Navegando por Palavras-chave "Nutrition Policy"

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    Análise da atenção nutricional ao idoso na atenção primária à saúde
    (Universidade Federal de São Paulo, 2017-09-28) Melo, Carolina Lou de [UNIFESP]; Medeiros, Maria Angélica Tavares de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Nutritional Care (NC) to the elderly is an important element for comprehensive health care in Primary Health Care (PHC), for its potential to act on the morbidity and mortality profile of the elderly population and to promote healthy aging. The objective of this research was to characterize and to analyze NC for the elderly in the PHC in Santos-SP; to verify if NC is considered in health care planning and to identify if the strategies and instruments used at this level correspond to the specificities of the target public. This is a cross-sectional study, with a quantitative-qualitative approach, composed of two stages and originated from a PHC census research in Santos. For the first stage (characterization), the census data of the PHC services (n = 28) of the insular area of Santos, related to the NC for the elderly, were obtained from a structured interview with service managers. For the second (analysis), semi-structured interviews were conducted with nine health professionals, key informants of the subject matter. The selection of these was based on the criterion of saturation point. The data from step one were analyzed from frequentist statistics; those of stage two submitted to content analysis and the interpretations were based on the theoretical framework of comprehensive health care and socioanthropology of aging. The NC for the elderly, in PHC, was characterized as being fragmented and oriented under the biomedical care model. Aging was associated with the disease and the elderly was not recognized as an autonomous subject. Thus, the way the NC is organized is distant from the precepts of the comprehensive health care, weakening the role of PHC in the coordination of care.
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    Desenvolvimento e validação de conteúdo de instrumento de avaliação da atenção nutricional no âmbito da atenção primária à saúde
    (Universidade Federal de São Paulo, 2017-10-25) Almeida, Ana Beatriz Pacito [UNIFESP]; Medeiros, Maria Angélica Tavares de [UNIFESP]; Santana, Angélica Barbosa Neres; http://lattes.cnpq.br/4891875284385301; http://lattes.cnpq.br/5008335677535140; Universidade Federal de São Paulo (UNIFESP)
    Introdution: Food and Nutrition (F&N) actions has a central role in healthy promotion and prevention of health problems, and Primary Health Care (PHC) is strategic to the realization of this actions. However, although the Política Nacional de Alimentação e Nutrição (PNAN) establish as the first guideline the organization of Nutritional Care (NC), this continue neglected in PHC and don’t be finded registries in literature about any instrument who propose evaluate it. According to the above, the justification to the realization of this study is based in the necessicity to elaborate and validate the content of an instrument, composed by questions and indicators, able to portray the situation in the Country about the NC provided in the units of PHC and assist the decisions. Objectives: Develop and validate the content of the Instrumento de Avaliação da Organização da Atenção Nutricional (IAAN) whitin the PHC. Methods: The study was approved by the Research Ethics Committee of Universidade Federal de São Paulo on the number of notion 1.661.045. The elaboration of the instrument is based in a extensive literature review to identificate the F&N actions planned in the official guidelines and the possible repercutions for succes of NC. The instrument were reviewed by researchers of area and submitted to an pilot study. Was used the Delphi tecnic to obtain the consensus between the experts nutritionists and, consequently, validation of content of IAAN. The strategies to collect the participants to the validation process included, among others, contact with the profissional concils and researchers associations, and identification of the state coordinators of F&N. Results: The panel of experts was composed by nutritionists who work in different areas of PHC, videlicet: management, department, teaching and research; and all the macro regions of the Country was represented. The content of IAAN was validated in two rounds and its final version got 68 questions and 10 indicators: 1) Acting of nutritionist: graduate, knowledge, relation with the team, workload and work process; 2) Support to the NC actions: infrastructure and permanent education; 3) Intersectoriality; 4) Social control; 5) Food and Nutrition Surveillance; 6) Individual NC; 7) NC for groups; 8) NC at prenatal care; 9) NC at puerperium and breast-feeding; and 10) NC to the child’s health. Conclusion: The process of the validation was fundamental to assegurate the adequation and the representivity of the content of IAAN. The experts’ qualification support the analisys of the instrument and granted the credibility to the validation. The participation of all the macro regions of Brazil made possible the appreciation of the instrument by specialists who worked in different realities. The IAAN turn able the establishment of evaluative process and to represent a method to utilization in researchs. The results obtained with future utilizations could contribute to elaborate a representation of the lived situation in the Country and, therefore, subsidize decisions that promotes progress and improvements of NC.
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    Estimativa de consumo de sódio pela população brasileira, 2008-2009
    (Faculdade de Saúde Pública da Universidade de São Paulo, 2013-06-01) Sarno, Flavio; Claro, Rafael Moreira; Levy, Renata Bertazzi; Bandoni, Daniel Henrique [UNIFESP]; Monteiro, Carlos Augusto; Universidade de São Paulo (USP); Universidade Federal de Minas Gerais Departamento de Nutrição; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE:To update estimates of sodium intake in Brazil.METHODS:We used data from the Brazilian Household Budget Survey of 2008-2009. Records of food purchases of households were converted into nutrients using food composition tables. Mean sodium availability per person per day and mean adjusted availability for a 2,000 kcal daily energy intake were calculated. The contribution of food groups to the total household sodium availability was calculated and compared to results estimated from the 2002-2003 Household Budget Survey.RESULTS:Mean daily sodium available for consumption in Brazilian households was 4.7 g per 2,000 kcal per day, thus still more than twice the recommended levels of intake for this nutrient. Although most of the sodium available for intake is derived from table salt or salt-based condiments (74.4%), the fraction derived from processed foods with added salt showed a strong linear increase with household income (12.3% of total sodium intake in the lower quintile of per capita income distribution and 27.0% in the upper quintile). There was a reduction in the contribution of salt and salt-based condiments (76.2% to 74.4%) and fresh or processed foods without added salt (6.6% to 4.8%) and an increase of processed foods with added salt (15.8% to 18.9%) and ready meals (1.4% to 1.6%), when compared to results estimated from the 2002-2003 Household Budget Survey.CONCLUSIONS:Sodium intake in Brazil remains at levels above the recommended maximum for this nutrient in all Brazilian macro regions and income strata. There was stability in the total household sodium availability, and an increase in the fraction from processed foods with addition of salt and ready meals, when comparing 2008-2009 with 2002-2003.