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- ItemAcesso aberto (Open Access)Atenção nutricional ao excesso de peso sob a ótica da integralidade: diagnóstico e avaliação da atenção básica e de média complexidade em município do sudeste brasileiro(Universidade Federal de São Paulo (UNIFESP), 2016-03-22) Neves, Jose Anael [UNIFESP]; Medeiros, Maria Angélica Tavares de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Background: Chronic noncommunicable diseases (NCDs) are the major public health problem in the world and overweight is one of its main causes and a modifiable risk factor. Prevention and control of this problem are part of health promotion agenda in several countries, including Brazil, where more than half of the adult population is overweight. Objective: To analyze nutritional care provided to adults with overweight in Primary and Secondary Health Care in Brazilian Southeastern, from the perspective of integrality. Methods: It was carried out a census study which identified and assessed the actions of nutritional care to adults with overweight, from the perspective of health comprehensiveness, through semi-structured interviews with managers and/or professionals of all services Primary and Secondary Health Care in Santos muncipality, São Paulo, Brazil. Results: It was found that actions are limited to individual clinical care, to the detriment of health promotion and protection actions; low insertion of dietitians professionals; disjointed practices from territorial contexts of services; limited dialogue between different levels of health care and lack of intersectoral action. Final Considerations: There are several limiting factors for nutritional care to adult with overweight in both health care levels investigated, configured as important obstacles to the achievement of health integrality.