Maria do Carmo Gouveia PELÚZIO 2 R E S U M OAs doenças cardiovasculares contribuem significativamente, como grupo causal, para a taxa de mortalidade em todas as regiões brasileiras, principalmente na Região Sudeste. Além disso, constituem uma das principais causas de permanência hospitalar prolongada e são responsáveis pela principal alocação de recursos públicos em hospitalizações no Brasil. O ônus econômico das doenças cardiovasculares tem crescido exponencialmente nas últimas décadas. O risco de se desenvolver doença cardiovascular é avaliado com base na análise conjunta de características que aumentam a chance do indivíduo vir a apresentar a doença. O conhecimento desses fatores associados ao risco é de grande importância para o estabelecimento de estratégias de prevenção. Este artigo em questão revisa os principais marcadores de risco para doenças cardiovasculares em adultos, relacionados à nutrição, como os antropométricos, dietéticos e bioquímicos. Além disso, enfatiza o impacto destas morbidades na sociedade, bem como a necessidade de serem estabelecidas medidas de prevenção primária no controle das mesmas.Termos de indexação: doenças cardiovasculares, nutrição, marcadores de risco, morbidade, adulto. A B S T R A C TThe cardiovascular diseases contribute significantly as a death cause in all Brazilian regions, mainly the Southeast.Besides, they constitute one of the main causes of permanence in hospital and are responsible for the main

O objetivo dessa pesquisa foi avaliar a qualidade do almoço de uma Unidade de Alimentação e Nutrição (UAN) segundo as recomendações do Programa de Alimentação do Trabalhador (PAT) e o Índice de Qualidade da Refeição. Foi realizado um estudo transversal em uma UAN de uma empresa privada, cadastrada no PAT e com supervisão de um nutricionista. A coleta de dados ocorreu em três dias não consecutivos, para todas as preparações servidas no almoço. A avaliação do percentual de adequação de energia, sódio, macronutrientes, NDPcal% e fibras excederam as recomendações estabelecidas pelo PAT, enquanto que para o carboidrato o almoço forneceu quantidades abaixo da recomendação. Para o Índice de Qualidade da Refeição, a média encontrada foi de 56,53 pontos e a classificação da refeição foi de que precisa de melhorias. O almoço oferecido pela UAN não estava adequado de acordo com os parâmetros do PAT e o Índice de Qualidade da Refeição. A alimentação oferecida pela empresa avaliada estava inadequada nutricionalmente e, assim, torna-se necessária a inclusão de ações de correções no planejamento do cardápio bem como de medidas educativas de intervenção alimentar.Palavras-chave: alimentação coletiva, Dietética, trabalhadores. Quality of lunch of workers according to the worker's food program and the Meal Quality IndexThis objective of this research was assessed the quality of the lunch offered in the Food and Nutrition Units in accordance with the recommendations of the Worker's Food Program (WFP) of the Meal Quality Index. Crosssectional study in Nutrition and Food Service to a private, registered in the WFP which is supervised by a nutritionist. The data's collection occurred in three non-consecutive days, for all preparations served at lunch. The results showed that the consumption of energy, sodium, macronutrients, NDPcal% and fibers by individuals studied exceeded the recommendations established by WFP, while for carbohydrate lunch provided quantities below the recommendation. For the Meal Quality Index, the average found was 56.53 points and the classification of the meal was that needs improvement. The lunch offered by the Food and Nutrition Units was not appropriate according to the parameters of the Worker's Food Program and the Meal Quality Index. The feeding offered by

Background The study evaluates children in schools that participate in the School Health Program in the Northern region of Brazil with the objective of assessing whether their schools interfered in the development of overweight/obesity and how individual and school environment variables behave according to contextual analysis. Methods The analyses were carried out with 1036 children from 25 municipal public schools in Northern Brazil that participated in the School Health Program. We evaluated both individual characteristics and scholar environment through univariate and multivariate logistic regressions to identify which of these factors were related to overweight/obesity as well as the effect of varying such associations. Results The considered individuals had an median age of 8 years, being 54.9% female and 27.8% presenting overweight/obesity. In multivariate logistic regression, the overweight/obesity variance in schools was 0.386 (individual variables) and 0.102 (individual and school variables), explaining 23.7% of the variation, reduction of ICC and MOR. The Akaike Information Criterion between the models was reduced and the likelihood ratio indicated better adequacy of the latter model. The investigated children had a greater chance of developing overweight/obesity when they performed 2+ sedentary activities/day, depending on school location as well as whether or not candies were sold in the school surroundings. On the other hand, a lower chance of developing overweight/obesity was identified in children that ate 5+ meals/day and practiced dance at school. Conclusion We observed that the variables inherent to both individuals and schools favored the development of overweight/obesity in children. It is relevant that scholar curriculums incorporate healthy eating interventions and encourage body practices associated with policies that restrain the sale of ultra-processed food in schools as well as the development of intersectoral actions between education and health to control childhood obesity.

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