Instrumentos de avaliação do estilo de vida: uma revisão sistemática
DOI:
https://doi.org/10.11606/issn.2317-0190.v32i1a186018Palavras-chave:
Estilo de Vida, Doença Crônica, Inquéritos e QuestionáriosResumo
O estilo de vida desempenha um papel primordial na saúde ao longo da vida. Comportamentos como uso do tabaco e álcool, alimentação, atividade física, sono, estresse e relacionamentos são importantes moderadores de saúde, principalmente relacionados às doenças crônicas não transmissíveis (DCNTs). Objetivo: Identificar quais instrumentos vêm sendo utilizados nos últimos cinco anos para avaliar o estilo de vida em adultos saudáveis ou com DCNTs. Método: Trata-se de uma revisão sistemática conduzida no método dos Principais Itens para Análises Sistemáticas e Meta-análises (PRISMA). A busca ocorreu em quatro bases de dados, utilizando os descritores “estilo de vida” “questionário” “avaliação” e seus termos equivalentes na língua inglesa. Critérios de inclusão: estudos que avaliaram o estilo de vida com metodologia descrita, em população 18 anos, saudável ou com DCNTs, publicados em periódicos nacionais ou internacionais, no período de 2015 a 2020. Resultados: A busca inicial resultou em 690 publicações. Após exclusão por duplicata e inclusão/exclusão foram selecionados 35 artigos. A maioria das pesquisas utilizou instrumentos autoconstrutivos. Identificou-se 4 questionários validados para avaliação do estilo de vida: Fantástico, Perfil do Estilo de Vida Individual, Health Habits e General Lifestyle Questionnaire. Não houve padrão na avaliação dos comportamentos de estilo de vida e suas variáveis. Conclusão: Nos últimos cinco anos, os questionários Fantástico, Perfil do Estilo de Vida Individual, Health Habits e General Lifestyle Questionnaire foram utilizados. No entanto, o predomínio de instrumentos autoconstrutivos e a falta de padronização evidenciam a necessidade de ferramentas validadas para aprimorar a avaliação do estilo de vida.
Downloads
Referências
World Health Organization. Noncommunicable diseases [homepage on the Internet]. Geneva: WHO; c2021 [cited 2021 Jan 3]. Available from: https://www.who.int/health-topics/noncommunicable-diseases#tab=tab_1
World Health Organization. The world health report - life in the 21st century: a vision for all. Geneva: WHO; 1998.
Kushner RF, Sorensen KW. Lifestyle medicine. Curr Opin Endocrinol Diabetes Obes. 2013;20(5):389–95. Doi: https://doi.org/10.1097/01.med.0000433056.76699.5d
Rippe JM. Are we ready to practice lifestyle medicine? Am J Med. 2019;132(1):6-8. Doi: https://doi.org/10.1016/j.amjmed.2018.07.024
American College of Lifestyle Medicine - ACLM. Lifestyle medicine [homepage on the Internet]. Chesterfield: ACLM c2021 [cited 2021 Jan 3]. Available from: https://lifestylemedicine.org
Mora Ripoll R. Medicina del estilo de vida: la importancia de considerar todas las causas de la enfermedad. Rev Psiquiatr Salud Ment. 2012;5(1):48–52. Doi: https://doi.org/10.1016/j.rpsm.2011.04.002
GBD 2017 Risk Factor Collaborators. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1923-1994. Doi: https://doi.org/10.1016/S0140-6736(18)32225-6
Li G, Zhang P, Wang J, An Y, Gong Q, Gregg EW, et al. Cardiovascular mortality, all-cause mortality, and diabetes incidence after lifestyle intervention for people with impaired glucose tolerance in the Da Qing Diabetes Prevention Study: a 23-year follow-up study. Lancet Diabetes Endocrinol. 2014;2(6):474-80. Doi: https://doi.org/10.1016/S2213-8587(14)70057-9
Li Y, Schoufour J, Wang DD, Dhana K, Pan A, Liu X, et al. Healthy lifestyle and life expectancy free of cancer, cardiovascular disease, and type 2 diabetes: prospective cohort study. BMJ. 2020;368:l6669. Doi: https://doi.org/10.1136/bmj.l6669
Ng R, Sutradhar R, Yao Z, Wodchis WP, Rosella LC. Smoking, drinking, diet and physical activity-modifiable lifestyle risk factors and their associations with age to first chronic disease. Int J Epidemiol. 2020;49(1):113-130. Doi: https://doi.org/10.1093/ije/dyz078
Pan American Health Organization (PAHO). 10 principais causas de morte no mundo [Homepage on the Internet]. Washington: PAHO; c2018 [cited 2021 Feb 21]. Available from: https://www.paho.org
Pôrto EF, Kümpel C, Castro AAM, Oliveira IM, Alfieri FM. How life style has been evaluated: a systematic review. Acta Fisiátr. 2015;22(4):199–205. Doi: https://doi.org/10.5935/0104-7795.20150038
Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. Doi: https://doi.org/10.1371/journal.pmed.1000097
Santos CMDC, Pimenta CADM, Nobre MRC. The PICO strategy for the research question construction and evidence search. Rev Lat Am Enfermagem. 2007;15(3):508-11. Doi: https://doi.org/10.1590/s0104-11692007000300023
Nahas M V., Barros MVG, Francalacci V. O pentáculo do bem-estar - base conceitual para avaliação do estilo de vida de indivíduos ou grupos. Rev Bras Atividade Física Saúde. 2000;5(2):48-59.
Lopez-Fontana I, Perrot A, Krueger KR, Le Scanff C, Bherer L, Castanier C. A global lifestyle assessment: Psychometric properties of the General Lifestyle Questionnaire. Psychol Française. 2020;65(4):311–23. Doi: https://doi.org/10.1016/j.psfr.2019.06.004
Fernandes AC, McIntyre T, Coelho R, Prata J, Maciel MJ. Impact of a brief psychological intervention on lifestyle, risk factors and disease knowledge during phase I of cardiac rehabilitation after acute coronary syndrome. Rev Port Cardiol (Engl Ed). 2019;38(5):361-368. Doi: https://doi.org/10.1016/j.repc.2018.09.009
Wilson DMC, Nielsen E, Ciliska D. Lifestyle Assessment: Testing the FANTASTIC Instrument. Can Fam Physician. 1984;30:1863–6.
Rodriguez Añez CR, Reis RS, Petroski EL. Versão brasileira do questionário “estilo de vida fantástico”: tradução e validação para adultos jovens. Arq Bras Cardiol. 2008;91(2):102–9. Doi: https://doi.org/10.1590/S0066-782X2008001400006
Bellucci Júnior JA, Matsuda LM. Construção e validação de instrumento para avaliação do Acolhimento com Classificação de Risco. Rev Bras Enferm. 2012;65(5):751–7. Doi: https://doi.org/10.1590/S0034-71672012000500006
Gardona RGB, Barbosa DA. The importance of clinical practice supported by health assessment tools. Rev Bras Enferm. 2018;71(4):1815–6. Doi: https://doi.org/10.1590/0034-7167-2018710401
Kvaavik E, Batty GD, Ursin G, Huxley R, Gale CR. Influence of individual and combined health behaviors on total and cause-specific mortality in men and women: the United Kingdom health and lifestyle survey. Arch Intern Med. 2010;170(8):711–8. Doi: https://doi.org/10.1001/archinternmed.2010.76
Loef M, Walach H. The combined effects of healthy lifestyle behaviors on all cause mortality: A systematic review and meta-analysis. Prev Med (Baltim). 2012;55(3):163–70. Doi: https://doi.org/10.1016/j.ypmed.2012.06.017
McGee SL, Hargreaves M. Exercise adaptations: molecular mechanisms and potential targets for therapeutic benefit. Nat Rev Endocrinol. 2020;16(9):495–505. Doi: https://doi.org/10.1038/s41574-020-0377-1
Kohansieh M, Makaryus AN. Sleep deficiency and deprivation leading to cardiovascular disease. Int J Hypertens. 2015;2015:1–5. Doi: https://doi.org/10.1155/2015/615681
Linz D, Kadhim K, Kalman JM, McEvoy RD, Sanders P. Sleep and cardiovascular risk: how much is too much of a good thing? Eur Heart J. 2019;40(20):1630–2. Doi: https://doi.org/10.1093/eurheartj/ehy772
Hiles SA, Baker AL, Malmanche T, McEvoy M, Boyle M, Attia J. Unhealthy lifestyle may increase later depression via inflammation in older women but not men. J Psychiatr Res. 2015;63:65–74. Doi: https://doi.org/10.1016/j.jpsychires.2015.02.010
Chagas CA, Castro TG, Leite MS, Viana MACBM, Beinner MA, Pimenta AM. Prevalência estimada e fatores associados à hipertensão arterial em indígenas adultos Krenak do Estado de Minas Gerais, Brasil. Cad Saude Publica. 2020;36(1):1–15. Doi: https://doi.org/10.1590/0102-311x00206818
Gracino ME, Tortajada JS, Alves MB de-C-, Garcia SF, Yamaguchi MU, Massuda EM. Análise da capacidade dos médicos para o trabalho, na cidade de Maringá. Rev Bras Med Trab. 2018;16(4):417–28. Doi: https://doi.org/10.5327/Z1679443520180296
Nepomuceno P, Santos CM, Kleinpaul WV, Santos PR, Braz CM, Rusch MH, et al. Cardiovascular risk, lifestyle and anthropometric status of rural workers in Pardo River Valley, Rio Grande do Sul, Brazil. Rev Bras Med Trab. 2020;18(1):91–6. Doi: https://doi.org/10.5327/Z1679443520200482
Cameron D, Epton T, Norman P, Sheeran P, Harris PR, Webb TL, et al. A theory-based online health behaviour intervention for new university students (U@Uni:LifeGuide): results from a repeat randomized controlled trial. Trials. 2015;16(1):555. Doi: https://doi.org/10.1186/s13063-015-1092-4
Polańska K, Muszyński P, Sobala W, Dziewirska E, Merecz-Kot D, Hanke W. Maternal lifestyle during pregnancy and child psychomotor development — Polish Mother and Child Cohort study. Early Hum Dev. 2015;91(5):317–25. Doi: https://doi.org/10.1016/j.earlhumdev.2015.03.002
Unzueta CR, Lahortiga-Ramos F, Santiago S, Zazpe I, Molero P, Sánchez-Villegas A, et al. Self-perceived level of competitiveness, tension, and dependency and lifestyles in the ‘Seguimiento Universidad de Navarra’ cohort study. Public Health. 2018;157:32–42. Doi: https://doi.org/10.1016/j.puhe.2017.12.021
Bonn SE, Löf M, Östenson C, Trolle Lagerros Y. App-technology to improve lifestyle behaviors among working adults - the Health Integrator study, a randomized controlled trial. BMC Public Health. 2019;19(1):273. Doi: https://doi.org/10.1186/s12889-019-6595-6
Dong L, Xiao R, Cai C, Xu Z, Wang S, Pan L, et al. Diet, lifestyle and cognitive function in old Chinese adults. Arch Gerontol Geriatr. 2016;63:36–42. Doi: https://doi.org/10.1016/j.archger.2015.12.003
Thomson H, Oliver N, Godsland IF, Darzi A, Srivanichakorn W, Majeed A, et al. Protocol for a clinical trial of text messaging in addition to standard care versus standard care alone in prevention of type 2 diabetes through lifestyle modification in India and the UK. BMC Endocr Disord. 2018;18(1):63. Doi: https://doi.org/10.1186/s12902-018-0293-8
Trudel-Fitzgerald C, Tworoger SS, Poole EM, Williams DR, Kubzansky LD. Prospective Changes in Healthy Lifestyle Among Midlife Women. Am J Prev Med. 2016;51(3):327–35. Doi: https://doi.org/10.1016/j.amepre.2016.04.021
Van Elten TM, Karsten MDA, Geelen A, Van Oers AM, Van Poppel MNM, Groen H, et al. Effects of a preconception lifestyle intervention in obese infertile women on diet and physical activity ; A secondary analysis of a randomized controlled trial. PLoS One. 2018;13(11):1–15. Doi: https://doi.org/10.1371/journal.pone.0206888
Vasco M, Costa D, Scognamiglio M, Signoriello G, Alfano R, Magnussen K, et al. Evidences on overweight of regular blood donors in a center of Southern Italy. Clin Epidemiol Glob Heal. 2020;8(3):758–63. Doi: https://doi.org/10.1016/j.cegh.2020.01.015
Werneck AO, Oyeyemi AL, Szwarcwald CL, Stubbs B, Silva DR. Potential influence of physical, psychological and lifestyle factors on the association between television viewing and depressive symptoms: a cross-sectional study. Gen Hosp Psychiatry. 2019;60:37–43. Doi: https://doi.org/10.1016/j.genhosppsych.2019.07.005
Godwin M, Pike A, Bethune C, Kirby A, Pike A. Concurrent and convergent validity of the simple lifestyle indicator questionnaire. ISRN Fam Med. 2013;2013:1–6. Doi: https://doi.org/10.5402/2013/529645
Both J, Borgatto AF, Nascimento JV, Sonoo CN, Lemos CAF, Nahas MV. Validação da escala “perfil do estilo de vida individual”. Rev Bras Atividade Física Saúde. 2008;13:5–14.
Silveira PM, Borgatto AF, Andrade DF, Both J, Nascimento JV. Escala de avaliação do perfil do estilo de vida por meio da teoria da resposta ao item. J Phys Educ. 2015;26(4):519-527. Doi: https://doi.org/10.4025/reveducfis.v26i4.24996
Modenutte GS, Martins J, Hotta GH, Oliveira AS. Confiabilidade intra e interexaminador do questionário Perfil do Estilo de Vida Individual (PEVI) em indivíduos com dor musculoesquelética. Fisioter e Pesqui. 2019;26(1):71–7. Doi: https://doi.org/10.1590/1809-2950/18007426012019
Golem DL, Martin-Biggers JT, Koenings MM, Davis KF, Byrd-Bredbenner C. An integrative review of sleep for nutrition professionals. Adv Nutr. 2014;5(6):742–59. Doi: https://doi.org/10.3945/an.114.006809
Kaar JL, Luberto CM, Campbell KA, Huffman JC. Sleep, health behaviors, and behavioral interventions: Reducing the risk of cardiovascular disease in adults. World J Cardiol. 2017;9(5):396. Doi: https://doi.org/10.4330/wjc.v9.i5.396
Fernandes ACVL. Avaliação da eficácia de um programa de intervenção psicológica breve em pacientes pós-síndroma coronária aguda [Tese]. Braga: Universidade do Minho; 2011.
Campo-Arias A, Oviedo HC. Propiedades psicométricas de una escala: la consistencia interna. Rev Salud Pública. 2008;10(5):831–9.
Fontana IL. Impact du style de vie sur le vieillissement cognitif: Étude des modérateurs du déclin cognitif tout au long de la vie adulte. Comment les différences hommes / femmes amènent à reconsidérer l’influence du style de vie sur le fonctionnement cognitif? [Tese]. Paris: Université Paris Saclay (COmUE); 2017.
Kent LM, Reierson P, Morton DP. “Live more”: Study protocol for a community-based lifestyle education program addressing non-communicable diseases in low-literacy areas of the South Pacific. BMC Public Health. 2015;15(1):1221. Doi: https://doi.org/10.1186/s12889-015-2560-1
Kim EY, Kim SH, Ha K, Lee HJ, Yoon DH, Ahn YM. Depression trajectories and the association with metabolic adversities among the middle-aged adults. J Affect Disord. 2015;188:14–21. Doi: https://doi.org/10.1016/j.jad.2015.08.024
Cunha EFD, Silva AML, Saad KR, Martinez BP, Carvalho VO, Feitosa-filho GS. Avaliação do estilo de vida de pacientes com infarto agudo do miocárdio admitidos em uma unidade coronariana Lifestyle assessment of patients with acute myocardial of admitted in a coronary unit. Rev Soc Bras Clínica Médica. 2016;14:18–21.
Eikelenboom N, van Lieshout J, Jacobs A, Verhulst F, Lacroix J, van Halteren A, et al. Effectiveness of personalised support for self-management in primary care: a cluster randomised controlled trial. Br J Gen Pract. 2016;66(646):e354–61. Doi: https://doi.org/10.3399/bjgp16X684985
Lima ARS, Portes LA, Oliveira NC, Alfieri FM. Limiar de tolerância de dor à pressão, estilo de vida, força muscular e capacidade funcional em idosas com sarcopenia. Acta Fisiátr. 2016;23(2):73–7. Doi: https://doi.org/10.5935/0104-7795.20160015
Lu J, Xuan S, Downing NS, Wu C, Li L, Krumholz HM, et al. Protocol for the China PEACE (Patient-centered Evaluative Assessment of Cardiac Events) Million Persons Project pilot. BMJ Open. 2016;6(1):e010200. Doi: https://doi.org/10.1136/bmjopen-2015-010200
Sharma KK, Gupta R, Mathur M, Natani V, Lodha S, Roy S, et al. Non-physician health workers for improving adherence to medications and healthy lifestyle following acute coronary syndrome: 24-month follow-up study. Indian Heart J. 2016;68(6):832–40. Doi: https://doi.org/10.1016/j.ihj.2016.03.027
Spassova L, Vittore D, Droste DW, Rösch N. Randomised controlled trial to evaluate the efficacy and usability of a computerised phone-based lifestyle coaching system for primary and secondary prevention of stroke. BMC Neurol. 2016;16(1):22. Doi: https://doi.org/10.1186/s12883-016-0540-4
Hamam FA, Eldalo AS, Alnofeie AA, Alghamdi WY, Almutairi SS, Badyan FS. The association of eating habits and lifestyle with overweight and obesity among health sciences students in Taif University, KSA. J Taibah Univ Med Sci. 2017;12(3):249-60. Doi: https://doi.org/10.1016/j.jtumed.2016.12.001
Pereira DSL, Oliveira AS, Oliveira REM. Avaliação do perfil de estilo de vida de usuários que praticam exercício físico regular comparado a usuários sedentários inseridos em uma estratégia de saúde da família – região sudeste do Brasil. Rev APS. 2017;20(1):30-9. Doi: https://doi.org/10.34019/1809-8363.2017.v20.15877
Silva FM, Sousa PHA, Silveira RCP. Estilo e qualidade de vida de coletores de resíduos. Rev Eletrônica Enferm. 2017;19(1):1-10. Doi: https://doi.org/10.5216/ree.v19.42349
Tassini CC, Val GR, Candido SS, Bachur CK. Assessment of the lifestyle of university students in the healthcare area using the fantastic questionnaire. Int J Cardiovasc Sci. 2017;30(2):117–22. Doi: https://doi.org/10.5935/2359-4802.20170024
Acosta T, Barengo NC, Arrieta A, Ricaurte C, Tuomilehto JO. A demonstration area for type 2 diabetes prevention in Barranquilla and Juan Mina (Colombia). Medicine (Baltimore). 2018;97(1):e9285. Doi: https://doi.org/10.1097/MD.0000000000009285
Franse CB, van Grieken A, Alhambra-Borrás T, Valía-Cotanda E, van Staveren R, Rentoumis T, et al. The effectiveness of a coordinated preventive care approach for healthy ageing (UHCE) among older persons in five European cities: A pre-post controlled trial. Int J Nurs Stud. 2018;88:153–62. Doi: https://doi.org/10.1016/j.ijnurstu.2018.09.006
Silva C, Oliveira NC, Alfieri FM. Mobilidade funcional, força, medo de cair, estilo e qualidade de vida em idosos praticantes de caminhada. Acta Fisiátr. 2018;25(1):22–6. Doi: https://doi.org/10.11606/issn.2317-0190.v25i1a158829
Kugathasan TA, Lecot F, Laberge S, Tremblay J, Mathieu M. Activate Your Health, a 3-year, multi-site, workplace healthy lifestyle promotion program: study design. BMC Public Health. 2019;19(1):1140. Doi: https://doi.org/10.1186/s12889-019-7393-x
Mirmiran P, Bakhshi B, Hosseinpour-Niazi S, Sarbazi N, Hejazi J, Azizi F. Does the association between patterns of fruit and vegetables and metabolic syndrome incidence vary according to lifestyle factors and socioeconomic status? Nutr Metab Cardiovasc Dis. 2020;30(8):1322–1336. Doi: https://doi.org/10.1016/j.numecd.2020.04.008
Shimura A, Sugiura K, Inoue M, Misaki S, Tanimoto Y, Oshima A, et al. Which sleep hygiene factors are important? comprehensive assessment of lifestyle habits and job environment on sleep among office workers. Sleep Health. 2020;6(3):288-298. Doi: https://doi.org/10.1016/j.sleh.2020.02.001
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2025 Acta Fisiátrica
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
O conteúdo do periódico está licenciado sob uma Licença Creative Commons BY-NC-SA. Esta licença permite que outros remixem, adaptem e criem a partir do seu trabalho para fins não comerciais, desde que atribuam ao autor o devido crédito e que licenciem as novas criações sob termos idênticos.
