Distance professional qualification to promote adequate and healthy eating: factors associated with dropout.

Objective: To analyze factors associated with dropout from a distance professional qualification course on promoting adequate and healthy eating in Brazil.

Methods: This is a cross-sectional study with professionals from the Brazilian National Health System (Sistema Único de Saúde - SUS) enrolled in a distance learning course, provided between 2019 and 2020, based on Ministry of Health educational materials. Sociodemographic and professional data associated with dropout from the course were assessed, using multiple logistic regression (p-value<0.

Guidelines and Preliminary Results of Group-Based Nutrition Interventions for Obesity Management Among Adults in Brazilian Primary Health Care.

This study presents the guideline and preliminary results of a randomized controlled community trial of group-based nutrition interventions for obesity management in Brazilian Primary Health Care (PHC), occurring between 2022 and 2023. Belo Horizonte PHC units were randomly sampled and allocated to the control (CG) or intervention group (IG). Participants were those in preparation with high self-efficacy, action, or maintenance stages of change for weight reduction who were willing to participate in groups.

Perceptions of health professionals about the implementation of the Adequate and Healthy Eating Promotion Program in a municipality of the Minas Gerais: a qualitative study.

Objective: To analyze the implementation of the Adequate and Healthy Eating Promotion Program in a small municipality in Minas Gerais, from the perspective of health professionals.

Methods: This research used a qualitative approach, with content analysis of semi-structured interviews conducted with professionals from the Family Health Strategy and the multidisciplinary team involved in the implementation of the Adequate and Healthy Eating Promotion Program in Carmo do Cajuru, Minas Gerais. The Program was developed based on the Instructive Manual: group work methodology for food and nutrition actions in primary health care, derived from the Dietary Guidelines for the Brazilian Population, and lasted approximately five months, with 11 biweekly meetings.

Qualitative methodological pathway for developing the Instructive for the Obesity Management in the SUS, 2018-2020.

Objective: To assess the methodological pathway for developing and validating Instructive for the Obesity Management in the Unified Health System (Sistema Único de Saúde - SUS), focusing on food and nutrition actions, based on the adaptation of the Dietary Guidelines for the Brazilian Population.

Methods: The development of the Instructive of Collective Approach for the Obesity Management in the SUS included an evaluation of the proposal summary during an in-person expert workshop, and the analysis of the first draft in an in-person validation workshop. In 2018 and 2019, a dynamic carousel was employed during the workshops to record the perceptions of experts from management, academy, and SUS health services.

Adherence to dietary practices recommended by the Dietary Guidelines for the Brazilian Population among people with obesity: baseline of a community trial carried out at the Health Fitness Program in Belo Horizonte, Brazil, 2022-2023.

Objective: To analyze sociodemographic and health factors associated with high levels of adherence to dietary practices recommended by the Dietary Guidelines for the Brazilian Population among people with obesity taking part in the Health Fitness Program in Belo Horizonte, Minas Gerais, Brazil.

Methods: This is a cross-sectional study with a representative sample of Health Fitness Program participants with obesity who were ≥20 years old. Sociodemographic and health data were collected, and the adherence to the Dietary Guidelines scale was assessed, classified as: low (<32 points), medium (32-41 points) and high (>41 points).

The Results of Ultra-Processed Food Consumption on Weight Change: A Randomized Controlled Community Trial in a Health Promotion Program.

Objective: Our objective was to evaluate the association between ultra-processed food (UPF) consumption and body weight change after participating in nutritional intervention.

Design: Our study was a 12-month follow-up of participants in a randomized controlled community trial.

Setting: Brazilian Primary Health Care.

Protocol of Randomized Controlled Community Trial (RCCT) for obesity management in Brazilian primary health care.

Background: Obesity is a chronic disease characterized by excess body fat and is a risk factor for other chronic non-communicable diseases. Its multifactorial and complex nature makes its management a challenge for health services. This manuscript presents an investigation protocol that aims to analyze the effectiveness of collective nutritional interventions for obesity management applicable to primary health care.

Consumer food environments change over a 5-year period.

Objective: Evaluate the 5-year changes in the consumers' food environment in the area of a health promotion service in Brazilian primary health care. Our hypothesis is that the consumers' food environment in the areas with primary healthcare services has changes that may favour healthy eating habits over time.

Design: Longitudinal study.

Food Consumption Inequalities in Primary Care in a Large Metropolis.

The aim of this study was to examine the association between health vulnerability and food consumption according to the NOVA classification within primary care in a major Brazilian city. A cross-sectional study was conducted among adults over 20 years old. These participants were part of a representative sample from the Health Academy Program (PAS) in Belo Horizonte, Brazil.

A longitudinal analysis of the fluctuation of food stores in Belo Horizonte, Minas Gerais, Brazil.

Background: Changes in food environments have the potential to affect consumption, nutritional status, and health, and understanding these changes is of utmost importance. This study, therefore, aimed to examine the fluctuation of food stores that sell fruits and vegetables over five years in the health promotion service area of Primary Health Care (PHC) in Belo Horizonte, Minas Gerais, Brazil.

Methods: This was an ecological study that used data from a food environment audit conducted in the realm of Brazilian PHC.

Evolution of fruit and vegetable intake among health promotion service participants in a Brazilian metropolis: 48-month follow-up of a randomized controlled community trial.

Objective: To assess longitudinal effects of a nutrition intervention on fruit and vegetable (F&V) intake among Primary Health Care (PHC) service participants in Belo Horizonte, Brazil.

Methods: Demographics and health data on 3414 PHC service participants were collected at baseline in 2013-2014. F&V intake was assessed at baseline, 12, 36, and 48 months until 2017-2018.

Evaluating the Adequate and Healthy Food Promotion Program in Primary Care: a mixed methods research.

This article aims to analyze the implementation of an Adequate and Healthy Food Promotion Program in Primary Health Care in the municipalities of Minas Gerais. Mixed Methods Research with Data Concomitant Embedded Strategy. Evaluative research from the perspective of the implementation analysis was employed in the quantitative approach.

Evaluation of Nutrient Consumption for the Prevention of Chronic Diseases in Health Promotion Services: A Controlled and Randomized Community Trial to Promote Fruits and Vegetables.

To evaluate the effectiveness of a collective intervention to encourage the consumption of fruits and vegetables on the nutrients intake for the prevention of chronic non-communicable diseases (NCDs), a randomized controlled community trial was conducted with a representative sample from the Health Academy Program. While the individuals in the control group (CG) participated in regular physical exercise, those in the intervention group (IG) also participated in a collective intervention. After 12 months, IG and CG showed a reduction in energy, omega 3 and sodium intake and an increase in the consumption of carbohydrates, fiber, vitamins, and minerals.

Food consumption of Brumadinho Health Project participants.

Objective: To analyze the food consumption patterns of residents of Brumadinho, Minas Gerais, Brazil, according to sociodemographic characteristics, neighborhood and area of residence.

Methods: Cross-sectional study with baseline data from the Brumadinho Health Project, conducted with 2,805 adult individuals. The healthy food consumption markers analyzed were: fruits and vegetables (FV), beans and fish; the unhealthy markers were: sweets and soda/artificial juices, whole-fat milk and red meat with visible fat or chicken with skin.

Brumadinho Health Project: food and nutrition insecurity versus socioeconomic statuses and dimensions of the food system after the dam rupture.

Objective: To describe the situation of food insecurity of families according to the socioeconomic characteristics and dimensions of the food system in Brumadinho, state of Minas Gerais, Brazil, after the dam rupture in Córrego do Feijão mine.

Methods: This is a descriptive study focused on households carried out from the baseline of the Brumadinho Health Project. Food insecurity, the main outcome, was assessed by the short version of the Brazilian Food Insecurity Scale.

Sources of food ready to consume around the Health Academy Program units: an analysis according to inequality.

The aim of this study was to spatially examine the distribution of establishments for the acquisition of food that is ready to consume around the Health Academy Program (PAS) in Belo Horizonte, Minas Gerais, Brazil, according to the Municipal Human Development Index (IDH-M).This is an ecological study with the PAS as the unit of analysis. The establishments contained in a circular buffer with a radius of 900 meters from the 77 units of the PAS in operation were evaluated.

The COVID-19 pandemic in a Brazilian metropolis: repercussion on food prices.

We analyzed the impact of the efforts to combat the COVID-19 pandemic on the prices of food sold by a food supply center located in the sixth largest city in Brazil. We examined the percentage change in the prices of 20 types of foods, adjusted by market conditions, using municipal contingency plan stages to compare opening and closing of non-essential services, including bars and restaurants (stage 1: first phase of essential services-only; stage 2: flexibilization; and stage 3: second phase of essential services-only with a "pre-pandemic" period [stage 0]). Log-prices were lower in all contingency stages for leafy greens (variation: 42% to 56%) and vegetables (variation: 28% to 40%).

Is the management of obesity in primary health care appropriate in Brazil?

This study aims to describe the adequacy of basic health units (UBS) in Brazil regarding structure and work process for obesity management and to evaluate user satisfaction with primary health care services. This cross-sectional study was conducted with data from the 2013-2014 National Program for Improving Primary Care Access and Quality (PMAQ) - an initiative to assess primary health care teams' performance. Data were collected between 2013 and 2014 through interviews with primary health care teams and users.

Intervention for promoting intake of fruits and vegetables in Brazilians: a randomised controlled trial.

Objective: To evaluate the effectiveness of a nutritional intervention to promote fruit and vegetable (FV) intake.

Design: A randomised controlled community trial was conducted to evaluate the effectiveness of a 7-month nutritional intervention and to promote FV intake, separately and together. All participants attended physical exercise sessions.

Health and work in Brazil: physical and psychosocial demands.

This study aims to describe the prevalence and factors associated of physical and psychosocial demands among Brazilian workers. Data were obtained from the 2013 Brazilian National Health Survey. Physical demand was defined as jobs that require intense physical effort or excessive walking, whereas psychosocial demand was defined as involvement in stressful activities.

Fruit and vegetable consumption across generations of Brazilian primary care users.

Objectives: Despite the importance of generational approach to understand dietary patterns, studies on the topic are scarce, especially in primary health care. Thus, we aimed to analyze the association between generational status and fruit and vegetable (F + V) consumption across users of the Brazilian Primary Care Program, adjusted by health aspects, socioeconomic factors, and body mass index.

Methods: A cross-sectional study was performed from the baseline, randomized, controlled, community trial.

Longitudinal effect of nutritional intervention on body weight: A randomized controlled trial.

Objectives: This study evaluates, in the medium and long term (12, 36, and 48 mo), the effect of an intervention to promote consumption of fruit and vegetables on the body weight of Brazilian primary health care users.

Methods: A follow-up with participants (n = 3414) in a controlled randomized trial was performed in a primary health care service. Those in the control group performed the service's usual intervention (guided physical exercise 3 times/wk), and those in the intervention group additionally participated for 7 mo in collective activities to promote consumption of fruit and vegetables.

Food consumption differences in Brazilian urban and rural areas: the National Health Survey.

This paper aimed to identify food consumption differences as per healthy and unhealthy diet markers among adults living in Brazilian urban and rural areas. A cross-sectional study was performed with data from the National Health Survey (2013). Diet was assessed by using healthy and unhealthy diet markers.

Effect of a Transtheoretical Model-based intervention on fruit and vegetable intake according to perception of intake adequacy: A randomized controlled community trial.

Interventions based on the Transtheoretical Model (TTM) are usually effective at increasing fruit and vegetable (FV) intake, but it is not known whether individuals with misperceived intake [e.g., in pseudomaintenance (PM)] for FV intake also benefit from these interventions.