Navegando por Palavras-chave "Food habits"

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    Cárie dentária e práticas alimentares entre crianças de creches do município de São Paulo
    (Pontifícia Universidade Católica de Campinas, 2013-02-01) Biral, Adriana Manrubia [UNIFESP]; Taddei, Jose Augusto de Aguiar Carrazedo [UNIFESP]; Passoni, Daniela Forlin [UNIFESP]; Palma, Domingos [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: The present study investigated associations between the prevalence of dental caries and introduction of complementary foods in children aged 11 to 34 months attending daycare centers. METHODS: This cross-sectional study included 288 children from eight daycare centers in São Paulo, 2007. The modified decay-missing-filled index, used for diagnosis, was investigated by a team of three trained dentists aiming at precision and accuracy. Food introduction was assessed using a pre-codified and pre-tested questionnaire. The Chisquare test was used to quantify associations and logistic regression models (p<0.05) were adjusted for multivariate analysis. RESULTS: The sample consisted of 228 children aged 11 to 34 months (M=24 months, SD=6.02). Of these, 53.9% were male and 57.45% attended philanthropic daycare centers. Seventy-seven percent of the sample had modified decay-missing-filled index ≥1 and the average modified decay-missing-filled index of the population is 3.8. Significant risk factors according to modified decay-missing-filled index were being male (OR=1.815, p=0.03) and paternal formal education of less than eight years (OR=1.94, p=0.02). The logistic regression model identified the exposure to simple carbohydrates as an independent risk factor, after controlling for the effects of sex and parental educational. Such exposure increased the chances of having modified decay-missing-filled index ≥1 by 2.5 times. CONCLUSION: Special attention should be given to this group of individuals, implementing preventive policies in oral health and building healthy food habits in daycare centers.
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    Changes in eating habits following total and frontolateral laryngectomy
    (Associação Paulista de Medicina - APM, 2004-01-01) Pillon, Jackeline [UNIFESP]; Gonçalves, Maria Inês Rebelo [UNIFESP]; De Biase, Noemi Grigoletto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    CONTEXT: Swallowing is a continuous dynamic process, characterized by complex stages, that involves structures of the oral cavity, pharynx, larynx and esophagus. It can be divided into three phases: oral, pharyngeal and esophageal. Dysphagia is characterized by difficulty with, or the inability to swallow food of normal consistencies. OBJECTIVE: To investigate the presence of swallowing difficulties and modifications made to the consistency of the food consumed in cases of total and partial laryngectomy, with or without subsequent radiotherapy, among patients who had not been diagnosed as having dysphagia. TYPE OF STUDY: Descriptive study. SETTING: Voice Clinic of São Paulo Hospital, Universidade Federal de São Paulo (UNIFESP)/Escola Paulista de Medicina, São Paulo, Brazil. METHOD: 36 laryngectomy patients: 25 total and 11 frontolateral cases, were studied. A survey consisting of a 23-item questionnaire was applied by a single professional. RESULTS: Among those interviewed, 44% reported having modified the consistency of the food consumed (56% of the total and 20% of the partial frontolateral laryngectomy cases). It was not possible to investigate the influence of radiotherapy on the groups in this study, because the partial frontolateral laryngectomy cases were not exposed to radiotherapy. There was a higher incidence of complaints of swallowing difficulties in total laryngectomy cases (p < 0.027) than in partial frontolateral cases. However, there was no relationship between the surgery and weight loss. We also noted the patients' other problems regarding the eating process, as well as the compensation that they made for such problems. DISCUSSION: Research has shown an association between laryngectomy and swallowing difficulties, although there have been no reports of associated changes in eating habits among laryngectomized patients. CONCLUSIONS: This study showed that difficulty in swallowing is not rare in total and frontolateral laryngectomy cases. Such patients, even those who did not complain of dysphagia, also had minor difficulties while eating, and had to make some adaptations to their meals.
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    Comparação do padrão alimentar de mães de baixo nível sócio-econômico durante a fase de lactação e após o desmame
    (Faculdade de Saúde Pública da Universidade de São Paulo, 1985-04-01) Tudisco, Eliete Salomon [UNIFESP]; Manoel, Nair de Jesus [UNIFESP]; Goldenberg, Paulete [UNIFESP]; Juliano, Yara [UNIFESP]; Novo, Neil Ferreira [UNIFESP]; Sigulem, Dirce Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The alimentary conditions of one hundred and ninety low-income parturients from S. Paulo city (Brazil) were assessed at two stages: during the breast feeding period (Inquiry I) and after it (Inquiry II). The twenty-four hour recall method was used to obtain the alimentary patterns and to estimate the nutritional risk. The results showed that the mother's alimentary pattern consisted of foods belonging to the protectors (beans, milk and meat); regulators (banana, orange, lettuce and tomato) and energetics (rice, bread, potatoes, noodles, refined sugar, vegetable oil) thus constituting a diet which is qualitatively satisfying. A relevant statistical difference between the two stages that were analyzed, as between the respective intake of milk, beans and coffee was found, showing a major intake of milk, during the breast feeding period (Inquiry I) and an increase of the ingestion of beans and coffee after weaning (Inquiry II). Apart from that, the deficiency revealed by Inquiry I was most often caloric-proteic while in Inquiry II the major deficiency was caloric, showing that the sample analyzed is a target group with high risk of protein-caloric mal-nutrition.
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    Degree of food processing of household acquisition patterns in a Brazilian urban area is related to food buying preferences and perceived food environment
    (Elsevier B.V., 2015-04-01) Vedovato, Gabriela Milhassi [UNIFESP]; Trude, Angela Cristina Bizzotto; Kharmats, Anna Y.; Martins, Paula Andrea [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Johns Hopkins Bloomberg Sch Publ Hlth
    Objective: This cross-sectional study examined the association between local food environment and consumers' acquisition of ultra-processed food. Methods: Households were randomly selected from 36 census tracts in Santos City, Brazil. Mothers, of varying economic status, who had children ages 10 or younger (n = 538) were interviewed concerning: their household food acquisition of 31 groups of food and beverages, perceptions of local food environment, food sources destinations, means of transportation used, and socioeconomic status. Food acquisition patterns were classified based on the degree of industrial food processing. Logistic regression models were fitted to assess the association between consumer behaviors and acquisition patterns. Results: the large variety of fresh produce available in supermarkets was significantly related to lower odds of ultra-processed food purchases. After adjusting for sociodemographic characteristics, higher odds for minimally-processed food acquisition were associated with: frequent use of specialized markets to purchase fruits and vegetables (OR 1.89, 95% CI 1.01-234), the habit of walking to buy food (OR 1.58, 95% CI 1.08-2.30), and perceived availability of fresh produce in participants' neighborhood (OR 1.58, 95% CI 1.08-2.30). Acquisition of ultra-processed food was positively associated with the use of taxis as principal means of transportation to food sources (OR 2.35, 95% CI 1.08-5.13), and negatively associated with perceived availability of a variety of fruits and vegetables in the neighborhood (OR 0.57, 95% CI 037-0.88). Conclusion: the results suggest that interventions aiming to promote acquisition of less processed food in settings similar to Santos, may be most effective if they focus on increasing the number of specialized fresh food markets in local neighborhood areas, improve residents' awareness of these markets' availability, and provide appropriate transportation. (C) 2014 Elsevier B.V. All rights reserved.
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    Guia alimentar digital: ferramenta para incorporação de escolhas alimentares saudáveis
    (Universidade Federal de São Paulo (UNIFESP), 2013-02-27) Caivano, Simone [UNIFESP]; Domene, Semíramis Martins Álvares [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    INTRODUCTION. The development of dietary guidelines next to the action planning aligned to culture and health problems related to food in each country are strategies to improve dietary intake and nutritional well-being of the population. The American food pyramid was one of the best known icons for promoting healthy eating and, since its proposition, other guides were constructed to incorporate advances in nutrition science and enhance the role of qualitative indicators of dietary intake for the prevention of chronic diseases. Nutrition education is a process that aims to help individuals and groups to adopt desirable eating behaviors as part of a healthy lifestyle. The search for languages that enhance the dialogue with the leaner is a strategy for meaningful learning, whereby the individual is invited to leadthe process. The increasing interest and access to information technology is an opportunity to promote healthy food choices. Digital language was used to house a Food Guide on mobile devices; the outcome effect of this tool, however, is not known on the eating behavior or the acceptance of its users. OBJECTIVE.To evaluate the Digital Food Guide (DFG) as a resource to promote healthy food choices. MATERIALS AND METHODS. Retrospective cohort study involving analysis of food intake and body weight was conducted with DFG users of both sexes and aged between 19 and 50 years. An Index was created to assess the Diet Quality, associated with the guide – DQI-DFG. Psychometric properties of the instrument were used to evaluate its reliability and validity. The users' perception regarding the usability of the tool, healthy choices incorporation and transition to appropriate weight was measured by a Likert scale. RESULTS.Among the 442 subjects in the sample, 31.45% showed improvement of the diet quality and 60% lost weight. The validation study of the DQI-DFG showed weak correlations between the components and the total energy of the diet (r = -0.16 to 0.09), the highest correlation (r = 0.515) occurred between the component sugars and sweets and total score; internal consistency showed an α= 0.36; answering to Likert scale, users indicatedsatisfaction of most assertives, with an average 3.10 points outof possible 4.0. CONCLUSION.The increased interest and access to technology for mobile devices is an opportunity to promote healthy food choices. The DFG helped in improving dietary patterns and the loss of excess weight. Although the internal consistency is similar to that observed in international indexes, the reliability of the instrument can be improved in order to provide greater certainty and to qualify interpretation of the data of food intake. The perception was positive for all three dimensions studied, which demonstrates an assertive technological construction.
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    Hiperlipidemias e fatores dietéticos: estudo transversal entre nipo-brasileiros
    (Universidade Federal de São Paulo (UNIFESP), 2006-12-31) Bevilacqua, Marselle Rodrigues [UNIFESP]; Gimeno, Suely Godoy Agostinho [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The present study had as objective to evaluate the association between hyperlipidemia and dietary patterns of Japanese-Brazilians with and without hypothyroidism from Bauru. We evaluated 1330 first- and second generation subjects of aged 30 years or more in the course of 1999 and 2000. Demographic and dietary measurement, were gotten through standardized questionnaires previously tested. Clinical examination and laboratory data were anthropometry, blood pressure, fasting and 2-h poast glucose load, lipid profile and TSH and free T4. The chi-square and the odds ratio were used to evaluate associations between hyperlipidemia with studied variables. The prevalence of hyperlipidemia was 81,5% and it was associated with smorkers, overweight, hypothyroid, hypertensive and glucose intolerants. We observed, in crude analysis, relationships with the presence of hyperlipidemia and fat saturated, oleic acid and dietary fiber from grains and cereals. After adjusting for the control variables, we observed relationships between hyperlipidemia (hypercholesterolemia and hypertriglyceridemia) with habitual intake of total fat, oleic acid, saturated fat, trans fat, carbohydrates, dietary fiber and alchool. As a conclusion, in japanese-brazilians, the hyperlipidemia, beyond classical cardiovascular risk factors, also is associated with dietary patterns.
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    Introdução de alimentos na dieta de crianças de creches públicas e filantrópicas do município de São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2010-03-31) Toloni, Maysa Helena de Aguiar [UNIFESP]; Taddei, Jose Augusto de Aguiar Carrazedo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introdução: A alimentação está intimamente associada à saúde, nutrição, crescimento e desenvolvimento infantil, constituindo-se, os primeiros anos de vida, em período vital para o estabelecimento de práticas alimentares adequadas, que são, por sua vez, condicionadas pelo poder aquisitivo, nível de informação das famílias e alimentos disponíveis no mercado. A introdução de alimentos altamente calóricos e de baixo valor nutricional desde o início da vida e o abandono precoce do aleitamento materno contribuem para o comprometimento do crescimento e desenvolvimento da criança, além da diminuição da proteção imunológica, com consequente desencadeamento de processos alérgicos e distúrbios nutricionais. Objetivo: Descrever e discutir a introdução de alimentos industrializados na dieta de crianças frequentadoras de berçários em creches públicas e filantrópicas, identificando desvios em relação à recomendação do Guia Alimentar do Ministério da Saúde para uma Alimentação Saudável. Métodos: Estudo do tipo transversal com amostra composta por 270 crianças, de ambos os sexos, com faixa etária entre quatro e 29 meses, que frequentavam regularmente os berçários de oito creches públicas e filantrópicas do município de São Paulo e que foram autorizadas pelos pais ou responsáveis a participarem da pesquisa ao assinarem o termo de consentimento informado livre e esclarecido. Utilizando-se questionário estruturado e pré-codificado foi avaliada a introdução de alimentos. Para cada alimento analisado foi registrada a idade em meses de introdução e avaliada a concordância com o oitavo passo do Guia Alimentar do Ministério da Saúde. Resultados: Para aproximadamente 2/3 das crianças (67%) foram oferecidos, antes dos 12 meses, alimentos com potencial obesogênico, como macarrão instantâneo, salgadinhos, bolacha recheada, suco artificial, refrigerante e bala/pirulito/chocolate. São os filhos de mães com baixa escolaridade, mais jovens e com menor renda, os mais susceptíveis aos erros alimentares de introdução precoce de alimentos industrializados. Conclusões: Medidas educativas e preventivas devem ser propostas para a formação de hábitos alimentares saudáveis desde a infância, além da criação de campanhas abrangentes e efetivas que estimulem a escolha de alimentos apropriados para a faixa etária da forma como proposto no Guia Alimentar do Ministério da Saúde, considerando-se os fatores culturais, comportamentais e afetivos envolvidos com a alimentação.
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    Manipuladores de alimentos atuantes em um abrigo institucional: discutindo o processo de educação permanente
    (Universidade Federal de São Paulo, 2017) Silva, Angela Lima da [UNIFESP]; Batista, Sylvia Helena Souza da Silva [UNIFESP]; http://lattes.cnpq.br/7402359906381953; http://lattes.cnpq.br/9873169386023810
    Children's feeding practices include various factors such as food consumption, availability, cultural and media influences, but are mainly influenced by the knowledge, experiences and experiences of the mother and / or caregiver. In the case of children received by the State, these depend on the care of several people, who bring their cultural and educational influences throughout their lives into their professional practice, which often does not comply with appropriate feeding practices, and may have a negative impact on the Children's health. Based on this scenario, the aim of this study was to discuss the demands and expectations of professionals involved with infant feeding from an institutional sheltering service that serves children from 0 to 3 years old, in order for the education process. In this research, we chose a qualitative research, in the case study modality, having as food handlers participants and social protection agents (caregivers) acting in an institutional reception service. The data were produced through a semi-structured interview and participant observation, analyzed according to the content analysis technique, thematic type, allowing the construction of four thematic nucleo, which revealed the profile of the professionals involved in infant feeding, as well as the knowledge and the conceptions brought from their professional practice, the understanding of their role in the development and growth of the children, the facilities, difficulties and limitations of the professional performance, and finally, showed how the training process occurs for them to work with infant feeding. Thus, the food practices and care of the adopted children in the daily life of the professionals studied are guided by the knowledge and conceptions based on sociocultural influences and the personal experience lived with motherhood, going against the current nutritional and food recommendations. It can be observed that caregivers have difficulty distinguishing their professional role as their mother, unlike the food handlers, who perceive themselves as educators, acting actively in the formation of the eating habits. It was revealed the difficulty that the professionals have to see the potentialities of their work, as well as to identify that some activities are part of the caregiver assignment. The presence of menu was considered as potentiality and the absence of work material and extensive workload as a hindrance to professional performance. The training process of these professionals is based on the perspective of traditional teaching, with occasional actions outside the work environment, focused on the transmission of information and technical procedures, using traditional teaching methodologies. Thus, it was identified the need of the training process of these professionals to be constructed according to the particularities of the service, considering their knowledge and perceptions, enabling the critical reflection on professional practice and the autonomy of the subject in the construction of their knowledge and citizenship.
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    Mudanças na composição e adequação nutricional da dieta familiar nas áreas metropolitanas do Brasil (1988-1996)
    (Faculdade de Saúde Pública da Universidade de São Paulo, 2000-06-01) Monteiro, Carlos Augusto; Mondini, Lenise [UNIFESP]; Costa, Renata Bl; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: A new family budget survey carried out in the mid-nineties in Brazil allows an update of the secular trends (1962-1988) of dietary patterns of Brazilian population living in metropolitan areas. METHODS: Data sources are IBGE Institute of Statistics family budget surveys carried out from March 1987 to February 1988 (13,611 households) and from October 1995 to September 1996 (16,014 households) in all metropolitan areas of Brazil. The daily food availability per capita for each household was calculated dividing the total food acquired in a month by the number of individuals living in a household and the month's number of days. Dietary patterns were characterized according to the amount of selected food groups and nutrients relative to the diet caloric input. Comparisons between the two surveys included the metropolitan area population as a whole and subgroups from less (North and Northeast) and more developed (Mid-west, Southeast and South) regions. RESULTS: It was observed an increase in consumption of meat and dairy products (except for butter) and a reduction in eggs consumption in both less and more developed regions. Beans, roots and tubers consumption showed a steady decline in the whole country while cereals consumption remained the same (higher in developed regions) or had a slight increase (in less developed regions). The proportional consumption of vegetal oils and margarine remained constant in the less developed regions but their consumption was greatly reduced in the more developed ones. CONCLUSIONS: An increase in the diet's lipid content in less developed regions and of saturated fat in the country as a whole, associated with a decrease or even no consumption of beans, vegetables, fruits and complex carbohydrates, and a further increase in the excessive sugar consumption are the negative aspects of the trend observed from 1988 to 1996. Changes that may indicate a growing awareness of the population toward a healthier diet, such as a decline in egg intake and a slight reduction in diets with a high total lipid content, were found only in more developed regions.
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    Nutritional therapy for bulimia nervosa
    (Pontificia Universidade Catolica Campinas, 2010-09-01) Alvarenga, Marle dos Santos; Scagliusi, Fernanda Baeza [UNIFESP]; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
    Bulimia nervosa is an eating disorder characterized by binge eating and compensatory behaviors. the patients present inappropriate food intake and dysfunctional eating behaviors. Proper treatment of this disorder requires a multidisciplinary team and specialized nutrition therapy. It is fundamental to understand the characteristics of this disorder, the intake patterns and the eating behavior, and be attentive to the eating attitudes of these patients to plan and conduct a nutritional approach properly. the nutrition therapy for this disorder is specific and demands greater skillfulness in nutrition counseling from the dietician. Nutrition therapy focuses on nutrition education and nutrition counseling, mainly addressing eating attitudes and dissatisfaction with body image. the professional must keep abreast on nutrition and eating disorders and seek specialization and experience in this area of knowledge to provide efficient care for these patients and succeed in their treatment.
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    Ortorexia nervosa: reflexões sobre um novo conceito
    (Pontifícia Universidade Católica de Campinas, 2011-04-01) Martins, Márcia Cristina Teixeira; Alvarenga, Marle Dos Santos; Vargas, Sílvia Viviane Alves; Sato, Karen Sayuri Cabral De Jesus; Scagliusi, Fernanda Baeza [UNIFESP]; Centro Universitário Adventista de São Paulo Faculdade de Nutrição; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
    Orthorexia nervosa is a new term described as an obsessive pathological behavior characterized by fixation on healthy eating. It has not yet been officially recognized as an eating disorder, but its concept, characteristics, interactions and symptoms have been discussed. This work presents a review of the articles published on the theme since 1997, when orthorexic behavior was first described. Similarities and differences between orthorexic behavior and the more common eating disorders, such as anorexia nervosa and bulimia nervosa, are discussed. To date, one instrument was developed and validated to detect orthorexic behavior. Studies indicate that some groups are more vulnerable to orthorexia nervosa: medical students, physicians, dietitians, individuals with anxiety symptoms, obsessive-compulsive individuals and those who overvalue a perfect body. The discussion on orthorexia nervosa is based on analyzing the concepts of eating attitude and healthy eating, and seeks a biopsychosocial focus for proper eating in addition to a physiological focus. To date, there are no studies about orthorexia nervosa in Brazil. Nevertheless, this subject is worthy of discussion since health professionals should be made aware of the existence of this deviant behavior and its possible consequences, not only for someone's physical and emotional health, but also for the understanding of healthy eating.
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    Padrão alimentar de idosos de diferentes estratos socioeconômicos residentes em localidade urbana da região sudeste, Brasil
    (Faculdade de Saúde Pública da Universidade de São Paulo, 1994-06-01) Najas, Myrian Spinola [UNIFESP]; Andreazza, Rosemarie [UNIFESP]; Souza, Ana Lucia Medeiros De [UNIFESP]; Sachs, Anita [UNIFESP]; Guedes, Ana Cristina B. [UNIFESP]; Sampaio, Lilian Ramos [UNIFESP]; Ramos, Luiz Roberto [UNIFESP]; Tudisco, Eliete Salomon [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Two hundred and eight three male and female elderly subjects were studied. They participated in the Multicentric project: Health assessment of elderly people living in the urban area of S.Paulo, Brazil, and were stratified by socio-economic level in three areas of S.Paulo city. The food frequency questionnaire was applied in order to discover their food pattern. The results show that for the energy-producing foods more than 90% of the total sample eat tubers, rice, bread and pasta; however, only the rice and bread are consumed daily. As for protein, 70% or more of the elderly people eta beans, beef, poultry, milk and eggs but for the daily consumption there are differences between the 3 regions. More than 85% of the subjects eat fruits, leafy and other vegetables; nevertheless, the frequency of their daily consumption is bigger in the walthierarea. The dietetic information shows that the group analysed has the same food pattern as other population groups as far the energy-producing foods are concerned; there are, however, some defference as regards the protein foods and fruit and vegetables.
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    PSA e medidas antropométricas em índios da Amazônia: avaliação da comunidade Parkatejê
    (Faculdade de Saúde Pública da Universidade de São Paulo, 2003-10-01) Arruda, Homero Oliveira de [UNIFESP]; Vieira Filho, João Paulo Botelho [UNIFESP]; Ortiz, Valdemar [UNIFESP]; Srougi, Miguel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: PSA (prostate-specific antigen) screening for early detection of prostate cancer in a native community is of great epidemiological importance. The study was conducted with the objective of verifying the occurrence of prostate cancer among members of an Amazon community, as well as its possible relationship to acculturation and overweight (body mass index). METHODS: Lifestyle and anthropometric information was collected from a group of 22 men, presumedly over age 50, members of an isolated community of 363 Amazonian Indians - self-denominated Parkatejê and Kykatêjê - from Pará state, in Northern Brazil. In addition to physical and hematological exams, total and free PSA dosages were performed. RESULTS: Total PSA serum levels ranged from 0.35 to 25.8 ng/ml. Three subjects had PSA levels greater than 4.0 ng/ml, and another two had levels between 2.5 and 4.o ng/ml. Prostate biopsies performed on two subjects indicated the presence of prostate adenocarcinoma in one of them and of intraepithelial neoplasia on the other. Overweight (BMI >25 Kg/m²) and waist-to-hip ratio >0,9 were observed in 68.1% and 72% of subjects, respectively. CONCLUSIONS: Changes in nutritional habits caused by contact with civilization, such as the substitution of more caloric foods for the traditional game and vegetable fiber are increasing the prevalence of overweight among the community. In view of the association between prostate cancer incidence, high-fat diet, and less physical activity, it can be assumed that further cases of prostate neoplasia will occur in the future, since several community members already have high PSA serum levels.
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    Regional food dishes in the Brazilian National School Food Program: Acceptability and nutritional composition
    (Pontifícia Universidade Católica de Campinas, 2014-08-01) Cunha, Diogo Thimoteo da; Gonçalves, Hélida Ventura Barbosa; Lima, Aline Fátima Andrade de; Martins, Paula Andrea [UNIFESP]; De Rosso, Veridiana Vera [UNIFESP]; Stedefeldt, Elke [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective:the objective of this study was to evaluate the nutritional composition and describe the acceptability of regional culinary dishes served to students from public schools of rural and urban areas.Methods:Ten Brazilian regional dishes were evaluated for acceptability and nutritional composition. the survey was conducted in schools located in rural and urban areas of two cities in the state of São Paulo. Dish acceptability was evaluated using leftover analysis and a 5-point facial hedonic scale. the adherence index was calculated and used as an indirect measure of acceptance, and the nutritional composition was calculated based on the technical files of each dish.Results:A total of 2,384 students from 20 schools participated in the study and 1,174 tasted and evaluated the dishes. the test using the 5-point facial hedonic scale demonstrated that five dishes (Caldo verde soup, persimmon jelly, chicken with okra, puréed cornmeal with spinach, and arugula pizza) had an acceptability rate above 85.0%. the mean adherence indices were 57.3% and 55.6% in urban and rural environments, respectively. Analysis of the nutritional composition of regional dishes indicates that these dishes can partially meet macronutrient recommendations.Conclusion:the tested dishes can become part of school menus as they were accepted or partly accepted by the students regardless of school location, whether rural or urban. the cultural heritage is an important resource for the food sovereignty of a country and should be constantly encouraged.