Bruna Vieira de Lima Costa

Academia da Cidade: um serviço de promoção da saúde na rede assistencial do Sistema Único de Saúde

This is an analysis of the health and nutritional profile of users of the Unified Health System admitted to a City Academy in Belo Horizonte, Minas Gerais during a triennium. It is a cross-sectional study with users> 20 years and socio-demographic characteristics, health habits, food intake and anthropometrics were gathered. Kolmogorov-Smirnov tests, ANOVA, Kruskal-Wallis test, chi-square and Fisher exact test were applied. There was a high prevalence of hypertensive subjects (41.6%), overweight (70.6%) and metabolic risks associated with obesity (67.6%). About 40% of entrants had 1-3 chronic diseases and over 65% used medication daily. There was an imbalance in daily consumption of fruits and vegetables (75.3%), fatty meat (72.4%) and sweetened drinks (54.2%). They had low education and income, and inadequate eating habits and high prevalence of hypertension, overweight and metabolic risks associated with obesity, which suggests users seeking health care services for treatment of diseases. This illustrates the perceived quest for cure, further demonstrating the lack of healthcare initiatives in the population. This reveals the need to review the actions at different levels of health care, to promote greater comprehensiveness of care provided.

Different equations for determining height among the elderly: the Bambuí cohort study of aging

The aim of this study was to compare measured height with estimates of height derived from equations using half arm-span measurements and assess how this affects the calculation of the body mass index (BMI) among elderly individuals. Direct height measurements of a subsample of elderly individuals from the baseline sample of the Bambuí Project were compared with estimates of height derived from equations proposed by Bassey and the WHO. The data was analyzed using the McNemar test, Lin concordance correlation coefficient (CCC) and Bland-Altman method (p < 0.05). Estimates of height using the WHO method showed a low CCC in relation to measured height. For BMI, the concordance was greater. However, with this method height was found to be underestimated so leading to the overestimation of BMI. The Bassey equation showed high concordance with measured height in elderly people over 80 years of age. With respect to BMI, the WHO method resulted in a much greater prevalence of overweight, whereas the estimates derived from the Bassey method did not differ from the results obtained from direct height measurement. Height estimates using the Bassey equation were similar to the results obtained from direct measurements, suggesting that this method is applicable.

Food environment of fruits and vegetables in the territory of the Health Academy Program

Abstract This study provides a spatial analysis of distribution and access to commercial fruit and vegetable establishments within the territory of a representative sample of public fitness facilities known as the Health Academy Program (HAP) in Belo Horizonte, Minas Gerais State, Brazil. The study evaluated commercial food establishments within a buffer area based on a radius of 1,600 meters around each of 18 randomly selected fitness facilities. Quality of access to fruits and vegetables was assessed by the Healthy Food Store Index (HFSI), consisting of the variables availability, variety, and advertising of fruits, vegetables and ultra-processed foods. The analysis was based on calculation of the Kernel intensity estimator, nearest neighbor method, and Ripley K-function. Of the 336 food establishments, 61.3% were green grocers and open-air markets, with a median HFSI of 11 (5 to 16). In only 17% of the territories, the majority of the “hot area” establishments displayed better access to healthy foods, and only three areas showed a clustering pattern. The study showed limited access to commercial establishments supplying healthy fruits and vegetables within the territory of the public fitness program.

Local food environment and fruit and vegetable consumption: An ecological study

Ecological studies are essential for understanding the environment-diet relationship. The purpose of this study was to describe environmental conditions and their relationship with fruit and vegetable (FV) consumption among Brazilian public health service users in the city of Belo Horizonte. We evaluated food stores contained within 1600 m buffer zones at 18 Health Academy Programme sites, from 2013 to 2014. Variables at the community (density, proximity and type) and the consumer (sectional location of FV; availability, quality, variety, price and advertising of FV and ultra-processed foods) nutrition environment were measured by direct observation, while aggregate data from users (income and FV consumption) were obtained by interview. Data were analysed using the Kernel intensity estimator, average nearest neighbour value and Local Morans Index for local spatial autocorrelation. We interviewed 3414 users and analysed 336 food stores. Major geographical variations in the FV consumption were identified. Average consumption was higher (site 2A: 410.5 ± 185.7 g vs. site 4B: 311.2 ± 159.9 g) in neighbourhoods with higher income and concentration of food stores, and better index of access to healthy foods. Sites with poor FV consumption had the most stores with poor access to healthy foods (index in the first tertile, ≤ 10). In conclusion, negative characteristics of the food environment, as seen in the present study, may contribute to low FV consumption, suggesting the need for the development and consolidation of public policies aimed at creating healthy environments through built environment interventions that increase access to and consumption of healthy foods like FV.

[Food prices in Brazil: prefer cooking to ultra-processed foods].

Estudo com objetivo de descrever o preco dos grupos de alimentos consumidos no Brasil considerando a natureza, a extensao e o proposito de seu processamento. Dados provenientes da Pesquisa de Orcamentos Familiares de 2008-2009 foram utilizados. O preco medio dos grupos (in natura, ingredientes culinarios, processados e ultraprocessados) e seus respectivos subgrupos de alimentos foram estimados para o Brasil segundo renda, regiao e area. Os produtos in natura e ingredientes culinarios apresentaram menor preco por caloria quando comparado aos demais grupos, sugerindo uma vantagem economica no preparo de refeicoes no lar em comparacao a sua substituicao por ultraprocessados. As familias de maior nivel economico pagaram preco mais elevado por suas aquisicoes, enquanto as regioes Nordeste, Norte e a area rural pagaram os menores precos. Enquanto alimentos frescos (como carnes, leite, frutas e hortalicas) tendem a custar mais caro que alimentos ultraprocessados, graos secos (como o arroz e o feijao) despontam como uma alternativa mais economica para adocao de praticas alimentares saudaveis.

Preço dos alimentos no Brasil: prefira preparações culinárias a alimentos ultraprocessados

Estudo com objetivo de descrever o preco dos grupos de alimentos consumidos no Brasil considerando a natureza, a extensao e o proposito de seu processamento. Dados provenientes da Pesquisa de Orcamentos Familiares de 2008-2009 foram utilizados. O preco medio dos grupos (in natura, ingredientes culinarios, processados e ultraprocessados) e seus respectivos subgrupos de alimentos foram estimados para o Brasil segundo renda, regiao e area. Os produtos in natura e ingredientes culinarios apresentaram menor preco por caloria quando comparado aos demais grupos, sugerindo uma vantagem economica no preparo de refeicoes no lar em comparacao a sua substituicao por ultraprocessados. As familias de maior nivel economico pagaram preco mais elevado por suas aquisicoes, enquanto as regioes Nordeste, Norte e a area rural pagaram os menores precos. Enquanto alimentos frescos (como carnes, leite, frutas e hortalicas) tendem a custar mais caro que alimentos ultraprocessados, graos secos (como o arroz e o feijao) despontam como uma alternativa mais economica para adocao de praticas alimentares saudaveis.

Ambiente alimentar de frutas e hortaliças no território do Programa da Academia da Saúde

Abstract This study provides a spatial analysis of distribution and access to commercial fruit and vegetable establishments within the territory of a representative sample of public fitness facilities known as the Health Academy Program (HAP) in Belo Horizonte, Minas Gerais State, Brazil. The study evaluated commercial food establishments within a buffer area based on a radius of 1,600 meters around each of 18 randomly selected fitness facilities. Quality of access to fruits and vegetables was assessed by the Healthy Food Store Index (HFSI), consisting of the variables availability, variety, and advertising of fruits, vegetables and ultra-processed foods. The analysis was based on calculation of the Kernel intensity estimator, nearest neighbor method, and Ripley K-function. Of the 336 food establishments, 61.3% were green grocers and open-air markets, with a median HFSI of 11 (5 to 16). In only 17% of the territories, the majority of the “hot area” establishments displayed better access to healthy foods, and only three areas showed a clustering pattern. The study showed limited access to commercial establishments supplying healthy fruits and vegetables within the territory of the public fitness program.

P242 Anxiolytic and antidepressant use among court workers in minas gerais, brazil

The use of anxiolytics and antidepressants indicates the presence of psychiatric morbidity among active workers in labour market. When used without proper orientation (self-medication), the consumption of these substances can exacerbate or cause more serious conditions, intoxication and dependence. Occupational stressors can be related to psychiatric medication use, including self-medication. Cross-sectional study, with random and representative sample, was held at Minas Gerais State Court, Brazil. The aim was to investigate psychosocial factors associated with psychiatric self-medication among State Court workers. All permanent workers (n = 12,251) who were working in the 296 Minas Gerais law districts were eligible. The estimation of the sample size (n = 1000) considered the following parameters: number of workers, prevalence of sick leave of 40% and 95% confidence interval. A stratified proportional random sampling was performed. Data was collected by telephone survey, including socioeconomic, occupational, and health information. Among the occupational variables we call atention to eletronic tools use, job demands, work control and social support. Logistic regression analysis indicated associations between psychiatric self-medication and occupational variables. Our findings suggested that work intensification was associated with self-medication use. Health policies focusing on controlling and monitoring psychosocial factors at work in Brazilian judiciary services are desirable.

Precio de los alimentos en Brasil: elija platos caseros a alimentos ultraprocesados

Estudo com objetivo de descrever o preco dos grupos de alimentos consumidos no Brasil considerando a natureza, a extensao e o proposito de seu processamento. Dados provenientes da Pesquisa de Orcamentos Familiares de 2008-2009 foram utilizados. O preco medio dos grupos (in natura, ingredientes culinarios, processados e ultraprocessados) e seus respectivos subgrupos de alimentos foram estimados para o Brasil segundo renda, regiao e area. Os produtos in natura e ingredientes culinarios apresentaram menor preco por caloria quando comparado aos demais grupos, sugerindo uma vantagem economica no preparo de refeicoes no lar em comparacao a sua substituicao por ultraprocessados. As familias de maior nivel economico pagaram preco mais elevado por suas aquisicoes, enquanto as regioes Nordeste, Norte e a area rural pagaram os menores precos. Enquanto alimentos frescos (como carnes, leite, frutas e hortalicas) tendem a custar mais caro que alimentos ultraprocessados, graos secos (como o arroz e o feijao) despontam como uma alternativa mais economica para adocao de praticas alimentares saudaveis.

Ambiente alimentar de frutas y verduras en el territorio del Programa Academia de la Salud

Abstract This study provides a spatial analysis of distribution and access to commercial fruit and vegetable establishments within the territory of a representative sample of public fitness facilities known as the Health Academy Program (HAP) in Belo Horizonte, Minas Gerais State, Brazil. The study evaluated commercial food establishments within a buffer area based on a radius of 1,600 meters around each of 18 randomly selected fitness facilities. Quality of access to fruits and vegetables was assessed by the Healthy Food Store Index (HFSI), consisting of the variables availability, variety, and advertising of fruits, vegetables and ultra-processed foods. The analysis was based on calculation of the Kernel intensity estimator, nearest neighbor method, and Ripley K-function. Of the 336 food establishments, 61.3% were green grocers and open-air markets, with a median HFSI of 11 (5 to 16). In only 17% of the territories, the majority of the “hot area” establishments displayed better access to healthy foods, and only three areas showed a clustering pattern. The study showed limited access to commercial establishments supplying healthy fruits and vegetables within the territory of the public fitness program.