DESCRITORESBackgound and Objectives: Lipodystrophy in HIV is adversely affect the antiretroviral therapy (HAART), characterized by redistribution of body fat, as well as metabolic changes related to lipid profile, risk factor associated with increased cardiovascular disease.This study aimed study HIV-positive patients with lipodystrophy and its association with dyslipidemia to and nutritional status.Methods: This is an analytical cross-sectional study conducted from January 2010 to March 2012. The sample consisted of patients with positive serology for HIV, undergoing HAART presenting dyslipidemia and lipodystrophy syndrome. Data were collected anthropometric, biochemical, clinical and sociodemographic. Results: 79 patients were studied, with a mean age of 44.2 years (± 9.4), 62% male. Most had more than 9 years of education (68.3%) and lived with 1-3 minimum wages (40.8%). The most frequent type of marriage was not stable (91.1%). Among the clinical forms of lipodystrophy, the joint was the most prevalent (49.9%). It was observed that 65.8% of patients had nutritional status of eutrophic. Regarding dyslipidemia, it was found that 43.0% of patients had hypercholesterolemia, hypertriglyceridemia 63.3%, 24.0% low HDL-c and 6.3% had high LDL-c. Regarding the association between clinical forms of lipodystrophy and dyslipidemia and nutritional status, was observed an association only with nutritional status (p=0, 0003). Conclusion: The mixed lipodystrophy was the most frequent clinical form and overweight was present in 1 out of 5 patients. Most patients had hypertriglyceridemia, more frequently in men. Clinical forms of lipodystrophy not associated with the types of dyslipidemia, however were associated with nutritional status. RESUMO ABSTRACT ARTIGO ORIGINAL

Background. Changes in lipid profile are commonly reported in adult patients with malaria. However, a few studies evaluated lipid abnormalities in children continuously exposed to P. vivax. Objective. To evaluate lipid abnormalities in children with P. vivax infection and to assess if parasite count or the history of malaria correlates with lipid levels at admission. Methods. A total of 75 children were included in the study, from which 43 were slide confirmed infection by P. vivax. Serial blood samples were collected at admission and, on days 7 and 14, evaluated for the colorimetric measurements of triglycerides, very low-density lipoprotein (VLDL), total cholesterol, high-density lipoprotein (HDL), and low-density lipoprotein (LDL). Results. The levels of total cholesterol, LDL, and HDL were significantly lower in malaria cases. The levels of VLDL and triglycerides were significantly higher in children with malaria. Such changes were transient and were not associated with parasite counting as well as with the history of malaria of patients. Conclusion. There are significant lipid abnormalities in children with low level of P. vivax infection and mild signs and symptoms of the disease, which are not associated with parasitaemia and previous episodes of disease.

The National School Feeding Program (PNAE) is a policy that aims to contribute to the improvement of school feeding. Therefore, the goal of this study was to analyze the menus offered in the year 2014 in public schools of the municipal and state educational network in the municipality of Abaetetuba, Pará, according to the recommendations of the PNAE. For nutritional adequacy, the average energy consumption (Kcal), carbohydrate (g), protein (g), lipid (g), fiber (g), calcium (mg), iron (mg), magnesium (mg), zinc (mg), vitamin A (μg) and vitamin C (mg) of all the menus by educational category, were compared with the values established in Resolution No.26/2013. Nutrient values above or below the recommendation by the PNAE were considered inadequate. The analyzed menus were nutritionally inadequate, which may contribute to the reduction of school performance and student growth, in addition to dietary uncertainty. The elaborate menus were not nutritionally adequate, demonstrating the need to readjust the recommendations and thus guarantee the Human Right to Adequate Food and consequently the improvement of the learning and school performance.

Resumo Introdução A alimentação escolar é uma importante estratégia na formação de hábitos alimentares saudáveis. Objetivo Analisar os cardápios ofertados aos alunos do Ensino Fundamental em Moju-PA e o número de nutricionistas atuantes no Programa Nacional de Alimentação Escolar. Método Estudo transversal, descritivo e quantitativo realizado em escolas de Ensino Fundamental, no ano de 2015. Analisou-se a composição química dos alimentos dos cardápios, a oferta de frutas, hortaliças, doces e/ou preparações doces e alimentos restritos, e o número de profissionais contratados. Para a análise da composição química, utilizou-se a Tabela Brasileira de Composição de Alimentos, o Instituto Brasileiro de Geografia e Estatística. O consumo e as adequações de macro e micronutrientes foram baseados na Resolução n.º 26/2013, considerando 20% das necessidades nutricionais diárias. Para o número de nutricionistas, considerou-se a Resolução CFN n.º 465/2010. Resultados O município contou com uma nutricionista e a oferta de 38 cardápios, sendo 60,5% para área urbana e 39,5% para área rural. Todos os cardápios estavam inadequados em energia, fibra, macro e micronutrientes. Observou-se oferta baixa de frutas e hortaliças, e elevada oferta de doces e/ou preparações doces, além de alimentos restritos. Conclusão Constatou-se número baixo de nutricionistas, além de cardápios inadequados.

Com a Lei Nº 11.947 de 2009, tornou-se obrigatório à aquisição de alimentos da agricultura familiar destinado ao Programa Nacional de Alimentação Escolar (PNAE), utilizando no mínimo 30% do recurso repassado pelo governo federal. Nesse sentido, o presente estudo buscou descrever as perspectivas, dificuldades e oportunidades de agricultores familiares de dois municípios do Estado do Pará, na execução do PNAE. As metodologias utilizadas basearam-se na análise documental das Chamadas Públicas e entrevistas semiestruturadas com oito agricultores participantes. Os resultados mostraram que em um dos municípios o chamamento público ocorreu em divergência com a Lei. As principais dificuldades estavam relacionadas às questões de logística de distribuição e articulação entre os atores envolvidos na execução do programa. Como oportunidades foram relatadas o fortalecimento da agricultura familiar e a garantia de alimentação saudável nas escolas. Foi evidenciado a necessidade de maior visibilidade desse seguimento e seu fortalecimento na participação de políticas públicas como PNAE. Palavras chavesPolíticas públicas; Produção de Alimentos; Segurança Alimentar e Nutricional.