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Processo de organização do trabalho dos Núcleos Ampliados de Saúde da Família e Atenção Básica durante a pandemia da Covid-19 no Brasil
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Santos, Hebert Luan Pereira Campos dos

; Prado, Nília Maria de Brito Lima

; Santos, Luiz Henrique Pitanga Evangelista dos

; Maciel, Fernanda Beatriz Melo

; Pereira, Luzimary Vieira

; Teixeira, Carmen Fontes

Saúde em Debate

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dec 2023, Volume 47 N. 139 Pages 978 - 992

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

ABSTRACT The aim of this article is to identify organizational strategies and operational challenges to implement the multidisciplinary work process of the Expanded Family Health and Primary Healthcare Center (NASF-AB) teams in the context of the COVID-19 pandemic in Brazil. This is an integrative review study in the LILACS and Science Direct databases, PubMed, Virtual Health Library (VHL), Scientific Electronic Library Online (SciELO), Google Scholar and document review of technical publications (protocols, technical notes, letters, ordinances) on the official website of the Brazilian Ministry of Health. Thirteen studies were included and no technical documents published by the Ministry of Health were located which dealt directly with the reorganization of the NASF-AB work process during the pandemic. It was evidenced that the elements that make up the teamwork process have been modified, such as interprofessional communication and collaboration, interdependence of actions and user-centered care. During the course of the pandemic, a predominance of managerial rationality was noted, with a greater focus on case screening and monitoring activities and clinical-assistance support to the detriment of technical-pedagogical support to Primary Care (PC) teams, characterizing an underutilization of the potential of the multiprofessional team within the scope of Primary Health Care.

RESUMO O objetivo deste artigo é identificar as estratégias para organização e os desafios operacionais para efetivar o processo de trabalho multiprofissional das equipes do Núcleo Ampliado de Saúde da Família e Atenção Básica (Nasf-AB) no contexto da pandemia da Covid-19 no Brasil. Trata-se de estudo de revisão integrativa nas bases de dados Lilacs, Science Direct, PubMed, Biblioteca Virtual em Saúde (BVS), Scientific Electronic Library Online (SciELO), Scholar Google e revisão documental de publicações técnicas (protocolos, notas técnicas, ofícios, portarias) no site oficial do Ministério da Saúde do Brasil. Foram incluídos 13 estudos e não foram localizados documentos técnicos publicados pelo Ministério da Saúde que tratassem diretamente sobre a reorganização do processo de trabalho do Nasf-AB durante a pandemia. Evidenciou-se que os elementos que compõem o processo de trabalho em equipe foram modificados, tais como comunicação e colaboração interprofissional, interdependência das ações e atenção centrada no usuário. No curso da pandemia, notou-se uma predominância da racionalidade gerencial, com maior foco em atividades de rastreio e monitoramento de casos e apoio clínico-assistencial, em detrimento de apoio técnico-pedagógico às equipes de AB, caracterizando um subaproveitamento das potencialidades da equipe multiprofissional no âmbito da Atenção Primária à Saúde.

https://doi.org/10.1590/0103-1104202313918

ANÁLISE DE CONJUNTURA: CONTRIBUIÇÕES TEÓRICO-METODOLÓGICAS
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Virgens, João Henrique Araujo

; Teixeira, Carmen Fontes

Lua Nova: Revista de Cultura e Política

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dec 2023, N. 120 Pages 325 - 357

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

Abstract Conjuncture analysis has been used by researchers from different areas to speak about political processes and contribute to praxis. However, its realization has not been accompanied by a clear explanation of the references that support such studies. The aim of this article is to examine productions about conjuncture analysis to identify relevant elements to the constitution of this approach. This is a narrative review that deepens theoretical and methodological aspects about the conjunctural analysis. Connections could be noticed between the theoretical approach and the choices related to time and space that also impact the privileged subjects. This type of analysis articulates political and scientific praxis, linking a recent past which does not lose sight of the historical process and the expectations of the subjects.

Resumo A análise de conjuntura tem sido aplicada por pesquisadores de diversas áreas do conhecimento para abordar processos políticos e contribuir com a práxis. Observa-se, no entanto, que sua realização não tem sido acompanhada de clara explicitação dos referenciais que subsidiam tais estudos. O objetivo deste artigo é examinar produções que tratam da análise de conjuntura, de modo a identificar elementos considerados relevantes para constituição dessa abordagem. Trata-se de uma revisão narrativa que aprofunda aspectos teórico-metodológicos acerca da análise conjuntural. Foi possível perceber conexões entre a abordagem teórica e as escolhas relacionadas ao tempo e ao espaço que impactam, também, nos sujeitos privilegiados. Esse tipo de análise articula práxis política e científica, interligando um passado recente que não perde de vista o processo histórico e as expectativas dos sujeitos.

https://doi.org/10.1590/0102-325357/120

Processo de organização do trabalho dos Núcleos Ampliados de Saúde da Família e Atenção Básica durante a pandemia da Covid-19 no Brasil
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Santos, Hebert Luan Pereira Campos dos

; Prado, Nília Maria de Brito Lima

; Santos, Luiz Henrique Pitanga Evangelista dos

; Maciel, Fernanda Beatriz Melo

; Pereira, Luzimary Vieira

; Teixeira, Carmen Fontes

Saúde em Debate

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oct 2023, Volume 47 N. 139 Pages 978 - 992

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

https://doi.org/10.1590/0103-1104202313918

Análise estratégica da atuação do governo federal brasileiro na pandemia de COVID-19: 2020-2021
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Teixeira, Carmen Fontes

; Santos, Jamilli Silva

Ciência & Saúde Coletiva

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may 2023, Volume 28 N. 5 Pages 1277 - 1286

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

Abstract The study aim is to analyze the performance of the Brazilian federal government (FG) in the COVID-19 pandemic, seeking to identify tensions and conflicts between actors and institutions of the three branches of the government and the FG with state governors. Data production included a review of articles, publications and documents that analyze the pandemic evolution and record announcements, decisions, actions, debates and controversies between these actors in the period of 2020 to 2021. The results include the characterization of the action style of the central Actor and the analysis of conflicts between the Presidency, the Ministry of Health, ANVISA, state governments, the House of Representatives and the Senate and the Federal Supreme Court, seeking to correlate them with the debate around the political projects for health in dispute under the current circumstances. It is concluded that the central actor largely used a communicative action aimed at his supporters and strategic action characterized by imposition, coercion and confrontation in the relationships he maintained with other institutional actors, especially when they diverged from his viewpoints about how to face the health crisis, consistently with his connection to the ultra-neoliberal and authoritarian political project of the FG, which includes the deconstruction of the Brazilian Unified Health System.

Resumo O objetivo é analisar a atuação do governo federal (GF) na pandemia de COVID-19 e identificar as tensões e conflitos entre atores e instituições dos três poderes e do GF com governadores estaduais. A produção de dados incluiu revisão de artigos, publicações e documentos que analisam a pandemia e registram pronunciamentos, decisões, ações, debates e controvérsias entre esses atores no período 2020-2021. Os resultados contemplam a análise do estilo de ação do ator central e dos conflitos entre a Presidência, Ministério da Saúde, Anvisa, governos estaduais, Câmara, Senado e Supremo Tribunal Federal, buscando correlacioná-los com os projetos políticos para a saúde em disputa na atual conjuntura. Conclui-se que o ator central utilizou largamente uma ação comunicativa dirigida a seus apoiadores e uma ação estratégica caracterizada pela imposição, coação e confronto nas relações que manteve com outros atores institucionais, sobretudo quando estes divergiram da sua visão acerca do enfrentamento da crise sanitária, coerentemente com sua vinculação ao projeto político ultra neoliberal e autoritário do GF, que inclui o desmonte do SUS.

https://doi.org/10.1590/1413-81232023285.10502022

Análise de modelos e estratégias de vigilância em saúde da pandemia da COVID-19
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Teixeira, Carmen Fontes

; Pinto, Isabela Cardoso de Matos

Ciência & Saúde Coletiva

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may 2023, Volume 28 N. 5 Pages 1274 - 1274

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

https://doi.org/10.1590/1413-81232023285.01412023

Análise política da ação do Movimento da Reforma Sanitária Brasileira na pandemia da COVID-19: 2020-2021
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Santos, Jamilli Silva

; Teixeira, Carmen Fontes

Ciência & Saúde Coletiva

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may 2023, Volume 28 N. 5 Pages 1287 - 1296

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

Abstract The aim of this study is to analyze the political action of the Brazilian Health Care Reform Movement (MRSB, Movimento da Reforma Sanitária Brasileira), particularly Cebes and Abrasco, during the COVID-19 pandemic. The data were obtained through the documental review of publications from the abovementioned entities, which describe their positions on government actions implemented between January 2020 and June 2021. The results show that the performance of these entities included several actions, most of them reactive and critical of the Federal Government’s role in the pandemic. Moreover, they led the creation of “Frente pela Vida”, an organization that brought together several scientific entities and civil society organizations, whose highlight was the preparation and dissemination of the “Frente pela Vida Plan”, a document that contains a comprehensive analysis of the pandemic and its social determinants, as well as a set of proposals to face the pandemic and its effects on the population’s living and health conditions. It is concluded that the performance of the MRSB entities reveals alignment with the original project of the Brazilian Health Care Reform (RSB, Reforma Sanitária Brasileira), emphasizing the relationship between health and democracy, the defense of the universal right to health and the expansion and strengthening of the Brazilian Unified Health System - SUS (Sistema Único de Saúde).

Resumo O objetivo deste trabalho é analisar a ação política do Movimento da Reforma Sanitária Brasileira (MRSB), notadamente Cebes e Abrasco, face à pandemia de COVID-19. As informações foram obtidas por meio de revisão documental de publicações das referidas entidades, que apresentam seus posicionamentos diante das ações governamentais implementadas entre janeiro de 2020 e junho de 2021. Os resultados evidenciam que a atuação dessas entidades incluiu ações diversas, em sua maioria reativas e críticas à atuação do governo federal na pandemia. Além disso, protagonizaram a criação da Frente pela Vida, organização que reuniu várias entidades científicas e organizações da sociedade civil, e cujo destaque foi a elaboração e difusão do “Plano Nacional de Enfrentamento à Pandemia de Covid-19”, documento que contém uma análise abrangente da pandemia e suas determinações sociais, bem como um conjunto de proposições para o enfrentamento da pandemia e dos seus efeitos sobre as condições de vida e saúde da população. Conclui-se que a atuação das entidades do MRSB revela alinhamento com o projeto original da RSB, enfatizando as relações entre saúde e democracia, a defesa do direito universal à saúde e a expansão e fortalecimento do SUS.

https://doi.org/10.1590/1413-81232023285.14042022

Análise de modelos e estratégias de vigilância em saúde da pandemia da COVID-19
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Teixeira, Carmen Fontes

; Pinto, Isabela Cardoso de Matos

Ciência & Saúde Coletiva

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may 2023, Volume 28 N. 5 Pages 1274 - 1274

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

https://doi.org/10.1590/1413-81232023285.01412023

Análise política da ação do Movimento da Reforma Sanitária Brasileira na pandemia da COVID-19: 2020-2021
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Santos, Jamilli Silva

; Teixeira, Carmen Fontes

Ciência & Saúde Coletiva

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may 2023, Volume 28 N. 5 Pages 1287 - 1296

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

https://doi.org/10.1590/1413-81232023285.14042022

Análise estratégica da atuação do governo federal brasileiro na pandemia de COVID-19: 2020-2021
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Teixeira, Carmen Fontes

; Santos, Jamilli Silva

Ciência & Saúde Coletiva

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may 2023, Volume 28 N. 5 Pages 1277 - 1286

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

https://doi.org/10.1590/1413-81232023285.10502022

10.

Participação social na elaboração dos planos municipais de saúde em capitais brasileiras durante a pandemia de COVID-19
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Santos, Hebert Luan Pereira Campos dos

; Prado, Nília Maria de Brito Lima

; Silveira, Débora Carolina dos Santos

; Maciel, Fernanda Beatriz Melo

; Santos, Thadeu Borges Souza

; Teixeira, Carmen Fontes de Souza

Ciência & Saúde Coletiva

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2023, Volume 28 N. 12 Pages 3609 - 3617

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

Abstract This objective work sets out to analyze whether the construction process of the 2022-2025 Municipal Health Plans (MHP) of the 26 Brazilian capitals and the Federal District (FD) provided for the inclusion of information and communication technologies (ICTs) to enable citizen participation. A total of 37 documents published on the 27 websites of the municipal health secretariats (MHS) were analyzed, in the light of the theoretical concept of the Postulate of coherence, elaborated by Mario Testa for analysis of the health planning process. The results show that ten secretariats adopted strategies to monitor remote social participation in the preparation of the MHP and only nine provided virtual channels for public consultation to define priorities in the context of the pandemic. From the documents analyzed, the adoption of MHS strategies was not identified, such as virtual tents, granting assistance for internet access, tablets, spaces for itinerant access, among others, as a way to enable and encourage broader social participation, in health crisis situations.

Resumo Este trabalho objetiva analisar se o processo de construção dos planos municipais de saúde (PMS) 2022-2025 das 26 capitais brasileiras e do Distrito Federal (DF) previu a inclusão de tecnologias de informação e comunicação (TICs) para viabilizar a participação cidadã. Foram analisados 37 documentos publicados nos 27 sites das secretarias municipais de Saúde (SMS), à luz da concepção teórica do postulado da coerência, elaborado por Mario Testa para análise do processo de planejamento em saúde. Os resultados evidenciam que dez secretarias adotaram estratégias de mobilização da participação social remota na elaboração do PMS e somente nove disponibilizaram canais virtuais de consulta pública para definição de prioridades no contexto pandêmico. A partir dos documentos analisados, não se identificou a adoção de estratégias pelas SMS, como tendas virtuais, concessão de auxílio para acesso à internet, tablets, espaços para acessos itinerantes, entre outras, como forma de viabilizar e fomentar uma participação social mais abrangente em tempos de crise sanitária.

https://doi.org/10.1590/1413-812320232812.20482022

11.

Evaluation of oxidative stress in an experimental model of Crohn's disease treated with hyperbaric oxygen therapy
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Nakutis, Fernanda Serafim

; Nishitokukado, Iêda

; dos Santos, Fabiana Maria

; Ortiz-Agostinho, Carmen Lucia

; de Alencar, Daniel Teixeira

; Achtschin, Cassiana Ganem

; Nunes, Valeria Sutti

; Leite, André Zonetti Arruda

; Sipahi, Aytan Miranda

Clinics

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2023, Volume 78 elocation 100305

Abstract: En | Text: En | PDF: En

Abstract Introduction: Treatments of Inflammatory Bowel Disease (IBD) are able to control symptoms in most cases, however, a fraction of patients do not improve or have a loss of response to treatments, making it important to explore new therapeutic strategies. Hyperbaric oxygen therapy (HBO) may represent one of them. The aim of this study was to evaluate the effects of HBO therapy in an experimental model of IBD. Methods: Sixty male BALBc mice were divided into six groups. Group 1 was colitis-induced with trinitrobenzene sulfonic acid (TNBS) + ethanol, group 2 received TNBS + ethanol plus HBO, group 3 received only ethanol, group 4 received ethanol plus HBO, group 5 received saline solution, and group 6 received saline solution plus HBO. HBO was performed for four days, subsequently, the mice were evaluated daily. At the end of the study, samples from the intestine were collected for histological analysis as well as for measurement of antioxidant enzymes and cytokine levels. Results: HBO significantly improved the clinical and histological status of the animals. Treatment with HBO increased the activity of the antioxidant enzymes superoxide dismutase (SOD) and glutathione peroxidase (GPx) in all of the groups; moreover, the difference was only significant between the TNBS and TNBS + HBO groups and treatments promoted a reduction in the proinflammatory cytokines IFN-γ, IL-12, IL-17 and TNF-α and increased the anti-inflammatory cytokines IL-4 and IL-10, with no changes in IL-13. Conclusion: HBO effectively treats TNBS-induced colitis by increasing the activity of antioxidant enzymes and modulating cytokine profiles.

https://doi.org/10.1016/j.clinsp.2023.100305

12.

First report of putative Leishmania RNA virus 2 (LRV2) in Leishmania infantum strains from canine and human visceral leishmaniasis cases in the southeast of Brazil
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Rêgo, Felipe Dutra

; da Silva, Eduardo Sérgio

; Lopes, Valeriana Valadares

; Teixeira-Neto, Rafael Gonçalves

; Belo, Vinícius Silva

; Fonseca Júnior, Antônio Augusto

; Pereira, Diego Andrade

; Pena, Heber Paulino

; Laurenti, Márcia Dalastra

; Araújo, Gabriela V

; da Matta, Vânia Lúcia Ribeiro

; Chouman, Islam Hussein

; Burrin, Thainá Bergantin

; Sandoval, Carmen M

; Barrouin-Melo, Stella Maria

; de Pinho, Flaviane Alves

; de Andrade, Hélida Monteiro

; Nunes, Ramon Vieira

; Gontijo, Célia Maria Ferreira

; Soccol, Vanete Thomaz

; Klocek, Donnamae

; Grybchuk, Danyil

; Macedo, Diego Henrique

; do Monte-Neto, Rubens Lima

; Yurchenko, Vyacheslav

; Soares, Rodrigo Pedro

Memórias do Instituto Oswaldo Cruz

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2023, Volume 118 elocation e230071

Abstract: En | Text: En | PDF: En

BACKGROUND Leishmania RNA virus 1 (LRV1) is commonly found in South American Leishmania parasites belonging to the subgenus Viannia, whereas Leishmania RNA virus 2 (LRV2) was previously thought to be restricted to the Old-World pathogens of the subgenus Leishmania. OBJECTIVES In this study, we investigated the presence of LRV2 in strains of Leishmania (L.) infantum, the causative agent of visceral leishmaniasis (VL), originating from different hosts, clinical forms, and geographical regions. METHODS A total of seventy-one isolates were screened for LRV2 using semi-nested reverse transcription-polymerase chain reaction (RT-PCR) targeting the RNA-dependent RNA polymerase (RdRp) gene. FINDINGS We detected LRV2 in two L. infantum isolates (CUR268 and HP-EMO) from canine and human cases, respectively. MAIN CONCLUSIONS To the best of our knowledge, this is the first detection of LRV2 in the New World.

https://doi.org/10.1590/0074-02760230071

13.

Participação social na elaboração dos planos municipais de saúde em capitais brasileiras durante a pandemia de COVID-19
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Santos, Hebert Luan Pereira Campos dos

; Prado, Nília Maria de Brito Lima

; Silveira, Débora Carolina dos Santos

; Maciel, Fernanda Beatriz Melo

; Santos, Thadeu Borges Souza

; Teixeira, Carmen Fontes de Souza

Ciência & Saúde Coletiva

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2023, Volume 28 N. 12 Pages 3609 - 3617

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

https://doi.org/10.1590/1413-812320232812.20482022

14.

Coconut oil: an overview of cardiometabolic effects and the public health burden of misinformation oil
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Spiazzi, Bernardo Frison

; Duarte, Ana Cláudia

; Zingano, Carolina Pires

; Teixeira, Paula Portal

; Amazarray, Carmen Raya

; Merello, Eduarda Nunes

; Wayerbacher, Laura Fink

; Farenzena, Laura Penso

; Correia, Poliana Espíndola

; Bertoluci, Marcello Casaccia

; Gerchman, Fernando

; Colpani, Verônica

Archives of Endocrinology and Metabolism

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2023, Volume 67 N. 6 elocation e000641

Abstract: En | Text: En | PDF: En

ABSTRACT Recent data from meta-analyses of randomized clinical trials (RCTs) suggest that dietary intake of coconut oil, rich in saturated fatty acids, does not result in cardiometabolic benefits, nor in improvements in anthropometric, lipid, glycemic, and subclinical inflammation parameters. Nevertheless, its consumption has surged in recent years all over the world, a phenomenon which can possibly be explained by an increasing belief among health professionals that this oil is as healthy as, or perhaps even healthier than, other oils, in addition to social network misinformation spread. The objective of this review is to present nutritional and epidemiological aspects related to coconut oil, its relationship with metabolic and cardiovascular health, as well as possible hypotheses to explain its high rate of consumption, in spite of the most recent data regarding its actual effects. metaanalyses meta analyses RCTs (RCTs acids benefits anthropometric lipid glycemic parameters Nevertheless world than oils spread effects

https://doi.org/10.20945/2359-3997000000641

15.

Alimentación, estilo de vida y distanciamiento social: un estudio en el sureste brasilero durante la pandemia de COVID-19
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Urquía, Yazareni José Mercadante

; Pereira, Taísa Sabrina Silva

; Enriquez-Martinez, Oscar Geovanny

; Silva, Daniela Alves

; Martins, Marcia Cristina Teixeira

; Molina, Maria del Carmen Bisi

Población y Salud en Mesoamérica

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dec 2022, Volume 20 N. 1 Pages 165 - 188

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

Resumen Introducción: a raíz de la emergencia por la COVID-19, las medidas de distanciamiento social adoptadas para mitigar la tasa de infección pueden influenciar los hábitos alimentarios y otros factores de estilo de vida. El objetivo de este estudio fue evaluar la relación del distanciamiento social y los factores de estilo de vida en adultos del sureste brasilero durante la primera ola pandémica. Metodología: se trata de un estudio transversal con 1828 adultos de entre 18 y 83 años, de ambos sexos, realizado a través de un cuestionario en línea; se recolectaron y analizaron datos sociodemográficos, alimentarios, sanitarios y de estilo de vida, en función de si se guardó o no el distanciamiento social. Resultados: los resultados mostraron disminución del desayuno (12,5 %) y aumento del consumo de meriendas (24,5 % matutina y 12,5 % vespertina) y picoteos entre comidas (20,4 %), así como de la ingesta de verduras y leguminosas entre quienes estaban en distanciamiento social y de pescado y comida rápida entre los que no lo estaban; la mayoría de participantes reportó ganancia de peso a lo largo de este periodo. Las personas en confinamiento dormían más y su principal causa de ansiedad fueron las estadísticas de la enfermedad. Conclusiones: los hallazgos sugieren la necesidad de implementar estrategias de promoción de la salud acordes a circunstancias como la actual.

Abstract Introduction: In the context of the COVID-19 pandemic, measures of social distancing to reduce the rate of infection can influence eating habits and other lifestyle factors. This study aimed to assess the relationship between social distancing and lifestyle factors in adults in southeastern Brazil during the first wave of the COVID-19 pandemic. Methods:: It was a cross-sectional study with 1,828 adults between 18 and 83 years of age, of both sexes, carried out through an online questionnaire; sociodemographic, food, health, and lifestyle data were collected and analyzed based on whether or not the social distancing was carried out. Results: The results showed a decrease in breakfast consumption (12.5%) and an increase in the consumption of snacks (24.5% morning snack; 12.5% afternoon snack) and snacks between meals (20.4%) during the pandemic, as well as an increase in the consumption of vegetables and legumes among people who did social distancing and in the consumption of fish and fast food among those who did not do social distancing; most participants reported weight gain during social distancing. People who were in social distancing slept more compared to those who were not in social distancing. The main cause of anxiety among those who kept social distancing were COVID-19 statistics. Conclusion: The findings suggest the need for health promotion strategies adapted to the condition of confinement in circumstances such as the current pandemic.

https://doi.org/10.15517/psm.v20i1.49840

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