Exploring the Impact of a Persuasive Serious Video Game (Farmily) on Promoting Home Gardening Among Novices: Design and Randomized Controlled Trial.

BACKGROUND: Home gardens worldwide provide sustenance, economic support, and access to fresh produce and promote household well-being, health, self-sufficiency, and food security. However, they face significant challenges worldwide and necessitate innovative promotion approaches. Serious video games have proven effective in promoting agricultural knowledge. However, more research is needed on the persuasive potential of agriculture games to influence players' thoughts, attitudes, and behaviors. This provides an opportunity to examine the impact of persuasive games on promoting home gardening among novices. OBJECTIVE: This study aims to describe the design and development of Farmily, a persuasive video game promoting home gardening among novices. In addition, it evaluated the effectiveness of Farmily and compared its impact with that of a traditional home gardening workshop. Furthermore, the study explored how game enjoyment relates to the game's outcomes. METHODS: A randomized controlled trial with 50 novice gardening participants aged 20 to 50 years was carried out. Participants were randomly assigned to a control group (1.5-hour workshop) or an experimental group (1.5-hour Farmily session). Pre- and postintervention assessments were conducted. We evaluated Farmily's impact on knowledge, attitudes, perceived self-efficacy, and intentions regarding initiating home gardens. In addition, we investigated the user enjoyment and its relationship with the game's effect outcomes. RESULTS: The experimental group significantly improved their knowledge (t24=4.26; P<.001), attitude (z24=2.98; P=.003), self-efficacy (t24=2.6; P=.02), and intention to initiate home gardens (z24=4.15; P<.001). The experimental group showed similar effectiveness in knowledge transfer (t24=-1.71; P=.09) and a more significant impact on attitude (z24=2.73; P=.006), self-efficacy (t24=2.21; P=.03), and intention to start a home garden (t24=-5.33; P<.001) than the control group. Farmily was well received by the intervention group, generating high enjoyment. Furthermore, user enjoyment substantially correlated with user attitudes (r23=0.72; P<.001) and self-efficacy (r23=0.67; P<.001), yet no discernible association was observed among user enjoyment, knowledge (r23=0.26; P=.20), and intention (r23=0.06; P=.77). CONCLUSIONS: Evidence indicates that Farmily appears to be a viable tool for promoting home gardening among novices in the short term. Farmily demonstrated similar effects in knowledge improvement to those of a traditional workshop and had a more significant impact on the other variables. In addition, we found that the player's gaming experience positively relates to the player's attitudes and self-efficacy. A well-powered randomized controlled trial with more diverse samples and extended follow-up periods will be conducted to establish the long-term efficacy of Farmily and gain a deeper understanding of the influence of enjoyment on game outcomes.

Perceived Impacts of Urban Gardens and Peer Nutritional Counseling for People Living With HIV in the Dominican Republic.

OBJECTIVE: Explore participants' perceptions of urban gardens and peer nutritional counseling intervention for people with HIV and food insecurity on antiretroviral therapy in the Dominican Republic. METHODS: Semistructured endline interviews (n = 21) with intervention participants about their perceptions of diet, health, and quality of life. A codebook was applied to verbatim transcripts, and coded data were analyzed using matrices to identify themes. RESULTS: Participants were mostly Dominican (86%; 14% Haitian); 57% were men; the mean age was 45 years. The most salient experiences described by intervention participants were improved dietary quality and diversity, improved food security, and saving money. Participants also emphasized improved social interactions, mental health, and emotional well-being. CONCLUSIONS AND IMPLICATIONS: Urban gardens and peer nutritional counseling may improve participants' diet and psychosocial well-being. Nutrition programs with marginalized populations may need to improve access to healthy foods and build camaraderie and linkages to programs addressing structural factors.

A community-based intervention study involving family gardens with aromatic herbs on changes in dietary and urinary sodium.

OBJECTIVE: To measure dietary and urinary changes in sodium (Na) intake and excretion through the implementation of family gardens with aromatic herbs and workshops for cooking, using the herbs as a substitute for salt and seasoning powder. METHODS: Thirty-five participants from a neighborhood of Mexico City were included. A general questionnaire was administered to collect information on sociodemographic factors. At baseline and 3 months later, a dietary evaluation was conducted, and 24-hour urine samples were collected. Food items reported were classified according to the NOVA classification. Visits to participants´ houses were conducted to measure the amount of salt and seasoning powder added to food during the preparation of meals as well as a home food inventory. All participants were given a family garden with 6 aromatic herbs and a recipe book. The intervention included 7 cooking and 3 garden care workshops. Qualitative information on the experience was also collected. Linear regression models were run in order to estimate the contribution of each NOVA group, salt, and seasoning powder to total dietary Na intake. RESULTS: Participants were 44 years old on average and were mainly women (91.4%). The participation compliance in the workshops was 69.5%. After 3 months, there was a Na intake mean reduction of 976 mg. There was also a reduction in the excreted urinary Na of 325 mg per day. CONCLUSION: A positive level of involvement in this program had a direct influence on dietary habits to lower Na consumption.

Exploring feasibility and acceptability of an integrated urban gardens and peer nutritional counselling intervention for people with HIV in the Dominican Republic.

OBJECTIVE: Food security interventions with people living with HIV (PLHIV) are needed to improve HIV outcomes. This process evaluation of a pilot intervention involving urban gardening and peer nutritional counselling with PLHIV assesses feasibility, acceptability and implementation challenges to inform scale-up. DESIGN: Mixed methods were used, including quantitative data on intervention participation and feasibility and acceptability among participants (n 45) and qualitative data from a purposive sample of participants (n 21). Audio-recorded interviews were transcribed and coded using a codebook developed iteratively. SETTING: An HIV clinic in the northwest-central part of the Dominican Republic. RESULTS: The intervention was feasible for most participants: 84 % attended a garden workshop and 71 % established an urban garden; 91 % received all three core nutritional counselling sessions; and 73 % attended the cooking workshop. The intervention was also highly acceptable: nearly, all participants (93-96 %) rated the gardening as 'helpful' or 'very helpful' for taking HIV medications, their mental/emotional well-being and staying healthy; similarly, high percentages (89-97 %) rated the nutrition counselling 'helpful' or 'very helpful' for following a healthy diet, reducing unhealthy foods and increasing fruit/vegetable intake. Garden barriers included lack of space and animals/pests. Transportation barriers impeded nutritional counselling. Harvested veggies were consumed by participants' households, shared with neighbours and family, and sold in the community. Many emphasised that comradery with other PLHIV helped them cope with HIV-related marginalisation. CONCLUSION: An urban gardens and peer nutritional counselling intervention with PLHIV was feasible and acceptable; however, addressing issues of transportation, pests and space is necessary for equitable participation and benefit.

Nursery-reared coral outplanting success in an upwelling-influenced area in Costa Rica

Introduction: Environmental and intrinsic factors such as seawater temperature, salinity, nutrient concentration, upwelling, species, and life history can influence coral outplant survival and growth, and in consequence, the effectiveness of restoration. Thus, it is key to understand how these factors can shape coral outplant performance to ensure the long-term success of a restoration program. Objective: To establish the survival and growth rate of outplanted coral nursery-reared colonies of branching Pocillopora spp. and massive corals Pavona gigantea, Pavona clavus, and Porites lobata in Bahía Culebra, North Pacific of Costa Rica, and to determine whether the site of origin of the coral fragment and the presence of seasonal upwelling affected the growth of Pocillopora outplants. Methods: From September 2020 to September 2021, we monitored the survival, health, and growth of 30 Pocillopora spp. colonies from six donor sites, and 31 fragments of massive species (P. gigantea [n = 18], P. clavus [n = 8], P. lobata [n = 5]) that were outplanted to a degraded reef. We recorded in situ seawater temperature, salinity, and nutrient concentration. Results: By the end of the year, 100 % of the Pocillopora spp. outplants survived. Survival was 71.4 % for P. clavus, 47.5 % for P. gigantea, and 20 % for P. lobata. Coral tissue loss and predation marks were observed at least once in 71 % of massive outplants. Pocillopora spp. colonies increased their initial area in 333.1 %, at a rate of 9.98 ± 1.69 cm yr-1. The site of origin of the outplant influenced growth rate, but not the presence of seasonal upwelling. Massive species fragments grew at a rate of 1.35 ± 0.24 cm yr-1 for P. clavus, 1.48 ± 0.21 cm yr-1 for P. gigantea, and 0.61 cm yr-1 for P. lobata, with no differences among them. Conclusions: Environmental conditions at site level allow for high survival and growth of Pocillopora spp. outplants, previously considered as sensitive to stressors, and point towards acclimation to seasonal upwelling. Although survival of massive species was lower, developing a multi-species approach is key to enhance restoration success.

Introducción: Factores ambientales e intrínsecos como la temperatura del agua, salinidad, concentración de nutrientes, afloramiento, especies e historia de vida pueden influir en la supervivencia y crecimiento de los trasplantes de coral y, en consecuencia, en la eficacia de la restauración. Por ello, entender cómo estos factores pueden moldear el desempeño de los trasplantes es clave para asegurar el éxito de un programa de restauración a largo plazo. Objetivo: Establecer la supervivencia y tasa de crecimiento de los trasplantes de colonias de coral previamente cultivadas en viveros del coral ramificado Pocillopora spp. y las especies de crecimiento masivo Pavona gigantea, Pavona clavus y Porites lobata en Bahía Culebra, Pacífico Norte de Costa Rica, y determinar si el sitio donante de origen del fragmento de coral y la presencia de afloramiento estacional afectó el crecimiento de los trasplantes de Pocillopora. Métodos: De setiembre 2020 a setiembre 2021, se monitoreó la supervivencia, salud y crecimiento de 30 colonias de Pocillopora spp. de seis sitios donantes diferentes y 31 fragmentos de especies masivas (P. gigantea [n = 18], P. clavus [n = 8], P. lobata [n = 5]) que se trasplantaron a un arrecife degradado. Se registró la temperatura del agua, la salinidad y concentración de nutrientes in situ. Resultados: Al final del año, el 100 % de los trasplantes de Pocillopora spp. sobrevivieron. La supervivencia fue de 71.4 % para P. clavus, 47.5 % para P. gigantea y 20 % para P. lobata. Se observaron pérdidas de tejido y marcas de depredación al menos una vez en un 71 % de los trasplantes masivos. Las colonias de Pocillopora spp. aumentaron su área inicial en un 333.1 %, a una tasa de 9.98 ± 1.69 cm año-1. El sitio de origen del trasplante tuvo efecto sobre la tasa de crecimiento, pero no la presencia de afloramiento estacional. Los fragmentos de especies masivas crecieron a tasas de 1.35 ± 0.24 cm año-1 (P. clavus), 1.48 ± cm año-1 (P. gigantea) y 0.61 cm año (P. lobata), sin diferencias entre ellas. Conclusiones: Las condiciones del sitio permiten una alta supervivencia y crecimiento de trasplantes de Pocillopora spp., que previamente habían sido considerados sensibles a factores estresantes, e indican aclimatación a las condiciones locales de afloramiento estacional. Pese a que la supervivencia de las especies masivas fue menor, es esencial desarrollar un enfoque multi-especie para aumentar el éxito de la restauración.

Pocillopora spp. growth analysis on restoration structures in an Eastern Tropical Pacific upwelling area.

Coral reefs in Culebra Bay (North Pacific of Costa Rica) are threatened by multiple anthropogenic disturbances including global warming, overfishing, eutrophication, and invasive species outbreaks. It is possible to assist their recovery by implementing ecological restoration techniques. This study used artificial hexagonal steel structures, called "spiders" to compare growth of Pocillopora spp. coral fragments of different sizes. Three initial fragment class sizes were used: 2, 5 and 8 cm, with each class size having 42 initial fragments. Changes in fragment length, width and area were measured monthly from January to December 2020. Results showed an overall survivorship of 70.21%, and no significant differences in survivorship and linear growth rate were detected between class sizes. The linear growth rates are 4.49 ± 1.19 cm year-1, 5.35 ± 1.48 cm year-1 and 3.25 ± 2.22 cm year-1 for the 2, 5 and 8 cm initial class sizes, respectively. Our results do not show significant differences in growth rates between the different initial fragment sizes. However, since small fragments (2 cm) present higher mortality during the first month, we recommend using larger fragments. In addition, coral fragments grew 48% more during the non-upwelling season, which may suggest that it might be more effective and safer to start the restoration efforts during this period.

Experiencia comunitaria en la policlínica de San Antonio, Canelones, Uruguay: algo más que una huerta / Community experience in san antonio primary care health service, canelones, uruguay: "more than a garden

INTRODUCCIÓN. Este artículo presenta una sistematización del Proyecto Redes, Salud y Alimentos llevado adelante por un equipo interdisciplinario de docentes de la Universidad de la República (Udelar) en 2018 en la localidad de San Antonio, Departamento de Canelones, Uruguay. El proyecto tuvo como objetivo promover la creación de un espacio para la promoción integral de la salud y la agroecología desde el enfoque de la Ecosalud. A nivel académico el proyecto se propuso promover la producción de conocimiento interdisciplinario en torno a los ejes de salud humana, construcción social de la salud y producción agroecológica de alimentos. MATERIAL Y MÉTODOS. En el territorio, desde un enfoque de Ecosalud, se generaron acciones de prevención y promoción de la salud a partir de una concepción holística y sistémica de las relaciones ambientales y humanas. Se incorporó la perspectiva agroecológica, considerando a los alimentos y su sistema de producción como determinantes de la sustentabilidad ambiental y de la seguridad y soberanía alimentaria. RESULTADOS. Como resultados destacamos el logro de los objetivos de promover la participación e integración del saber comunitario y haber creado un espacio de promoción de la salud integral, en sintonía con los pilares de la Carta de Shangai, "Promoción de la salud en la Agenda 2030 para el desarrollo sostenible". DISCUSIÓN. Esta experiencia es una respuesta a los desafíos que enfrenta la academia, en su afán de aportar al desarrollo de la sociedad. Sus desarrollos pueden verse también son pilares teóricos y ejes de acción de una nueva Salud Pública. (AU)

INTRODUCTION. This article presents a systematization of the Networks, Health and Food Project carried out by an interdisciplinary team of teachers from the University of the Republic (Ude-lar) in 2018 in the town of San Antonio, Department of Canelones, Uruguay. The main goal was to create a program of health promotion and agroecology from the Eco-health perspective. At an academic level, the project set out to promote the production of interdisciplinary knowledge around the axes of human health, social construction of health and agroecological food production. MATHERIALS AND METHODS. From an Ecohealth approach, health prevention and promotion actions on location were generated from a holistic and systemic conception of the relationship between humans and the environment. The agroecological perspective was incorporated, con-sidering food and its production system as determinants of environmental sustainability and food security and sovereignty. RESULTS. As results we highlight the importance of participation and integration of community knowledge and having created a space for the promotion of comprehensive health, in tune with the pillars of the Shanghai Charter, "Health promotion in the 2030 Agenda for sustainable development". DISCUSSION. This experience is a response to the challenges facing the academy, in its desire to contribute to the development of society. Its developments can also be seen as theoretical support and lines of action of a new Public Health.

Food Sources and Dietary Quality in Small Island Developing States: Development of Methods and Policy Relevant Novel Survey Data from the Pacific and Caribbean.

Small Island Developing States (SIDS) have high and increasing rates of diet-related diseases. This situation is associated with a loss of food sovereignty and an increasing reliance on nutritionally poor food imports. A policy goal, therefore, is to improve local diets through improved local production of nutritious foods. Our aim in this study was to develop methods and collect preliminary data on the relationships between where people source their food, their socio-demographic characteristics and dietary quality in Fiji and Saint Vincent and the Grenadines (SVG) in order to inform further work towards this policy goal. We developed a toolkit of methods to collect individual-level data, including measures of dietary intake, food sources, socio-demographic and health indicators. Individuals aged ≥15 years were eligible to participate. From purposively sampled urban and rural areas, we recruited 186 individuals from 95 households in Fiji, and 147 individuals from 86 households in SVG. Descriptive statistics and multiple linear regression were used to investigate associations. The mean dietary diversity score, out of 10, was 3.7 (SD1.4) in Fiji and 3.8 (SD1.5) in SVG. In both settings, purchasing was the most common way of sourcing food. However, 68% (Fiji) and 45% (SVG) of participants regularly (>weekly) consumed their own produce, and 5% (Fiji) and 33% (SVG) regularly consumed borrowed/exchanged/bartered food. In regression models, independent positive associations with dietary diversity (DD) were: borrowing/exchanging/bartering food (ß = 0.73 (0.21, 1.25)); age (0.01 (0.00, 0.03)); and greater than primary education (0.44 (0.06, 0.82)). DD was negatively associated with small shop purchasing (-0.52 (95% CIs -0.91, -0.12)) and rural residence (-0.46 (-0.92, 0.00)). The findings highlight associations between dietary diversity and food sources and indicate avenues for further research to inform policy actions aimed at improving local food production and diet.

¿Cuál es el efecto de la implementación de huertos en espacios comunitarios para la salud de la población?: síntesis rápida de evidencia / What is the effect of the implementation of community gardens on the health of the population?: rapid evidence synthesis

ANTECEDENTES Y OBJETIVO Los huertos comunitarios se han implementado en algunos países con el objetivo de fortalecer los vínculos sociales y mejorar el acceso a entornos verdes y saludables dentro de las comunidades, como una intervención para la promoción de la salud. En este contexto, el Departamento de Promoción de la Salud solicita una síntesis de evidencia que tiene como objetivo evaluar la implementación de huertos comunitarios como programa para mejorar el estado de la salud de la comunidad, y de esta manera informar la toma de decisiones respecto de los efectos que tendría la implementación de huertos comunitarios. METODOLOGÍA Se formuló una estrategia de búsqueda la cual se utilizó en las bases de datos HealthSystemsEvidence, HealthEvidence, Epistemonikos, la Biblioteca Cochrane, y PubMed con el objetivo de identificar revisiones sistemáticas que abordaran la pregunta formulada. Como las revisiones sistemáticas no siempre reportaron adecuadamente los resultados presentados, se extrajeron los datos de los estudios primarios. Se utiliza la metodología de certeza de evidencia GRADE. Se incluyeron todos los tipos de intervenciones dirigidas al cultivo de huertos en ambientes comunitarios, que involucraran a las personas en su cuidado y que buscaran la ingesta de frutas y verduras, conocimientos nutricionales y mejora en el estado de salud. Se excluyeron intervenciones que se realizaran en espacios no comunitarios como residencias privadas, establecimientos educacionales u hospitales. Además, se excluyeron intervenciones dirigidas a personas con problemas de salud mental, y se utilizó como comparador las intervenciones habituales para este tipo de población. RESULTADOS Se utilizan 4 Revisiones sistemáticas, de las cuales se obtuvieron los siguientes resultados: -Las estrategias para regular la contaminación del aire podrían reducir las tasas de mortalidad en la población -Es incierto si las políticas regulatorias mejoran el desarrollo neurológico de los niños, porque la certeza en la evidencia es muy baja. -Dentro de las políticas para reducir la contaminación del aire, Chile cuenta con medidas que regulan las emisiones de gases. De esta forma, se podría explorar estrategias para mejorar el cumplimiento de este tipo de iniciativas, en caso de que esto se considere como un elemento relevante para la política.

Total and Bioaccessible Soil Arsenic and Lead Levels and Plant Uptake in Three Urban Community Gardens in Puerto Rico.

Arsenic (As) and lead (Pb) are two contaminants of concern associated with urban gardening. In Puerto Rico, data currently is limited on As and Pb levels in urban garden soils, soil metal (loid) bioaccessibility, and uptake of As and Pb in soil by edible plants grown in the region. This study examined total and bioaccessible soil As and Pb concentrations and accumulation in 10 commonly grown garden plants collected from three urban community gardens in Puerto Rico. Bioavailability values were predicted using bioaccessibility data to compare site-specific bioavailability estimates to commonly used default exposure assumptions. Total and bioaccessible As levels in study soils ranged from 2 to 55 mg/kg and 1 to 18 mg/kg, respectively. Total and bioaccessible Pb levels ranged from 19 to 172 mg/kg and 17 to 97 mg/kg, respectively. Measured bioaccessibility values corresponded to 19 to 42% bioaccessible As and 61 to 100% bioaccessible Pb when expressed as a percent of total As and Pb respectively. Predicted relative percent bioavailability of soil As and Pb based on measured bioaccessibility values ranged from 18 to 36% and 51 to 85% for As and Pb respectively. Transfer factors (TFs) measuring uptake of As in plants from soil ranged from 0 to 0.073 in the edible flesh (fruit or vegetable) of plant tissues analyzed and 0.073 to 0.444 in edible leaves. Pb TFs ranged from 0.002 to 0.012 in flesh and 0.023 to 0.204 in leaves. Consistent with TF values, leaves accumulated higher concentrations of As and Pb than the flesh, with the highest tissue concentrations observed in the culantro leaf (3.2 mg/kg dw of As and 8.9 mg/kg dw of Pb). Leaves showed a general but not statistically-significant (α = 0.05) trend of increased As and Pb concentration with increased soil levels, while no trend was observed for flesh tissues. These findings provide critical data that can improve accuracy and reduce uncertainty when conducting site-specific risk determination of potential As and Pb exposure while gardening or consuming garden produce in the understudied region of Puerto Rico.

The impact of urban gardens on adequate and healthy food: a systematic review.

OBJECTIVE: To examine the impacts on food and nutrition-related outcomes resulting from participation in urban gardens, especially on healthy food practices, healthy food access, and healthy food beliefs, knowledge and attitudes. DESIGN: The systematic review identified studies by searching the PubMed, ERIC, LILACS, Web of Science and Embase databases. An assessment of quality and bias risk of the studies was carried out and a narrative summary was produced. SETTING: Studies published as original articles in peer-reviewed scientific journals in English, Spanish or Portuguese between 2005 and 2015 were included. SUBJECTS: The studies included were based on data from adult participants in urban gardens. RESULTS: Twenty-four studies were initially selected based on the eligibility criteria, twelve of which were included. There was important heterogeneity of settings, population and assessment methods. Assessment of quality and bias risk of the studies revealed the need for greater methodological rigour. Most studies investigated community gardens and employed a qualitative approach. The following were reported: greater fruit and vegetable consumption, better access to healthy foods, greater valuing of cooking, harvest sharing with family and friends, enhanced importance of organic production, and valuing of adequate and healthy food. CONCLUSIONS: Thematic patterns related to adequate and healthy food associated with participation in urban gardens were identified, revealing a positive impact on practices of adequate and healthy food and mainly on food perceptions.

Evaluation of Quality of life, Physical Activity and Nutritional Profile of Postmenopausal Women with and without Vitamin D Deficiency / Qualidade de vida, atividade física e perfil nutricional de mulheres na pós-menopausa com e sem deficiência de vitamina D

Abstract Introduction Vitamin D deficiency is associated with various diseases. Prevalent in Brazil, it can result from inadequate lifestyle habits. Objective To demonstrate that postmenopausal women with vitamin D deficiency have worse quality of health, expressed as worse quality of life, lower levels of physical activity, and worse nutritional profile. Methods Postmenopausal women answered questionnaires about physical activity and quality of life, provided a 24-hour food record, and had serum vitamin D levels measured. Results Among the more active women, those who perform a daily average of one hour of physical activity had vitamin D levels above 20 ng/mL (76.9%), and those, which expose themselves to sunlight, had vitamin D levels above 30 ng/mL (34.6%). Meanwhile the percentages for the women who are less physically active and less exposed to sunlight were 42.2% and 8.9% respectively. Being more active and more exposed to sunlight resulted in a lower fat percentage. Serum vitamin D levels were not correlated with quality of life. Conclusion Walking and gardening increased serum vitamin D levels and decreased the percentage of body fat. The limitations of the study prevented the impact of 25hidroxyvitamin D on the quality of life and nutritional aspects of the women from being evaluated.

Resumo Introdução A deficiência de vitamina D está associada a diversas doenças. Prevalente no Brasil, pode ser consequência de hábitos de vida inadequados. Objetivo Demonstrar que mulheres na pós-menopausa com hipovitaminose D têm pior qualidade de saúde, expressa por piores qualidade de vida, nível de atividade física e perfil nutricional. Métodos Mulheres na pós-menopausa responderam a questionários sobre atividade física, qualidade de vida, registro alimentar de 24 horas, e tiveram os níveis séricos de vitamina D medidos. Resultados Dentre as mulheres mais ativas, as que praticam em média 1 hora de atividade por dia apresentaram níveis de vitamina D superiores a 20 ng/mL (76,9%), e as que se expõem ao sol apresentaram níveis acima de 30 ng/mL (34,6 %). Já as mulheres menos ativas e menos expostas ao sol apresentaram respectivamente 42,2 % e 8,9%. Ser mais ativa e ter maior exposição solar significou ter menor percentual de gordura. O nível sérico de vitamina D não mostrou relação com a qualidade de vida. Conclusão Caminhada e jardinagem aumentam os níveis séricos de vitamina D e diminuem o percentual de gordura corpórea. As limitações do estudo não permitiram avaliar o impacto da 25-hidróxi-vitamina D na qualidade de vida e nos aspectos nutricionais das mulheres.

Effect of home vegetable gardening on the household availability of fruits and vegetables / Efeito do cultivo de hortas domiciliares sobre a disponibilidade domiciliar de frutas e hortaliças

ABSTRACT Objective: Evaluate the effect of planting herb or vegetable seeds and seedlings on the household availability of fruits and vegetables through an intervention study combining various actions (educational practices, home visits, and distribution of seeds and seedlings) for the promotion of fruit and vegetable consumption in multiple settings. Methods: Data from 70 families were analyzed. Using the stratified sampling technique, the participant families were selected from a stratum within a population of 1,743 families living in three low-income communities in the city of Rio de Janeiro, Brazil. Three post-intervention groups were formed and compared: families that did not receive the seeds and seedlings during the intervention; families that received but did not plant the seeds and seedlings; families that received and planted the seeds and seedlings. Results: Among the families that did not grow their own fruits and vegetables before the intervention, those that received and planted the seeds and seedlings achieved an increase in household availability of fruits and vegetables (Δ=+5.8 percentage points) up to three times higher (p<0.05) than that achieved by the families who did not receive the seeds and seedlings (Δ=+1.8 5 percentage points) and those that received but did not plant them (Δ=+2.3 percentage points). As for the families that grew their own fruits and vegetables before the intervention, the comparison between those that did not receive the seeds and seedlings, those that received and planted them, and those that received but did not plant them showed no differences in the household availability of fruits and vegetables. Conclusion: The planting of the seeds and seedlings that they received by the families that did not grow their own fruits and vegetables before the intervention contributed to a significant increase in the household availability of fruits and vegetables.

RESUMO Objetivo: Analisar o efeito do plantio de sementes e mudas de temperos ou hortaliças sobre a disponibilidade domiciliar de frutas e hortaliças no âmbito de um estudo de intervenção. Este combinou diversas ações de promoção do consumo de frutas e hortaliças em múltiplos cenários, como práticas educativas, visitas domiciliárias, distribuição de sementes e mudas de temperos ou hortaliças. Métodos: Foram analisados dados de 70 famílias selecionadas por meio de uma amostra estratificada. Esses dados permitiram inferir sobre o universo de 1.743 famílias que viviam em três comunidades de baixa renda da cidade do Rio de Janeiro. Três grupos definidos a posteriori foram comparados: não receberam sementes e mudas durante a intervenção; receberam mas não plantaram as sementes e mudas; e receberam e plantaram as sementes e mudas. Resultados: Dentre as famílias que não cultivavam frutas e hortaliças antes da intervenção, aquelas que receberam e plantaram sementes e mudas atingiram um aumento na disponibilidade domiciliar de frutas e hortaliças (Δ=+5,8 pontos percentuais) até três vezes maior (p<0,05) do que os experimentados pelas famílias que não receberam sementes e mudas (Δ=+1,8 pontos percentuais) ou que receberam mas não plantaram (Δ=+2,3 pontos percentuais). Dentre as famílias que já possuíam frutas e/ou hortaliças plantadas antes da intervenção, ao comparar os diferentes grupos, não foram encontradas diferenças na disponibilidade domiciliar de frutas e hortaliças. Conclusão: O plantio de sementes e mudas entregues às famílias que não cultivavam frutas e hortaliças antes da intervenção contribuiu para o efetivo aumento da disponibilidade domiciliar de desse tipo de alimento.

Hortas comunitárias como atividade promotora de saúde: uma experiência em Unidades Básicas de Saúde / Community vegetable gardens as a health promotion activity: an experience in Primary Healthcare Units

ResumoA agricultura urbana e periurbana (AUP) vem sendo praticada em diferentes espaços, contribuindo para a melhoria da saúde nas comunidades e ambientes mais saudáveis. Objetivando identificar significados e repercussões da prática da AUP em Unidades Básicas de Saúde (UBS), enquanto uma atividade de Promoção da Saúde (PS), e em que medida sua dimensão terapêutica a caracteriza como uma atividade alinhada às práticas integrativas e complementares, foi realizado um estudo transversal com abordagem qualitativa no município de Embu das Artes, SP. Da análise, emergiram as seguintes categorias: concepção de saúde, resultados na saúde, resgate de práticas e hábitos tradicionais e reorientação dos serviços de saúde. Identificou-se a estreita ligação entre a prática das hortas e as diretrizes e campos de ação da PS como: criação de ambientes saudáveis, reforço da ação comunitária, desenvolvimento de habilidades pessoais, estímulo à autonomia e empoderamento e demandas por reorientação dos serviços. As atividades de horta instituídas nas UBS se mostraram uma estratégia de implementação das práticas integrativas e complementares (PIC). Conclui-se que as atividades de cultivo nas hortas comunitárias mostram-se como práticas promotoras da saúde que integram elementos fundamentais das PIC.

AbstractUrban and peri-urban agriculture (UPA) is being practiced in different settings, contributing to the improvement of health in communities and healthier environments. In order to identify the meanings and implications of the practice of UPA in Primary Healthcare Units (PHU) as an activity of health promotion (HP), and to what extent its therapeutic dimension characterizes it as an activity aligned with complementary and integrative practices (CIP), a qualitative cross-sectional study was performed in Embu das Artes, State of São Paulo. From the analysis, the following main themes arose: health concept, health outcomes, the return to traditional practices and habits and the reorientation of health services. It was possible to identify the close link between the cultivation of vegetable gardens and HP guidelines and fields of action, such as creating healthier environments, boosting community actions, developing personal skills, stimulating autonomy and empowerment and demands for the reorientation of services. The garden activities, set up in PHU areas, proved to be an implementation strategy of CIP. The conclusion reached is that vegetable gardening activities in community gardens are seen to be health promotion practices that integrate key elements of CIP.

Genet and reef position effects in out-planting of nursery-grown Acropora cervicornis (Scleractinia:Acroporidae) in Montego Bay, Jamaica / Efectos de la posición en el arrecife y del linaje en el crecimiento de Acropora cervicornis (Scleractinia:Acroporidae) en una plantación de vivero en Bahía Montego, Jamaica

The reef-building coral Acropora cervicornis was a dominant ecosystem element on the Caribbean reef until the 1980s, when it declined by some 97% due primarily to anthropogenic ecosystem changes and disease. This branching species expanded its colony footprint and achieved local dominance largely through fragmentation and regrowth, thus is suited to nursery culture towards restoration. In this experiment, fragments of Acropora cervicornis of four lineages or genets were followed and measured for growth and health over 12 months in 2006 and 2007 on buoyant drop-loop line nurseries at one shallow and one deep fore-reef site in Montego Bay, Jamaica. Sixty-five of these corals were then out-planted to wild reef sites of similar depth and condition to their respective nurseries and monitored photographically for 11 months through 2007 and 2008. A period of rapid death was seen in the out-planted material at both sites over the first four months, followed by a period of relative stability or recuperation. Hermodice carunculata predation was the primary problem in the shallow fore-reef, and was combined with a banding syndrome at the deeper site. This syndrome was noted in the samples prior to planting, during a one week storage period on the seafloor. Continued slow decline occurred in the subsequent seven months in the shallow fore-reef site; however, regrowth was noted in the deeper site in the remaining material. Including these losses, final total live coral length was more than fourfold greater than the initial wild harvest: a net increase through multi-stage propagative restoration or coral gardening. Returns were noted particularly in the faster-growing genets of the nursery and larger planted corals tended to retain more material at eleven months, suggesting that propagative restoration programmes invest in stronger genets and larger corals. Adaptive management and maintenance gardening of the planted material and reef would likely have greatly improved outcomes.

La especie constructora de arrecifes de coral Acropora cervicornis era un elemento dominante del ecosistema en el arrecife caribeño hasta la década de 1980, cuando disminuyó en un 97% a nivel regional principalmente debido a cambios antropogénicos y por enfermedad. Esta especie de ramificación amplió su huella de colonia para lograr un dominio local a través de la fragmentación y el rebrote, así se adapta al cultivo de vivero para la restauración. En este experimento, fragmentos de Acropora cervicornis de cuatro linajes fueron seguidos y medidos para el crecimiento y la salud durante 12 meses en 2006 y 2007 en viveros en línea tipo “buoyant drop-loop“ en un sitio somero y otro profundo en el arrecife frontal de Bahía Montego, Jamaica. Sesenta y cinco de estos corales fueron plantados en sitios de arrecife silvestre con condiciones y profundidad similar a sus respectivos viveros y monitoreados mediante fotográfias por 11 meses durante el 2007 y 2008. Se observó un período de muerte rápida en el material plantado en ambos sitios durante los primeros cuatro meses, seguidos por un período de relativa estabilidad o recuperación. La depredación de Hermodice carunculata fue el principal problema en el arrecife frontal poco profundo y se combinó con un síndrome de bandas en el sitio más profundo. Este síndrome se observó en las muestras antes de la siembra, durante un período de almacenamiento de una semana en el suelo marino. A continuación ocurrió un lento descenso en los posteriores siete meses en el sitio de arrecife frontal poco profundo; sin embargo, se observó un rebrote en el sitio más profundo con el material restante. Aún incluyendo estas pérdidas, al final la longitud de coral vivo total fue más de cuatro veces que la inicial: un aumento neto a través de varias etapas de restauración propagativa o de jardinería de coral. Los rechazos fueron observados especialmente en el linaje de crecimiento más rápido del vivero y corales plantados más grandes que tienden a retener más material en once meses, lo que sugiere que los programas de restauración propagativo deben invertir en linajes de coral más fuertes y más grandes. Probablemente se obtengan mayores resultados con un manejo adaptativo y mantenimiento de jardinería del material plantado y de arrecife.

The Jamaican CARICOMP Site: using a temporal data set to assist in managing coastal resources

Discovery Bay is one of nine sites around Jamaica’s coastline, soon to gain the legislative protection of Fish Sanctuary (and Scientific Reserve) status. Cumulative natural and anthropogenic impacts drove the 1980’s coral to algae phase shift. Discovery Bay CARICOMP data (1994 to 2007) showed an increase in coral cover from less than 5% reported in the mid 1980’s to 11.7±0.31% (mean±SE) despite chronically high algal cover (61.4±2.2%) at 9m. Coral cover has been sustained despite low urchin densities (0.99±0.91 urchins m-2), low juvenile coral abundance (2.15±0.19 corals m-2) and coral mortality from repeated bleaching events. Community metrics from the CARICOMP site were compared to an adjacent reef habitat which was found to have higher coral cover (16.36±3.1%), as well as higher urchin (13.7±0.84m-2) and juvenile coral (9.7±1.7m-2) densities. Large branching coral species were absent along the CARICOMP transects and sparse at the nearby shallow reef. Both sites continue to be heavily overfished. Local history records the use of spatially and temporally isolated management strategies which have attempt to rehabilitate various aspects of this area. This unique temporal data set (based on the CARICOMP Methods Manual 2000) provides a baseline for evaluating Government (in)action and is used to justify proposals for ecosystem management which could facilitate phase shift reversal in a coral dominated system. An ecosystem approach that implements several concurrent strategies within and adjacent to the Reserve could accelerate the recovery process. The long term viability and benefit of both old and new marine protected or reserve areas could be enhanced through coral gardening on artificial reef structures with a view to restoring the reefs’ three-dimensional complexity. Such actions could heoretically accelerate phase reversal to coral dominated reefs common in the area prior to the devastating impacts of the 1980s. Rev. Biol. Trop. 58 (Suppl. 3): 63-69. Epub 2010 October 01.

Discovery Bay es uno de los nueve sitios alrededor de Jamaica, pronta a obtener la protección legislativa como Santuario de Pesca (y Reserva Científica). Los impactos naturales y antropogénicos acumulativos de la década de 1980 condujo a cambio de fase de coral a algas. Los datos CARICOMP de Discovery Bay (1994 a 2007) mostraron un aumento en la cobertura de coral de menos del 5% informada a mediados de 1980 a 11.7±0.31% (media±ES) a pesar la alta cobertura crónica de algas (61.4±2,2%) a 9m de profundidad. La cobertura de coral se ha mantenido a pesar de las densidades bajas de erizo de mar (0.99±0.91 erizos m-2), baja abundancia de juveniles de coral (2.15±0.19 m corales-2) y mortalidad de corales debido a fenómenos de blanqueo repetitivos. Estadísticas de la comunidad del sitio CARICOMP contrasta con un hábitat de arrecife adyacente que tienen mayor obertura de coral (16.36±3.1%), de erizos (13.7±0.84 m-2) y de juveniles de coral (9.7±1.7 m-2). Especies de coral de grandes ramas estaban ausentes de los transectos CARICOMP y eran pocos en los arrecifes poco profundos cercanos. Ambos sitios siguen siendo, en gran medida, objeto de sobrepesca. La historia local registra el uso de estrategias de gestión espacial y temporalmente aisladas que se implementaron en el pasado para intentar rehabilitar a diversos aspectos de esta área degradada. Los datos temporales de CARICOMP establecen una base única base para la evaluación "en" acción del Gobierno y se utiliza para justificar las propuestas de gestión de los ecosistemas que podrían facilitar la reversión de fase a un sistema dominado por corales. Un enfoque de ecosistemas que implementa varias estrategias simultáneas dentro y adyacente a la Reserva podría acelerar el proceso de recuperación. La viabilidad a largo plazo y el beneficio de viejas y nuevas áreas marinas protegidas o reservas podría ser mejorada a través de cultivo de coral en arrecifes artificiales con el fin de restablecer la complejidad tridimensional de los arrecifes coralinos. Tales acciones podrían, teóricamente, acelerar la reversión de fase a coral como era común en el área antes de los impactos devastadores de la década de 1980.