biblioteca virtual en salud

BVS - Literatura Cientifica y Técnica

 

Historico de búsqueda  ()

Su selección  ()

Resultados  1-10 de 40
Enviar resultado
adicionar en sua lista
2.

Desafios da nutrição no Sistema Único de Saúde para construção da interface entre a saúde e a segurança alimentar e nutricional/ Nutritional challenges in the Brazilian Unified National Health System for building the interface between health and food and nutritional security/ Desafíos de la nutrición en el Sistema Único de Salud brasileño para la construcción de la interfaz entre la salud y seguridad alimentaria y nutricional

Rigon, Silvia do Amaral; Schmidt, Suely Teresinha; Bógus, Cláudia Maria
| Idioma(s): Portugués
Discute-se a construção da intersetorialidade entre o campo da saúde e da segurança alimentar e nutricional (SAN) no Brasil, entre 2003 e 2010, período que inaugura a priorização deste tema na agenda governamental. Para tanto, desenvolveu-se uma pesquisa qualitativa segundo a epistemologia construcionista, mediante entrevistas com informantes-chave do órgão de controle social do campo da SAN de abrangência nacional. Os avanços e desafios do processo são abordados enquanto categorias de análise. A Política Nacional de Alimentação e Nutrição (PNAN) foi mencionada como articuladora entre os dois campos, sendo descentralizada por uma rede com atuação nos estados e municípios. No entanto, registraram-se dificuldades políticas, institucionais e operacionais para que a PNAN possa ser efetiva no Sistema Único de Saúde e assim contribuir para o avanço da SAN no país. O predomínio do modelo biomédico, curativo e de alta complexidade foi referido como o principal impeditivo, conferindo ainda às políticas de promoção da saúde, como a PNAN, uma posição secundária em termos da sua priorização. This article discusses the establishment of inter-sector action between health and food and nutritional security in Brazil from 2003 to 2010, when this issue was launched as a priority on the government's agenda. A qualitative study was developed according to constructivist epistemology, using key-informant interviews in the field's nationwide social oversight body. Advances and challenges in this process are addressed as analytical categories. The National Food and Nutrition Policy (PNAN) was mentioned as the link between the two fields, decentralized through a network with activity in the states and municipalities. However, the study found political, institutional, and operational obstacles to the effective implementation of the PNAN in the Brazilian Unified National Health System and consequently to a contribution to the advancement of Health and Food and Nutritional Security in the country. The predominance of the biomedical, curative, and high-complexity model was cited as the principal impediment, while health promotion policies like the PNAN were assigned secondary priority. Se discute la construcción de la intersectorialidad entre el campo de la salud y el de la seguridad alimentaria y nutricional en Brasil, entre 2003 y 2010, período que inaugura la priorización de este tema en la agenda gubernamental. Para tal efecto, se desarrolló una investigación cualitativa, según la epistemología construccionista, mediante entrevistas con informantes-clave del órgano de control social en el campo de la seguridad alimentaria y nutricional dentro de una dimensión nacional. Los avances y desafíos del proceso se abordan por categorías de análisis. La Política Nacional de Alimentación y Nutrición (PNAN) se mencionó como articuladora entre los dos campos, siendo descentralizada por una red con actuación en los estados y municipios. Sin embargo, se registraron dificultades políticas, institucionales y operacionales para que la PNAN pudiera ser efectiva en el Sistema Único de Salud, y así contribuir al avance de la seguridad alimentaria y nutricional en el país. El predominio del modelo biomédico, curativo y de alta complejidad fue mencionado como el principal impeditivo, otorgando incluso a las políticas de promoción de la salud, como la PNAN, una posición secundaria en términos de su priorización.
adicionar en sua lista
3.

Intervención educativa para modificación de conocimientos, actitudes y prácticas sobre nutrición en Boyacá, Colombia/ Educational intervention for changing knowledge, attitudes and practices about nutrition in Boyacá, Colombia

Barrera Sánchez, Lina Fernanda; Herrera Amaya, Giomar Maritza; Ospina Díaz, Juan Manuel
| Idioma(s): Español
Introducción: La malnutrición, en las primeras etapas de la vida, es determinante de afectaciones en el crecimiento y desarrollo, la falta de conocimiento es su principal desencadenante. Objetivo: Evaluar el impacto de un programa educativo para modificar conocimientos, actitudes y prácticas sobre nutrición en madres de niños menores de 10 años. Materiales y Métodos: Estudio de evaluación, cuantitativo, de optimización de necesidades utilizando el modelo Preceder - proceder. Diseño cuasiexperimental, pretest - postest, sin grupo control; aplicado a 18 madres en Vereda La Colorada, (Tunja, Boyacá). Se planeó un programa con enfoque metodológico basado en aprender, haciendo uso de elementos de la comunicación social, a través de actividades teórico - prácticas de participación comunitaria. Resultados: Al inicio del proceso se encontró prevalencia para desnutrición crónica de 33.3%, desnutrición global 22.2%; como posibles factores asociados a la desnutrición se encuentra: edad de la madre de 21 a 25 años (p=.025); madre soltera (p=.02); bajo consumo de alimentos tipo verduras (p=.029), lácteos (p=.001), grasas (p=.006). El Programa favoreció de manera positiva y significativa cambios sobre conocimientos en nutrición (p< .01), actitudes (p=.001) y prácticas, con el aumento del consumo del grupo de proteínas (p=0.014). Discusión: Los resultados permiten inferir que se requiere de intervenciones prontas y productivas, basadas en asociaciones pedagógico-metodológicas para lograr la superación de las limitaciones actuales. Conclusiones: Impacto favorable expresado en modificaciones cuantitativas en los conocimientos, actitudes y prácticas que podría traducirse en algún grado de aceptación del programa por las madres participantes; la situación económica se apreció como un aspecto que influye negativamente en la implementación de nuevas y mejores prácticas alimentarias. Introduction: Malnutrition, in the early stages, is crucial to affectations on growth and development; it is considered, that lack of knowledge is the main trigger. Objective: To assess the impact of an educational intervention program toward changing knowledge, attitudes and practices about nutrition for children aged less than 10 years. Materials and Methods: Evaluation study, quantitative model, using the Precede-proceed metodology. The design was quasi-experimental, type pretest – posttest, without control group; it was developed with 18 mothers from La Colorada (Tunja, Boyacá); intervention used methodological approaches based on learning to doing, using elements of social communication, through theoretical and practical activities of community participation. Results: At the onset of the process, was found prevalence of chronic malnutrition was 33.3%, 22.2% had overall malnutrition; possible risk factors associated with malnutrition: mother's age since 21 to 25 years (p = .025); being single (p = .02); low intake of foods as vegetables (p = .029), milk or derivates (p = .001), fat (p = .006). The educational program favored positively and significant changes regarding nutrition knowledge (p <.01), attitudes (p = .001) and practices with increased consumption of protein (p = 0.014). Discussion: Current results allow us to infer that is required of prompt and productive interventions, based on pedagogical and methodological partnerships to overcoming seen limitations. Conclusions: Beneficial impact expressed in quantitative changes in knowledge, attitudes and practices that could result in some degree of acceptance of the program by participating mothers. Economic situation was seen as an issue that adversely affects the implementation of new and improved feeding practices.
adicionar en sua lista
4.

As contribuições do Programa Nacional de Alimentação Escolar (PNAE) e do Programa de Aquisição de Alimentos (PAA) para o fortalecimento da agricultura familiar e a promoção do direito humano à alimentação adequada e saudável/ The contributions of the National School Feeding Programme (PNAE) and the Food Acquisition Programme (PAA) for the strengthening of family farming and the promotion of food right

Sicoli, Juliana Lordello
| Idioma(s): Portugués
Introdução: Partindo do reconhecimento do direito humano à alimentação adequada e saudável e da inadequação do atual padrão alimentar no Brasil, a presente pesquisa situa a agricultura familiar na contramão do modelo agroalimentar predominante e enfatiza o duplo potencial do Programa Nacional de Alimentação Escolar (PNAE) e do Programa de Aquisição de Alimentos (PAA). Objetivo: Compreender as contribuições do PNAE e do PAA para o fortalecimento da agricultura familiar e a promoção do direito humano à alimentação adequada e saudável. Método: Foi realizado estudo compreensivo dos dois Programas com abordagem quanti-qualitativa. A primeira etapa compreendeu a sistematização de dados de cada Programa no estado de São Paulo, partindo de dados disponibilizados pelo PAA-Data e SISPAA e, no caso do PNAE, de parte dos dados coletados no âmbito da pesquisa "O encontro entre o Programa Nacional de Alimentação Escolar (PNAE) e a Agricultura Familiar". A segunda etapa focou o estudo da experiência de implementação dos dois Programas em Guarulhos, incluindo visitas às áreas de cultivo e unidades recebedoras e a realização de entrevistas semi-estruturadas com gestores públicos, agricultores familiares e merendeiras/cozinheiras, baseadas em roteiros com perguntas norteadoras. Resultados: As compras governamentais realizadas pelo PAA-CDS e pelo PNAE têm permitido alcançar boa parte das finalidades esperadas de ambos Programas, cumprindo papel relevante tanto sob a ótica da política agrícola, como da superação da insegurança alimentar e nutricional, ainda que com diferenças significativas entre os dois Programas e comportando desafios em curso. Os resultados reforçam a heterogeneidade da agricultura familiar e sugerem distintos perfis de agricultores familiares que acessam cada Programa no estado de São Paulo. Ambos Programas comercializam predominantemente alimentos in natura ou minimamente processados, favorecendo o acesso à alimentação saudável Introduction: Recognizing the human right to adequate and healthy food, and the inadequacy of current dietary patterns in Brazil, this project situates family farming in opposition to the predominant agri-food model and emphasizes the dual potential of the National School Feeding Programme (PNAE) and the Food Acquisition Programme (PAA). Objective: Comprehend the contributions of PNAE and PAA to strengthen family farming and to promote the human right to adequate and healthy food. Method: Comprehensive study was carried out on both programs with quantitative-qualitative approach. The first stage included the systematization of data from each Program in the state of São Paulo, based on data provided by PAA-Data and SISPAA and, in the case of PNAE, part of the data collected in the scope of the research" The meeting between the National Program Of School Feeding (PNAE) and Family Agriculture". The second stage focused Guarulhos experience of implementation on both Programmes, including visits to cultivation areas and receiving units, and semi-structured interviews with public managers, family farmers and cooks based on scripts with guiding questions. Results: The government purchases made by the PAA-CDS and the PNAE have allowed to reach a good part of the expected purposes of both Programmes, fulfilling a relevant role both from the perspective of the agricultural policy, and to overcome the food and nutritional insecurity, although with significant differences between the two Programmes and ongoing challenges. The results reinforce the heterogeneity of family agriculture and suggest different profiles of family farmers who access each Program in the state of São Paulo. Both Programmes commercialize predominantly in natura or minimally processed foods, favoring the access to healthy food
adicionar en sua lista
5.

A Public Policy Advocacy Project to Promote Food Security: Exploring Stakeholders' Experiences.

Atkey, Kayla M; Raine, Kim D; Storey, Kate E; Willows, Noreen D
| Idioma(s): Inglés
To achieve food security in Canada, comprehensive approaches are required, which involve action at the public policy level. This qualitative study explored the experiences of 14 stakeholders engaging in a 9-month participatory public policy advocacy project to promote community food security in the province of Alberta through the initiation of a campaign to develop a Universal School Food Strategy. Through this exploration, four main themes were identified; a positive and open space to contribute ideas, diversity and common ground, confidence and capacity, and uncertainty. Findings from this study suggest that the participatory advocacy project provided a positive and open space for stakeholders to contribute ideas, through which the group was able to narrow its focus and establish a goal for advocacy. The project also seems to have contributed to the group's confidence and capacity to engage in advocacy by creating a space for learning and knowledge sharing, though stakeholders expressed uncertainty regarding some aspects of the project. Findings from this study support the use of participatory approaches as a strategy for facilitating engagement in public policy advocacy and provide insight into one group's advocacy experience, which may help to inform community-based researchers and advocates in the development of advocacy initiatives to promote community food security elsewhere.
adicionar en sua lista
6.

A youth mentor-led nutritional intervention in urban recreation centers: a promising strategy for childhood obesity prevention in low-income neighborhoods.

Sato, Priscila M; Steeves, Elizabeth A; Carnell, Susan; Cheskin, Lawrence J; Trude, Angela C; Shipley, Cara; Mejía Ruiz, M J; Gittelsohn, Joel
| Idioma(s): Inglés
B'More Healthy Community for Kids (BHCK) is an ongoing multi-level intervention to prevent childhood obesity in African-American low-income neighborhoods in Baltimore city, MD. Although previous nutrition interventions involving peer mentoring of youth have been successful, there is a lack of studies evaluating the influence of cross-age peers within interventions targeting youth. This article evaluates the implementation of the BHCK intervention in recreation centers, and describes lessons learned. Sixteen youth leaders delivered bi-weekly, interactive sessions to 10- to 14-y olds. Dose, fidelity and reach are assessed, as is qualitative information regarding what worked well during sessions. Dose is operationalized as the number of interactive sessions, and taste tests, giveaways and handouts per session; fidelity as the number of youth leaders participating in the entire intervention and per session and reach as the number of interactions with the target population. Based on a priori set values, number of interactive sessions was high, and number of taste tests, giveaways and handouts was moderate to high (dose). The number of participating youth leaders was also high (fidelity). Of the 14 planned sessions, the intervention was implemented with high/moderate reach. Data suggest that working with cross-age peers is a promising nutritional intervention for recreation centers.
adicionar en sua lista
7.

Increasing Community Access to Fresh Fruits and Vegetables: A Case Study of the Farm Fresh Market Pilot Program in Cobb County, Georgia, 2014.

Woodruff, Rebecca C; Coleman, Anne-Marie; Hermstad, April K; Honeycutt, Sally; Munoz, Jennifer; Loh, Lorna; Brown, Agnes F; Shipley, Rebecca; Kegler, Michelle C
| Idioma(s): Inglés
BACKGROUND: Ecological models of health suggest that to effectively prevent chronic disease, community food environments must support healthy eating behaviors. However, disparities in access to healthy foods persist in the United States. COMMUNITY CONTEXT: The Farm Fresh Market (FFM) was a fruit and vegetable market that sold low-cost fresh produce in Cobb County, Georgia in 2014. METHODS: This case study describes the development of the FFM through a community engagement process and presents evaluation results from the project's pilot implementation. Community engagement strategies included forming a community advisory board, conducting a needs assessment, and contracting with a community-based organization to implement the FFM. OUTCOME: In the pilot year, the FFM served an average of 28.7 customers and generated an average of $140.20 in produce sales per market day. Most returning customers lived in the local community and reported a range of socioeconomic backgrounds. Most returning customers strongly agreed that the FFM made it easier (69.0%) and less expensive (79.0%) for them to buy fresh fruits and vegetables, reported that they ate more vegetables (65.0%) and fruit (55.0%) as a result of the FFM, and reported that they were very satisfied with the FFM overall (92.0%). INTERPRETATION: Results from this community case study underscore the importance of engaging communities in the development of community food environment interventions. Results also suggest that the FFM initiative was a feasible and acceptable way to respond to the community-identified public health priority of increasing access to healthy foods.
adicionar en sua lista
8.

Intervención educativa para modificación de conocimientos, actitudes y prácticas sobre nutrición en Boyacá, Colombia/ Educational intervention for changing knowledge, attitudes and practices about nutrition in Boyacá, Colombia

Barrera Sánchez, Lina Fernanda; Herrera Amaya, Giomar Maritza; Ospina Díaz, Juan Manuel
| Idioma(s): Español
Introducción: La malnutrición, en las primeras etapas de la vida, es determinante de afectaciones en el crecimiento y desarrollo, la falta de conocimiento es su principal desencadenante. Objetivo: Evaluar el impacto de un programa educativo para modificar conocimientos, actitudes y prácticas sobre nutrición en madres de niños menores de 10 años. Materiales y Métodos: Estudio de evaluación, cuantitativo, de optimización de necesidades utilizando el modelo Preceder - proceder. Diseño cuasiexperimental, pretest - postest, sin grupo control; aplicado a 18 madres en Vereda La Colorada, (Tunja, Boyacá). Se planeó un programa con enfoque metodológico basado en aprender, haciendo uso de elementos de la comunicación social, a través de actividades teórico - prácticas de participación comunitaria. Resultados: Al inicio del proceso se encontró prevalencia para desnutrición crónica de 33.3%, desnutrición global 22.2%; como posibles factores asociados a la desnutrición se encuentra: edad de la madre de 21 a 25 años (p=.025); madre soltera (p=.02); bajo consumo de alimentos tipo verduras (p=.029), lácteos (p=.001), grasas (p=.006). El Programa favoreció de manera positiva y significativa cambios sobre conocimientos en nutrición (p< .01), actitudes (p=.001) y prácticas, con el aumento del consumo del grupo de proteínas (p=0.014). Discusión: Los resultados permiten inferir que se requiere de intervenciones prontas y productivas, basadas en asociaciones pedagógico-metodológicas para lograr la superación de las limitaciones actuales. Conclusiones: Impacto favorable expresado en modificaciones cuantitativas en los conocimientos, actitudes y prácticas que podría traducirse en algún grado de aceptación del programa por las madres participantes; la situación económica se apreció como un aspecto que influye negativamente en la implementación de nuevas y mejores prácticas alimentarias.(AU) Introduction: Malnutrition, in the early stages, is crucial to affectations on growth and development; it is considered, that lack of knowledge is the main trigger. Objective: To assess the impact of an educational intervention program toward changing knowledge, attitudes and practices about nutrition for children aged less than 10 years. Materials and Methods: Evaluation study, quantitative model, using the Precede-proceed metodology. The design was quasi-experimental, type pretest – posttest, without control group; it was developed with 18 mothers from La Colorada (Tunja, Boyacá); intervention used methodological approaches based on learning to doing, using elements of social communication, through theoretical and practical activities of community participation. Results: At the onset of the process, was found prevalence of chronic malnutrition was 33.3%, 22.2% had overall malnutrition; possible risk factors associated with malnutrition: mother's age since 21 to 25 years (p = .025); being single (p = .02); low intake of foods as vegetables (p = .029), milk or derivates (p = .001), fat (p = .006). The educational program favored positively and significant changes regarding nutrition knowledge (p <.01), attitudes (p = .001) and practices with increased consumption of protein (p = 0.014). Discussion: Current results allow us to infer that is required of prompt and productive interventions, based on pedagogical and methodological partnerships to overcoming seen limitations. Conclusions: Beneficial impact expressed in quantitative changes in knowledge, attitudes and practices that could result in some degree of acceptance of the program by participating mothers. Economic situation was seen as an issue that adversely affects the implementation of new and improved feeding practices.(AU)
adicionar en sua lista
9.

Eat Right-Live Well! Supermarket Intervention Impact on Sales of Healthy Foods in a Low-Income Neighborhood.

Surkan, Pamela J; Tabrizi, Maryam J; Lee, Ryan M; Palmer, Anne M; Frick, Kevin D
| Idioma(s): Inglés
OBJECTIVE: To evaluate a multifaceted supermarket intervention promoting healthier alternatives to commonly purchased foods. DESIGN: Sales of 385 foods promoted between July and October, 2012 in the Eat Right-Live Well! intervention supermarket were compared with sales in a control supermarket. SETTING: Two supermarkets in geographically separate, low-income, urban neighborhoods. PARTICIPANTS: One control and 1 intervention supermarket. INTERVENTION: Product labeling, employee training, community outreach, and in-store promotions, including taste tests. MAIN OUTCOME MEASURES: Number of items sold; absolute and percent differences in sales. ANALYSIS: Difference-in-difference analyses compared absolute and percent changes between stores and over time within stores. Sub-analyses examined taste-tested items and specific food categories, and promoted items labeled with high fidelity. RESULTS: Comparing pre- and postintervention periods, within-store difference-in-differences for promoted products in the intervention store (25,776 items; 23.1%) was more favorable than the control (9,429 items; 6.6%). The decrease in taste-tested items' sales was smaller in the intervention store (946 items; 5.5%) than the control store (14,666 items; 26.6%). Increased sales of foods labeled with high fidelity were greater in the intervention store (25,414 items; 28.0%) than the control store (7,306 items; 6.3%). CONCLUSIONS AND IMPLICATIONS: Store-based interventions, particularly high-fidelity labeling, can increase promoted food sales.
adicionar en sua lista
10.

Hortas urbanas e a construção de ambientes promotores da alimentação adequada e saudável/ Urban gardens and build of environments promoters of healthy eating

Garcia, Mariana Tarricone
| Idioma(s): Portugués
Introdução: A alimentação é culturalmente e socialmente construída e é um direito humano básico, além de ser influenciada por determinantes sociais, do acesso, do ambiente e do sistema alimentar. Frequentemente, indivíduos que vivem em meios urbanos estão desconectados do ciclo de vida dos alimentos. As hortas urbanas promovem um aprendizado coletivo por meio da vivência e da experimentação e podem ser vistas como um espaço repleto de oportunidades para a prática da alimentação adequada e saudável. Objetivos: 1) Identificar e sintetizar os estudos publicados entre 2005 e 2015 que avaliaram a influência da participação em hortas urbanas em desfechos relacionados à alimentação e nutrição entre adultos e idosos; 2) Descrever as práticas de aquisição de frutas e hortaliças de moradores de áreas periféricas da região metropolitana de São Paulo e como eles percebem o acesso a estes alimentos naqueles ambientes; e 3) Descrever as influências na alimentação decorrentes da experiência de crianças com o cultivo de alimentos em hortas escolares. Métodos: Tese composta por três manuscritos. No primeiro foi realizada uma revisão sistemática dos estudos publicados entre 2005 e 2015, selecionados a partir da busca em cinco bases de dados, envolvendo adultos e/ou idosos não institucionalizados participantes de hortas urbanas que apresentassem resultados na alimentação. No segundo manuscrito foram realizadas entrevistas com indivíduos residentes em regiões adstritas a quatro Unidades Básicas de Saúde de um município da região metropolitana de São Paulo. No terceiro foram realizadas entrevistas com educadores e pais de educandos de três escolas do mesmo município que possuíam hortas escolares. Resultados: Os estudos incluídos na revisão sistemática apontaram que das experiências com hortas urbanas foram identificados eixos temáticos relacionados à alimentação adequada e saudável como: maior consumo de frutas e hortaliças, maior acesso a alimentos saudáveis, maior reconhecimento da culinária, o compartilhamento da colheita com familiares e amigos, valorização da produção orgânica e apropriação da importância da alimentação adequada e saudável. Em relação às entrevistas com os moradores, estes destacaram o abastecimento insuficiente de frutas e hortaliças, a demanda por mais variedade destes alimentos, a insuficiência de equipamentos que comercializem maior variedade de frutas e hortaliças, a associação da alimentação adequada e saudável a preços altos e a diminuição do número de feiras livres atribuída ao surgimento dos supermercados. Já as hortas escolares trouxeram elementos para reflexão sobre o ato de se alimentar e sobre os alimentos, pelo conhecimento que o contato direto com o cultivo produziu, e provocou mudanças não apenas nas crianças, mas também nas famílias envolvidas com as atividades. Isso se refletiu em mudanças concretas na alimentação, maior conhecimento sobre os alimentos e sobre o sistema alimentar, além de uma maior valorização dos alimentos produzidos e de um estímulo maior para experimentar novos alimentos. Conclusões: O ambiente alimentar pode constituir um fator restritivo à prática da alimentação adequada e saudável. Neste sentido, as hortas urbanas, por meio do contato com a natureza, sensibilização para o ato de se alimentar e maior acesso às frutas e hortaliças, contribuem para a promoção da alimentação adequada e saudável Introduction: Eating is culturally and socially constructed and a basic human right, besides being influenced by social determinants, access, environment and food system. Often, individuals living in urban areas are disconnected from the food life cycle. Urban gardens promote a collective learning through experience and experimentation and can be seen as a place full of opportunities for adequate and healthy food practice. Objectives: 1) To identify and to synthesise the studies published between 2005 and 2015 that evaluated the influence of participation in urban gardens on outcomes related to food and nutrition among adults and elderly people; 2) To describe the acquisition of fruits and vegetables practices by residents in socially disadvantaged areas of Sao Paulo Metropolitan Region - Brazil and how they perceive access to these foods in those environments; and 3) To describe the influences on eating resulting from children\'s experience with growing food in school gardens. Methods: The thesis comprises three manuscripts. In the first one we undertook a systematic review of studies published between 2005 and 2015, selected from searching in five databases, involving non-institutionalized adults and/or elderly participants of urban gardens reporting results on eating. In the second manuscript we conducted interviews with residents in four Basic Health Units\' areas in a city located in the Sao Paulo Metropolitan Region - Brazil. In the third one we conducted interviews with educators and students parents from three schools developing school gardens in the same city. Results: Studies included in the systematic review showed from the experiences with urban gardens we identified themes related to adequate and healthy eating: higher consumption of fruits and vegetables, increased access to healthy food, more recognition of the importance of cooking, sharing the harvest with family and friends, greater importance of organic production and greater importance of adequate and healthy eating. Regarding interviews with residents, they highlighted the insufficient supply of fruits and vegetables, demand for greater variety of these foods, lack of stores that sell greater variety of fruits and vegetables, association of adequate and healthy eating with high cost, and decrease in the number of street markets attributed to emergence of supermarkets. Concerning the school gardens, the activity brought elements to think about the act of eating and about food by itself through the knowledge created by direct contact with farming, and caused changes not only among children but also among families involved with the activities. This was reflected in concrete changes in diet, increased knowledge about food and food system, as well as greater appreciation of garden produce and a greater willingness to try new foods. Conclusions: Food environment can be a restrictive factor for adequate and healthy eating practice. Thus, urban gardens, through contact with nature, awareness of the the act of eating, and greater access to fruits and vegetables, contribute to adequate and healthy eating promotion
Resultados  1-10 de 40