Navegando por Palavras-chave "Qualidade dos alimentos"
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- ItemAcesso aberto (Open Access)Avaliação das condições higiênico-sanitárias das cozinhas de creches públicas e filantrópicas(ABRASCO - Associação Brasileira de Saúde Coletiva, 2008-06-01) Oliveira, Mariana de Novaes [UNIFESP]; Brasil, Anne Lise Dias [UNIFESP]; Taddei, Jose Augusto de Aguiar Carrazedo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This paper aims to evaluate the hygienic-sanitary conditions of kitchens in philanthropic and public daycare centers in the city of São Paulo using a tool of easy application. Information on the hygienic-sanitary conditions was gathered observing the operational conditions of five public and philanthropic daycare centers in the city of São Paulo. A score was developed for classifying the risks of food contamination. The operational conditions in the kitchens of the studied philanthropic and public daycare centers in the city of São Paulo can result in contamination of the prepared food. Among the most important risk factors for food contamination is the behavior of the workers who handle the food. Training and continuous supervision of the involved personnel are the best and easiest alternatives for assuring the appropriate hygienic-sanitary conditions and quality of the food offered to the children in these daycare centers.
- ItemSomente MetadadadosCreche como promotora de segurança alimentar de crianças no Município de São Paulo(Universidade Federal de São Paulo (UNIFESP), 2006) Oliveira, Mariana de Novaes [UNIFESP]; Taddei, Jose Augusto de Aguiar Carrazedo [UNIFESP]
- ItemAcesso aberto (Open Access)Crescimento, consumo alimentar e qualidade da dieta de crianças menores de dois anos nascidas de mães infectadas pelo HIV(Universidade Federal de São Paulo (UNIFESP), 2016-06-30) Almeida, Daniela Neri Gama de [UNIFESP]; Oliveira, Fernanda Luisa Ceragioli [UNIFESP]; http://lattes.cnpq.br/8148781454320955; http://lattes.cnpq.br/8835701362950449; Universidade Federal de São Paulo (UNIFESP)Introduction: HIV-exposed, uninfected (HEU) infants are potentially at risk for non-communicable diseases due to in utero exposures. Feeding practices of the infant could compound this risk. Moreover, excessive added sugars intake and ultraprocessed product (UPP) consumption increase the risk of obesity and chronic diseases. However, few studies have evaluated dietary intake of HEU children. In a sample of HEU infants/toddlers followed at the University of Miami HIV Screening Program we determined: i) dietary factors associated with rapid weight gain (RWG) from birth to 6 months; and ii) the proportion of infants/toddlers age 6-19 months who consumed added sugars in excess, and the contributions of each food group to total energy and to energy from added sugars. Methods: two manuscripts were produced based on data obtained originally from a longitudinal assessment on growth and dietary intake of HEU infants: i) in a cross-sectional analysis, logistic regression was used to determine dietary factors associated with RWG defined as a greater than 0.67 SD change in weight-for-age Z-score from birth to assessment; ii) in another cross-sectional analysis, food items consumed (n = 286) by HEU infant/toddlers from 6-19 months were converted into energy and classified into one of the four groups of the NOVA System according to degree of industrial processing. Results: A total of 86 full-term HEU infants mean age of 3.4 ± 1.8 months were included in the first analysis. Overall, 39.5% of infants exhibited RWG. A significant association between consumption of infant cereal and RWG (OR, 3.52; 95% CI, 1.02?12.10) was found after adjusting for birth weight, current age, and energy intake. Those infants who consumed the highest tertile of protein were less likely to gain weight rapidly after adjusting for the same covariates (OR, 0.15; 95% CI, 0.02?0.94). In the second analysis, forty-eight HEU infant/toddlers, median age 12.3 months [IQR: 11.85-13.69 months], were studied. Forty percent of children were overweight. Fifty percent of the sample consumed a high added sugar diet. UPP comprised 65% of energy intake and 100% of the energy intake from added sugars. Infants/toddlers with high added sugar intake consumed more calories from UPP (760 vs. 530 kcal, P=0.006) and less calories from fresh foods (90 vs. 413 kcal, P=0.006) than those with adequate intake. No differences in overweight rate were found between the groups. Conclusions: Overall differences in weight gain during early infancy are at least partly explained by means of infant feeding in young HEU infants in the United States. Excess added dietary sugar, with more than half of total dietary energy from UPP, are common dietary constituents among HEU, and these rates are comparable to the general US population (60%). UPP contributes to the entire amount of added sugars consumed by this young population. Actions that encourage the introduction of complementary foods based on minimally processed foods and discourage consumption of AUP are essential.
- ItemAcesso aberto (Open Access)Diet quality index for healthy food choices(Pontifícia Universidade Católica de Campinas, 2013-12-01) Caivano, Simone [UNIFESP]; Domene, Semíramis Martins Álvares [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To present a Diet Quality Index proper for dietary intake studies of Brazilian adults. METHODS: A diet quality index to analyze the incorporation of healthy food choices was associated with a digital food guide. This index includes moderation components, destined to indicate foods that may represent a risk when in excess, and adequacy components that include sources of nutrients and bioactive compounds in order to help individuals meet their nutritional requirements. The diet quality index-digital food guide performance was measured by determining its psychometric properties, namely content and construct validity, as well as internal consistency. RESULTS: The moderation and adequacy components correlated weakly with dietary energy (-0.16 to 0.09). The strongest correlation (0.52) occurred between the component 'sugars and sweets' and the total score. The Cronbach's coefficient alpha for reliability was 0.36. CONCLUSION: Given that diet quality is a complex and multidimensional construct, the Diet Quality Index-Digital Food Guide, whose validity is comparable to those of other indices, is a useful resource for Brazilian dietary studies. However, new studies can provide additional information to improve its reliability.
- ItemAcesso aberto (Open Access)Instrumento de avaliação das Boas Práticas em Unidades de Alimentação e Nutrição Escolar: da concepção à validação(ABRASCO - Associação Brasileira de Saúde Coletiva, 2013-04-01) Stedefeldt, Elke [UNIFESP]; Cunha, Diogo Thimoteo da [UNIFESP]; Silva Júnior, Êneo Alves; Silva, Sueli Maria da [UNIFESP]; Oliveira, Ana Beatriz Almeida de; Universidade Federal de São Paulo (UNIFESP); Centro de Diagnósticos Laboratoriais; Universidade Federal do Rio Grande Faculdade de MedicinaThe scope of this study was to elaborate and validate an assessment tool for Best Practices in School Food and Nutrition Units. For this purpose a survey was conducted in the city of Santos (São Paulo - Brazil), in two stages: 1) Preparation of a Checklist for Best Practices in School Food and Nutrition Units (BPAE checklist). 2) Validation of the BPAE checklist. This checklist was applied in 76 public schools along with two other reference checklists. Sensitivity and specificity were estimated using the Receiver Operating Characteristics (ROC) Curve and the checklist was evaluated by application of the Likert scale. The thematic groups received weights to calculate the percentage of adequacy. After the application of the checklists in schools, the area under the curve value of 0.79 was found for the SS-196 checklist and 0.85 for the 542/2006 administrative checklist. These values indicate good suitability of the BPAE checklist to identify inadequacies, and it also received a positive assessment from the school food nutritionists. It proved that the checklist will assist in decision-making to ensure quality control. Once the BPAE checklist has been fully tested and validated it should prove an important tool for quality control in school nutrition.
- ItemAcesso aberto (Open Access)Qualitative evaluation of the menu and plate waste in public day care centers in São Paulo city, Brazil(Pontifícia Universidade Católica de Campinas, 2013-04-01) Longo-Silva, Giovana [UNIFESP]; Toloni, Maysa Helena de Aguiar [UNIFESP]; Rodrigues, Sara; Rocha, Ada; Taddei, Jose Augusto de Aguiar Carrazedo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade do Porto Faculdade de Ciências da Nutrição e AlimentaçãoOBJECTIVE: This study assessed menu quality and plate waste in public day care centers of São Paulo (SP), Brazil. METHODS: This cross-sectional study collected data from the nurseries of seven day care centers, totaling 366 children aged 12 to 36 months. Each day care center was assessed for three days, totaling 42 days and 210 meals. Menu quality was assessed by the Qualitative Analysis of Menu Preparations method (Análise Qualitativa das Preparações do Cardápio), adapted for day care centers, which provides nutritional and sensory criteria. Food waste was determined by the Plate Waste-Ingestion Index. RESULTS: The supply of vegetables was inadequate in more than 90% of the days, and the amount of leafy vegetables and high-sulfur foods met the recommended amounts on 50% of the days. The supply of sweets and foods containing trans fatty acids was considerable. The Plate Waste-Ingestion Index for daycare centers varied from 25% to 43%, and the Plate Waste-Ingestion Index for food items varied from 11% to 47%. CONCLUSION: The preparations served and serving sizes clearly need to be reviewed, and new menu creation strategies are needed to control food waste.