ABSTRACT
INTRODUCTION: The Healthy Eating Index (HEI) is a comprehensive measure to assess diet quality. Because of the various factors that influence the nutritional status of older adults, there is a need to adapt an index that assesses the quality of the diet considering the dietary requirements of aging and health promotion. This study aimed to adapt the HEI for older adults, considering their needs for healthy eating. METHODS: Food consumption data was collected by means of three non-consecutive 24-hour food recalls (R24h). For the adaptation of the Healthy Eating Index for Older Adults (HEI-OA), the components and scoring methodology of HEI-2015 were maintained and Brazilian food intake recommendations for the older population were used, which are in line with international recommendations. The validity of the HEI-OA was assessed by four ideal diets, Mann-Whitney's test, Spearman's correlation analysis and Cronbach's coefficient. RESULTS: Content validity of the HEI-OA was confirmed by the maximum score for diets recommended to older adults and by the score between groups with known differences in diet quality. The HEI-OA total score did not correlate with total energy intake (TEI - total energy value: r = -0.141, p > 0.05). The total HEI-OA score showed a statistically significant correlation with several nutrients. These correlations allowed identifying that these nutrients are closely related to the components of the HEI-OA. The internal consistency value for the HEI-OA total score was 0.327, similar to the 2005 and 2010 versions of the HEI. CONCLUSION: The HEI was successfully adapted for use with older adults, presenting validity and reliability. The HEI-OA can be used to assess diet quality in line with international dietary guidelines for healthy aging.
Subject(s)
Diet, Healthy , Healthy Aging , Nutrition Policy , Humans , Diet, Healthy/methods , Diet, Healthy/statistics & numerical data , Diet, Healthy/standards , Aged , Male , Female , Healthy Aging/physiology , Brazil , Reproducibility of Results , Aged, 80 and over , Nutritional Status , Nutrition Assessment , Middle Aged , Diet Surveys/standards , Diet Surveys/methodsABSTRACT
OBJECTIVE: To compare the effect of two programs of Food and Nutrition Education (FNE) on the Nutrition knowledge of elderly women, Brazil. METHODS: Randomized field trial. Community-based elderly women over 60 years (n = 36) participated in a twelve-week intervention in either of two FNE programs: Psychopedagogical Program (PP) or Culinary Workshop Program (CWP). There were three moments of data collection in the study; pre-intervention knowledge data); post intervention and follow up (after 6 months upon intervention completion). A questionnaire about knowledge of food and Nutrition was administered at every data collection moment. RESULTS: In the analysis performed by the Generalized Estimation Equation Models (GEE) there was a significant interaction effect (P = 0.033) in the diabetes block in which the percentage of correct answers in the follow-up moment was higher compared to the pre-intervention moment in the CWP group (65.65% and 45.66%, respectively). In the knowledge blocks: total percentage of correct answers, hypertension, food processing, the evaluation effect was observed, regardless of the intervention performed.Three blocks of knowledge, including the block of the total percentage of correct answers in knowledge in Nutrition, presented a significant evaluation effect, which suggests that the interventions were important for the gain of knowledge, regardless of the type of intervention performed. Elderly-focused FNE programs should include a methodology that encompasses recreational education activities, and practical activities, such as culinary workshops.
ABSTRACT
Análise de resíduos de agrotóxicos utilizados nos alimentos. (AU)
Subject(s)
Humans , Food Quality , Agrochemicals/analysis , Sanitary SupervisionABSTRACT
Taking into account the four underpinning areas of Health Surveillance (environmental, epidemiological, health and worker's health), the performance of professionals in this area requires a broad and complex set of information from many fields of knowledge, including that which is not classified as health. Considering the need to prepare professionals to work in Health Surveillance in the Unified Health System (SUS), integrating the four fields of knowledge, the Public Health School of Rio Grande do Sul (ESP/RS) and the surveillance areas of the municipality of Porto Alegre and Rio Grande do Sul State have established a new emphasis in the traditional residency of ESP/RS. This work uses the experience report descriptive method. It shows the activities of residents in the formation course of the first year, fourth class of this in-service education experience and takes stock of results of residency freshmen.
Resumo A atuação dos profissionais na Vigilância em Saúde, considerando as quatro áreas que a compõe (ambiental, epidemiológica, sanitária e de saúde do trabalhador), requer um amplo e complexo conjunto de saberes oriundos de muitos setores do conhecimento, inclusive daqueles que não são classificados como da área da saúde. Considerando a necessidade de preparar profissionais para atuarem na Vigilância em Saúde no SUS, integrando as quatro áreas do conhecimento, a Escola de Saúde Pública do Rio Grande do Sul (ESP/RS) e as vigilâncias do município de Porto Alegre e do estado do Rio Grande do Sul criaram uma nova ênfase na tradicional residência da ESP/RS. O trabalho aqui apresentado, usando o método descritivo de relato de experiência, fala das atividades dos residentes no percurso formativo do primeiro ano da quarta turma desta experiência de ensino em serviço e faz um balanço dos resultados de seus primeiros anos.