Lifestyle medicine in the practice of health professionals in riverine family health

Authors

DOI:

https://doi.org/10.21527/2176-7114.2026.51.16461

Keywords:

Lifestyle Medicine, health promotion assessment, primary health care, rural community

Abstract

This study aims to analyze how Riverside Primary Health Care Unit professionals apply the principles of Lifestyle Medicine in their daily practice. A cross-sectional exploratory study was conducted, using a qualitative approach. The sampled participants were selected from the staff of the Health Unit. They consisted of 16 professionals from the Riverside Family Health Unit, including community health agents, nursing technicians, and higher-level professionals, who participated in four focus groups. Data were collected using a semi-structured interview guide with open-ended questions, applied during focus group meetings. Data analysis was conducted using the IRaMuTeQ software to perform Content Analysis, following the Reinert Method. In the discourse, the speeches and knowledge applied in the work of health professionals were identified, varying according to their role in the Riverside Health Care Center's health team. The discourse of higher-level professionals focuses on technical issues, while nursing techniques and community health agents focus on user engagement approaches. In the discourse, themes such as sleep, stress, and social connections are strongly related, as well as healthy eating and physical activity. Approaching sensitive topics such as alcohol and toxic Substances seems to be challenging, indicating potential gaps in knowledge or difficulties in structuring effective interventions in this area. Primary care teams need to broaden their understanding of existing management methodologies for self-care education, going beyond professional technical knowledge, and considering the health determinants that interact with individual, familial, and community knowledge.

References

1. Lianov L, Johnson M. Physician competencies for prescribing lifestyle medicine. JAMA. 2010;304(2):202-203. DOI: https://doi.org/10.1001/jama.2010.903

2. Brasil. Ministério da Saúde. Gabinete do Ministro. Portaria nº 2.436, de 21 de setembro de 2017. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS). Brasília (DF): Ministério da Saúde; 2017.

3. Dahlgren G, Whitehead M. The Dahlgren-Whitehead model of health determinants: 30 years on and still chasing rainbows. Public Health. 2021;199:20-24. DOI: https://doi.org/10.1016/j.puhe.2021.08.009

4. Organização Mundial da Saúde. Noncommunicable diseases [Internet]. Geneva: World Health Organization; 2021. Disponível em: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

5. Al-Jawaldeh A, Abbass MMS. Unhealthy dietary habits and obesity: the major risk factors beyond non-communicable diseases in the Eastern Mediterranean Region. Front Nutr. 2022;9:1-21. DOI: https://doi.org/10.3389/fnut.2022.817808

6. Marinho JI, et al. Análise de conceito sobre estilo de vida saudável no contexto da atenção primária de saúde. Res Soc Dev. 2021;14. DOI: https://doi.org/10.33448/rsd-v10i14.22107

7. Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância de Doenças Não Transmissíveis. Plano de ações estratégicas para o enfrentamento das doenças crônicas e agravos não transmissíveis no Brasil 2021-2030. Brasília (DF): Ministério da Saúde; 2020. 122 p.

8. Benigas S, Shurney D, Stout R. Making the case for lifestyle medicine. J Fam Pract. 2022;71(1 Suppl):S2-S4. DOI: https://doi.org/10.12788/jfp.0296

9. Lippman D, Stump M, Veazey E, Guimarães ST, Rosenfeld R, Kelly JH, et al. Foundations of lifestyle medicine and its evolution. Mayo Clin Proc Innov Qual Outcomes. 2024;8(1):97-111. DOI: https://doi.org/10.1016/j.mayocpiqo.2023.11.004

10. Rippe JM. Lifestyle medicine: the health promoting power of daily habits and practices. Am J Lifestyle Med. 2018;12(6):499-512. DOI: https://doi.org/10.1177/1559827618785554

11. Trilk JL, et al. Design and implementation of a lifestyle medicine curriculum in undergraduate medical education. Am J Lifestyle Med. 2019;13(6):574-585. DOI: https://doi.org/10.1177/1559827619836676

12. Brasil. Ministério da Saúde. Gabinete do Ministro. Redefine o arranjo organizacional das Equipes de Saúde da Família Ribeirinhas (ESFR) e das Equipes de Saúde da Família Fluviais (ESFF) dos Municípios da Amazônia Legal e do Pantanal Sul-Matogrossense. Brasília (DF): Ministério da Saúde; 2014.

13. Lima RTS, Fernandes TG, Martins PJ, et al. Saúde em vista: uma análise da atenção primária à saúde em áreas ribeirinhas e rurais amazônicas. Cien Saude Colet. 2021;26(6):2053-2064. DOI: https://doi.org/10.1590/1413-81232021266.02672021

14. Instituto de Pesquisa Econômica Aplicada. Atlas da vulnerabilidade social nos municípios brasileiros. Brasília (DF): IPEA; 2015.

15. Soares MK, Santos MPG, Guimarães RB, Cunha VH. Dinâmicas da violência no território brasileiro: Pará. Brasília (DF): Instituto de Pesquisa Econômica Aplicada; 2024.

16. Carmo EG, Oliveira GM. O papel dos agentes comunitários de saúde em diferentes fases da vida da pessoa idosa: a promoção de saúde junto à comunidade assistida. Rev Novas Tecnol Educ. 2024;22(2):178-198. DOI: https://doi.org/10.22456/1679-1916.142549

17. Gill P, et al. Methods of data collection in qualitative research: interviews and focus groups. Br Dent J. 2008;204(6):291-295. DOI: https://doi.org/10.1038/bdj.2008.192

18. Gondim SMG. Grupos focais como técnica de investigação qualitativa: desafios metodológicos. Paideia (Ribeirão Preto). 2002;12(24):149-161. DOI: https://doi.org/10.1590/S0103-863X2002000300004

19. Trad LAB. Grupos focais: conceitos, procedimentos e reflexões baseadas em experiências com o uso da técnica em pesquisas de saúde. Physis. 2009;19(3):777-796. DOI: https://doi.org/10.1590/S0103-73312009000300013

20. Lervolino SA, Pelicioni MCF. A utilização do grupo focal como metodologia. Rev Esc Enferm USP. 2001;35(2):115-121. DOI: https://doi.org/10.1590/S0080-62342001000200004

21. Nii Laryea-Fafio M, Ogbewe OC. Ethical consideration dilemma: systematic review of ethics in qualitative data collection through interviews. J Ethics Entrep Technol. 2023;3(2):94-110. DOI: https://doi.org/10.1108/JEET-09-2022-0014

22. Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016.

23. Oliveira Júnior AP, Salerno S. Research trend on the use of historical approaches for the teaching of statistics in Brazil. J Res Pharm Sci. 2021;7(1):20-34.

24. Camargo BV, Justo AM. IRAMUTEQ: um software gratuito para análise de dados textuais. Temas Psicol. 2013;21(2):513-518. DOI: https://doi.org/10.9788/TP2013.2-16

25. Rosa MPA, Candaten AE. Análise qualitativa mediada pelo software IRaMuTeQ: interpretações a partir de ontem e hoje no Sistema Único de Saúde. New Trends Qual Res. 2021:505-513. DOI: https://doi.org/10.36367/ntqr.8.2021.505-513

26. Yoo SS, et al. The human emotional brain without sleep—a prefrontal amygdala disconnect. Curr Biol. 2007;17(20):R878-R879. DOI: https://doi.org/10.1016/j.cub.2007.08.007

27. Kalmbach DA, Anderson JR, Drake CL. The impact of stress on sleep: pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders. J Sleep Res. 2018;27(6):e12710. DOI: https://doi.org/10.1111/jsr.12710

28. Holt-Lunstad J. The major health implications of social connection. Curr Dir Psychol Sci. 2021;30(3):251-259. DOI: https://doi.org/10.1177/0963721421999630

29. Hakulinen C, et al. Social isolation and loneliness as risk factors for myocardial infarction, stroke and mortality: UK Biobank cohort study of 479,054 men and women. Heart. 2018;104:1536-1542. DOI: https://doi.org/10.1136/heartjnl-2017-312663

30. National Academies of Sciences, Engineering, and Medicine. Social isolation and loneliness in older adults: opportunities for the health care system. Washington (DC): National Academies Press; 2020. 217 p. DOI: https://doi.org/10.17226/25663

31. Brewer JA. Avoidance of risky substances: steps to help patients reduce anxiety, overeating and smoking. In: American College of Lifestyle Medicine. A family physician’s introduction to lifestyle medicine. [S.l.]: ACLM; 2022. p. S35-S37. DOI: https://doi.org/10.12788/jfp.0244

32. Rosenstock KIV, Neves MJ. Papel do enfermeiro da atenção básica de saúde na abordagem ao dependente de drogas em João Pessoa, PB. Rev Bras Enferm. 2010;63(4):581-586. DOI: https://doi.org/10.1590/S0034-71672010000400013

33. Da-Glória P, Piperata BA. Modos de vida dos ribeirinhos da Amazônia sob uma abordagem biocultural. Cienc Cult. 2019;71(2):45-51. DOI: http://dx.doi.org/10.21800/2317-66602019000200014

34. Da Costa RS, Dias BRL, Pontes AN. Transição nutricional e seus efeitos na mudança dos hábitos alimentares na Amazônia Legal Brasileira. Rev Saude Meio Ambiente. 2023;15(2):109-119.

35. Pereira RA, Dias AK, Markus GWS. Tabagismo, problema de saúde pública: conhecimento do profissional enfermeiro. Rev Extensao. 2019;3(1):93-102.

36. Franco CM, et al. Working practices and integration of primary health care doctors in remote rural areas in Brazil: a qualitative study. BMC Prim Care. 2024;25(1):319. DOI: https://doi.org/10.1186/s12875-024-02553-8

37. Mendonça AVM. O papel da comunicação em saúde no enfrentamento da pandemia: erros e acertos. In: Santos AO, Lopes LT, organizadores. Competências e regras. Brasília (DF): Conselho Nacional de Secretários de Saúde; 2021. p. 164-179. (Coleção Covid-19; v. 3). Disponível em: https://www.conass.org.br/biblioteca/volume-3-competencias-e-regras/

Published

2026-01-02

How to Cite

de Lucena, L. G. M., de Matos, H. J., & Santos-Lobato, E. A. V. (2026). Lifestyle medicine in the practice of health professionals in riverine family health. Revista Contexto & Saúde, 26(51), e16461. https://doi.org/10.21527/2176-7114.2026.51.16461

Issue

Section

ORIGINAL ARTICLE