Objective To carry out an analysis of postgraduate education in Nutrition in Brazil in the period 2009-2018, including distance learning. Methods The article presents a historical-documentary analysis of the trajectory of Nutrition courses from 2009 to 2018. The bibliographic survey was carried out in the electronic databases of the Scientific Electronic Library Online, the National Library of Medicine, Google Academic databases, and through data collection in government websites and other institutions. Results In December 2018, there were 709 face-to-face and 1,094 distance learning Undergraduate Courses in Nutrition in the country. In the period, there was a 181.5% increase in the number of face-to-face courses, being 195.1% in the private sector, responsible for 89.1% of the total courses in the country. The highest concentration identified was in the Southeast Region did not change substantively in the period. Conclusion With 1,803 undergraduate courses in Nutrition in Brazil, of which the majority is composed of distance learning courses, the current scenario may be the most dramatic in the history of nutrition education in Brazil. Care must be taken to ensure that it is consistent, marked by opportunities for learning in society, in which the student can develop an investigative, critical, innovative spirit, having their professional identities clear in a multidisciplinary work team. The expansion of the offer of undergraduate courses in Nutrition did not correct regional asymmetries.
Objective To assess the association of gestational weight gain inadequacies with sociodemographic indicators and characteristics of the living environment. Methods Cross-sectional study conducted in 2019 with a probabilistic sample of 3580 postpartum women who gave birth in maternity hospitals of the Unified Health System in the State of Santa Catarina. Prevalence was calculated and, using logistic regression models, odd ratios of inadequate and adequate gestational weight gain were estimated according to sociodemographic and health indicators (Body Mass Index, age, marital status, race/skin color and education); and characteristics of the neighborhood (violence, social cohesion, encouragement to practice physical activity and access to healthy food). Results It was observed that 29.6% of the mothers had adequate gestational weight gain, 29.3% insufficient and 41.1% excessive gestational weight gain. Lower chances of adequate weight gain were found in women with pre-pregnancy body mass index classified as overweight (43.0%) and obesity (58.0%) and who lived in an environment with social cohesion (25.0%). In contrast, the chances of adequate weight gain were 43.0% higher among women with 12 years of schooling or more when compared to those with 8 years or less. Conclusion Inadequate gestational weight gain is associated with high pre-pregnancy body mass index, with social cohesion in the living environment and with a low level of education of the pregnant woman, requiring public policies that go beyond prenatal care.
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