ResumoIntrodução: As doenças cardiovasculares tornaram-se um grave e crescente problema de saúde pública no Brasil e para redução da sua incidência é fundamental o monitoramento dos fatores de risco. Objetivos: Avaliar o perfil nutricional e identificar fatores de risco para doenças cardiovasculares (DCVs) em trabalhadores de um Centro Municipal Especializado em Reabilitação Física e Auditiva (CEMERF). Casuística e Métodos: Foi realizado um estudo descritivo, transversal, com 64 funcionários, idade média (38,03 ± 8 anos), inseridos no Centro Municipal Especializado em Reabilitação Física e Auditiva, em Vitória da Conquista, BA. Os dados foram coletados por meio de entrevistas dirigidas, com a aplicação de um questionário estruturado, sendo avaliados: características sociodemográficas, morbidades, dados antropométricos, nível de atividade física, antecedentes familiares, etilismo, tabagismo, estresse ocupacional e consumo alimentar. Utilizou-se o teste qui-quadrado para a análise estatística (P ≤ 0,05). Resultados: A amostra foi composta por 65,6% mulheres e 34,4% homens. Observou-se excesso de peso em 54,7%, obesidade abdominal em 48,4% pelo critério da International Diabetes Federation (IDF) e em 31,2% de acordo o National Cholesterol Education Program (NCEP) com diferenças significativas entre os sexos, 29,7% estavam com valores elevados de razão cintura e quadril. A inatividade física esteve presente em 14,1%, o etilismo em 10,9% com diferença significativa entre os sexos, tabagismo em 4,7%, 50% da amostra apresentou indicadores de estresse ocupacional. As prevalências de morbidades foram de: 20,3% de hipertensão, 9,4% de dislipidemias e 4,7% de diabetes. Em relação aos hábitos alimentares, foi observada associação significativa entre a frequência do consumo de cereais integrais, vegetais e leguminosas, frutas e sucos naturais, açúcares e doces, com o estado nutricional dos funcionários. Conclusão: A população embora jovem apresenta prevalência de fatores de risco para doenças cardiovasculares evidenciando a necessidade de estratégias de intervenção que incentivem a prática de hábitos alimentares saudáveis e modos saudáveis de estilo de vida. Descritores: Fatores de risco; Estado nutricional; Doenças cardiovasculares; Saúde do trabalhador; Ambiente de trabalho.Abstract Introduction: Cardiovascular diseases have become a serious and increasing problem of the public health in Brazil. In order to reduce its incidence, it is fundamental to keep track of its risk factors. Objectives: The aims of the present study are to evaluate the nutritional status and identify the risk factors for cardiovascular diseases (CVDs) affecting health personnel at the Centro Municipal Especializado em Reabilitação Física e Auditiva (CEMERF) (Specialized Municipal Center on Physical and Hearing Impairment Rehabilitation, free translation). Patients and Methods: We carried out a descriptive transversal study involving 64 employees of the Centro Municipal Especializado em Reabilitação Física e Auditiva. Patients' age ranged from 24 to 5...

This study aimed to test the validity of the cross-cultural adapted Nutrition Literacy Assessment Instrument for Brazilians (NLit-Br). An observational cross-sectional study was performed in chronic disease clinics from the Brazilian Public Health System in two phases: (1) linguistic and cultural adaptation and (2) validity testing. Six registered dietitians and thirty adult patients diagnosed with at least one chronic disease participated in the study using the nutrition literacy assessment instrument (NLit-Br) and the short assessment of health literacy for Portuguese-speaking adults (SAHLPA-18). Sample descriptive variables: age, sex, race, income, education, and occupation. To adapt the instrument to the Brazilian Portuguese and Brazilian culture, we tested cognitive interviewing and the Scale Content Validity Index (S-CVI) with a group of dietitians and patients. To test the tool’s validity, health literacy (SAHLPA-18) was used as a construct that presents similarities and differences with nutrition literacy (NLit-Br). The correlation of NLit-Br and the SAHLPA-18 was tested (Spearman’s Rho). Internal consistency was measured by Kuder–Richardson Formula 20 (KR-20). The NLit-Br content validity (S-CVI = 0.85) and internal consistency (KR-20 = 0.868) were confirmed. Additionally, NLit-Br presented a significant and robust correlation with SAHLPA-18 (r = 0.665, p < 0.001). Therefore, the NLit-Br was considered a linguistic, cultural, and valid instrument to measure Brazilian’s nutrition literacy.

Nutrition Literacy (NL) positively impacts diet quality and has the potential to promote health and prevent nutrition-related chronic diseases. Brazil is one of the countries with the highest rates of nutrition-related chronic diseases. Nevertheless, in Brazil, few studies have explored the NL levels of its population. To provide remote access to the Nutrition Literacy Assessment Instrument for Brazilians (NLit-Br) and assess Brazilian bank employees, we conducted a study to estimate the validity of the NLit-Br online and to investigate whether bank employees have an adequate NL level. In the first step, we randomly assigned 21 employees from three financial institution branches to two groups to complete NLit-Br paper and online versions. After an interval period, both groups completed the NLit-Br with an opposite delivery method (paper vs. online). We compared the validity of the digital and paper versions of the NLit-Br by the Intraclass Correlation Coefficient (ICC), and the reliability by Kuder–Richardson formula 20. Second, we evaluated 1174 bank employees using the NLit-Br online version. We found an excellent absolute agreement (ICC ≥ 0.75) between the paper and online versions. The questionnaire had good internal consistency (KR-20 = 0.64). The sample was characterized as mostly male (61.0%), married/cohabitant (73.8%), and white (69.8%), with high household income (85.2%), and graduated or postgraduate (97.4%). The mean age of the population was 42.1 (SD = 7.6) years. Subjects predominantly had possibly inadequate NL (62.3%). The online NLit-Br total score was significantly associated with gender, age, and household income (p < 0.05). Women and individuals with higher incomes had a higher degree of NL. Subjects over 50 years old had a lower degree of NL. There was no significant association between the NLit-Br score and the participants’ education. The NLit-Br online is a valid instrument to assess NL remotely. The population studied showed a high prevalence of inadequacy of the NL. Therefore, there is a need for targeted actions to improve the NL of bank employees.

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