Adriana Miranda de Castro

A Política Nacional de Promoção da Saúde e a agenda da atividade física no contexto do SUS

Resumo Este artigo aborda a institucionalizacao da promocao da saude com a aprovacao da Politica Nacional de Promocao da Saude e a escolha da tematica da atividade fisica-praticas corporais como uma de suas prioridades. Sao apresentadas as acoes desenvolvidas pelo Ministerio da Saude na inducao e sustentabilidade de estrategias de reducao do fator de risco do sedentarismo no contexto do Sistema Unico de Saude. Palavras-chave: promocao da saude; atividade fisica; vigilância em Saude Publica; acao intersetorial. Summary This article approaches the institutionalization of health promotion with the approval of the National Policy of Health Promotion, and the election of motor activity-body practices like one of its priorities. It describes the actions developed by the Brazilian Ministry of Health to induce and give sustainability for the strategies of reduction of the risk factor for sedentary lifestyle in the context of the National Health System.

Padrão de atividade física em adultos brasileiros: resultados de um inquérito por entrevistas telefônicas, 2006

Summary This report describes the characteristics of physical activities pattern among adult population of Brazilian State Capitals and the Federal District in 2006. Data was collected through the surveillance system of risk and protection factors for chronic diseases by telephone inquiry (Vigitel) in a probabilistic sample of 54,369 individuals aged 18 years and older. We analyzed two indicators: leisure time physical activity; and sedentariness. The frequency of individuals active in leisure was just of 14.9%, greater among men. Walking is the most common modality for both sex. Frequency of leisure active life increases with education, and decreases with age. Sedentary life affects 29.2% of adult population, more frequently males. The physical activity profile is not satisfactory in all cities, which determines the need for more efforts to stimulate the practice of physical activity.

Política Nacional de Promoção da Saúde (PNPS): capítulos de uma caminhada ainda em construção

Health is a fundamental human right, according to the global commitment to the Universal Declaration of Human Rights. Health is a public good socially produced by and within social networks and disputes among subjects that seek to place certain interests and needs on the agenda of public policies. Health Promotion, as a set of strategies and forms of producing health, both individual and collective, aiming to meet the social needs of health and to assure better quality of life of the population, emerges intrinsically marked by tensions inherent to the defense of the right to health. The present article intends to detail a certain pathway of Health Promotion at SUS, telling the history of its affirmation as a National Policy and the possibilities that were produced therein to amplify the completeness of healthcare. The authors, totally involved in the preparation, implementation, and revision of the National Health Promotion Policy (PNPS), classified the journey into three chapters: (1) 1998/2004 – Embryo of a PNPS; (2) 2005/2013 – Birth, growth, and development of a PNPS; (3) 2013-2015 – Revision, expansion and dissemination of the PNPS. In addition to the narrative of a history, the cycle analysis of a policy, or balance of advancements, there is an attempt to restore contexts, texts, speeches, and tensions in the PNPS trajectory. The next chapters are still ongoing, and announce paths and possibilities on how to ensure that a Policy is kept alive.

Agenda de Prioridades da Vigilância e Prevenção de Acidentes e Violências aprovada no I Seminário Nacional de Doenças e Agravos Não Transmissíveis e Promoção da Saúde

External causes mortality rates - accidents and violence - have been epidemically increasing since the eighties. The Brazilian Ministry of Health has launched some initiatives to face this problem, by its General Coordination of Noncommunicable Diseases and Conditions of the Health Surveillance Secretariat, organizing the I National Seminar on Noncommunicable Diseases and Conditions and Health Promotion in September 2005. During this event, an Agenda on Accidents and Violence Surveillance, Prevention, and Control was discussed and oficially presented. This paper presents the agenda’s four axes on which prevention activities were developed and organized: I - Accidents and Violence Surveillance and Information System Implementation; II - Management; III - Intervention; and IV - Research and evaluation support.