Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 15.307
Filtrar
1.
BMC Health Serv Res ; 22(1): 61, 2022 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-35022049

RESUMO

BACKGROUND: The aim of this analysis was to examine the influence of housing insecurity on diabetes processes of care and self-care behaviors and determine if that relationship varied by employment status or race/ethnicity. METHODS: Using nationally representative data from the Behavioral Risk Factor Surveillance System (2014-2015), 16,091 individuals were analyzed for the cross-sectional study. Housing insecurity was defined as how often respondents reported being worried or stressed about having enough money to pay rent/mortgage. Following unadjusted logistic models testing interactions between housing insecurity and either employment or race/ethnicity on diabetes processes of care and self-care behaviors, stratified models were adjusted for demographics, socioeconomic status, health insurance status, and comorbidity count. RESULTS: 38.1% of adults with diabetes reported housing insecurity. Those reporting housing insecurity who were employed were less likely to have a physicians visit (0.58, 95%CI 0.37,0.92), A1c check (0.45, 95%CI 0.26,0.78), and eye exam (0.61, 95%CI 0.44,0.83), while unemployed individuals were less likely to have a flu vaccine (0.84, 95%CI 0.70,0.99). Housing insecure White adults were less likely to receive an eye exam (0.67, 95%CI 0.54,0.83), flu vaccine (0.84, 95%CI 0.71,0.99) or engage in physical activity (0.82, 95%CI 0.69,0.96), while housing insecure Non-Hispanic Black adults were less likely to have a physicians visit (0.56, 95%CI 0.32,0.99). CONCLUSIONS: Housing insecurity had an influence on diabetes processes of care and self-care behaviors, and this relationship varied by employment status and race/ethnicity. Diabetes interventions should incorporate discussion surrounding housing insecurity and consider differences in the impact by demographic factors on diabetes care.


Assuntos
Diabetes Mellitus , Adulto , Sistema de Vigilância de Fator de Risco Comportamental , Estudos Transversais , Diabetes Mellitus/epidemiologia , Diabetes Mellitus/terapia , Abastecimento de Alimentos , Habitação , Humanos , Autocuidado
2.
BMC Public Health ; 22(1): 6, 2022 01 04.
Artigo em Inglês | MEDLINE | ID: mdl-34983466

RESUMO

BACKGROUND: In the City of Vancouver, Canada, non-profit food hubs such as food banks, neighbourhood houses, community centres, and soup kitchens serve communities that face food insecurity. Food that is available yet inaccessible cannot ensure urban food security. This study seeks to highlight food access challenges, especially in terms of mobility and transportation, faced by users of non-profit food hubs in the City of Vancouver before and during the COVID-19 crisis. METHODS: This study involved an online survey (n = 84) and semi-structured follow-up key informant interviews (n = 10) with individuals at least 19 years old who accessed food at a non-profit food hub located in the City of Vancouver more than once before and during the COVID-19 crisis. RESULTS: 88.5% of survey respondents found food obtained from non-profit food hubs to be either very or somewhat important to their household's overall diet. In their journey to access food at non-profit food hubs in the City of Vancouver, many survey respondents face barriers such as transportation distance/time, transportation inconveniences/reliability/accessibility, transportation costs, line-ups at non-profit food hubs, and schedules of non-profit food hubs. Comments from interview participants corroborate these barriers. CONCLUSIONS: Drawing from the findings, this study recommends that non-profit food hubs maintain a food delivery option and that the local transportation authority provides convenient and reliable paratransit service. Furthermore, this study recommends that the provincial government considers subsidizing transit passes for low-income households, that the provincial and/or federal governments consider bolstering existing government assistance programs, and that the federal government considers implementing a universal basic income. This study emphasizes how the current two-tier food system perpetuates stigma and harms the well-being of marginalized populations in the City of Vancouver in their journey to obtain food.


Assuntos
COVID-19 , Adulto , Abastecimento de Alimentos , Humanos , Reprodutibilidade dos Testes , SARS-CoV-2 , Inquéritos e Questionários , Transportes , Adulto Jovem
3.
Bull World Health Organ ; 100(1): 70-77, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-35017759

RESUMO

The food system and climate are closely interconnected. Although most research has focused on the need to adopt a plant-based diet to help mitigate climate change, there is also an urgent need to examine the effects of climate change on food systems to adapt to climate change. A systems approach can help identify the pathways through which climate influences food systems, thereby ensuring that programmes combating malnutrition take climate into account. Although little is known about how climate considerations are currently incorporated into nutrition programming, climate information services have the potential to help target the delivery of interventions for at-risk populations and reduce climate-related disruption during their implementation. To ensure climate services provide timely information relevant to nutrition programmes, it is important to fill gaps in our knowledge about the influence of climate variability on food supply chains. A proposed roadmap for developing climate-sensitive nutrition programmes recommends: (i) research aimed at achieving a better understanding of the pathways through which climate influences diet and nutrition, including any time lags; (ii) the identification of entry points for climate information into the decision-making process for nutrition programme delivery; and (iii) capacity-building and training programmes to better equip public health practitioners with the knowledge, confidence and motivation to incorporate climate resilience into nutrition programmes. With sustained investment in capacity-building, data collection and analysis, climate information services can be developed to provide the data, analyses and forecasts needed to ensure nutrition programmes target their interventions where and when they are most needed.


Assuntos
Desnutrição , Política Nutricional , Dieta , Abastecimento de Alimentos , Humanos , Desnutrição/prevenção & controle , Estado Nutricional
4.
Nutrition ; 93: 111502, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34775261

RESUMO

OBJECTIVES: This study aimed to analyze the relationship between food insecurity and school meal consumption, adjusted for sociodemographic variables. METHODS: This cross-sectional study investigated households with children and adolescents living in Brazilian municipalities. A semistructured survey was administered to parents/guardians at a parent-teacher meeting to assess their socioeconomic conditions and access to food, using the Brazilian Food Insecurity Scale to classify households as having food security or mild, moderate, or severe food insecurity. Parents and students were asked about the frequency of their consumption of school meals offered by the Brazilian School Food Program, which is one of the largest public policies in Brazil and offers free meals to all students in all public schools. Multinomial regression was performed to assess the relationship between food security and frequency of school meal consumption. RESULTS: A total of 1705 students participated in the study, most of whom displayed some degree of food insecurity (56.5%) per the Brazilian Food Insecurity Scale. Regular consumption of school meals (>3 times/wk) was reported by 78.5% of students. Regarding the frequency of school meal consumption adjusted by sociodemographic variables, students from households with food insecurity (moderate or severe) were more likely to regularly consume school meals. The prevalence of households with moderate or severe food insecurity was twice as high as for those who lived in households with food security after adjusting for sociodemographic variables (odds ratio: 2.35; 95% confidence interval 1.53-3.61). CONCLUSIONS: The Brazilian School Food Program has contributed greatly to food security. Although the guarantee of universality is essential for the program to reach all school children who are experiencing food insecurity, the program should also aim for greater equity.


Assuntos
Refeições , Instituições Acadêmicas , Adolescente , Brasil , Criança , Estudos Transversais , Segurança Alimentar , Abastecimento de Alimentos , Humanos , Fatores Socioeconômicos
5.
Sci Total Environ ; 806(Pt 1): 150497, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-34583077

RESUMO

Resource-based regions (RBRs) have made significant contributions to the social and economic development of nations. The long-term and high-intensity development of resources puts tremendous pressure on water, energy and food resources and the ecological environment. Exploring the water-energy-food nexus (WEF nexus, WEFN) of RBRs is key to making informed decisions about regional sustainable development. In this study, a feedback model for the WEFN of RBRs was developed using a system dynamics approach. The WEFN model not only describes the WEFN system from both the supply and demand sides, but also classifies WEF resources. Using Daqing, China, as a case study, five future scenarios were designed to explore the impacts of real policies designed by different government departments on the WEFN system. Comparing the predicted results of a scheme for business as usual, a scheme for developing bioenergy, a scheme for adjustment of the production structure, a scheme for strengthening the development of water and food resources and a scheme for saving WEF resources revealed that the schemes for adjustment of the production structure and for saving WEF resources will not only improve the security of WEF resources, but also reduce pollution of the water environment by human activities, which is conducive to improving the overall benefits of the WEFN system. Finally, some practical suggestions are put forward to promote the coordinated development of the WEFN system. The WEFN model is a multi-centric tool for integrated resources management, and can be expanded to other RBRs and provides scientific support for decision-makers.


Assuntos
Abastecimento de Alimentos , Abastecimento de Água , China , Alimentos , Humanos , Água
6.
J Environ Manage ; 301: 113814, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-34601349

RESUMO

Ecosystem service flows are a research topic of significant interest, and exploring this topic may mitigate the shortcomings related to the spatial mismatches between supply and demand in the current ecosystem services studies. The Pearl River Delta (PRD) experiences a serious spatial mismatch in ecosystem services in particular the food supply, between the supply areas (hilly areas) and demand areas (central areas). Therefore, this study focused on the PRD as a case study to analyze change trends of food supply-demand ratio (FSDR) at city level, and depict the spatial flow path within and between cities from the perspective of ecosystem service flow with different threshold distance, using an enhanced two-step floating catchment area accessibility method. The results showed that the food demand significantly exceeded the supply, the budget was 3.58 million tons and FSDR was 0.49 in 2015. There were large discrepancies in the FSDR at the city level before and after when considering the ecosystem service flows. The FSDR of cities in the central areas increased 0.1%-30%, due to the ecosystem service flow from the low hilly areas. As delivery distances increased, the size of food flow decreased within cities and increased among cities. This led to a significant decline in the population living in severe undersupplied areas (FSDR<0.1) and oversupplied areas (FSDR>1), and an increase in undersupplied areas (0.1<FSDR<0.9). Our findings indicate that local governments would benefit from enhancing connections between supply and demand areas to meet the food demand of big cities. This study offers a comprehensive and realistic understanding of the physical situation of ecosystem service consumption by human beings, and provides decision-making information for optimize land use allocation.


Assuntos
Conservação dos Recursos Naturais , Ecossistema , Abastecimento de Alimentos , China , Cidades , Rios
7.
Food Chem ; 370: 130830, 2022 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-34656022

RESUMO

COVID-19 is having a far-reaching negative impact on global economic and social development. One of the challenges arising from the pandemic is ensuring food security, especially with respect to cold chain food. Given the current situation of high contagion and large numbers of infected people, the perspective briefed emergency management measures of cold chain food, compared the development of accurate and rapid detection methods of COVID-19 and hazards in foods. In addition, we proposed three-dimensional-printing of foods as a promising candidate for ensuring food security during the current pandemic because it uses locally-obtained raw materials and does not need long-distance cold chain transportation.


Assuntos
COVID-19 , Pandemias , Segurança Alimentar , Abastecimento de Alimentos , Humanos , SARS-CoV-2
8.
Sci Total Environ ; 806(Pt 3): 150718, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-34606855

RESUMO

Agriculture provides the largest share of food supplies and ensures a critical number of ecosystem services (e.g., food provisioning). Therefore, agriculture is vital for food security and supports the Sustainable Development Goal (SDGs) 2 (SDG 2 - zero hunger) as others SDG's. Several studies have been published in different world areas with different research directions focused on increasing food and nutritional security from an agricultural land system perspective. The heterogeneity of the agricultural research studies calls for an interdisciplinary and comprehensive systematization of the different research directions and the plethora of approaches, scales of analysis, and reference data used. Thus, this work aims to systematically review the contributions of the different agricultural research studies by systematizing the main research fields and present a synthesis of the diversity and scope of research and knowledge. From an initial search of 1151 articles, 260 meet the criteria to be used in the review. Our analysis revealed that most articles were published between 2015 and 2019 (59%), and most of the case studies were carried out in Asia (36%) and Africa (20%). The number of studies carried out in the other continents was lower. In the last 30 years, most of the research was centred in six main research fields: land-use changes (28%), agricultural efficiency (27%), climate change (16%), farmer's motivation (12%), urban and peri-urban agriculture (11%), and land suitability (7%). Overall, the research fields identified are directly or indirectly linked to 11 of the 17 SDGs. There are essential differences in the number of articles among research fields, and future efforts are needed in the ones that are less represented to support food security and the SDGs.


Assuntos
Ecossistema , Desenvolvimento Sustentável , Agricultura , Segurança Alimentar , Abastecimento de Alimentos
9.
Appetite ; 168: 105692, 2022 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-34517072

RESUMO

Approximately one out of ten households in the U.S. experienced food insecurity in 2019 (U. S. Department of Agriculture, 2020). Food pantries have taken on an important role in helping those with both short term and persistent food insecurity. As pantries are increasingly being arranged to allow clients to choose their own food, the question of how to encourage healthy choices is becoming an important topic for discussion. The Des Moines Area Religious Council (DMARC) implemented a "Nutritional-Score" program on September 1, 2017 as an experiment aimed at answering the above question. This program essentially changes the budgets of food pantry clients to make healthier choices cheaper and less healthy choices more expensive. We perform a Bayesian analysis using a zero-inflated Poisson (ZIP) model to help describe the effects of this program on the frequency with which clients choose less healthy items. We find evidence that the Nutritional-score program had a positive effect on the probability of rejecting less healthy items in the short and long term.


Assuntos
Assistência Alimentar , Teorema de Bayes , Custos e Análise de Custo , Preferências Alimentares , Abastecimento de Alimentos , Humanos
10.
Appetite ; 168: 105695, 2022 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-34534591

RESUMO

This study explored the important attributes of the local food retail environments that residents from Ottawa, Ontario, Canada, used in recommending where to purchase fresh produce, including fruits and vegetables, in the Ottawa area. Drawing upon an approach originating in marketing and consumer research, qualitative thematic analysis was used to analyze 79 discussions from three social media platforms that occurred between 2015 and 2018. We identified three patterns of conversations about food shopping, characterized by participants describing important factors of their local retail food environments that shaped their recommendations for different retail food establishments: 1) Pleasant represented discussions where having a pleasurable food shopping experience was the main discussion point. 2) Thrifty discussions were marked primarily by economical management and discussed food shopping in pragmatic terms. 3) Compromise represented a group where discussions described needing to find a middle ground between affordability and quality. While not without limitations, our study was the first exploration of whether social media data could be useful for qualitatively evaluating local retail food environments. Our findings add to the conclusions of other researchers that social media data does not compromise on the breadth of views captured and can parallel findings from traditional methods. These findings have implications for nutrition researchers and practitioners who we encourage to consider social media discussion data in their work.


Assuntos
Mídias Sociais , Comércio , Comportamento do Consumidor , Preferências Alimentares , Abastecimento de Alimentos , Humanos , Ontário , Verduras
11.
Nutrition ; 93: 111448, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34583187

RESUMO

OBJECTIVES: We sought to evaluate the effect of socioeconomic conditions and variables related to the COVID-19 pandemic on the food insecurity of students during suspension of classes in public schools. METHODS: This was a telephone survey (n = 612) of adults responsible for purchasing food through representative samples of students in two Brazilian municipalities in June and July 2020. The outcome was food insecurity, assessed using the Brazilian Food Insecurity Scale. Multivariate logistic regression models were used to estimate the odds ratio (OR) and 95% confidence interval (CIs) for sociodemographic and pandemic-related factors of COVID-19. RESULTS: The total prevalence of food insecurity in households was 82%, with 65.7% mild food insecurity, 11.3% moderate, and 5.0% severe. After adjustment for confounding factors, households with the highest number of children (OR = 2.17; 95% CI, 1.10-4.27) and households that received local-government basic food baskets (OR = 1.64; 95% CI, 1.04-2.58) were significantly associated with food insecurity. Furthermore, households that did not experience a decrease in income during the pandemic were inversely associated with food insecurity (OR, 0.17; 95% CI, 0.09-0.32). CONCLUSIONS: The prevalence of food insecurity was high, and policies for the distribution of food baskets may not be sufficient to guarantee food security for the most vulnerable families with a greater number of children. Considering the possible worsening of food insecurity during the COVID-19 pandemic, the National School Feeding Program has the potential to play a strategic role in promoting food security for students.


Assuntos
COVID-19 , Pandemias , Adulto , Criança , Insegurança Alimentar , Abastecimento de Alimentos , Humanos , SARS-CoV-2 , Instituições Acadêmicas , Fatores Socioeconômicos
12.
Washington D.C; Organización Panamericana de la Salud; 1 ed; Dic. 2021. 51 p. ilus.
Monografia em Espanhol | LIPECS, MINSAPERÚ | ID: biblio-1352627

RESUMO

La alimentación es parte central del desarrollo de las personas a lo largo de su vida. El hambre y la pobreza impiden el goce de derechos esenciales de las personas. Durante los últimos años, distintos factores han desviado al mundo del camino para lograr la erradicación del hambre, la inseguridad alimentaria y todas las formas de malnutrición para el año 2030, y la pandemia de la COVID-19 ha exacerbado esta tendencia. Nuestra región no es la excepción. El sobrepeso infantil ha ido en aumento en los últimos 20 años y se encuentra por encima del promedio mundial: afectó al 7,5% de los menores de 5 años en 2020. El sobrepeso y la obesidad tiene un gran impacto económico, social y sanitario para los países, debido a la reducción de la productividad y el aumento de la discapacidad, la mortalidad prematura y los costos de la atención y los tratamientos médicos. Estas tendencias no se van a revertir si no avanzamos en la transformación de nuestros sistemas agroalimentarios para que sean más eficientes, resilientes, inclusivos y sostenibles, a fin de proporcionar dietas saludables para todos y todas, sin dejar a nadie atrás


Assuntos
Estratégias de Saúde Globais , Coronavirus , Impactos na Saúde , Desnutrição , Dieta , Sobrepeso , Pandemias , Mortalidade Prematura , Erradicação de Doenças , Alimentos, Dieta e Nutrição , Desenvolvimento Sustentável , Abastecimento de Alimentos , Obesidade
13.
Washington D.C; Organización Panamericana de la Salud; 1 ed; Dic. 2021. 27 p. ilus.(Serie Derechos Humanos y Salud, 8).
Monografia em Espanhol | LIPECS, MINSAPERÚ | ID: biblio-1352693

RESUMO

En esta publicación se presentan los instrumentos internacionales y regionales de derechos humanos y los sistemas de protección de esos derechos instaurados por las Naciones Unidas y el Sistema Interamericano de Derechos Humanos, así como medidas para hacerlos efectivos, con especial hincapié en la protección del derecho a la salud y a una alimentación adecuada


Assuntos
Dieta , Alimentos, Dieta e Nutrição , Dieta Saudável , Direito à Saúde , Abastecimento de Alimentos , Direitos Humanos
14.
Washington, D.C.; PAHO; 2021-12-01. (PAHO/NMH/RF/21-0031).
Não convencional em Inglês | PAHO-IRIS | ID: phr-55242

RESUMO

Consumption of trans-fatty acids (TFAs) is a major cause of global morbidity and mortality. It has no known health benefits and is a major contributor to heart disease worldwide. It is estimated that TFAs cause about 260,000 deaths every year. To effectively reduce the consumption of TFAs, the Pan American Health Organization (PAHO) / World Health Organization (WHO) recommend that all countries eliminate industrially produced trans-fatty acids (iTFAs), the main source of TFAs in the human diet, from their national food supply. This publication has been designed to assist government agencies and ministries in developing or reforming national legislation or regulation aiming to eliminate iTFAs from the food supply in their countries. While useful for legally trained readers, this publication is also intended for a nonlegal audience wanting to advance iTFA elimination through regulation. Decision-tree questions are used to help users of this tool populate a context-specific iTFA elimination regulation that aligns with PAHO/WHO best practices. It covers the important provisions to be considered in the text of the regulation, such as those granting legal authority to adopt a TFA regulation, defining the scope of the regulation, creating an inspection and enforcement framework, and setting an effective date. The publication provides a practical overview of key legal aspects of iTFA elimination, focusing on evidence-based, effective, and tested approaches. It provides guidance on how to draft regulations to implement the PAHO/WHO-recommended iTFA elimination policies, as well as supplementary provisions shown to support their effectiveness.


Assuntos
Ácidos Graxos trans , Cardiopatias , Mortalidade , Abastecimento de Alimentos , Alimentos, Dieta e Nutrição
15.
Creat Nurs ; 27(4): 262-266, 2021 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34903630

RESUMO

Planetary health and human health are inextricably linked in a complex relationship. Gender-based health vulnerabilities fall disproportionately on women regardless of a country's economy and resources. Women and girls are often the most affected by environmental degradation in food and water systems, along with gender-specific disparities. Addressing food production and nutrition can play a key role in the nursing profession's advocacy for planetary health and heart disease prevention in addressing gender-specific disparities. This article reviews research on the intersection of planetary health, heart health, nutrition strategies, and gender-specific disparities, utilizing the planetary health perspective that views human health and the Earth's health as deeply connected. Data supports nutritional solutions including a plant-based diet to improve environmental health, increase food security and planetary health, and decrease heart disease, the leading cause of death worldwide. Nurses play a critical role in assessing patients' food security and educating about the benefits of healthy and sustainable foods as well as how food choices can impact planetary health. Gender-sensitive research, including collection, analysis, and reporting of sex-disaggregated data, is needed to better understand the implications of planetary health threats, solutions, and policies.


Assuntos
Abastecimento de Alimentos , Amor , Dieta , Saúde Ambiental , Feminino , Humanos , Estado Nutricional , Saúde da Mulher
16.
Cien Saude Colet ; 26(12): 6175-6187, 2021 Dec.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34910008

RESUMO

Food insecurity is a worldwide public health problem. In Brazil, the configuration of a Food and Nutrition Security (FNS) policy has gained prominence in the government agenda since 1980. We highlight the creation of the National Council for Food and Nutrition Security (CONSEA) aiming at articulation between sectors and social participation. This article examines the role of CONSEA in coordinating FNS policy in Brazil from 2006 to 2016. The research was based on the approaches of historical institutionalism and used the dynamics of action and the CONSEA agenda as axes of analysis. The methodological strategies carried out were: bibliographic review, document analysis and semi-structured interviews. It was observed that CONSEA was marked by an expressive performance by civil society and variable participation of government representatives. Regarding the agenda, conflicting topics were much debated, but had little impact on the adoption of legal and normative measures. It is concluded that the strengthening of CONSEA, combined with the confrontation of economic interests, adequate financing and the performance of the State in social protection, are essential for overcoming challenges, implementing the FNS policy and promoting the health of the population.


Assuntos
Governo , Política Pública , Brasil , Abastecimento de Alimentos , Humanos , Política Nutricional , Saúde Pública
17.
Cien Saude Colet ; 26(12): 6189-6198, 2021 Dec.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34910009

RESUMO

This study ascertained changes, over 5 years, in the prevalence of overweight in adolescents and associations with socio-demographic variables and food insecurity. Two cross-sectional population-based studies were conducted with 511 (2005) and 314 (2010) adolescents resident in Campos Elíseos (Duque de Caxias-RJ). Overweight was evaluated by sex and age specific cut-off points of BMI (weight/height²). The prevalence of food insecurity was investigated using the Brazilian Food Insecurity Scale. Logistic regression was used to determine the association between changes in overweight over time and sex, age, skin colour, and food insecurity. Overweight was found to increase significantly, between 2005 and 2010, in boys who were younger (from 20.1% to 49.5%), black or brown (22.2% to 37.3%), those with per capita income of up to half a minimum wage (13.6% to 32.5%) and those experiencing moderate or severe food insecurity (9.2% to 36.3%). It was concluded that overweight increased significantly in adolescents living in an area of food insecurity, and that younger, black or brown, lower-income adolescents, and those living with moderate and severe food insecurity, were more exposed to that increase.


Assuntos
Abastecimento de Alimentos , Sobrepeso , Adolescente , Estudos Transversais , Insegurança Alimentar , Humanos , Masculino , Sobrepeso/epidemiologia , Prevalência , Fatores Socioeconômicos
18.
Inquiry ; 58: 469580211064131, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34928711

RESUMO

The purpose of this study is to describe the programmatic characteristics of current nutrition incentive projects supported by the Gus Schumacher Nutrition Incentive Program (GusNIP). Specifically, implementation characteristics of nutrition incentive projects that were funded in 2019 were compared across brick and mortar (B&M) and farm direct (FD) sites in the United States. Across 10 nutrition incentive (NI) grantees, there were 621 sites that reported data from B&M (n = 156) and FD (n = 465) locations. Among B&M sites, the common food retail types included: large chain traditional supermarket (n = 49) and independent traditional supermarket (n = 46). Among FD sites, the most frequently reported food retail types were farmers markets (n = 371). For B&M sites, the most common financial instruments were loyalty cards (n = 67, 43.5%), followed by an automatic discount at the register (n = 41, 26.6%), and coupons (n = 29, 18.8%). FD sites frequently reported physical financial instruments including tokens (n = 272, 61.1%), followed by paper vouchers (n = 131, 29.4%). Supplemental Nutrition Assistance Program (SNAP) purchases that were eligible to trigger incentives included mainly "all fresh FVs" at B&M sites (n = 98, 48.5%) and "all SNAP eligible items" at FD sites (n = 417, 85.8%). FVs eligible for incentive redemption included mainly "all fresh FVs" for both B&M sites (n = 110, 65.5%) and FD sites (n = 370, 67.6%). In terms of incentive-to-SNAP level ratio, both B&M sites and FD sites reported that they commonly utilized a 1:1 incentive-to-SNAP level ratio (n = 106, 68.8% and n = 261, 94.9% respectively). This paper will provide foundational understanding of the heterogeneity of GusNIP NI projects-specifically between B&M and FD settings-in order to inform future national work and ultimately demonstrate the impact of NI projects on food security status and dietary quality.


Assuntos
Assistência Alimentar , Motivação , Comportamento do Consumidor , Fazendas , Abastecimento de Alimentos , Humanos , Estados Unidos
19.
Nutrients ; 13(12)2021 Dec 17.
Artigo em Inglês | MEDLINE | ID: mdl-34960075

RESUMO

Reducing the climate impact of food provided for residents in nursing homes is challenging, as the diets for older, frail adults must be high in protein content and energy density while at the same time ensuring that the meals are palatable and recognizable. This study aimed at providing guidance on healthy and more climate-friendly diets for nursing homes in the City of Copenhagen. The goal was to decrease greenhouse gas emissions (GHGE) by at least 25% while at the same time providing nutritionally adequate and recognizable menus. First, food purchase data were compiled with datasets matching each food item to a proxy food item and then to databases containing GHGE and nutrient information. Secondly, two diet scenarios were modelled based on current procurement practices, i.e., an energy- and protein-dense diet and a standard protein-dense diet, and converted into guidelines for menu planning. The diets contained less total meat, especially beef, and significantly more pulses, nuts and seeds in order to increase protein content according to recommendations for older adults. Finally, a combined scenario was calculated to reflect the joint climate impact reduction. This kind of innovation in food procurement is required in order to achieve the necessary transition to a sustainable food system.


Assuntos
Dieta Saudável , Dieta/normas , Serviços de Alimentação , Abastecimento de Alimentos , Casas de Saúde/organização & administração , Política Nutricional , Idoso , Cidades , Gases de Efeito Estufa , Humanos , Modelos Teóricos , Valor Nutritivo
20.
Nutrients ; 13(12)2021 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-34959777

RESUMO

Plant-based meat (PBM) has been gaining popularity due to increasing concerns over health, animal welfare, and environmental issues linked to animal foods. This study aimed to compare the nutrient profile of PBM with equivalent meat products. We conducted a cross-sectional survey of 207 PBM and 226 meat products available from 14 retailers in the UK. We extracted data on energy density, total and saturated fat, protein, fiber, and salt per 100 g from product packaging and calculated the nutrient profile of each product. Compared to meat, PBM had significantly lower energy density, total fat, saturated fat, protein, and significantly higher fiber. Salt content was significantly higher in five out of six PBM categories. Based on the UK's Nutrient Profiling Model, 14% of PBM and 40% of meat products were classified as "less healthy" (p < 0.001). When considering the UK's front-of-pack labelling criteria 20% of the PBM and 46% of meat products were considered high in either total fat, saturated fat, or salt (p < 0.001). Nearly three quarters of PBM products did not meet the current UK salt targets. PBM products have a better nutrient profile compared to meat equivalents. However, more progress is needed to reduce salt in these products.


Assuntos
Dieta Vegetariana/estatística & dados numéricos , Análise de Alimentos/estatística & dados numéricos , Produtos da Carne/análise , Carne/análise , Nutrientes/análise , Estudos Transversais , Rotulagem de Alimentos/estatística & dados numéricos , Abastecimento de Alimentos/estatística & dados numéricos , Humanos , Carne/provisão & distribuição , Produtos da Carne/provisão & distribuição , Valor Nutritivo , Reino Unido
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...