ResultsMost (58.0%) users had inadequate functional health literacy. Five core areas were identified: understands serving sizes; does not understand serving sizes; serving sizes are confusing; unfamiliar/uncommon foods; small letters. Group 2 had more trouble understanding. ConclusionDifficulty understanding hinders health promotion. Individuals need to have access to educational materials that are easier to understand and developed taking their functional health literacy into account.Indexing terms: Food guide. Functional health literacy. Health food. The questionnaire (B-TOFHLA) has fourpoint Likert-type questions totaling 28 points and reading comprehension questions totaling 72 points for a maximum of 100 points. As determined by the instrument, the individuals were categorized as follows: insufficient FHL (scores 0 to 53), marginal FHL (scores 54 to 66), and adequate FHL (scores 67 to 100). The thirty-two-page GA is divided into three parts and a summary. In the first part, there are 18 questions for users to assess the quality of their diet. The second part presents ten steps for a healthy diet, and teaches how to calculate body mass index and to interpret the result. The third part contains a list of foods divided into groups and respective serving sizes. This third part is complex because it recommends a certain number of servings for each food group, and within the group, each food is shown in the amount that should be consumed, known as one serving. These amounts are presented in cooking units, namely spoons, cups, and units. The complexity in how the data is presented made us discuss it in the second stage of the study. R E S U M O Objetivo Avaliar a relação entre o letramento funcional em saúde de usuários do Sistema Único de Saúde e o entendimento das porções alimentares do Guia Alimentar Brasileiro, versão bolso. Métodos Foi avaliado o letramento funcional em saúde com o Brief Test of Functional Health Literacy. Foram realizados dois círculos de diálogos, envolvendo pacientes com letramento adequado (Grupo 1) e insuficiente (Grupo 2). Os diálogos foram gravados e analisados segundo o discurso do sujeito coletivo. Resultados A maioria dos participantes apresentou letramento funcional em saúde insuficiente (58,0% I N T R O D U C T I O N M E T H O D SEight patients with adequate FHL and nine patients with inadequate FHL accepted to participate in this stage, here called Groups 1 and 2, respectively. The dialogue rounds were performed as proposed by Bohm 15 , in a room of the abovementioned institution's outpatient clinic on a Wednesday (Group 1) and a Friday (Group 2) from 2 p.m. to 4 p.m. The subject was "serving sizes in cooking units." In the first sixty minutes, the content was read and in the second 60 minutes, the group talked about the text they read. All sessions were recorded.The recordings of the conversations were fully transcribed and analyzed according to the Discourse of the Collective Subject (DCS) proposed by Lefèvre & Lefèvre 16 . The DCS is a mode of presenting qualitative stud...

The objective was to determine the glycemic index and glycemic load of tropical fruits and the potential risk for chronic diseases. Nine fruits were investigated: coconut water (for the purpose of this study, coconut water was classified as a "fruit"), guava, tamarind, passion fruit, custard apple, hog plum, cashew, sapodilla, and soursop. The GI and GL were determined according to the Food and Agriculture Drganization protocol. The GL was calculated taking into consideration intake recommendation guidelines; 77.8% of the fruits had low GI although significant oscillations were observed in some graphs, which may indicate potential risks of disease. Coconut water and custard apple had a moderate GI, and all fruits had low GL. The fruits evaluated are healthy and can be consumed following the daily recommended amount. However, caution is recommended with fruits causing early glycemic peak and the fruits with moderated GI (coconut water and custard apple).

Objective To identify the main dietary patterns in type 2 diabetes patients and study their association with glycemic indexes. Methods This is a cross-sectional study carried out in a diabetes treatment reference institution located in the city of Fortaleza (CE). Two R24h were applied, as well as 12h fast blood glucose tests and anthropometric assessments in 188 diabetic patients. The principal components factor analysis method was applied together with a Varimax orthogonal rotation method to identify dietary patterns. The Poisson Regression and the Spearman coefficient were used to test the association with glycemic indexes. Results A hundred eighty eight diabetic patients were evaluated, of which 51.1% patients had decompensated glucose values. Five main dietary patterns were identified: traditional Brazilian, energy-dense, infusion and wholegrain cereal, sandwich and dairy, and healthy diets, which explained 37.2% of the total variance in intake. A negative correlation with glucose was found for the traditional Brazilian diet (p=0.018; r=-0.173). Conclusion Out of the five identified dietary patterns consumed by the type 2 diabetes patients studied, a higher adherence to the traditional Brazilian dietary patterns resulted in lower blood glucose levels.

The "baião de dois" is a typical Brazilian dish and a rich combination of rice and beans. This preparation has a high nutritional value but its effect on glycemic response is not yet studied. To determine the glycemic index and glycemic load of foods can help prescribing diets and as a result, improving the treatment and prevention of chronic diseases. This study aimed to access the glycemic index (GI) and glycemic load (GL) of "baião de dois". Following the protocol recommended by the Food and Agriculture Organization, 6 volunteers were recruited to perform blood glucose tests. Each volunteer performed three glucose tolerance tests and a test with "baião de dois". All tests were undertaken in separate weeks. Through the calculation of the areas under each of the curves, it was possible to access the GI of "baião de dois" by the average values of six GIs found for each volunteer. It was calculated that the GL of each portion tested and recommended servings per capita. It was found that "baião de dois" had low GI (44) and GL (6) at the recommended per capita, but high GL (22) at the portion tested (bigger than the recommended). The "baião de dois" do not present a potential risk for developing chronic diseases, but it is recommended consumption to be monitored.

Introdução: A introdução alimentar realizada de forma adequada influencia o estado nutricional nos primeiros anos de vida e em uma melhor qualidade de vida. Objetivo: Esse trabalho teve como objetivo avaliar a introdução alimentar de crianças menores de dois anos. Métodos: A pesquisa aconteceu em uma Unidade de Atenção Primária à Saúde (UAPS) de Fortaleza, Ceará, e foi baseada em um formulário inspirado nos dez passos para alimentação saudável, com perguntas sobre hábitos alimentares e sobre a situação sócio econômica para os pais ou responsáveis da criança. Os achados foram apresentados sob a forma de percentuais, médias, desvio padrão e, para melhor entendimento da amostra estudada, os valores também foram organizados e apresentados em quartis. Resultados: Foram avaliadas 70 crianças, as quais tiveram tempo médio de aleitamento materno exclusivo de 4,0 ±3,0 meses, estando a maioria delas localizadas no 3º quartil. Os primeiros alimentos ofertados às crianças, além do leite materno, foram as frutas com 24,3% e em segundo as fórmulas infantis com 18,6%, seguidas pela sopa de legumes 7,1% e sucos 5,7%. Conclusão: Além da introdução alimentar precoce foram identificados diversos erros alimentares tais como a consistência e a oferta de doces e guloseimas, sugerindo a necessidade de acompanhamento nutricional.