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au:Rinaldi, Ana Elisa

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The trend of services provided by human milk banks between 2010 and 2019 in Brazil
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Carrijo, Dannyele Nunes

; Santos, Marília Neves

; Azevedo, Vivian Mara Gonçalves de Oliveira

; Rinaldi, Ana Elisa Madalena

Jornal de Pediatria

Journal Metrics
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dec 2022, Volume 98 N. 6 Pages 572 - 578

Abstract: En | Text: En | PDF: En

Abstract Objective: To describe the trend of participation in group and individual support by human milk banks (HMBs) provided between 2010 and 2019 in Brazil. Methods: Ecological study with data from participation in group and individual support provided by the HMBs between 2010 and 2019, available in the production report of the Brazilian Network of Human Milk Banks. The number of participation in group and individual support was expressed for Brazil and for Brazilian macroregions in absolute numbers. Trend analysis was performed from the analysis of index numbers, considering the year 2010 as a reference. It was calculated the ratio of the number of participation in group and individual support by HMBs for each macroregion and year. Results: There was an increase of 42% in participation in group support (300,595 in 2010 vs 425,570 in 2019) and an increase of 69% in individual support (1,157,038 in 2010 vs 1,962,162 in 2019). The North and Northeast macroregions had the highest growth rates in the provision of these services (122 and 131%, respectively), above the national growth rate in the study period. In contrast, the Midwest region showed a downward trend throughout this period, for both types of support. However, in the Midwest, there was a higher ratio of participation in groups by HMBs between 2010 and 2016 and for individual support by HMBs between 2010 and 2012. Conclusion: Individual and group support provided by the HMB as a strategy to support breastfeeding increased considerably in Brazil during the study period, especially in the North and Northeast regions.

https://doi.org/10.1016/j.jped.2022.02.006

The possible mediating relationship promoted by the self-efficacy of breastfeeding associated with the Kangaroo Method on indicators of exclusive breastfeeding
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Souza, Rayany Cristina de

; Wolkers, Paula Carolina Bejo

; Pereira, Leandro Alves

; Romão, Rejane Sousa

; Medeiros, Eliziane Santos

; Ferreira, Daniela Marques de Lima Mota

; Rinaldi, Ana Elisa Madalena

; Azevedo, Vivian Mara Gonçalves de Oliveira

Jornal de Pediatria

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sep 2022, Volume 98 N. 5 Pages 540 - 544

Abstract: En | Text: En | PDF: En

Abstract Objective Assess the mediating role of breastfeeding self-efficacy in the association between the Kangaroo Neonatal Intermediate Care Unit and exclusive breastfeeding. Method Cross-sectional study nested in a cohort, carried out in the Neonatal Unit of a Brazilian university hospital between September 2018 and March 2020. The sample consisted of 114 newborns weighing ≤1800 g and their mothers who were divided into those who participated in the first and second stages of the Kangaroo Method and those who only passed through the first stage, categorized as the Conventional group. To assess the self-efficacy of breastfeeding, the Breastfeeding Self Efficacy Scale - Short-Form was used. The Mann-Whitney test was used to compare the breastfeeding self-efficacy score between the groups, and Fisher's exact test to compare rates of exclusive breastfeeding. The adjusted structural equation model was used to check for the mediating effect of breastfeeding self-efficacy. The significance level adopted was 5%. Results The kangaroo group had a higher rate of exclusive breastfeeding at hospital discharge (p= 0.000). There was a positive association between having remained in the kangaroo (p= 0.003) and the breastfeeding self-efficacy score (p= 0.025) with the rate of exclusive breastfeeding at hospital discharge. Breastfeeding self-efficacy did not act as a mediator. Conclusion The self-efficacy of breastfeeding and the stay of the low birth weight newborn baby in the kangaroo unit acted positively and independently in exclusive breastfeeding, and the self-efficacy of breastfeeding did not act as a mediator in this association.

https://doi.org/10.1016/j.jped.2021.12.011

Trend in physical activity patterns of pregnant women living in Brazilian capitals
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Rinaldi, Ana Elisa Madalena

; Paula, Janaína Aparecida de

; Almeida, Maiara Aparecida Miálich

; Corrente, José Eduardo

; Carvalhaes, Maria Antonieta Barros Leite

Revista de Saúde Pública

Journal Metrics
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2022, Volume 56 elocation 42

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO OBJETIVOS Descrever a tendência da atividade física (AF) em quatro domínios realizada por gestantes residentes nas capitais brasileiras e no Distrito Federal (DF) e verificar a associação entre fatores sociodemográficos e a prática de atividade física de lazer entre 2007 e 2017. MÉTODOS Estudo de tendência temporal realizado com dados do Sistema de Vigilância de Fatores de Risco para doenças crônicas por inquérito telefônico (Vigitel). Foram estudadas 3.730 gestantes no período, considerando as variáveis sociodemográficas (idade, macrorregião, trabalho, estado civil, escolaridade, cor) e de atividade física nos quatro domínios (lazer, trabalho, deslocamento, doméstico – sim/não). Para as gestantes que realizavam atividade física de lazer, foi questionada a duração, expressa na variável AF ≥ 150 minutos/semana (sim/não). A tendência temporal foi avaliada por regressão linear ponderada pela variância (variação anual média foi expressa em pontos percentuais – p.p.) e a associação de fatores sociodemográficos com a atividade física de lazer por regressão de Poisson, com estimativa da razão de prevalência (RP). RESULTADOS A prevalência de gestantes com 12 anos ou mais de estudo aumentou no período analisado (+1,37 p.p./ano), assim como a prevalência de gestantes com mais de 35 anos (+1,11 p.p./ano) e aquelas que trabalham (+0,75 p.p./ano). A prevalência de atividade física de lazer pelas gestantes aumentou de 29,3%, em 2007, para 37,6%, em 2017 (+1,37 p.p./ano), e de AF ≥ 150min/semana de 2,3% para 20,6% (+2,33 p.p./ano), respectivamente, e houve redução de atividades físicas domésticas de 63,9% para 38,9% (-1,65 p.p./ano). A prevalência da prática de atividade física de lazer foi superior entre as gestantes com mais de 12 anos de estudo (RP = 2,22; IC95% 1,73–2,84), quando comparadas àquelas com menos de 8 anos, e menor entre gestantes pretas/pardas/indígenas, comparadas às brancas/amarelas (RP = 0,87; IC95% 0,78–0,97). A prevalência da AF ≥ 150min/semana aumentou conforme os anos de escolaridade e idade. CONCLUSÕES A prevalência da prática de atividade física de lazer e sua realização por ≥ 150minutos/semana aumentou no período analisado, e ambas se associaram diretamente à maior escolaridade.

ABSTRACT OBJECTIVES To describe the trend of physical activity (PhA) in four domains performed by pregnant women living in Brazilian capitals and the Federal District (FD) and to verify the association between sociodemographic factors and the practice of leisure-time physical activity between 2007 and 2017. METHODS Time trend study carried out with data from the Surveillance System of Risk Factors for chronic diseases by telephone survey (Vigitel). A total of 3,730 pregnant women were interviewed in the period, considering sociodemographic variables (age, macro-region, work, marital status, schooling, skin color) and physical activity in the four domains (leisure-time, work, commuting, domestic – yes/no). For pregnant women who performed leisure-time physical activity, its duration was inquired, expressed in the variable PhA ≥ 150 minutes/week (yes/no). The time trend was evaluated by variance-weighted linear regression (average annual variation was expressed in percentage points – pp) and the association of sociodemographic factors with leisure-time physical activity by Poisson regression, with prevalence ratio (PR) estimation. RESULTS The prevalence of pregnant women with 12 years of schooling or more increased in the analyzed period (+1.37 pp/year), as well as the prevalence of pregnant women with more than 35 years of age (+1.11 pp/year) and those who work (+0.75 pp/year). The prevalence of leisure-time physical activity by pregnant women increased from 29.3% in 2007 to 37.6% in 2017 (+1.37 pp/year), and of PhA ≥ 150min/week from 2.3% to 20.6% (+2.33 pp/year), respectively, and there was a reduction in domestic physical activities from 63.9% to 38.9% (-1.65 pp/year). The prevalence of leisure-time physical activity was higher among pregnant women with more than 12 years of schooling (PR = 2.22; 95%CI: 1.73–2.84) as compared to those with less than 8 years of age, and lower among black/brown/indigenous pregnant women, compared to white/yellow ones (PR = 0.87; 95%CI: 0.78–0.97). The prevalence of PhA ≥ 150min/week increased according to years of schooling and age. CONCLUSIONS The prevalence of leisure-time physical activity and its performance for ≥ 150 minutes/week increased in the analyzed period, and both were directly associated with greater schooling.

https://doi.org/10.11606/s1518-8787.2022056003300

Trend in physical activity patterns of pregnant women living in Brazilian capitals
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Rinaldi, Ana Elisa Madalena

; Paula, Janaína Aparecida de

; Almeida, Maiara Aparecida Miálich

; Corrente, José Eduardo

; Carvalhaes, Maria Antonieta Barros Leite

Revista de Saúde Pública

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2022, Volume 56 elocation 42

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.11606/s1518-8787.2022056003300

Development of a hyperimmune equine serum therapy for COVID-19 in Argentina
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Zylberman, Vanesa

; Sanguineti, Santiago

; Pontoriero, Andrea V

; Higa, Sandra V

; Cerutti, María L

; Morrone Seijo, Susana M

; Pardo, Romina

; Muñoz, Luciana

; Acuña Intrieri, María E

; Alzogaray, Vanina A

; Avaro, Martín M

; Benedetti, Estefanía

; Berguer, Paula M

; Bocanera, Laura

; Bukata, Lucas

; Bustelo, Marina S

; Campos, Ana M

; Colonna, Mariana

; Correa, Elisa

; Cragnaz, Lucía

; Dattero, María E

; Dellafiore, María

; Foscaldi, Sabrina

; González, Joaquín V

; Guerra, Luciano L

; Klinke, Sebastián

; Labanda, María S

; Lauché, Constanza

; López, Juan C

; Martínez, Anabela M

; Otero, Lisandro H

; Peyric, Elías H

; Ponziani, Pablo F

; Ramondino, Romina

; Rinaldi, Jimena

; Rodríguez, Santiago

; Russo, Javier E

; Russo, Mara L

; Saavedra, Soledad L

; Seigelchifer, Mauricio

; Sosa, Santiago

; Vilariño, Claudio

; López Biscayart, Patricia

; Corley, Esteban

; Spatz, Linus

; Baumeister, Elsa G

; Goldbaum, Fernando A

Medicina (Buenos Aires)

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jun 2020, Volume 80 Suppl. 3 Pages 1 - 6

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

The disease named COVID-19, caused by the SARS-CoV-2 coronavirus, is currently generating a global pandemic. Vaccine development is no doubt the best long-term immunological approach, but in the current epidemiologic and health emergency there is a need for rapid and effective solutions. Convalescent plasma is the only antibody-based therapy available for COVID-19 patients to date. Equine polyclonal antibodies (EpAbs) put forward a sound alternative. The new generation of processed and purified EpAbs containing highly purified F(ab’)2 fragments demonstrated to be safe and well tolerated. EpAbs are easy to manufacture allowing a fast development and scaling up for a treatment. Based on these ideas, we present a new therapeutic product obtained after immunization of horses with the receptor-binding domain of the viral Spike glycoprotein. Our product shows around 50 times more potency in in vitro seroneutralization assays than the average of convalescent plasma. This result may allow us to test the safety and efficacy of this product in a phase 2/3 clinical trial to be conducted in July 2020 in the metropolitan area of Buenos Aires, Argentina.

La enfermedad denominada COVID-19 es causada por el coronavirus SARS-CoV-2 y es actualmente considerada una pandemia a nivel global. El desarrollo de vacunas es sin duda la mejor estrategia a largo plazo, pero debido a la emergencia sanitaria, existe una necesidad urgente de encontrar soluciones rápidas y efectivas para el tratamiento de la enfermedad. Hasta la fecha, el uso de plasma de convalecientes es la única inmunoterapia disponible para pacientes hospitalizados con COVID-19. El uso de anticuerpos policlonales equinos (EpAbs) es otra alternativa terapéutica interesante. La nueva generación de EpAbs incluyen el procesamiento y purificación de los mismos y la obtención de fragmentos F(ab’)2 con alta pureza y un excelente perfil de seguridad en humanos. Los EpAbs son fáciles de producir, lo cual permite el desarrollo rápido y la elaboración a gran escala de un producto terapéutico. En este trabajo mostramos el desarrollo de un suero terapéutico obtenido luego de la inmunización de caballos utilizando el receptor-binding domain de la glicoproteína Spike del virus. Nuestro producto mostró ser alrededor de 50 veces más potente en ensayos de seroneutralización in vitro que el promedio de los plasmas de convalecientes. Estos resultados nos permitirían testear la seguridad y eficacia de nuestro producto en ensayos clínicos de fase 2/3 a realizarse a partir de julio de 2020 en la zona metropolitana de Buenos Aires, Argentina.

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Fenótipos corporais na adolescência: é necessário ajustar o índice de massa corporal de acordo com os estágios de maturação sexual?
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Cumpian-Silva, Jéssica

; Rinaldi, Ana Elisa Madalena

; Conde, Wolney Lisbôa

Cadernos de Saúde Pública

Journal Metrics
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2020, Volume 36 N. 7 elocation e00072719

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo: O objetivo deste trabalho é analisar o efeito da maturação sexual sobre os fenótipos corporais gerados por análise multivariada do estado nutricional de adolescentes. Este é um estudo transversal e a amostra foi composta por 833 adolescentes escolares de 10 a 15 anos, selecionados por amostragem complexa em Piracicaba, São Paulo, Brasil. Os fenótipos corporais foram definidos por análise de componentes principais (ACP), a partir da idade, dados antropométricos (massa corporal, altura, dobras cutâneas e circunferência da cintura), composição corporal (ângulo de fase medido por impedância bioelétrica) e bioquímicos (triglicerídeos, glicose, razão colesterol total/LDL, hemoglobina). Os fenótipos corporais definidos foram: F1adiposidade caracterizada pela associação positiva com as variáveis dobras cutâneas, massa corporal e circunferência da cintura; F2crescimento caracterizado pela associação positiva entre altura e idade; F3bioquímico caracterizado pela associação positiva com razão colesterol/LDL, triglicerídeos e glicose; e F4metabólico caracterizado pela associação positiva com ângulo de fase, hemoglobina e negativa com glicose. Posteriormente, os fenótipos corporais foram considerados desfechos na análise dos efeitos mistos, incorporando o sexo no primeiro nível e as variáveis maturação sexual, idade, sexo e escore socioeconômico no segundo nível. Esta análise permitiu dimensionar o efeito da maturação sexual nos fenótipos corporais. Nossos resultados indicam que a maturação sexual apresentou variabilidade de explicação relevante somente sobre o fenótipo corporal que representa crescimento linear (altura e idade). Dessa forma, não é necessário ajustar as medidas antropométricas pela maturação sexual.

Abstract: This study aimed to analyze the effect of sexual maturation on body phenotypes, based on multivariate analysis of adolescents’ nutritional status. This was a cross-sectional study with a sample of 833 adolescent schoolchildren 10 to 15 years of age, selected by complex sampling in Piracicaba, São Paulo State, Brazil. Body phenotypes were defined by principal components analysis (PCA), based on age, anthropometric data (body mass, height, skinfolds, and waist circumference), body composition (phase angle measured by bioelectrical impedance), and biochemical parameters (triglycerides, glucose, total cholesterol/LDL ratio, hemoglobin). Body phenotypes were classified as: P1adiposity characterized as positive association with skinfolds, body mass, and waist circumference; P2growth characterized as positive association between height and age; P3biochemical characterized as positive association with total cholesterol/LDL ratio, triglycerides, and glucose; and P4metabolic characterized as positive association with phase angle and hemoglobin and negative association with glucose. The phenotypes were later considered outcomes in the mixed effects analysis, incorporating sex at the first level and sexual maturation, age, sex, and socioeconomic score at the second level. This analysis allowed measuring the effect of sexual maturation on body phenotypes. Our results indicate that sexual maturation only a displayed relevant explanation of body phenotype that represents linear growth (height and age). Thus, it is not necessary to adjust anthropometric measures by sexual maturation.

Resumen: El objetivo de este trabajo es analizar el efecto de la madurez sexual sobre los fenotipos corporales generados por análisis multivariado del estado nutricional de adolescentes. Este es un estudio transversal, cuya la muestra estuvo compuesta por 833 adolescentes escolares de 10 a 15 años, seleccionados por muestra compleja en Piracicaba, São Paulo, Brasil. Los fenotipos corporales se definieron por análisis de componentes principales (ACP), a partir de la edad, datos antropométricos (masa corporal, altura, pliegues cutáneos y circunferencia de la cintura), composición corporal (ángulo de fase medido por impedancia bioeléctrica) y bioquímicos (triglicéridos, glucosa, razón colesterol total/LDL, hemoglobina). Los fenotipos corporales definidos fueron: F1adiposidad, caracterizada por la asociación positiva con las variables pliegues cutáneos, masa corporal y circunferencia de la cintura; F2crecimiento, caracterizado por la asociación positiva entre altura y edad; F3bioquímico, caracterizado por la asociación positiva con razón colesterol/LDL, triglicéridos y glucosa; y F4metabólico, caracterizado por la asociación positiva con ángulo de fase, hemoglobina y negativa con glucosa. Posteriormente, los fenotipos corporales fueron considerados resultados en el análisis de los efectos mixtos, incorporando el sexo en el primer nivel y las variables de madurez sexual, edad, sexo y marcador socioeconómico en el segundo nivel. Este análisis permitió dimensionar el efecto de la madurez sexual en los fenotipos corporales. Nuestros resultados indican que la madurez sexual presentó variabilidad de explicación relevante solamente sobre el fenotipo corporal que representa crecimiento lineal (altura y edad). De esta forma, no es necesario ajustar las medidas antropométricas por la madurez sexual.

https://doi.org/10.1590/0102-311x00072719

Compliance of infant formula promotion on websites of Brazilian manufacturers and drugstores
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Prado, Isabella Scatamacchia Cordeiro Ferraz

; Rinaldi, Ana Elisa Madalena

Revista de Saúde Pública

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2020, Volume 54 elocation 12

Abstract: En | Text: En | PDF: En

ABSTRACT OBJECTIVE To verify the compliance with Law No. 11,265/2006 in the promotion strategies for infant formula in Brazilian websites of manufacturers and drugstore networks. METHODS This was a cross-sectional study conducted in 2017. We analyzed the compliance to attributes of the Law No.11,265/2006 (Law for Marketing of Foods for Infants and Toddlers, Feeding Bottles, Teats and Pacifiers) in five websites of infant formula manufacturers and nine websites of drugstore networks. The main attributes assessed were: the presence of drawings or representations of children, the presence of warning statements displayed in conspicuous and prominent spaces informing if products are intended for infants aged under or over 6 months, the adequate display of infant formulas/similar products, and the presence of pop-ups with other infant formulas or links to websites for children’s products. All compliances and non compliances verified were described in absolute and relative frequencies. RESULTS We verified that 80% of the websites of infant formula manufacturers displayed advertisements for other children’s food products. The main non compliance in infant formula manufacturer’s websites was the absence of warning statements about products intended for infants over 6 months of age. Only 33% of the drugstores’ websites complied with Law No. 11,265/2006. The main non compliances in these websites were the absence of warning statements on products intended for infants over 6 months of age (100%), the presence of pop-up advertisements for other infant foods (77%) and the presence of advertisements for other children’s food products (92%). CONCLUSION We identified non compliances with the Law No. 11,256/2006 in almost all websites of infant formula manufacturers and in all the websites of drugstore networks. Most promotion strategies were found at drugstore websites, which are the main channels for online sales.

https://doi.org/10.11606/s1518-8787.2020054001327

Compliance of infant formula promotion on websites of Brazilian manufacturers and drugstores
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Prado, Isabella Scatamacchia Cordeiro Ferraz

; Rinaldi, Ana Elisa Madalena

Revista de Saúde Pública

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2020, Volume 54 elocation 12

Abstract: En | Text: En | PDF: En

https://doi.org/10.11606/s1518-8787.2020054001327 888 downloads

Fenótipos corporais na adolescência: é necessário ajustar o índice de massa corporal de acordo com os estágios de maturação sexual?
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Cumpian-Silva, Jéssica

; Rinaldi, Ana Elisa Madalena

; Conde, Wolney Lisbôa

Cadernos de Saúde Pública

Journal Metrics
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- SciELO Analytics

2020, Volume 36 N. 7 elocation e00072719

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/0102-311x00072719 798 downloads

10.

CHARCTERIZATION OF FEEDING OF CHILDREN UNDER 24 MONTHS IN UNITS CARED BY THE FAMILY HEALTH STRATEGY
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Souza, Joelânia Pires de Oliveira

; Ferreira, Camila Silva

; Lamounier, Danielle Mendonça Buiatti

; Pereira, Leandro Alves

; Rinaldi, Ana Elisa Madalena

Revista Paulista de Pediatria

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2020, Volume 38 elocation e2019027

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Descrever a idade mediana de introdução e consumo regular de alimentos por crianças menores de 24 meses em unidades da Estratégia Saúde da Família. Métodos: Estudo transversal realizado com 283 crianças selecionadas por amostragem por conglomerado estratificada uniforme. Foram coletados dados sociodemográficos da mãe e do consumo alimentar da criança (idade de introdução e frequência semanal). Os alimentos foram agrupados em: in natura/minimamente processados (G1); ingredientes culinários (G2); processados (G3) e ultraprocessados (G4). Utilizou-se análise de sobrevida para definição da idade mediana de introdução dos alimentos e teste do qui-quadrado para comparação da frequência de consumo segundo a faixa etária (0 a 5,9; 6 a 11,9; e 12 a 23,9 meses). Resultados: A duração mediana do aleitamento materno exclusivo foi de três meses e do aleitamento materno, de 19 meses. A mediana de introdução dos alimentos do G1 foi de seis meses, exceto para ovo, leite e café (12 meses). Para óleo e sal (G2), a mediana foi de 6 meses e para o açúcar (G2), de sete meses. A mediana da maioria dos alimentos do G4 foi de 12 meses, para fórmulas foi de sete meses, biscoitos e alimentos infantis, oito meses. A maioria dos alimentos ainda não tinha sido introduzida para crianças menores de seis meses. Para crianças de seis a 11,9 meses, o consumo regular (≥5 dias/semana) de G4 foi superior para biscoitos (23,8%), pão (21,2%), fórmulas (21,2%) e alimentos infantis (35,0%); e para crianças de 12 a 23,9 meses foi para biscoitos (31,2%), pão (57,5%) e alimentos infantis (48,7%). Conclusões: Os alimentos introduzidos e consumidos regularmente foram principalmente alimentos in natura, em todas as idades. Alimentos processados e ultraprocessados apresentaram maior frequência de consumo após os 12 meses.

ABSTRACT Objective: To describe the median age of introduction and regular food intake by young children in units of the Family Health Strategy. Methods: Cross-sectional study with 283 young children chosen by uniform stratified cluster sampling. Socio-demographic data on the mother and the child’s food intake were collected (age of food introduction and weekly frequency). Foods were grouped into in natura/minimally processed (G1); culinary ingredients (G2); processed (G3) and ultra-processed (G4). The survival analysis was applied to define the median age of food introduction and the chi-square test was used to compare the frequency of food intake, according to the age range (0-5.9; 6-11.9; and 12-23.9 months old). Results: The median duration of exclusive breastfeeding and breastfeeding were three and 19 months, respectively. The age of median food introduction of G1 was six months, except for eggs, milk and coffee (12 months). For oil and salt (G2), the median was 6 months, and for sugar (G2), seven months. The median age of introduction of most food of G4 was 12 months; for infant formulas, it was seven months; cookies and baby food, eight months. Most food had not yet been introduced for children under six months old. For children from six to 11.9 months old, the regular consumption of G4 (≥5 days/week) was higher for cookies (23.8%), bread (21.2%), infant formulas (21.2%) and baby food (35%); and for children from 12 to 23.9 months old, it was higher for cookies (31.2%), bread (57.5%) and baby food (48.7%). Conclusions: Food introduced and consumed on a regular basis was mainly in natura, at all ages. Processed and ultra-processed food presented a higher frequency of consumption after 12 months old.

https://doi.org/10.1590/1984-0462/2020/38/2019027 2056 downloads

11.

CONSUMPTION OF MINIMALLY PROCESSED AND ULTRA-PROCESSED FOODS AMONG STUDENTS FROM PUBLIC AND PRIVATE SCHOOLS
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Ferreira, Camila Silva

; Silva, Dyene Aparecida

; Gontijo, Cristiana Araújo

; Rinaldi, Ana Elisa Madalena

Revista Paulista de Pediatria

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apr 2019, Volume 37 N. 2 Pages 173 - 180

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Comparar e analisar o consumo de alimentos minimamente processados e ultraprocessados entre escolares das redes pública e privada. Métodos: Estudo realizado em Uberlândia, MG, com escolares do quinto ano do ensino fundamental em nove escolas (três privadas e seis públicas), selecionados por amostragem estratificada por conglomerado. O consumo alimentar foi analisado utilizando recordatório de 24 horas. Os alimentos foram classificados segundo extensão e propósito do seu processamento em quatro grupos (G): alimentos in natura/minimamente processados (G1), ingredientes culinários (G2), alimentos processados (G3) e ultraprocessados (G4). Os valores energéticos totais (kcal) provenientes de cada grupo, quantidade de açúcar (g), sódio (mg) e fibras (g) foram quantificados e comparados segundo dependência administrativa. Resultados: O consumo de energia foi: G1, 52%; G2, 12%; G3, 5%; e G4, 31%. Os valores energéticos provenientes de G1 (53 vs. 47%), G2 (12 vs. 9%) e G3 (6,0 vs. 0,1%), a quantidade de sódio (3.293 vs. 2.724 mg) e a de fibras (23 vs. 18 g) foram superiores em escolares da rede pública. O valor percentual energético do G4 (36 vs. 28%) e a quantidade de açúcar (20 vs. 14%) foram superiores em escolares da rede privada. O consumo do G1 na escola foi superior nos escolares da rede pública (40 vs. 9%). Conclusões: Alimentos do G1 representam o maior percentual do valor energético total e do G4, um terço das calorias ingeridas. Suco pronto, biscoito recheado, bolo industrializado, cereais matinais são mais frequentes em escolares da rede privada e salgadinhos e suco em pó nos da rede pública.

ABSTRACT Objective: To compare and analyze the consumption of minimally processed and ultra-processed foods among students from public and private schools. Methods: Study conducted in Uberlândia, MG, with fifth-grade students from three private and six public schools, selected by stratified cluster sampling. We collected data on food consumption using the 24-hour recall. Foods were classified into four groups (G) according to extent and purpose of processing: fresh/minimally processed foods (G1) culinary ingredients (G2), processed foods (G3), and ultra-processed foods (G4). Total energy intake (kcal) of each group, amount of sugar (g), sodium (mg), and fiber (g) were quantified and compared according to administrative affiliation (private or public). Results: Percentage of total energy intake was: G1 - 52%; G2 - 12%; G3 - 5%; e G4 - 31%. Energy intake from G1 (53 vs. 47%), G2 (12 vs. 9%), and G3 (6.0 vs. 0.1%), and amount of sodium (3,293 vs. 2,724 mg) and fiber (23 vs. 18 g) were higher among students from public schools. Energy intake from G4 (36 vs. 28%) and amount of sugar (20 vs. 14%) were higher among students from private schools. The consumption of foods from G1 in the school environment was higher among students from public schools (40 vs. 9%). Conclusions: Foods from G1 represent the highest percentage of total energy intake, while those from G4 constitute a third of calories consumed. Processed juice, sandwich cookie, processed cake, and breakfast cereals are more frequent among private school students; snacks and juice powder are more common for students from public schools.

https://doi.org/10.1590/1984-0462/;2019;37;2;00010 3346 downloads

12.

Socioeconomic inequality in dietary intake begins before 24 months in Brazilian children
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Rinaldi, Ana Elisa Madalena

; Conde, Wolney Lisboa

Revista de Saúde Pública

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2019, Volume 53 elocation 9

Abstract: En | Text: En | PDF: En

ABSTRACT OBJECTIVE: To assess dietary patterns by socioeconomic gradient of Brazilian infants and young children in 2006 and 2013. METHODS: Data from the National Demographic Survey (2006) and the National Health Survey (2013) were used. Food intake were described by wealth index, age range and survey year. Dietary patterns were defined by principal component analysis. Association of wealth index and dietary patterns were modelled using linear regression. RESULTS: Breast milk intake was higher for poor infants and young children, while fresh food intake (fruits, vegetables, meats, beans) was higher for the richer ones in 2006 and 2013. Biscuits and sweetened beverages were more consumed by rich infants and young children in 2006 and by poor and rich children in 2013. Three dietary patterns (DP1, DP2, and DP3) were identified in 2006 and four in 2013 (DP1, DP2, DP3, and DP4). DP1 was composed mainly of fresh foods, and it was positively associated with the wealth index for infants and young children in both years. DP2 was composed of biscuits, cookies and sweetened beverages, and it was positively associated with the wealth index for young children in 2006 and for poor and rich infants and young children in 2013. DP3 was composed of milk, water and porridge in both years, and it was not associated with the wealth index. DP4 was composed of breast milk and porridge, and it was negatively associated with the wealth index. CONCLUSIONS: DP1 is a characteristic pattern for richer infants and young children since 2006, while DP2 is a characteristic pattern for all infants and young children in 2013, regardless of wealth index. Dietary inequality between the poor and the rich seems to begin in childhood.

https://doi.org/10.11606/s1518-8787.2019053000679 3 downloads

13.

Socioeconomic inequality in dietary intake begins before 24 months in Brazilian children
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Rinaldi, Ana Elisa Madalena

; Conde, Wolney Lisboa

Revista de Saúde Pública

Journal Metrics
- Sobre o periódico
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2019, Volume 53 elocation 9

Abstract: En | Text: En | PDF: En

https://doi.org/10.11606/s1518-8787.2019053000679 763 downloads

14.

A influência das informações da Pesquisa Nacional de Saúde sobre a estimativa atual e a trajetória do aleitamento materno exclusivo no Brasil
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Rinaldi, Ana Elisa Madalena

; Conde, Wolney Lisboa

Cadernos de Saúde Pública

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2019, Volume 35 N. 8 elocation e00190118

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Nosso propósito foi discutir a consistência da estimativa dos indicadores do aleitamento materno na Pesquisa Nacional de Saúde (PNS) e suas implicações para a análise da trajetória destes indicadores entre 1986 e 2013. A principal limitação para a estimativa atual (2013) dos indicadores de aleitamento materno com base na PNS e sua trajetória (1986-2013) é a ausência da data de entrevista nos microdados, comprometendo o cálculo exato da idade. Estudos prévios mostraram cenários distintos do aleitamento materno exclusivo (AME) baseando-se na PNS: 36,6% (estabilização da prevalência em comparação com 2006 [Pesquisa Nacional de Demografia e Saúde - PNDS]) e 20,3% (retrocesso da prevalência). Simulações de data da entrevista utilizando data da coleta de dados da PNS (agosto/2013 a fevereiro/2014) nos indicaram variação de prevalência de 25,3% a 42,8% (AME); 54% a 61,5% (aleitamento materno) e 32,7 a 40,5% (aleitamento materno), respectivamente. A divergência de cenário apresentado no status do aleitamento materno nos desperta para a inviabilidade de estimativa do AME em 2013 na ausência de esclarecimento da data da entrevista.

The study aimed to discuss the consistency of estimates of maternal breastfeeding in the Brazilian National Health Survey (PNS) and the implications for the analysis of trends in these indicators from 1986 to 2013. The main limitation for the current estimate (2013) of breastfeeding indicators based on the PNS and their trend (1986-2013) is the absence of the interview date in the microdata, thus hindering a precise calculation of age. Previous studies have shown different scenarios for exclusive breastfeeding based on the PNS: 36.6% (stabilization of prevalence in comparison to 2006 [Brazilian National Survey of Demography and Health - PNDS]) and 20.3% (downward prevalence). Simulations of the interview date using the date of data collection in the PNS (August 2013 to February 2014) indicated a variation of prevalence 25.3% to 42.8% (exclusive breastfeeding); 54% to 61.5% (breastfeeding); and 32.7% to 40.5% (breastfeeding, second), respectively. The discrepancy in the scenario for breastfeeding status calls attention to the unfeasibility of the exclusive breastfeeding estimate for 2013, pending clarification of the interview date.

Nuestro objetivo fue discutir la consistencia de la estimación de los indicadores de lactancia materna en la Encuesta Nacional de Salud (ENS) y sus implicaciones para el análisis de la trayectoria de estos indicadores entre 1986 y 2013. La principal limitación para la estimación actual (2013) de los indicadores de lactancia materna, basados en la ENS y su trayectoria (1986-2013), es la ausencia de fecha de entrevista en los microdatos, comprometiendo el cálculo exacto de la edad. Estudios previos mostraron escenarios distintos del lactancia materna exclusiva (LME) basándose en la ENS: 36,6% (estabilización de la prevalencia, en comparación con 2006 [Encuesta Nacional de Demografía y Salud - ENDS]) y 20,3% (retroceso de la prevalencia). Simulaciones con fecha de la entrevista, utilizando la fecha de recogida de datos de la ENS (agosto/2013 a febrero/2014), nos indicaron una variación de prevalencia entre un 25,3% a un 42,8% (LME); de un 54% a un 61,5% (lactancia materna) y de 32,7 a un 40,5% (lactancia materna), respectivamente. La divergencia de escenario, presentado en el status del lactancia materna, nos expone la inviabilidad de la estimación de la LME en 2013, debido a la ausencia de información respecto a la fecha de la entrevista.

https://doi.org/10.1590/0102-311x00190118

15.

A influência das informações da Pesquisa Nacional de Saúde sobre a estimativa atual e a trajetória do aleitamento materno exclusivo no Brasil
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Rinaldi, Ana Elisa Madalena

; Conde, Wolney Lisboa

Cadernos de Saúde Pública

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2019, Volume 35 N. 8 elocation e00190118

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/0102-311x00190118 1512 downloads

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