RESUMO Este estudo objetivou avaliar a implementação de um programa de intervenção para promoção do estilo de vida ativo e saudável em estudantes. Estudo avaliativo, realizado durante a intervenção, que incluiu como amostra a comunidade escolar envolvida nas atividades (estudantes, professores, coordenadores e pais), por meio de entrevista ou por observação externa. A matriz avaliativa foi construída e validada contendo 32 medidas em oito indicadores: capacitação dos professores, modificação nas aulas de Educação Física, modificação nas aulas regulares, distribuição de panfletos, distribuição de material, ginástica na escola, visibilidade do programa e conhecimento e distribuição de material. A análise descritiva (quantitativas) ou de conteúdo (qualitativas) foi utilizada. Temas de saúde em sala de aula foram abordados por 94% dos professores durante a intervenção. Metade dos alunos reportou terem participado de, pelo menos, uma aula de ginástica e utilizado os jogos durante a intervenção, mas dificuldades para armazenar material e falta de organização e de espaço foram relatadas. O conhecimento sobre o programa foi frequente entre professores, gestores e estudantes, mas não entre os pais. Em conclusão, a maioria das ações do programa tiveram uma implementação conforme planejada, contudo, dificuldades foram reportadas e devem ser consideradas em futuras propostas de um ambiente escolar que almeje promover atividade física e saúde.

ABSTRACT This study aimed to evaluate the implementation of an intervention program to promote active and healthy lifestyle in students. This was a evaluation study performed during the intervention, which included the school community (students, teachers, coordinators and parents), through interview or external observation. The evaluation matrix was constructed and validated with 32 measures in eight indicators: teacher training, modification in Physical Education classes, modification in regular classes, distribution of pamphlets, distribution of material, gymnastics in the school, visibility of the program and knowledge and distribution of material. Descriptive (quantitative) or content (qualitative) analysis was used. Health issues in the classroom were addressed by 94% of teachers during the intervention. Half of the students reported that they participated in at least one gym class and used the games during the intervention, but difficulties in storage of sports equipments and organization of places were reported. Knowledge about the program was frequent among teachers, managers and students, but not between parents. In conclusion, most of the program actions had an implementation as planned, however, difficulties were reported and should be considered in future proposals of a school environment that aims to promote physical activity and health.

RESUMO Esta revisão reflete sobre a fundamentação e os eixos do Programa Saúde na Escola (PSE) e sua articulação com as concepções de Promoção da Saúde (PS). A revisão integrativa permite combinar estudos com diferentes abordagens metodológicas e foi realizada nas bases científicas nacionais. Os 38 artigos selecionados foram agrupados e analisados consoante os eixos de ação presentes na normativa do PSE. Aspectos conceituais e metodológicos adotados na concepção e na operacionalização dos estudos e da PS foram analisados criticamente. Referenciais de PS na diretriz do programa e na maior parte dos estudos se misturam ao modelo preventivista, centrado em ações fragmentadas e individualizadas. Pesquisas sobre o PSE devem aproximar teoria e prática, fortalecendo princípios como integralidade (do saber, do sujeito e do cuidado), intersetorialidade (metodológica e prática) e participação social, e reconhecer os determinantes sociais da saúde.

ABSTRACT This review reflects upon the theoretical basis and the axes of the School Health Program (SHP) and its articulation with the conceptions of Health Promotion (HP). The integrative review allows to combine studies with different methodological approaches and was carried out in the national scientific basis. The 38 scientific articles were grouped and analyzed according to the axes of action present in the regulation of the SHP. Conceptual and methodological aspects adopted in the conception and operationalization of the studies and of the HP were critically analyzed. References of HP in the program guideline and in most of the studies merge with the preventive model, centered on fragmented an individual actions. Researches about SHP should approximate theory and practice, strengthening principles such as integrality (of knowledge, of subject and of care), intersectoriality (methodological and practical) and social participation, and recognize the socials determinants of health.

RESUMO Esta revisão reflete sobre a fundamentação e os eixos do Programa Saúde na Escola (PSE) e sua articulação com as concepções de Promoção da Saúde (PS). A revisão integrativa permite combinar estudos com diferentes abordagens metodológicas e foi realizada nas bases científicas nacionais. Os 38 artigos selecionados foram agrupados e analisados consoante os eixos de ação presentes na normativa do PSE. Aspectos conceituais e metodológicos adotados na concepção e na operacionalização dos estudos e da PS foram analisados criticamente. Referenciais de PS na diretriz do programa e na maior parte dos estudos se misturam ao modelo preventivista, centrado em ações fragmentadas e individualizadas. Pesquisas sobre o PSE devem aproximar teoria e prática, fortalecendo princípios como integralidade (do saber, do sujeito e do cuidado), intersetorialidade (metodológica e prática) e participação social, e reconhecer os determinantes sociais da saúde.

ABSTRACT This review reflects upon the theoretical basis and the axes of the School Health Program (SHP) and its articulation with the conceptions of Health Promotion (HP). The integrative review allows to combine studies with different methodological approaches and was carried out in the national scientific basis. The 38 scientific articles were grouped and analyzed according to the axes of action present in the regulation of the SHP. Conceptual and methodological aspects adopted in the conception and operationalization of the studies and of the HP were critically analyzed. References of HP in the program guideline and in most of the studies merge with the preventive model, centered on fragmented an individual actions. Researches about SHP should approximate theory and practice, strengthening principles such as integrality (of knowledge, of subject and of care), intersectoriality (methodological and practical) and social participation, and recognize the socials determinants of health.

This study aimed to identify the prevalence and factors associated with Stages of Change for Physical Activity (SCPA) in adolescents. A cross-sectional study was conducted with 386 students from public schools in Fortaleza, Ceará. The following question was used: “In relation to your physical activity habits, would you say that:” classifying the answers in five SCPA (pre-contemplation, contemplation, preparation, action and maintenance). Sex, age, number of people who live, work situation, family income and parental education were independent variables. The Chi-square test was used (p <0,05). The prevalence of students in SCPA was 17,7%, 19,2%, 21,6%, 14,8%, and 27,0% for pre-contemplation, contemplation, preparation, action and maintenance, respectively. Boys had elevated proportion in the action and maintenance stages (p = 0,01). Adolescents whose family had income greater than R$ 1000,00 had higher proportion in the maintenance stage when compared to those with lower income (p = 0,01). The other variables were not associated with SCPA (p > 0,05). In conclusion, elevated prevalence of adolescents in inactive SCPA was identified. It is important to direct strategies that generate interest for physical activity, especially girls and adolescents with lower income.