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Association between Physical Education program in school and the practice team sports during university

Associação entre a participação na Educação Física escolar e a prática de esportes coletivos durante a universidade

Abstract

The practice of team sports such as soccer and volleyball, are one of the main activities practiced by college. The objectives of the study were to compare the proportions of practice team sports in the years 2010, 2012 and 2014 in college and to analyze the association between participation in the classes of Physical Education, before entering university, with the practice team sports during the university period. Three cross-sectional surveys were conducted in the years 2010, 2012 and 2014, with students from a higher education institution. The dependent variable was the current practice of team sports and the independent variable the participation, prior to entering the university in Physical Education classes at school. Participated 1,084, 1,085 and 1,041 college in 2010, 2012 and 2014, respectively. The proportion of practicing team sports was stable in the three surveys and college who participated regularly of the lessons of Physical Education, prior to entering the university showed higher prevalence ratios (PR) practice of team sports during college years (2010, RP: 2.87; 95%CI: 1.48; 5.55; 2012, RP: 2.04; 95%CI: 1.14; 3.65; 2014, RP: 4.06; 95%CI: 1.58; 10.43). The number of students practicing team sports was similar in all investigated years and regular participation of college in Physical Education classes in school, period prior to entering university showed a positive association with practice of team sports at the university.

Key words
Cross-sectional studies; Leisure activities; Longitudinal studies; Physicaleducation and training; Sports; Students

Resumo

A prática de esportes coletivos, como futebol e voleibol, são uma das principais modalidades praticadas por universitários. Os objetivos do estudo foram comparar as proporções de prática de esportes coletivos entre os anos de 2010, 2012 e 2014 em universitários e analisar a associação entre a participação nas aulas de Educação Física escolar, antes do ingresso na universidade, com a prática de esportes coletivos durante o período universitário. Foram realizados três inquéritos transversais, nos anos de 2010, 2012 e 2014, com universitários de uma instituição de ensino superior. A variável dependente foi a prática atual de esportes coletivos e a variável independente a participação, antes da entrada na universidade, nas aulas de Educação Física na escola. Participaram 1.084, 1.085 e 1.041 universitários em 2010, 2012 e 2014, respectivamente. A proporção de prática de esportes coletivos foi estável nos três inquéritos e os universitários que participaram de forma regular das aulas de Educação Física escolar, antes da entrada na universidade, apresentaram maiores razões de prevalências (RP) de prática de esportes coletivos durante a fase universitária (2010, RP: 2,87; IC95%: 1,48 – 5,55; 2012, RP: 2,04; IC95%: 1,14 – 3,65; 2014, RP: 4,06; IC95%: 1,58 – 10,43). A quantidade de universitários praticantes de esportes coletivos foi semelhante em todos os anos investigados e a participação regular dos universitários nas aulas de Educação Física na escola, em período anterior ao ingresso na universidade, demonstrou associação positiva com a prática esportiva, em modalidades coletivas durante a universidade.

Palavras-chave
Atividades de lazer; Educação física e treinamento; Esportes; Estudantes; Estudos longitudinais; Estudos transversais

INTRODUCTION

Regular physical activity (PA) and the intensity of these activities in youth can contribute to reducing the prevalence of diseases harmful to health in the short and medium term and also in adulthood11 Hallal PC, Victora CG, Azevedo MR, Wells JCK. Adolescent physical activity and health. A systematicreview. Sports Med 2006;36(12):1019-30. such as osteoporosis22 Siqueira FV, Facchini LA, Azevedo MR, Reichert FF, Bastos JP, Silva MC, et al. Prática de atividade física na adolescência e prevalência de osteoporose na idade adulta. Rev Bras Med Esporte 2009;15(1):27-30. and obesity33 Yang X, Telama R, Viikari J, Raitakari OT. Risk of obesity in relation to physical activity tracking from youth to adulthood. Med Sci Sports Exerc 2006;38(5):919-25.. Systematic review studies have shown that the predictor effect of PA performed at younger ages with practice in adulthood is low to moderate11 Hallal PC, Victora CG, Azevedo MR, Wells JCK. Adolescent physical activity and health. A systematicreview. Sports Med 2006;36(12):1019-30.,44 Evans JMM, Sheila CM, Kirk A, Crombie IK. Tracking of physical activity behaviours during childhood, adolescence and young adulthood: a systematic review. J Epidemiol Community Health 2009;63(Suppl II):A4..

Some studies have shown associations between leisure-time PA, including sports in adolescence and the practice of PA globally or just during leisure time in adulthood11 Hallal PC, Victora CG, Azevedo MR, Wells JCK. Adolescent physical activity and health. A systematicreview. Sports Med 2006;36(12):1019-30.,44 Evans JMM, Sheila CM, Kirk A, Crombie IK. Tracking of physical activity behaviours during childhood, adolescence and young adulthood: a systematic review. J Epidemiol Community Health 2009;63(Suppl II):A4.

5 Kjønniksen L, Torsheim T, Wold B. Tracking of leisure-time physical activity during adolescence and young adulthood: a 10-year longitudinal study. Int J Behav Nutr Phys Act 2008;5:69.
-66 Mäkinen TE, Borodulin K, Tammelin TH, Rahkonen O, Laatikainen T, Prättälä R. The effects of adolescence sports and exercise on adulthood leisure-time physical activity in educational groups. Int J Behav Nutr Phys Act 2010;7:27.. The practice of sports during adolescence, such as soccer, was associated with the practice of the same sports in adulthood55 Kjønniksen L, Torsheim T, Wold B. Tracking of leisure-time physical activity during adolescence and young adulthood: a 10-year longitudinal study. Int J Behav Nutr Phys Act 2008;5:69.. Involvement in sports, physical exercises or games during leisure time in adolescence can also contribute to the global PA practice in adulthood at levels recommended for health77 Azevedo MR, Horta BL, Gigante DP, Sibbritti D. Continuidade da atividade física na Coorte de Nascimentos de 1982 de Pelotas. Rev Bras Ativ Fís Saúde 2011;16(2):156-61..

Although the limited amount of publications with information on the effect of Physical Education classes in school (EFE) in adolescence on the practice of PA in adulthood in Brazilian subjects in international studies66 Mäkinen TE, Borodulin K, Tammelin TH, Rahkonen O, Laatikainen T, Prättälä R. The effects of adolescence sports and exercise on adulthood leisure-time physical activity in educational groups. Int J Behav Nutr Phys Act 2010;7:27.,88 Kimball J, Jenkins J, Wallhead T. Influence of high school physical education on university students’ physical activity. Eur Phys Educ Rev 2009;15(2):249-67., it is noteworthy that the association between participation the EFE classes with PA practice in adulthood is indirectly related to EFE perceptions, because when interesting, pleasant and encouraging of PA, these classes favored the practice of PA in adulthood66 Mäkinen TE, Borodulin K, Tammelin TH, Rahkonen O, Laatikainen T, Prättälä R. The effects of adolescence sports and exercise on adulthood leisure-time physical activity in educational groups. Int J Behav Nutr Phys Act 2010;7:27., and if there were more negative learning perception in EFE, it represented a predictor of low levels of PA in adulthood88 Kimball J, Jenkins J, Wallhead T. Influence of high school physical education on university students’ physical activity. Eur Phys Educ Rev 2009;15(2):249-67.. Regarding the participation in EFE, the decline in the PA intensity of EFE classes over the years was evidenced in a review study99 Knuth AG, Hallal PC. Temporal trends in physical activity: a systematic review. J PhysAct Health 2009;6(5):548-59..

With decreasing intensity of EFE classes99 Knuth AG, Hallal PC. Temporal trends in physical activity: a systematic review. J PhysAct Health 2009;6(5):548-59. associated with high prevalence of physical inactivity in adolescence in different regions of Brazil1010 Tassitano RM, Bezerra J, Tenório MCM, Colares V, Barros MVG, Hallal PC. Atividade física em adolescentes brasileiros: uma revisão sistemática. Rev Bras Cineantropom Desempenho Hum 2007;9(1):55-60., the likelihood of maintaining this physical inactivity behavior globally or during leisure time may be higher, as observed in the high prevalence of physical inactivity among Brazilian university students through a systematic review1111 Sousa TF. Inatividade física em universitários brasileiros: uma revisão sistemática. Rev Bras Ciênc Saúde (IMES) 2011;9(29):47-55.. The university period is a time of oscillations of habits, increased susceptibility to risk behaviors1212 Franca C, Colares V. Estudo comparativo de condutas de saúde entre universitários no início e no final do curso. Rev Saúde Pública 2008;42(3):420-7.,1313 Colares V, Franca C, Gonzalez E. Condutas de saúde entre universitários: diferenças entre gêneros. Cad Saúde Pública 2009;25(3):521-8. and abandonment of PA practices1414 Brandão MP, Pimentel FL, Cardoso MF. Impact of academic exposure on health status of university students. Rev Saúde Pública 2011;45(1):49-58. such as sports, which are one of the main forms of PA among adults1515 Zanchetta LM, Barros MBA, César CLG, Carandina L, Goldbaum M, Alves MCGP. Inatividade física e fatores associados em adultos, São Paulo, Brasil. Rev Bras Epidemiol2010;13(3):387-99.,1616 Dumith SC, Domingues MR, Gigante DP. Epidemiologia das atividades físicas praticadas no tempo de lazer por adultos do Sul do Brasil. Rev Bras Epidemiol 2009;12(4):646-58..

A study analyzed in students from a public institution in the state of Bahia, Brazil, the association between participation in EFE before entering the university and physical inactivity during university, and no association was observed1717 Sousa TF, Santos SFS, Pie ACS, Rossato LC. Associação entre indicadores de prática de atividades físicas na adolescência com o nível atual de prática de atividades físicas no lazer em acadêmicos de um curso de Educação Física no Nordeste do Brasil. Pensar a Prática 2009;12(3):1-12.. Given the scarcity of information on this topic and the relevance of EPE and team sports to achieve the levels of PA recommended for health1818 United States Department of Health and Human Services. Physical Activity Guidelines for Americans. Washington: USDHHS, 2008. Available from: <http://www.health.gov/paguidelines/pdf/paguide.pdf> [2009 mar 20].
http://www.health.gov/paguidelines/pdf/p...
, monitoring is essential. Therefore, the aims of this study conducted with students were to compare the proportions of the practice of team sports in the years 2010, 2012 and 2014 and to analyze the association between participation in Physical Education classes before entering university with the practice of team sports during the university period.

METHODOLOGICAL PROCEDURES

This study is derived from the MONISA survey (Monitoring of Health and Quality of Life Indicators of University Students) held in a university in the state of Bahia in the years 2010, 2012 and 2014. The methods used in this study have been previously described1919 Sousa TF, Fonseca AS, José HPM, Nahas MV. Estudo MONISA: características e aspectos metodológicos. RevBrasEpidemiol2012;5(4):904-7..

The population consisted of students enrolled in the second semester of undergraduate courses and distance teaching students, those with special registration and college freshmen entering university in the second half were excluded. For the sample size calculation2020 Luiz RR, Magnanini MF. A lógica da determinação do tamanho da amostra em investigações epidemiológicas. Cad Saúde Coletiva 2000;8(2):9-28., the same parameters were considered in the three surveys: target population (2010: 5,461; 2012: 5,767; 2014: 5,224), confidence level of 95% prevalence of 50%, sample error of 3 p.p and addition of 20% for possible losses and refusals and 15% for the confusion control, making the following samples: 2010: 1,232; 2012: 1,243; and 2014: 1,223.

The sample was stratified considering the proportionality of courses, 30 in 2010, 34 in 2012 (inclusion of four new courses) and 33 in 2014 (Association of courses of Language and Arts with qualification in Spanish and Language and Arts with qualification in English), study period (day and night) and years of entering university (2010 survey: 2010, 2009, 2008 and 2007 and earlier, 2012 survey: 2012, 2011, 2010 and 2009 and earlier, and 2014 survey: 2014 , 2013, 2012 and 2011 and earlier).

University students randomly selected in each stratum through the registration list in alphabetical order were sought within three attempts on different days and times, and if not found or refused to participate, there was replacement. Data collections were carried out in the months from September to November in the premises of the university, with the help of a team previously trained in July and August. The information was obtained via Isaq-A questionnaire (Health and Quality of Life Indicators of University Students)2121 Sousa TF, Fonseca SA, Mororó JHP, Nahas MV. Validade e reprodutibilidade do questionário Indicadores de Saúde e Qualidade de Vida de Acadêmicos (Isaq-A). Arq Ciênc Esporte 2013;1(1):21-30..

The dependent variable of this study was the practice of team sports held during leisure time of university students. The question used measured the practice in a normal week and presented 17 options of leisure-time physical activity and participants should mark the sport practiced, how many days and time per day of practice. The team sports options were: soccer, handball, volleyball and basketball. These practices were categorized into yes, referring to the practice of 1 or more team sports at least once a week, regardless of time and no, referring to students who reported not to perform any of these procedures and who did not practice other leisure-time physical activities.

The independent variable of this study was the participation in EFE. It was requested from participants the answer in years of participation in EFE classes in the final grades of elementary school (5th to 8th grade) and high school (1st to 3rd grades). The total sum in years in these grades is seven years (except participants who failed at some point and that repeated one or more years). Thus, these two variables were categorized as never or rarely participated (referring to have not participated in EFE classes in elementary and high school); irregular participation (participation of one to six years in any of the grades); regular participation (participation in classes every year, in seven or more years).

The other explanatory and control variables for confounding factors and their specifications in relation to common and different categories among surveys are presented in Box 1.

Box 1
Description of exploratory variables

Data tabulation was performed in the EpiData software version 3.1 and analysis in SPSS software version 15.0. The description of information was carried out by descriptive statistics (absolute and relative frequencies, mean, standard deviation, minimum and maximum). The chi-square test for linear trend was used to compare the proportions of practice of team sports during the years of investigations. To identify the variables that would be used as confounding variables (sociodemographic, link with the university and leisure-time PA) in the analysis of participation in EFE with practice of team sports in each survey, the chi-square and chi-square tests for linear trend were used.

The analysis of the association between participation in EFE with the practice of team sports for each survey was conducted through prevalence ratios (PR) in the crude and adjusted analyses through the Poisson regression with adjustment for the robust variance. In the adjusted analysis, the sociodemographic variables, link with the university and leisure-time PA with p-value of the chi-square and chi-square test for linear trend <0.20, the association with the practice of team sports were used as confounding variables. The confounding variables were included in the adjustment simultaneously and remained in the final adjustment variables with p-value of the Wald test <0.20, by the backward variable selection procedure. The significance level was 5%.

RESULTS

Overall, 1,084, 1,085 and 1,041 students participated in the 2010, 2012 and 2014 surveys, respectively. The average age in 2010 was 23.6 years (± 5.2; 17-52 years) in 2012, 24 years (± 6; 17-54 years) and in 2014, 23.7 years (± 5.8; 17-57 years). The sample characteristics are presented in Table 1. The proportion of students who reported never or rarely having participated in EFE was 11.3% in 2010 and slightly more than 9% in the other two surveys (Table 1). Regular participation in EFE increased from 34% in 2010 to 44.5% in 2014.

Table 1
Sample characteristics according to sociodemographic variables, link with the university, positive affirmation of leisure-time PA and participation in EFE classes before entering university

The proportions of practice of team sports during the university period remained similar among surveys (Figure 1). The proportions of practice of team sports during the university period according to the explanatory variables in each year of the survey are presented in Table 2. In all three surveys, men reported practicing more team sports than women and there were more practitioners of team sports among practitioners of wrestling or martial arts.

Figure 1
Proportion of practice of team sports for each survey.
Table 2
Proportion of practice of team sports during the university period according to explanatory variables stratified for the years of survey.

The results of the association between participation in EFE and practice of team sports are shown in Table 3. In the crude analysis, students who reported regular participation in EFE had higher prevalence of practice of team sports during college. These associations remained in the adjusted analyses (Table 3). The prevalence of practice of team sports was 2.9 times higher (PR: 2.87; CI 95%: 1.48; 5.55) in 2010 and approximately four times higher in the 2014 survey for students who reported regular participation in EFE.

Table 3
Association between participation in EFE and practice of team sports.

DISCUSSION

In this study, the results showed that in the three surveys, regular participation in EFE classes prior to entering university was associated with higher prevalence of practice of team sports during university years. The proportion of practice of team sports was similar among surveys.

The prevalence of students who reported regular participation in EFE increased from 34% to 45% among surveys. In a cross sectional study with Physical Education undergraduate students of a higher education institution in the state of Bahia, Brazil, 92.3% of students said that before entering the university, they regularly attended EFE classes1717 Sousa TF, Santos SFS, Pie ACS, Rossato LC. Associação entre indicadores de prática de atividades físicas na adolescência com o nível atual de prática de atividades físicas no lazer em acadêmicos de um curso de Educação Física no Nordeste do Brasil. Pensar a Prática 2009;12(3):1-12.. The differences between the results of this study and the study by Sousa et al.1717 Sousa TF, Santos SFS, Pie ACS, Rossato LC. Associação entre indicadores de prática de atividades físicas na adolescência com o nível atual de prática de atividades físicas no lazer em acadêmicos de um curso de Educação Física no Nordeste do Brasil. Pensar a Prática 2009;12(3):1-12., may be related to the sample, because this study included students from different courses and physical education undergraduate students showed profile of involvement with leisure-time physical activity. In addition, it is noteworthy that the measure used in this study to assess participation in EFE classes did not estimate the intensity of activities, therefore, EFE classes may have been composed of mild and sedentary physical efforts2222 Kremer MM, Reichert FF, Hallal PC. Intensidade e duração dos esforços físicos em aulas de Educação Física. Rev SaúdePública 2012;46(2):320-6., but perceived as class participation. However, increased participation in EFE classes can contribute to the maintenance of PA levels during school and to avoid health risks in adulthood, such as obesity33 Yang X, Telama R, Viikari J, Raitakari OT. Risk of obesity in relation to physical activity tracking from youth to adulthood. Med Sci Sports Exerc 2006;38(5):919-25..

In this study, college students who reported regular participation in EFE classes showed greater involvement with the practice of team sports, regardless of other factors such as practice of different leisure-time physical activities. Divergent results were observed in undergraduate Physical Education students from a public university in the state of Bahia, Brazil, in which no association was found between participation in EFE before entering the university and physical inactivity during the university period1717 Sousa TF, Santos SFS, Pie ACS, Rossato LC. Associação entre indicadores de prática de atividades físicas na adolescência com o nível atual de prática de atividades físicas no lazer em acadêmicos de um curso de Educação Física no Nordeste do Brasil. Pensar a Prática 2009;12(3):1-12.. In contrast, these results were similar to a study conducted with Canadian adults, which showed higher practice of physical exercise in adulthood in the group that participated in EFE classes for six sessions per week in elementary school2323 Trudeau F, Laurencelle L, Tremblay J, Rajic M, Shephard RJ. Daily primary school physical education: effects on physical activity during adult life. Med Sci Sports Exerc 1999;31(1):111-7.. EFE programs may favor maintenance of PA levels during childhood and adolescence, both during school2424 Slingerland M, Borghouts L. Direct and indirect influence of physical education-based interventions on physical activity: a review. J Phys Act Health 2011;8(6):866-78., as out of school2525 Trudeau F, Shephard RJ. Contribution of school programmes to physical activity levels and attitudes in children and adults. Sports Med 2005;35(2):89-105., and promote the adoption of the practice of team sports in other stages of life.

During the university period, the proportion of undergraduate students who reported practicing team sports remained stable among surveys. Interestingly, in cross-sectional study with university students of Romania, the proportion of soccer practitioners (18.97%)2626 Bichescu A. Leisure time sport activities of the students at Resita University. Procedia Soc Behav Sci 2014;117(9):735-40. was similar to values recorded in surveys of this study. In addition, women in this study had lower prevalence of practice of team sports, which corroborates the results of the study with adults in São Paulo, SP, which revealed that women had smaller proportions of practice of leisure-time physical activities1515 Zanchetta LM, Barros MBA, César CLG, Carandina L, Goldbaum M, Alves MCGP. Inatividade física e fatores associados em adultos, São Paulo, Brasil. Rev Bras Epidemiol2010;13(3):387-99.. Undergraduate female Physical Education students of a state institution of Bahia, Brazil also showed similar characteristics (higher prevalence of leisure-time physical inactivity)1717 Sousa TF, Santos SFS, Pie ACS, Rossato LC. Associação entre indicadores de prática de atividades físicas na adolescência com o nível atual de prática de atividades físicas no lazer em acadêmicos de um curso de Educação Física no Nordeste do Brasil. Pensar a Prática 2009;12(3):1-12.. In a study with adolescents from Aracaju, SE, Brazil, girls also had lower prevalence of practice of soccer than boys2727 Silva DAS, Silva RJS, Petroski EL. Prática de futebol e fatores sociodemográficos associados em adolescentes. Rev Bras Ciênc Esporte 2013;35(1):81-93.. The need for encouragement for the practice of team sports, especially in women, may contribute to greater energy expenditure, specifically due to the high metabolic requirements of these activities2828 Ainsworth BE, Haskell WL, Whitt MC, et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 2000;32(9):S498-S516., which range from moderate to intense efforts.

Interestingly, college students of this study who practiced wrestling or martial arts, outdoor running and weightlifting had higher prevalence of practice of team sports. These associations may have occurred due to the benefits for physical fitness2929 Pereira EFBB, Borges AC. Influência da corrida como exercício aeróbio na melhora do condicionamento cardiorrespiratório. Estudos 2006;33(7/8):573-88.. Aerobic modalities favor team sports because higher cardiorespiratory capacity may contribute to the reduction of fatigue2929 Pereira EFBB, Borges AC. Influência da corrida como exercício aeróbio na melhora do condicionamento cardiorrespiratório. Estudos 2006;33(7/8):573-88..

Despite limitations from the study design due to the lack of causality and lack of information on EFE contents given that this discipline covers topics related to procedural issues of sports and also other contents of conceptual and attitudinal aspects3030 Secretaria de Educação Fundamental do Brasil. Parâmetros curriculares nacionais: Educação Física. Brasília: MEC/SEF, 1998., this study showed the association between EFE and practice of team sports in adulthood in three surveys. It is believed that the possible memory bias of the question referring to EFE participation was minimized due to the satisfactory level of reproducibility of measurements2121 Sousa TF, Fonseca SA, Mororó JHP, Nahas MV. Validade e reprodutibilidade do questionário Indicadores de Saúde e Qualidade de Vida de Acadêmicos (Isaq-A). Arq Ciênc Esporte 2013;1(1):21-30..

CONCLUSION

Regular participation in EFE was associated with the practice of team sports during college in three surveys, and there was a stabilization of proportions of the practice of team sports among surveys. In all three surveys, men and practitioners of wrestling or martial arts were more involved in team sports.

The results of this study showed, in three surveys, that participation in EFE classes, from the final grades of elementary school may favor the continued practice of team sports during the university period. Further studies should be aimed at investigating the types of activities carried out on EFE classes and their association with the practice of team sports and physical activity levels in adulthood.

REFERENCES

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    Hallal PC, Victora CG, Azevedo MR, Wells JCK. Adolescent physical activity and health. A systematicreview. Sports Med 2006;36(12):1019-30.
  • 2
    Siqueira FV, Facchini LA, Azevedo MR, Reichert FF, Bastos JP, Silva MC, et al. Prática de atividade física na adolescência e prevalência de osteoporose na idade adulta. Rev Bras Med Esporte 2009;15(1):27-30.
  • 3
    Yang X, Telama R, Viikari J, Raitakari OT. Risk of obesity in relation to physical activity tracking from youth to adulthood. Med Sci Sports Exerc 2006;38(5):919-25.
  • 4
    Evans JMM, Sheila CM, Kirk A, Crombie IK. Tracking of physical activity behaviours during childhood, adolescence and young adulthood: a systematic review. J Epidemiol Community Health 2009;63(Suppl II):A4.
  • 5
    Kjønniksen L, Torsheim T, Wold B. Tracking of leisure-time physical activity during adolescence and young adulthood: a 10-year longitudinal study. Int J Behav Nutr Phys Act 2008;5:69.
  • 6
    Mäkinen TE, Borodulin K, Tammelin TH, Rahkonen O, Laatikainen T, Prättälä R. The effects of adolescence sports and exercise on adulthood leisure-time physical activity in educational groups. Int J Behav Nutr Phys Act 2010;7:27.
  • 7
    Azevedo MR, Horta BL, Gigante DP, Sibbritti D. Continuidade da atividade física na Coorte de Nascimentos de 1982 de Pelotas. Rev Bras Ativ Fís Saúde 2011;16(2):156-61.
  • 8
    Kimball J, Jenkins J, Wallhead T. Influence of high school physical education on university students’ physical activity. Eur Phys Educ Rev 2009;15(2):249-67.
  • 9
    Knuth AG, Hallal PC. Temporal trends in physical activity: a systematic review. J PhysAct Health 2009;6(5):548-59.
  • 10
    Tassitano RM, Bezerra J, Tenório MCM, Colares V, Barros MVG, Hallal PC. Atividade física em adolescentes brasileiros: uma revisão sistemática. Rev Bras Cineantropom Desempenho Hum 2007;9(1):55-60.
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    Sousa TF. Inatividade física em universitários brasileiros: uma revisão sistemática. Rev Bras Ciênc Saúde (IMES) 2011;9(29):47-55.
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    Franca C, Colares V. Estudo comparativo de condutas de saúde entre universitários no início e no final do curso. Rev Saúde Pública 2008;42(3):420-7.
  • 13
    Colares V, Franca C, Gonzalez E. Condutas de saúde entre universitários: diferenças entre gêneros. Cad Saúde Pública 2009;25(3):521-8.
  • 14
    Brandão MP, Pimentel FL, Cardoso MF. Impact of academic exposure on health status of university students. Rev Saúde Pública 2011;45(1):49-58.
  • 15
    Zanchetta LM, Barros MBA, César CLG, Carandina L, Goldbaum M, Alves MCGP. Inatividade física e fatores associados em adultos, São Paulo, Brasil. Rev Bras Epidemiol2010;13(3):387-99.
  • 16
    Dumith SC, Domingues MR, Gigante DP. Epidemiologia das atividades físicas praticadas no tempo de lazer por adultos do Sul do Brasil. Rev Bras Epidemiol 2009;12(4):646-58.
  • 17
    Sousa TF, Santos SFS, Pie ACS, Rossato LC. Associação entre indicadores de prática de atividades físicas na adolescência com o nível atual de prática de atividades físicas no lazer em acadêmicos de um curso de Educação Física no Nordeste do Brasil. Pensar a Prática 2009;12(3):1-12.
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    » http://www.health.gov/paguidelines/pdf/paguide.pdf
  • 19
    Sousa TF, Fonseca AS, José HPM, Nahas MV. Estudo MONISA: características e aspectos metodológicos. RevBrasEpidemiol2012;5(4):904-7.
  • 20
    Luiz RR, Magnanini MF. A lógica da determinação do tamanho da amostra em investigações epidemiológicas. Cad Saúde Coletiva 2000;8(2):9-28.
  • 21
    Sousa TF, Fonseca SA, Mororó JHP, Nahas MV. Validade e reprodutibilidade do questionário Indicadores de Saúde e Qualidade de Vida de Acadêmicos (Isaq-A). Arq Ciênc Esporte 2013;1(1):21-30.
  • 22
    Kremer MM, Reichert FF, Hallal PC. Intensidade e duração dos esforços físicos em aulas de Educação Física. Rev SaúdePública 2012;46(2):320-6.
  • 23
    Trudeau F, Laurencelle L, Tremblay J, Rajic M, Shephard RJ. Daily primary school physical education: effects on physical activity during adult life. Med Sci Sports Exerc 1999;31(1):111-7.
  • 24
    Slingerland M, Borghouts L. Direct and indirect influence of physical education-based interventions on physical activity: a review. J Phys Act Health 2011;8(6):866-78.
  • 25
    Trudeau F, Shephard RJ. Contribution of school programmes to physical activity levels and attitudes in children and adults. Sports Med 2005;35(2):89-105.
  • 26
    Bichescu A. Leisure time sport activities of the students at Resita University. Procedia Soc Behav Sci 2014;117(9):735-40.
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Publication Dates

  • Publication in this collection
    Mar-Apr 2016

History

  • Received
    24 Sept 2015
  • Accepted
    23 Nov 2015
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