Global Matrix 4.0 Physical Activity Report Card Grades for Children and Adolescents: Results and Analyses From 57 Countries

Background: The Global Matrix 4.0 on physical activity (PA) for children and adolescents was developed to achieve a comprehensive understanding of the global variation in children’s and adolescents’ (5–17 y) PA, related measures, and key sources of influence. The objectives of this article were (1) to summarize the findings from the Global Matrix 4.0 Report Cards, (2) to compare indicators across countries, and (3) to explore trends related to the Human Development Index and geo-cultural regions. Methods: A total of 57 Report Card teams followed a harmonized process to grade the 10 common PA indicators. An online survey was conducted to collect Report Card Leaders’ top 3 priorities for each PA indicator and their opinions on how the COVID-19 pandemic impacted child and adolescent PA indicators in their country. Results: Overall Physical Activity was the indicator with the lowest global average grade (D), while School and Community and Environment were the indicators with the highest global average grade (C+). An overview of the global situation in terms of surveillance and prevalence is provided for all 10 common PA indicators, followed by priorities and examples to support the development of strategies and policies internationally. Conclusions: The Global Matrix 4.0 represents the largest compilation of children’s and adolescents’ PA indicators to date. While variation in data sources informing the grades across countries was observed, this initiative highlighted low PA levels in children and adolescents globally. Measures to contain the COVID-19 pandemic, local/international conflicts, climate change, and economic change threaten to worsen this situation

Os caminhos da fonoaudiologia no Sistema Único de Saúde - SUS The ways of the speech-language therapy in the Unique System of Health - SUS

TEMA: os caminhos da Fonoaudiologia no Sistema Único da Saúde - SUS. OBJETIVO: realizar um breve relato da evolução das questões de saúde no Brasil e da evolução do serviço de Fonoaudiologia no Sistema Público além de realizar uma breve análise sobre a importância de pesquisas nesta área. CONCLUSÃO: o serviço de Fonoaudiologia vem apresentando avanços significativos no Sistema Único de Saúde. Desde sua inserção no SUS, entre as décadas de 70 e 80, muitos conceitos e práticas têm sido reavaliados. No entanto, é preciso que se tenha conhecimento desta caminhada para que seja possível fazê-la avançar cada vez mais. Acredita-se que este serviço merece importante atenção das ações de saúde pública e que são necessárias evidências científicas que comprovem a importância deste trabalho.<br>BACKGROUND: the ways of the speech-language therapy in the Unique System of Health - SUS. PURPOSE: to accomplish a brief report about the health questions evolution in Brazil and speech-language therapy service evolution in the Public System, in addition to carry through a quick analysis on the concern of research in this area. CONCLUSION: speech-language therapy service has been presenting significant advances in the Unique System of Health. Since its insertion in SUS, between the decades of 70 and 80, many conceptions and practices have been reevaluated. However, it is necessary to have acquaintance on this step so that we can make it to advance each time more. We believe that this service deserves important attention from the actions of public health and that scientific evidences are necessary in order to prove the significance of this work