02.092
Clark, I. N., Baker, F. A., & Taylor, N. F. (2016). The modulating effects of music listening on health-related exercise and physical activity in adults: a systematic review and narrative synthesis. Nordic Journal of Music Therapy, 25(1), 76-104. https://doi.org/10.1080/08098131.2015.1008558
Cohen, J. (1992). A power primer. Psychol Bull, 112(1), 155-159. https://doi.org/https://doi.org/10.1037//0033-2909.112.1.155
Craske, M. G., Rauch, S. L., Ursano, R., Prenoveau, J., Pine, D. S., & Zinbarg, R. E. (2009). What is an anxiety disorder? Depress Anxiety, 26(12), 1066-1085. https://doi.org/10.1002/da.20633
Eisenberg, D., Gollust, S. E., Golberstein, E., & Hefner, J. L. (2007). Prevalence and correlates of depres-sion, anxiety, and suicidality among university students. American Journal of Orthopsychiatry, 77(4), 534-542. https://doi.org/10.1037/0002-9432.77.4.534
Evenboer, K. E., Reijneveld, S. A., & Jansen, D. E. M. C. (2018). Improving care for multiproblem families: Context-specific effectiveness of interventions? Children and Youth Services Review, 88, 274-285. https://doi.org/10.1016/j.childyouth.2018.03.024
Falsafi, N. (2016). A Randomized Controlled Trial of Mindfulness Versus Yoga: Effects on Depression and/or Anxiety in College Students. Journal of the American Psychiatric Nurses Association, 22(6), 483-497. https://doi.org/10.1177/1078390316663307
Field, A. (2013). Discovering Statistics Using IBM SPSS Statistics. SAGE Publications. https://books.google.pt/books?id=srb0a9fmMEoC
Fonseca, A. C. (1992). Uma escala de ansiedade para crianças e adolescentes: “O que eu penso e o que eu sinto”. Revista Portuguesa de Pedagogia, XXVI(1), 141-155.
Gallego, J., Aguilar-Parra, J. M., Cangas, A. J., Langer Á, I., & Mañas, I. (2015). Effect of a mindfulness pro-gram on stress, anxiety and depression in university students. The Spanish Journal of Psycholo-gy, 17, E109. https://doi.org/10.1017/sjp.2014.102
GDB. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 392(10159), 1789-1858. https://doi.org/10.1016/s0140-6736(18)32279-7
Godoy-Cumillaf, A., Fuentes-Merino, P., Díaz-González, A., Jiménez-Díaz, J., Martínez-Vizcaíno, V., Álva-rez-Bueno, C., & Cavero-Redondo, I. (2020). The Effects of Physical Activity and Diet Interven-tions on Body Mass Index in Latin American Children and Adolescents: A Systematic Review and Meta-Analysis. Nutrients, 12(5). https://doi.org/10.3390/nu12051378
Henriques-Neto, D., Minderico, C., Peralta, M., Marques, A., & Sardinha, L. B. (2020). Test-retest reliabil-ity of physical fitness tests among young athletes: The FITescola(®) battery. Clinical Physio-logy and Functional Imaging, 40(3), 173-182. https://doi.org/10.1111/cpf.12624
Hortigüela Alcalá, D., Pérez Pueyo, Á., & Calderón Luquín, A. (2016). Efecto del modelo de enseñanza sobre el autoconcepto físico del alumnado en educación física (Effect of the pedagogical model on the physical self-concept of students in physical education). Retos, 30, 76-81. https://doi.org/10.47197/retos.v0i30.36371
Hulteen, R. M., Morgan, P. J., Barnett, L. M., Stodden, D. F., & Lubans, D. R. (2018). Development of Foun-dational Movement Skills: A Conceptual Model for Physical Activity Across the Lifespan. Sports Medicine, 48(7), 1533-1540. https://doi.org/10.1007/s40279-018-0892-6
Jebeile, H., Kelly, A. S., O'Malley, G., & Baur, L. A. (2022). Obesity in children and adolescents: epidemiol-ogy, causes, assessment, and management. The Lancet Diabetes & Endocrinology, 10(5), 351-365. https://doi.org/10.1016/S2213-8587(22)00047-X
Jerónimo, A., Leão, M., & Pereira, H. (2024). Efeitos de programas de exercício na saúde metabólica e na composição corporal de adolescentes com obesidade: revisão sistemática. Retos, 60, 1060-1075. https://doi.org/10.47197/retos.v60.107171
Karageorghis, C. I., & Terry, P. C. (1997). The psychophysical effects of music in sport and exercise: A review. Journal of Sport Behavior, 20(1), 54-68.
Kessler, R. C. (2012). The costs of depression. Psychiatr Clin North Am, 35(1), 1-14. https://doi.org/10.1016/j.psc.2011.11.005
Koper, N., Boin, Y., Creemers, H. E., Van Dam, L., Stams, G. J. J. M., & Branje, S. (2024). Effectiveness of a multidisciplinary treatment with youth-initiated mentoring for youths with mental health needs from multi-problem families: a quasi-experimental study. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-023-17506-6
Koper, N., Creemers, H. E., Branje, S., Stams, G. J. J. M., & Van Dam, L. (2020). Effectiveness and working mechanisms of the InConnection approach in multi-problem families: study protocol of a mixed-methods study. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05553-3
Lavelle, H. V., Mackay, D. F., & Pell, J. P. (2012). Systematic review and meta-analysis of school-based interventions to reduce body mass index. Journal of Public Health, 34(3), 360-369. https://doi.org/10.1093/pubmed/fdr116
Lee, J. (2021). Influences of exercise interventions on overweight and obesity in children and adoles-cents. Public Health Nursing, 38(3), 502-516. https://doi.org/10.1111/phn.12862
Liu, D., Zhao, L. Y., Yu, D. M., Ju, L. H., Zhang, J., Wang, J. Z., & Zhao, W. H. (2018). Dietary Patterns and Association with Obesity of Children Aged 6⁻17 Years in Medium and Small Cities in China: Find-ings from the CNHS 2010⁻2012. Nutrients, 11(1). https://doi.org/10.3390/nu11010003
Mahumud, R. A., Sahle, B. W., Owusu-Addo, E., Chen, W., Morton, R. L., & Renzaho, A. M. N. (2021). Asso-ciation of dietary intake, physical activity, and sedentary behaviours with overweight and obe-sity among 282,213 adolescents in 89 low and middle income to high-income countries. Inter-national Journal of Obesity, 45(11), 2404-2418. https://doi.org/10.1038/s41366-021-00908-0
Melnyk, B. M., Jacobson, D., Kelly, S., Belyea, M., Shaibi, G., Small, L., O'Haver, J., & Marsiglia, F. F. (2013). Promoting healthy lifestyles in high school adolescents: a randomized controlled trial. Ameri-can Journal of Preventive Medicine, 45(4), 407-415. https://doi.org/10.1016/j.amepre.2013.05.013
Mercê, C., Cordeiro, J., Romão, C., Branco, M., & Catela, D. (2022). Levels of Physical Activity in Portu-guese Children: the Impact of the Covid-19 Pandemic. Retos, 47, 174-180. https://doi.org/10.47197/retos.v47.94936
Mercê, C., Pereira, J. V., Branco, M., Catela, D., & Cordovil, R. (2021). Training programmes to learn how to ride a bicycle independently for children and youths: a systematic review. Physical Educa-tion and Sport Pedagogy, 1-16. https://doi.org/10.1080/17408989.2021.2005014
Moore, E. S., Wilkie, W. L., & Desrochers, D. M. (2016). All in the Family? Parental Roles in the Epidemic of Childhood Obesity. Journal of Consumer Research, 43(5), 824-859. https://doi.org/10.1093/jcr/ucw059
Morera-Castro, M., Jiménez-Díaz, J., Araya-Vargas, G., & Herrera-González, E. (2018). Cuestionario Pic-tórico de la Actividad Física Infantil: diseño y validación. Actualidades Investigativas en Educa-ción, 18(2). https://doi.org/10.15517/aie.v18i2.33127
Neil-Sztramko, S. E., Caldwell, H., & Dobbins, M. (2021). School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Da-tabase Syst Rev, 9(9), Cd007651. https://doi.org/10.1002/14651858.CD007651.pub3
Norton, K., & Eston, R. G. (2019). Kinanthropometry and exercise physiology (Fourth Edition. ed.). Routledge Taylor and Francis Group,.
Nozes, R. (2018). A intervenção com famílias de crianças em risco familiar e ambiental [Master Degree, Escola Superior de Educação e Ciências Sociais - Instituto Politécnico de Portalegre]. Portalegre.
Pandita, A., Sharma, D., Pandita, D., Pawar, S., Tariq, M., & Kaul, A. (2016). Childhood obesity: prevention is better than cure. Diabetes, Metabolic Syndrome and Obesity, 9, 83-89. https://doi.org/10.2147/dmso.S90783
Papp, M. E., Nygren-Bonnier, M., Gullstrand, L., Wändell, P. E., & Lindfors, P. (2019). A randomized con-trolled pilot study of the effects of 6-week high intensity hatha yoga protocol on health-related outcomes among students. Journal of Bodywork and Movement Therapies, 23(4), 766-772. https://doi.org/10.1016/j.jbmt.2019.05.013
Parker, A. G., Hetrick, S. E., Jorm, A. F., Mackinnon, A. J., McGorry, P. D., Yung, A. R., Scanlan, F., Stephens, J., Baird, S., Moller, B., & Purcell, R. (2016). The effectiveness of simple psychological and physi-cal activity interventions for high prevalence mental health problems in young people: A facto-rial randomised controlled trial. Journal of Affective Disorders, 196, 200-209. https://doi.org/10.1016/j.jad.2016.02.043
Rajjo, T., Mohammed, K., Alsawas, M., Ahmed, A. T., Farah, W., Asi, N., Almasri, J., Prokop, L. J., & Murad, M. H. (2017). Treatment of Pediatric Obesity: An Umbrella Systematic Review. The Journal of Clinical Endocrinology & Metabolism, 102(3), 763-775. https://doi.org/10.1210/jc.2016-2574
Reynolds, C. R., & Richmond, B. O. (1978). Revised Children's Manifest Anxiety Scale. APA PsycTests. https://doi.org/https://doi.org/10.1037/t00514-000
Rhodes, R., Quinlan, A., Naylor, P. J., Warburton, D. E. R., & Blanchard, C. M. (2021). Predicting Family and Child Physical Activity across Six-Months of a Family-Based Intervention: An Application of Theory of Planned Behaviour, Planning and Habit. J Sports Sci, 39(13), 1461-1471. https://doi.org/10.1080/02640414.2021.1877460
Rhodes, R. E., Hollman, H., & Sui, W. (2024). Family-based physical activity interventions and family functioning: A systematic review. Family Process, 63(1), 392-413. https://doi.org/https://doi.org/10.1111/famp.12864
Rodrigues, L. P., Cordovil, R., Luz, C., & Lopes, V. P. (2021). Model invariance of the Motor Competence Assessment (MCA) from early childhood to young adulthood. Journal of Sports Sciences, 39(20), 2353-2360. https://doi.org/10.1080/02640414.2021.1932290
Simões, V., & Ramos, L. (2016). 100 Jogos para uma Escola Ativa – Brincar a Jogar para Exercitar! Escola Superior de Desporto de Rio Maior – Instituto Politécnico de Santarém. https://www.researchgate.net/publication/299282243_Escola_Ativa_-_100_Jogos_para_uma_Escola_Ativa_Brincar_a_Jogar_para_Exercitar_Active_School_-_100_Games_for_a_Active_Scholl_Fun_Playing_to_Exercise_Portuguese_e-book?_sg%5B0%5D=b-Th9o7OUJQxNKBhbUv8bHw19vu00LsDRmg_dJydV6ajK-K9Py9w2RPjNV2QJB1IbtTW1hZnp4p5qAAPPHwjjaWdXpRB5_7iSDE6ZrC31_A.zkIJq6cU1yhZNeI8_OYCwkHYf4JYyRHQzc7CIL71D-EhtDN8jzf3aW6qchJHG2na6EM2zFqbgxZWGe29STe1_A&_tp=eyJjb250ZXh0Ijp7ImZpcnN0UGFnZSI6InByb2ZpbGUiLCJwYWdlIjoicHJvZmlsZSIsInByZXZpb3VzUGFnZSI6InByb2ZpbGUiLCJwb3NpdGlvbiI6InBhZ2VDb250ZW50In19
Sousa, L. (2005). Building on Personal Networks when Intervening with Multi-problem Poor Families. Journal of Social Work Practice, 19(2), 163-179. https://doi.org/10.1080/02650530500144766
Sousa, L., Ribeiro, C., & Rodrigues, S. (2007). Are practitioners incorporating a strengths‐focused ap-proach when working with multi‐problem poor families? Journal of Community & Applied So-cial Psychology, 17(1), 53-66. https://doi.org/10.1002/casp.875
Spratt, T. (2011). Families with multiple problems: Some challenges in identifying and providing ser-vices to those experiencing adversities across the life course. Journal of Social Work, 11(4), 343-357. https://doi.org/10.1177/1468017310379256
Stodden, D. F., Goodway, J. D., Langendorfer, S. J., Roberton, M. A., Rudisill, M. E., Garcia, C., & Garcia, L. E. (2008). A Developmental Perspective on the Role of Motor Skill Competence in Physical Activi-ty: An Emergent Relationship. Quest, 60(2), 290-306. https://doi.org/10.1080/00336297.2008.10483582
Szuhany, K. L., & Simon, N. M. (2022). Anxiety Disorders: A Review. JAMA, 328(24), 2431-2445. https://doi.org/10.1001/jama.2022.22744
Tausendfreund, T., Knot-Dickscheit, J., Schulze, G. C., Knorth, E. J., & Grietens, H. (2016). Families in mul-ti-problem situations: Backgrounds, characteristics, and care services. Child & Youth Services, 37(1), 4-22. https://doi.org/10.1080/0145935x.2015.1052133
Teh, C. K., Ngo, C. W., Zulkifli, R. A. b., Vellasamy, R., & Suresh, K. V. (2015). Depression, Anxiety and Stress among Undergraduate Students: A Cross Sectional Study. Open Journal of Epidemiology, 05, 260-268.
Wainberg, M. L., Scorza, P., Shultz, J. M., Helpman, L., Mootz, J. J., Johnson, K. A., Neria, Y., Bradford, J. E., Oquendo, M. A., & Arbuckle, M. R. (2017). Challenges and Opportunities in Global Mental Health: a Research-to-Practice Perspective. Current Psychiatry Reports, 19(5), 28. https://doi.org/10.1007/s11920-017-0780-z
Wang, L., Morelen, D., & Alamian, A. (2022). A prospective cohort study of the association between key family and individual factors and obesity status among youth. Scientific Reports, 12(1), 15666. https://doi.org/10.1038/s41598-022-19585-8
WHO. (2006). WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. World Health Or-ganization.
WHO. (2013). Mental Health Action Plan 2013–2020. World Health Organization. https://iris.who.int/bitstream/handle/10665/89966/9789241506021_%20eng.pdf;jsessionid=3C7CA0AF1F871585FF7EB0BCB0432D04?sequence=1
WHO. (2024). Obesity and Overweight. Retrieved 03 July 2024 from https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
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Direitos de Autor (c) 2025 Cristiana Mercê, Vera Simões, Liliana Ramos, Miguel Silva, Nancy Brígida, Anabela Vitorino, Marco Branco, Rafael Oliveira
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