Alimentación y nutrición en atención primaria en Brasil

Pereira, Tatiane Nunes; Monteiro, Renata; Santos, Leonor Maria Pacheco

doi:10.1016/j.gaceta.2017.08.004

Cited by 18 publications

(19 citation statements)

References 15 publications

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“…Few studies have focused on nutrition and aging from the perspective of NC for older adults, with evidence recorded in terms of nutritional profile, food consumption and nutritional problems, as shown in literature reviews analyzing food and nutrition actions in Brazilian PHC 13,23 . The innovative character of this research lies in its interdisciplinary approach, supported by the concept of integrated care, supporting the need for qualified NC as a strategic component for the promotion of healthy aging.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Care for older adults in Primary Health Care, from the perspective of health professionals

Melo

Medeiros

2020

Rev. bras. geriatr. gerontol.

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Objective: to characterize and analyze Nutritional Care (NC) for older adults in Primary Health Care (PHC), identifying how food and nutrition actions (F&N) were performed and the conceptions that guided them. Methods: a cross-sectional, quantitative and qualitative study was performed in PHC in Santos, São Paulo, Brazil, in two phases: i) a census study was carried out of health units, N=28 (100%), with managers who answered a structured interview to assess NC; followed by descriptive analysis. ii) a deeper investigation of this diagnosis was performed, using semi-structured interviews with key informants (interviewees) of care for older adults; being a nutritionist was not a criteria, as there were only three such professionals throughout the entire PHC, and one of the health regions studied was not served by a nutrition professional. The concept of theoretical saturation was used for the sampling plan; content analysis was carried out and the inferences were supported by references of integrality and aging. Results: NC for older adults was highlighted by individual care, predominant in all the services studied (28) (100%); nutritionists participated in this activity in just nine units (32.1%). Theoretical saturation was achieved with nine interviews. According to the discourse analysis, F&N actions were generic, focused on the treatment of diseases, influenced by negative aspects attributed to aging, there was no planning based on the needs of the territory, and health professionals identified themselves as information transmitters, leaving the responsibility of acting on such information to the older adults themselves. Conclusion: F&N actions were guided by the biomedical paradigm, fragmented, restricted to disease management, imputing the responsibility for health to the individual themselves. Thus, NC distanced itself from the promotion of healthy aging, weakening its strategic role in the quest for integrated care.

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Section: Discussionmentioning

confidence: 99%

Nutritional Care for older adults in Primary Health Care, from the perspective of health professionals

Melo

Medeiros

2020

Rev. bras. geriatr. gerontol.

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“…8 Currently, the growth and consolidation of SISVAN face some challenges, such as work fragmentation, lack of structure, and failures in collection standardization, making it difficult to transmit the collected data and ensure its quality, as well as to type and include them in different platforms. 6,9 Thus, evaluating the system, whose literature is still lacking, 10 is an important tool for assessing its quality and assisting managers in formulating and monitoring food and nutrition policies. 9,11 This study focused on anthropometry rather than on food consumption, as well as on children under five years of age instead of individuals in other stages of life, because SISVAN is more advanced in assessing the nutritional status of the child population.…”

Section: Introductionmentioning

confidence: 99%

Nutritional deviations in children: comparative analysis of data from the food and nutrition surveillance system and those obtained by anthropometrists

Pedraza

2022

Rev. paul. pediatr.

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Objective: To compare the prevalence rates of nutritional deviations in children under five years of age according to data from the Food and Nutrition Surveillance System (Sistema de Vigilância Alimentar e Nutricional — SISVAN) and those obtained by trained anthropometrists. Methods: This is a descriptive cross-sectional study based on data from 10 municipalities and 2 sources: i) SISVAN Web (secondary database) and ii) an investigation that evaluated the implementation of food and nutrition actions in the Family Health Strategy in the state of Paraíba (primary database), with 24,137 and 897 individuals, respectively. Proportions of overweight — according to weight/age (W/A), weight/height (W/H), and body mass index/age (BMI/A) — and stunting — according to the height/age (H/A) index — based on classifications of SISVAN Web and those obtained by trained anthropometrists were compared using the two-proportion Z-test. Results: Frequencies of overweight, according to W/A (10.0 vs. 7.8%), W/H (17.2 vs. 14.3%), and BMI/A (18.1 vs. 14.4%), as well as stunting (12.3 vs. 8.6%), were higher on data from SISVAN Web than on those obtained by trained anthropometrists, and the differences were significant. Conclusions: The findings point to distortions in the nutritional classification of children under five years of age monitored by SISVAN Web.

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“…The evaluation seems neglected, even though it is essential to identify gaps in its implementation. The need for investigations that describe and evaluate the actions and programs of Food and Nutrition (F&N) which is underway in PHC has already been pointed out [20]. Furthermore, the Política Nacional de Alimentação e Nutrição (PNAN, National Food and Nutrition Policy) suggests assessment of F&N actions and the Política Nacional de Atenção Básica (PNAB, National Primary Care Policy) highlights these actions as relevant to the Brazilian population [21,22].…”

Section: Introductionmentioning

confidence: 99%

Validação de conteúdo de Instrumento de Avaliação da Atenção Nutricional na Atenção Primária à Saúde

et al. 2020

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RESUMO Objetivo Construir e validar o conteúdo de um instrumento para avaliar a organização da atenção nutricional na Atenção Primária à Saúde no Brasil. Métodos Trata-se de um estudo transversal e de validação. A construção do Instrumento de Avaliação da Atenção Nutricional foi baseada em revisão de literatura e em consulta a documentos oficiais. O instrumento foi submetido à validação de conteúdo utilizando técnica Delphi em duas rodadas. Resultados O painel para validação foi formado por 29 especialistas das cinco Macrorregiões Brasileiras: 13 docentes/pesquisadores do ensino superior, sete gestores de alimentação e de nutrição, quatro profissionais da Atenção Primária à Saúde e cinco alinhados ao tema, a maioria (89,7%) atuante em serviços públicos, com experiência acima de seis anos. O instrumento validado contém 68 questões e 10 indicadores: (1) Atuação do nutricionista; (2) Apoio às ações de Atenção Nutricional: infraestrutura e educação permanente; (3) Intersetorialidade; (4) Controle Social; (5) Vigilância Alimentar e Nutricional; (6) Atenção Nutricional Individual; (7) Atenção Nutricional para grupos; (8) Atenção Nutricional voltada ao pré-natal; (9) Atenção Nutricional voltada ao puerpério/aleitamento e (10) Atenção Nutricional à saúde da criança. Conclusão O instrumento proposto avança ao viabilizar o estabelecimento de processos avaliativos da Atenção Nutricional. Espera-se que ele seja amplamente utilizado para avaliar a atenção nutricional ofertada em municípios, em estados e na esfera federal. Os resultados obtidos com futuras aplicações poderão contribuir para respaldar a qualificação da gestão das políticas de alimentação e de nutrição.

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Alimentación y nutrición en atención primaria en Brasil

Cited by 18 publications

References 15 publications

Nutritional Care for older adults in Primary Health Care, from the perspective of health professionals

Nutritional Care for older adults in Primary Health Care, from the perspective of health professionals

Nutritional deviations in children: comparative analysis of data from the food and nutrition surveillance system and those obtained by anthropometrists

Validação de conteúdo de Instrumento de Avaliação da Atenção Nutricional na Atenção Primária à Saúde

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