ABSTRACT
The present study aimed to evaluate factors associated with adherence to the Food Guide for the Brazilian Population (GAPB) among food service workers. A cross-sectional study was conducted with 421 employees from 43 food service establishments located in a capital of Brazil. Health and lifestyle data were collected, including the continuous use of medication, smoking, physical activity, and alcohol consumption. An instrument based on the GAPB was utilized, covering the domains of planning, household organization, eating habits, and food choices, according to GAPB recommendations. The findings revealed a direct association between the quality of life scores and the total GAPB adherence score (ß = 1.17; p < 0.001), as well as the domains of planning (ß = 0.53; p < 0.001), household organization (ß = 0.22; p = 0.001), and eating habits (ß = 0.38; p < 0.001). Adherence to the GAPB among food service workers was strongly linked to their perception of quality of life, in addition to other factors such as gender, age, education, type of work activity, and variables of lifestyle. Therefore, the eating practices of these employees need to be assessed comprehensively, and enhancing their quality of life can encourage proper and healthy eating.
ABSTRACT
INTRODUÇÃO: O câncer de próstata é o segundo tipo de câncer que mais acomete os homens no Brasil. A idade avançada, a alimentação inadequada e o aumento do peso são fatores que interferem diretamente nos riscos de recidiva da doença. OBJETIVO: Analisar a adesão de pacientes com câncer de próstata às diretrizes preventivas de recidiva da doença. METODOLOGIA: Estudo transversal, desenvolvido em uma unidade oncológica de referência, na cidade de Fortaleza, Ceará, Brasil. A amostra foi de conveniência, envolvendo 108 pacientes. Foram coletados dados de identificação, demográficos, socioeconômicos e dietéticos. Foram mensurados índice de massa corporal, circunferência da cintura e relação cinturaquadril. Aplicou-se o Questionário de Frequência Alimentar Elsa Brasil e os dados nutricionais foram avaliados segundo recomendações do World Cancer Research Fund/American Institute for Cancer Research. RESULTADOS: A maioria dos pacientes são idosos (77,8%), com até 8 anos de escolaridade (79,6%), recebendo até 3 salários mínimos (76,9%), casados (80,6%), católicos (86,1%) e, além do câncer, a hipertensão arterial foi a afecção mais presente (30,5%). Há alta proporção de excesso de peso (50%) e de acúmulo de gordura abdominal, estimado pela circunferência da cintura (67,6%) e relação cintura/quadril (85,2%). Observou-se que a melhor adesão foi quanto ao consumo de produtos lácteos (86,11%), bebida alcoólica (83,3%), frutas e hortaliças não amiláceas (61,1%) e carnes vermelhas/processadas (50,9%), enquanto a pior adesão foi relativa à ingestão de bebidas açucaradas (5,5%), cálcio (14,8%) e estado nutricional (índice de massa corporal, circunferência da cintura e relação cintura-quadril). CONCLUSÃO: Os pacientes não aderem à maioria das recomendações do World Cancer Research Fund/American Institute for Cancer Research, necessitando da realização de ações de aconselhamento nutricional
INTRODUCTION: Prostate cancer is the second most common form of cancer in men in Brazil. Old age, inadequate diet and weight gain are factors that directly interfere with the risk of recurrence of the disease. OBJECTIVE: To analyze the adhesion of patients with prostate cancer to the preventive guidelines for recurrence of the disease. METHODOLOGY: Cross-sectional study, developed at a referral oncology unit, in the city of Fortaleza, Ceará, Brazil. The sample was of convenience, involving 108 patients. Identification, demographic, socioeconomic and dietary data were collected. Body mass index, waist circumference and waist-hip ratio were measured. The Food Frequency Questionnaire Elsa Brasil was applied and the nutritional data were evaluated according to recommendations of the World Cancer Research Fund / American Institute for Cancer Research. RESULTS: The majority of patients were elderly (77,8%), with up to 8 years of schooling (79,6%), receiving up to 3 minimum wages (76,9%), married (80,6%), catholics (86,1%) and, in addition to cancer, arterial hypertension was the most present condition (30,5%). There is a high proportion of excess weight (50%) and accumulation of abdominal fat, estimated by waist circumference (67,6%) and waist / hip ratio (85,2%). It was observed that the best adherence was the consumption of dairy products (86,11%), alcoholic beverage (83,3%), non-starchy fruits and vegetables (61,1%) and red / processed meats (50,9%), while the worst adherence was relative to intake of sugary drinks (5,5%), calcium (14,8%) and nutritional status (body mass index, waist circumference and waist-to-hip ratio). CONCLUSION: Patients do not adhere to most of the recommendations of the World Cancer Research Fund/American Institute for Cancer Research, requiring nutritional counseling actions in order to contribute to the reduction of the risk of relapse
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Subject(s)
Humans , Male , Middle Aged , Aged , Aged, 80 and over , Neoplasm Recurrence, Local/prevention & control , Prostatic Neoplasms , Treatment Adherence and Compliance , Diet, Healthy , Recommended Dietary Allowances , Surveys and Questionnaires , Socioeconomic Factors , Cross-Sectional Studies , BrazilABSTRACT
ABSTRACT Objective Review the diet and nutritional status of women surviving breast cancer following the Dietary Guidelines for the Brazilian Population. Methods A cross-sectional study was conducted with 201 women, who underwent anthropometric measurements to determine body mass index, waist circumference and waist/hip ratio. Dietary assessment was performed usinga food frequency questionnaire. Consumption was stratifi ed into four groups: fresh/minimally processed food (Group 1), processed food ingredients (Group 2), processed food (Group 3) and ultra-processed food (Group 4).The ratio of daily contribution of each food group to total calories and macronutrients supply was calculated. Statistical analysis was performed using Chi-square tests and Spearman correlation, with p<0.05 as significance level. Results The mean age was 50 ± 11 years. An abdominal fat accumulation with a high excess weight condition in women under 60 years of age (p=0.003) was observed. A greater intake of group 1 food, but contributing with about 1/3 of the calories and macronutrients total intake as compared to food groups 3 and 4 was also observed. Conclusion The women assessed consumed a higher proportion of calories and macronutrients from fresh/minimally processed food. There is no theoretical reference that allows to affirm that the amount of processed andultra-processed food consumed represents a health hazard for those women. There was no association between dietary intake, nutritional status and age group.
RESUMO Objetivo Analisar dieta e estado nutricional de mulheres sobreviventes de câncer de mama com as orientações do Guia Alimentar para a População Brasileira. Métodos Estudo transversal, com 201 mulheres, que realizaram exames antropométricos, para determinação de índice de massa corporal, circunferência da cintura e relação cintura/quadril. A avaliação dietética foi realizada por questionário de frequência alimentar. O consumo foi estratificado em quatro grupos: alimentos in natura/minimamente processados (Grupo 1), ingredientes culinários processados (Grupo 2), alimentos processados(Grupo 3) e alimentos ultraprocessados (Grupo 4). Calculou-se a proporção de contribuição diária de cada grupo em relação às calorias e macronutrientes. A análise estatística foi realizada por meio dos testes Qui-quadrado ecorrelação de Spearman, com p<0,05 como nível de significância. Resultados A média de idade foi de 50 ± 11 anos. Houve acúmulo de gordura abdominal com proporção de excesso de peso maior em mulheres menores de 60 anos (p=0,003). Houve maior consumo de alimentos do Grupo 1, mascom cerca de 1/3 da contribuição calórica e de macronutrientes obtidas dos grupos 3 e 4. Conclusão As mulheres avaliadas consomem uma alimentação com maior proporção calórica e de macronutrientes provenientes do grupo de alimentos in natura/minimamente processados. Não há referencial teórico que permitaafirmar se a quantidade de processados e ultraprocessados consumida representa risco à saúde destas mulheres. Não houve associação entre consumo alimentar, estado nutricional e faixa etária.
