Mariana Tâmara Teixeira de Toledo

Condições de saúde e aconselhamento sobre alimentação e atividade física na Atenção Primária à Saúde de Belo Horizonte-MG

OBJETIVO:investigar fatores associados ao recebimento de aconselhamento sobre alimentacao e atividade fisica.METODOS:estudo transversal, realizado de outubro de 2009 a janeiro de 2010, com amostra de usuarios de Unidades Basicas de Saude (UBS) de Belo Horizonte, Minas Gerais, Brasil. Foram coletados dados sociodemograficos, antropometricos, sobre consumo alimentar, uso de servicos e condicoes de saude e relato de recebimento de aconselhamento.RESULTADOS:a frequencia media de aconselhamento foi de 51,1%, com variacao de 16,5% a 36,0% entre as UBS. Foram variaveis associadas ao recebimento de aconselhamento (p<0,05): ter hipertensao arterial, hipercolesterolemia, diabetes, excesso de peso; usar medicamentos e participar do Programa Academia da Saude (PAS).CONCLUSAO:a presenca de agravos e a participacao do PAS foram as condicoes de saude associadas ao recebimento do aconselhamento, evidenciando-se a importância deste programa e a necessidade de reforcar a pratica do aconselhamento com carater preventivo e promotor da saude na Atencao Primaria.Objective: to investigate health factors associated with receiving counseling on diet and physical activity. Methods: cross-sectional study with a sample of Primary Health Care Centers service users in Belo Horizonte-MG. Sociodemographic, anthropometric and dietary intake data were collected, as were data on use of services, health conditions and reported receipt of counseling. Results: on average 51.1% received counseling, varying between 16.5% at Center A and 36.0% at Center D. After adjusting for Primary Health Care Center, variables associated with receiving counseling (p<0.05) were: having hypertension, hypercholesterolemia, diabetes, overweight, taking medication and taking part in the Health Fitness Academy Program (HFAP). Conclusion: health factors associated with counseling were the presence of disease and taking part in HFAP. These findings highlight the importance of HFAP and the need to strengthen preventive health promotion counseling in Primary Care.

Aconselhamento sobre modos saudáveis de vida na Atenção Primária e práticas alimentares dos usuários

This cross-sectional study examines a counseling program on healthy lifestyles run by health care professionals to establish the adoption of healthy dietary practices by patients attending a primary health care unit. Participants in the study included 417 clients of the unit, the majority of whom were women (78.9%), with an average age of 39 years, a high incidence of excessive weight, (59.1%), important dietary inadequacies, and with a contrastingly low frequency of receiving counseling (40.8%). Clients receiving counseling displayed more appropriate consumption of candy/gum (p=0.031), softdrinks (p=0.036), salty foods (p=0.037), artificial flavorings (p=0.005) and eggs (p=0.010). Adoption of healthy dietary practices was more common among older individuals and women (p <0.05). Despite the importance of nutritional counseling in dealing with such health problems, this was not prevalent, suggesting the need for greater intervention by health care professionals aimed at preventing and controlling disease and promoting good health.Estudio seccional que apunta a verificar la efectivizacion de consejos sobre habitos de vida saludables por profesionales de salud y su asociacion con la adopcion de practicas alimentarias saludables en Servicio de Atencion Basica de Salud. Participaron 417 pacientes, mayoritariamente mujeres (78,9%), con mediana etaria de 39 anos, alta prevalencia de exceso de peso (59,1%) y alimentacion inadecuada, contrastandose con la baja frecuencia de aconsejado (40,8%). Aun asi, los pacientes aconsejados presentaron mayor adecuacion en el consumo de caramelos/chicles (p=0,031), refrescos gasificados (p=0,036), pasteles fritos (p=0,037), condimentos industrializados (p=0,005) y huevos (p=0,010). La adopcion de practicas alimentarias saludables fue mas frecuente entre los de mayor edad y las mujeres (p<0,05). A pesar de la importancia de aconsejarse en funcion del perfil alimentario y de salud identificado, este fue poco frecuente, sugiriendose la necesidad de mayor actuacion profesional, apuntando a prevenir y controlar problemas derivados y a la promocion de salud.

Adesão a modos saudáveis de vida mediante aconselhamento por profissionais de saúde

OBJECTIVE: To estimate the prevalence of factors associated with adherence to healthy ways of life. METHODS: This is a cross-sectional study carried out with users aged over19 from a primary health care unit in Belo Horizonte, MG, Southeastern Brazil, from 2009 to 2010. The sample was selected to estimate the proportion of people who adhere to healthy ways of life (healthy eating and physical activity) through counseling conducted by health care professionals, and associated socio-demographic, dietary and health factors. Additionally, the perceived benefits from the adherence to healthy ways of life and their possible barriers were verified. Descriptive analysis, univariate (Chi-square Test or Fishers Exact) and multivariate by Poisson Regression were performed. RESULTS: Of the 417 users selected for the survey, only 40.8% received counseling, of which 50.9% demonstrated adherence. In multivariate Poisson regression, adherence was associated with the perception of food being healthy (PR = 1.67, 95%CI 1.15;2.43) and participation in the public service health campaigns(PR = 1.55, 95%CI 1.18;2.03). The main reported benefits of adherence were greater willingness and weight loss and, the most commonly reported barriers were difficulty of changing habits and lack of time. CONCLUSIONS: Adopting healthier lifestyles requires the proposing of strategies that promote adherence, as well as the participation of professionals in implementing counseling as a health promoting action that generates greater autonomy and quality of life among those involved, supported by policies and programs promoting health.OBJECTIVE To estimate the prevalence of factors associated with adherence to healthy ways of life. METHODS This is a cross-sectional study carried out with users aged over 19 from a primary health care unit in Belo Horizonte, MG, Southeastern Brazil, from 2009 to 2010. The sample was selected to estimate the proportion of people who adhere to healthy ways of life (healthy eating and physical activity) through counseling conducted by health care professionals, and associated socio-demographic, dietary and health factors. Additionally, the perceived benefits from the adherence to healthy ways of life and their possible barriers were verified. Descriptive analysis, univariate (Chi-square Test or Fishers Exact) and multivariate by Poisson Regression were performed. RESULTS Of the 417 users selected for the survey, only 40.8% received counseling, of which 50.9% demonstrated adherence. In multivariate Poisson regression, adherence was associated with the perception of food being healthy (PR = 1.67, 95%CI 1.15;2.43) and participation in the public service health campaigns(PR = 1.55, 95%CI 1.18;2.03). The main reported benefits of adherence were greater willingness and weight loss and, the most commonly reported barriers were difficulty of changing habits and lack of time. CONCLUSIONS Adopting healthier lifestyles requires the proposing of strategies that promote adherence, as well as the participation of professionals in implementing counseling as a health promoting action that generates greater autonomy and quality of life among those involved, supported by policies and programs promoting health.

Health conditions and counseling on diet and physical activity in Primary Care in Belo Horizonte, Minas Gerais State, Brazil

OBJETIVO:investigar fatores associados ao recebimento de aconselhamento sobre alimentacao e atividade fisica.METODOS:estudo transversal, realizado de outubro de 2009 a janeiro de 2010, com amostra de usuarios de Unidades Basicas de Saude (UBS) de Belo Horizonte, Minas Gerais, Brasil. Foram coletados dados sociodemograficos, antropometricos, sobre consumo alimentar, uso de servicos e condicoes de saude e relato de recebimento de aconselhamento.RESULTADOS:a frequencia media de aconselhamento foi de 51,1%, com variacao de 16,5% a 36,0% entre as UBS. Foram variaveis associadas ao recebimento de aconselhamento (p<0,05): ter hipertensao arterial, hipercolesterolemia, diabetes, excesso de peso; usar medicamentos e participar do Programa Academia da Saude (PAS).CONCLUSAO:a presenca de agravos e a participacao do PAS foram as condicoes de saude associadas ao recebimento do aconselhamento, evidenciando-se a importância deste programa e a necessidade de reforcar a pratica do aconselhamento com carater preventivo e promotor da saude na Atencao Primaria.Objective: to investigate health factors associated with receiving counseling on diet and physical activity. Methods: cross-sectional study with a sample of Primary Health Care Centers service users in Belo Horizonte-MG. Sociodemographic, anthropometric and dietary intake data were collected, as were data on use of services, health conditions and reported receipt of counseling. Results: on average 51.1% received counseling, varying between 16.5% at Center A and 36.0% at Center D. After adjusting for Primary Health Care Center, variables associated with receiving counseling (p<0.05) were: having hypertension, hypercholesterolemia, diabetes, overweight, taking medication and taking part in the Health Fitness Academy Program (HFAP). Conclusion: health factors associated with counseling were the presence of disease and taking part in HFAP. These findings highlight the importance of HFAP and the need to strengthen preventive health promotion counseling in Primary Care.

Counseling regarding healthy lifestyles in primary healthcare and the dietary practices of clients

This cross-sectional study examines a counseling program on healthy lifestyles run by health care professionals to establish the adoption of healthy dietary practices by patients attending a primary health care unit. Participants in the study included 417 clients of the unit, the majority of whom were women (78.9%), with an average age of 39 years, a high incidence of excessive weight, (59.1%), important dietary inadequacies, and with a contrastingly low frequency of receiving counseling (40.8%). Clients receiving counseling displayed more appropriate consumption of candy/gum (p=0.031), softdrinks (p=0.036), salty foods (p=0.037), artificial flavorings (p=0.005) and eggs (p=0.010). Adoption of healthy dietary practices was more common among older individuals and women (p <0.05). Despite the importance of nutritional counseling in dealing with such health problems, this was not prevalent, suggesting the need for greater intervention by health care professionals aimed at preventing and controlling disease and promoting good health.Estudio seccional que apunta a verificar la efectivizacion de consejos sobre habitos de vida saludables por profesionales de salud y su asociacion con la adopcion de practicas alimentarias saludables en Servicio de Atencion Basica de Salud. Participaron 417 pacientes, mayoritariamente mujeres (78,9%), con mediana etaria de 39 anos, alta prevalencia de exceso de peso (59,1%) y alimentacion inadecuada, contrastandose con la baja frecuencia de aconsejado (40,8%). Aun asi, los pacientes aconsejados presentaron mayor adecuacion en el consumo de caramelos/chicles (p=0,031), refrescos gasificados (p=0,036), pasteles fritos (p=0,037), condimentos industrializados (p=0,005) y huevos (p=0,010). La adopcion de practicas alimentarias saludables fue mas frecuente entre los de mayor edad y las mujeres (p<0,05). A pesar de la importancia de aconsejarse en funcion del perfil alimentario y de salud identificado, este fue poco frecuente, sugiriendose la necesidad de mayor actuacion profesional, apuntando a prevenir y controlar problemas derivados y a la promocion de salud.

Nível de atividade física e fatores associados ao sedentarismo em usuários de uma unidade básica de saúde em Belo Horizonte, Minas Gerais

This study aimed to estimate energy expenditure due to physical activity and to determine the prevalence of sedentary lifestyles and the factors associated with this condition in adult (≥ 20 years of age) users of a Basic Health Unit (BHU). This cross-sectional study included 415 users of a BHU in Belo Horizonte, MG, Brazil, located in the coverage area of the Academia da Cidade (City Gym) program, a health promotion service of primary healthcare. Physical activity was evaluated using the IPAQ-short version questionnaire, which showed a prevalence of sedentary lifestyles (<450 MET-min/week) of 31.2% and a median energy expenditure of 831.0 MET-min/week (591.0 among men and 865.5 among women). The results of a multivariate analysis, based on Poisson regression, showed that sedentary lifestyles were positively associated with age and negatively associated with prior knowledge of the Academia da Cidade in the region. It is important to note that the present study’s results may favor the planning of actions geared toward promoting more appropriate healthy lifestyles, as well as toward providing subsidies to improve the impact of health promotion programs, such as the Academia da Cidade program, which has recently been implemented throughout Brazil.This study aimed to estimate energy expenditure due to physical activity and to determine the prevalence of sedentary lifestyles and the factors associated with this condition in adult (≥ 20 years of age) users of a Basic Health Unit (BHU). This cross-sectional study included 415 users of a BHU in Belo Horizonte, MG, Brazil, located in the coverage area of the Academia da Cidade (City Gym) program, a health promotion service of primary healthcare. Physical activity was evaluated using the IPAQ-short version questionnaire, which showed a prevalence of sedentary lifestyles (<450 MET-min/week) of 31.2% and a median energy expenditure of 831.0 MET-min/week (591.0 among men and 865.5 among women). The results of a multivariate analysis, based on Poisson regression, showed that sedentary lifestyles were positively associated with age and negatively associated with prior knowledge of the Academia da Cidade in the region. It is important to note that the present study’s results may favor the planning of actions geared toward promoting more appropriate healthy lifestyles, as well as toward providing subsidies to improve the impact of health promotion programs, such as the Academia da Cidade program, which has recently been implemented throughout Brazil.

Aconselhamento sobre modos saudáveis de vida na Atenção Primária à Saúde

Introdução: O aconselhamento é um processo de orientação do profissional de saúde ao usuário que possibilita a construção de modos saudáveis de vida e a promoção da saúde. Objetivo: Verificar a realização de aconselhamento sobre modos saudáveis de vida por profissionais de saúde da Atenção Primária, segundo percepção dos usuários, e os fatores associados a esta prática. Método: Estudo seccional com usuários de Unidade Básica de Saúde de Belo Horizonte-MG. Foram coletados dados sociodemográficos, consumo alimentar avaliado por questionário de frequência alimentar, morbidade referida, uso de medicamentos, prática de atividade física, antropometria e relato de recebimento de aconselhamento sobre modos saudáveis de vida (alimentação saudável e prática de atividade física). Aspectos associados à realização de aconselhamento foram identificados pela Regressão de Poisson. Resultados e Discussão: A frequência de recebimento de aconselhamento (40,8%) foi baixa, segundo relado dos usuários (n=417). Indivíduos com hipertensão arterial (RP:1,30; IC95%: 1,03; 1,66) e hipercolesterolemia (RP:1,62; IC95%: 1,28; 2,05), com consumo adequado de temperos ultraprocessados (RP:1,40; IC95%: 1,11; 1,78) e que participavam das atividades do Programa Academia da Saúde (RP:1,85; IC95%: 1,45; 2,36) foram mais aconselhados. Conclusão: O aconselhamento sobre modos saudáveis de vida precisa ser revisto de forma a promover a equidade e a integralidade do cuidado em saúde, tendo em vista o papel e o potencial da Atenção Primária. Palavras-chave: Aconselhamento. Perfil de Saúde. Atenção Primária à Saúde. Pessoal de Saúde. Promoção da Saúde. Introduction: Counseling is process guidance of health professionals that enables the construction of healthy lifestyles and health promotion. Aim: To check the performance of primary healthcare professionals on counseling healthy ways of living, according to the perception of users, and the factors associated with this practice. Method: A sectional study was conducted with users of the Basic Health Unit of Belo Horizonte, MG. Food consumption was assessed with the use of a food-frequency questionnaire. Sociodemographic data, morbidity, medication use, physical activity, and anthropometric measurements were collected, as were reported receipt of counseling about healthy ways of living (healthy eating and physical activity). Aspects associated with receiving counseling were identified by Poisson regression. Results and Discussion: There was an insufficient frequency of receiving counseling (40.8%), according to users (n=417). Individuals with hypertension (PR:1.30; 95%CI: 1.03; 1.66) or hypercholesterolemia (PR:1.62; 95%CI: 1.28; 2.05), presenting adequate intake of processed spices (PR:1.40; 95%CI: 1.11; 1.78) and participating in the Academia da Saúde Program (PR:1.85; 95%CI: 1.45; 2.36) were more counseled. Conclusion: Counseling on healthy ways of living needs to be revised in order to promote equity and integrality of health care, given the role and the potential of primary health care.

Adherence to healthy ways of life through counselling by health care professionals

OBJECTIVE: To estimate the prevalence of factors associated with adherence to healthy ways of life. METHODS: This is a cross-sectional study carried out with users aged over19 from a primary health care unit in Belo Horizonte, MG, Southeastern Brazil, from 2009 to 2010. The sample was selected to estimate the proportion of people who adhere to healthy ways of life (healthy eating and physical activity) through counseling conducted by health care professionals, and associated socio-demographic, dietary and health factors. Additionally, the perceived benefits from the adherence to healthy ways of life and their possible barriers were verified. Descriptive analysis, univariate (Chi-square Test or Fishers Exact) and multivariate by Poisson Regression were performed. RESULTS: Of the 417 users selected for the survey, only 40.8% received counseling, of which 50.9% demonstrated adherence. In multivariate Poisson regression, adherence was associated with the perception of food being healthy (PR = 1.67, 95%CI 1.15;2.43) and participation in the public service health campaigns(PR = 1.55, 95%CI 1.18;2.03). The main reported benefits of adherence were greater willingness and weight loss and, the most commonly reported barriers were difficulty of changing habits and lack of time. CONCLUSIONS: Adopting healthier lifestyles requires the proposing of strategies that promote adherence, as well as the participation of professionals in implementing counseling as a health promoting action that generates greater autonomy and quality of life among those involved, supported by policies and programs promoting health.OBJECTIVE To estimate the prevalence of factors associated with adherence to healthy ways of life. METHODS This is a cross-sectional study carried out with users aged over 19 from a primary health care unit in Belo Horizonte, MG, Southeastern Brazil, from 2009 to 2010. The sample was selected to estimate the proportion of people who adhere to healthy ways of life (healthy eating and physical activity) through counseling conducted by health care professionals, and associated socio-demographic, dietary and health factors. Additionally, the perceived benefits from the adherence to healthy ways of life and their possible barriers were verified. Descriptive analysis, univariate (Chi-square Test or Fishers Exact) and multivariate by Poisson Regression were performed. RESULTS Of the 417 users selected for the survey, only 40.8% received counseling, of which 50.9% demonstrated adherence. In multivariate Poisson regression, adherence was associated with the perception of food being healthy (PR = 1.67, 95%CI 1.15;2.43) and participation in the public service health campaigns(PR = 1.55, 95%CI 1.18;2.03). The main reported benefits of adherence were greater willingness and weight loss and, the most commonly reported barriers were difficulty of changing habits and lack of time. CONCLUSIONS Adopting healthier lifestyles requires the proposing of strategies that promote adherence, as well as the participation of professionals in implementing counseling as a health promoting action that generates greater autonomy and quality of life among those involved, supported by policies and programs promoting health.

Incorporación de modos saludables de vida mediante asesoría por profesionales de salud

OBJECTIVE: To estimate the prevalence of factors associated with adherence to healthy ways of life. METHODS: This is a cross-sectional study carried out with users aged over19 from a primary health care unit in Belo Horizonte, MG, Southeastern Brazil, from 2009 to 2010. The sample was selected to estimate the proportion of people who adhere to healthy ways of life (healthy eating and physical activity) through counseling conducted by health care professionals, and associated socio-demographic, dietary and health factors. Additionally, the perceived benefits from the adherence to healthy ways of life and their possible barriers were verified. Descriptive analysis, univariate (Chi-square Test or Fishers Exact) and multivariate by Poisson Regression were performed. RESULTS: Of the 417 users selected for the survey, only 40.8% received counseling, of which 50.9% demonstrated adherence. In multivariate Poisson regression, adherence was associated with the perception of food being healthy (PR = 1.67, 95%CI 1.15;2.43) and participation in the public service health campaigns(PR = 1.55, 95%CI 1.18;2.03). The main reported benefits of adherence were greater willingness and weight loss and, the most commonly reported barriers were difficulty of changing habits and lack of time. CONCLUSIONS: Adopting healthier lifestyles requires the proposing of strategies that promote adherence, as well as the participation of professionals in implementing counseling as a health promoting action that generates greater autonomy and quality of life among those involved, supported by policies and programs promoting health.OBJECTIVE To estimate the prevalence of factors associated with adherence to healthy ways of life. METHODS This is a cross-sectional study carried out with users aged over 19 from a primary health care unit in Belo Horizonte, MG, Southeastern Brazil, from 2009 to 2010. The sample was selected to estimate the proportion of people who adhere to healthy ways of life (healthy eating and physical activity) through counseling conducted by health care professionals, and associated socio-demographic, dietary and health factors. Additionally, the perceived benefits from the adherence to healthy ways of life and their possible barriers were verified. Descriptive analysis, univariate (Chi-square Test or Fishers Exact) and multivariate by Poisson Regression were performed. RESULTS Of the 417 users selected for the survey, only 40.8% received counseling, of which 50.9% demonstrated adherence. In multivariate Poisson regression, adherence was associated with the perception of food being healthy (PR = 1.67, 95%CI 1.15;2.43) and participation in the public service health campaigns(PR = 1.55, 95%CI 1.18;2.03). The main reported benefits of adherence were greater willingness and weight loss and, the most commonly reported barriers were difficulty of changing habits and lack of time. CONCLUSIONS Adopting healthier lifestyles requires the proposing of strategies that promote adherence, as well as the participation of professionals in implementing counseling as a health promoting action that generates greater autonomy and quality of life among those involved, supported by policies and programs promoting health.

Consejos sobre hábitos de vida saludables en la atención básica y prácticas alimentarias de los pacientes

This cross-sectional study examines a counseling program on healthy lifestyles run by health care professionals to establish the adoption of healthy dietary practices by patients attending a primary health care unit. Participants in the study included 417 clients of the unit, the majority of whom were women (78.9%), with an average age of 39 years, a high incidence of excessive weight, (59.1%), important dietary inadequacies, and with a contrastingly low frequency of receiving counseling (40.8%). Clients receiving counseling displayed more appropriate consumption of candy/gum (p=0.031), softdrinks (p=0.036), salty foods (p=0.037), artificial flavorings (p=0.005) and eggs (p=0.010). Adoption of healthy dietary practices was more common among older individuals and women (p <0.05). Despite the importance of nutritional counseling in dealing with such health problems, this was not prevalent, suggesting the need for greater intervention by health care professionals aimed at preventing and controlling disease and promoting good health.Estudio seccional que apunta a verificar la efectivizacion de consejos sobre habitos de vida saludables por profesionales de salud y su asociacion con la adopcion de practicas alimentarias saludables en Servicio de Atencion Basica de Salud. Participaron 417 pacientes, mayoritariamente mujeres (78,9%), con mediana etaria de 39 anos, alta prevalencia de exceso de peso (59,1%) y alimentacion inadecuada, contrastandose con la baja frecuencia de aconsejado (40,8%). Aun asi, los pacientes aconsejados presentaron mayor adecuacion en el consumo de caramelos/chicles (p=0,031), refrescos gasificados (p=0,036), pasteles fritos (p=0,037), condimentos industrializados (p=0,005) y huevos (p=0,010). La adopcion de practicas alimentarias saludables fue mas frecuente entre los de mayor edad y las mujeres (p<0,05). A pesar de la importancia de aconsejarse en funcion del perfil alimentario y de salud identificado, este fue poco frecuente, sugiriendose la necesidad de mayor actuacion profesional, apuntando a prevenir y controlar problemas derivados y a la promocion de salud.