Effectiveness of the VAMOS Strategy for Increasing Physical Activity and Healthy Dietary Habits

A Randomized Controlled Community Trial

Simone Teresinha Meurer, Aline Cristine Souza Lopes, Fabio Almeida, Raquel de Deus Mendonça, Tânia Rosane Bertoldo Benedetti

Research output: Contribution to journalArticle

Abstract

This study aimed to evaluate the effectiveness of the VAMOS strategy (Health-Improving Active Life) in improving physical activity (PA), dietary habits, and anthropometric variables of primary health care (PHC) users in Brazil. A randomized controlled community trial was conducted at two units of the Health Academy Program (HAP; a service provided by PHC), which were randomly assigned either to control group (CG) or intervention group (IG). Participants in both groups (CG = 156 and IG = 135) took part in physical activity classes provided by HAP facilities with those in IG also participating in the VAMOS strategy for 12 weeks. This strategy is based on social cognitive theory. The main behavioral constructs addressed were self-efficacy, goal setting, self-monitoring, identification of social support and barriers, and solutions for the identified barriers. Physical activity was measured with accelerometers, and nutritional status was assessed using dietary habits questionnaires and anthropometric measurements. Intention-to-treat analysis revealed that participants in IG increased the daily time of moderate-vigorous PA and the frequency of raw vegetable intake, while the intake of ultra-processed foods was reduced. Weight loss among participants who were classified as overweight/obese at baseline was observed in the intervention group compared to control. These results suggest that the VAMOS strategy was effective in increasing PA, healthy dietary habits, and decreasing weight among PHC users. Therefore, VAMOS could be used as a strategy to strengthen individuals’ autonomy regarding healthy choices and improve their overall health.

Original languageEnglish (US)
Pages (from-to)406-416
Number of pages11
JournalHealth Education and Behavior
Volume46
Issue number3
DOIs
StatePublished - Jun 1 2019

Fingerprint

Feeding Behavior
Primary Health Care
Randomized Controlled Trials
Health
Control Groups
Intention to Treat Analysis
Self Efficacy
Nutritional Status
Social Support
Vegetables
Brazil
Weight Loss
Weights and Measures
Food
Physical Activity
Habit
Controlled
Intake
Control Group
Anthropometrics

Keywords

  • community-based research
  • health promotion
  • intervention
  • physical activity
  • public health
  • weight loss

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Public Health, Environmental and Occupational Health

Cite this

Effectiveness of the VAMOS Strategy for Increasing Physical Activity and Healthy Dietary Habits : A Randomized Controlled Community Trial. / Meurer, Simone Teresinha; Lopes, Aline Cristine Souza; Almeida, Fabio; Mendonça, Raquel de Deus; Benedetti, Tânia Rosane Bertoldo.

In: Health Education and Behavior, Vol. 46, No. 3, 01.06.2019, p. 406-416.

Research output: Contribution to journalArticle

Meurer, Simone Teresinha ; Lopes, Aline Cristine Souza ; Almeida, Fabio ; Mendonça, Raquel de Deus ; Benedetti, Tânia Rosane Bertoldo. / Effectiveness of the VAMOS Strategy for Increasing Physical Activity and Healthy Dietary Habits : A Randomized Controlled Community Trial. In: Health Education and Behavior. 2019 ; Vol. 46, No. 3. pp. 406-416.
@article{ec8b373da400406397ed178193b35f81,
title = "Effectiveness of the VAMOS Strategy for Increasing Physical Activity and Healthy Dietary Habits: A Randomized Controlled Community Trial",
abstract = "This study aimed to evaluate the effectiveness of the VAMOS strategy (Health-Improving Active Life) in improving physical activity (PA), dietary habits, and anthropometric variables of primary health care (PHC) users in Brazil. A randomized controlled community trial was conducted at two units of the Health Academy Program (HAP; a service provided by PHC), which were randomly assigned either to control group (CG) or intervention group (IG). Participants in both groups (CG = 156 and IG = 135) took part in physical activity classes provided by HAP facilities with those in IG also participating in the VAMOS strategy for 12 weeks. This strategy is based on social cognitive theory. The main behavioral constructs addressed were self-efficacy, goal setting, self-monitoring, identification of social support and barriers, and solutions for the identified barriers. Physical activity was measured with accelerometers, and nutritional status was assessed using dietary habits questionnaires and anthropometric measurements. Intention-to-treat analysis revealed that participants in IG increased the daily time of moderate-vigorous PA and the frequency of raw vegetable intake, while the intake of ultra-processed foods was reduced. Weight loss among participants who were classified as overweight/obese at baseline was observed in the intervention group compared to control. These results suggest that the VAMOS strategy was effective in increasing PA, healthy dietary habits, and decreasing weight among PHC users. Therefore, VAMOS could be used as a strategy to strengthen individuals’ autonomy regarding healthy choices and improve their overall health.",
keywords = "community-based research, health promotion, intervention, physical activity, public health, weight loss",
author = "Meurer, {Simone Teresinha} and Lopes, {Aline Cristine Souza} and Fabio Almeida and Mendon{\cc}a, {Raquel de Deus} and Benedetti, {T{\^a}nia Rosane Bertoldo}",
year = "2019",
month = "6",
day = "1",
doi = "10.1177/1090198118820095",
language = "English (US)",
volume = "46",
pages = "406--416",
journal = "Health Education and Behavior",
issn = "1090-1981",
publisher = "SAGE Publications Inc.",
number = "3",

}

TY - JOUR

T1 - Effectiveness of the VAMOS Strategy for Increasing Physical Activity and Healthy Dietary Habits

T2 - A Randomized Controlled Community Trial

AU - Meurer, Simone Teresinha

AU - Lopes, Aline Cristine Souza

AU - Almeida, Fabio

AU - Mendonça, Raquel de Deus

AU - Benedetti, Tânia Rosane Bertoldo

PY - 2019/6/1

Y1 - 2019/6/1

N2 - This study aimed to evaluate the effectiveness of the VAMOS strategy (Health-Improving Active Life) in improving physical activity (PA), dietary habits, and anthropometric variables of primary health care (PHC) users in Brazil. A randomized controlled community trial was conducted at two units of the Health Academy Program (HAP; a service provided by PHC), which were randomly assigned either to control group (CG) or intervention group (IG). Participants in both groups (CG = 156 and IG = 135) took part in physical activity classes provided by HAP facilities with those in IG also participating in the VAMOS strategy for 12 weeks. This strategy is based on social cognitive theory. The main behavioral constructs addressed were self-efficacy, goal setting, self-monitoring, identification of social support and barriers, and solutions for the identified barriers. Physical activity was measured with accelerometers, and nutritional status was assessed using dietary habits questionnaires and anthropometric measurements. Intention-to-treat analysis revealed that participants in IG increased the daily time of moderate-vigorous PA and the frequency of raw vegetable intake, while the intake of ultra-processed foods was reduced. Weight loss among participants who were classified as overweight/obese at baseline was observed in the intervention group compared to control. These results suggest that the VAMOS strategy was effective in increasing PA, healthy dietary habits, and decreasing weight among PHC users. Therefore, VAMOS could be used as a strategy to strengthen individuals’ autonomy regarding healthy choices and improve their overall health.

AB - This study aimed to evaluate the effectiveness of the VAMOS strategy (Health-Improving Active Life) in improving physical activity (PA), dietary habits, and anthropometric variables of primary health care (PHC) users in Brazil. A randomized controlled community trial was conducted at two units of the Health Academy Program (HAP; a service provided by PHC), which were randomly assigned either to control group (CG) or intervention group (IG). Participants in both groups (CG = 156 and IG = 135) took part in physical activity classes provided by HAP facilities with those in IG also participating in the VAMOS strategy for 12 weeks. This strategy is based on social cognitive theory. The main behavioral constructs addressed were self-efficacy, goal setting, self-monitoring, identification of social support and barriers, and solutions for the identified barriers. Physical activity was measured with accelerometers, and nutritional status was assessed using dietary habits questionnaires and anthropometric measurements. Intention-to-treat analysis revealed that participants in IG increased the daily time of moderate-vigorous PA and the frequency of raw vegetable intake, while the intake of ultra-processed foods was reduced. Weight loss among participants who were classified as overweight/obese at baseline was observed in the intervention group compared to control. These results suggest that the VAMOS strategy was effective in increasing PA, healthy dietary habits, and decreasing weight among PHC users. Therefore, VAMOS could be used as a strategy to strengthen individuals’ autonomy regarding healthy choices and improve their overall health.

KW - community-based research

KW - health promotion

KW - intervention

KW - physical activity

KW - public health

KW - weight loss

UR - http://www.scopus.com/inward/record.url?scp=85060659765&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85060659765&partnerID=8YFLogxK

U2 - 10.1177/1090198118820095

DO - 10.1177/1090198118820095

M3 - Article

VL - 46

SP - 406

EP - 416

JO - Health Education and Behavior

JF - Health Education and Behavior

SN - 1090-1981

IS - 3

ER -