Efetividade de promoção do consumo de frutas e hortaliças no Programa da Saúde / Effectiveness of actions to promote the consumption of fruits and vegetables in the Programa Academia da Saúde

RESUMO

O consumo insuficiente de frutas e hortaliças (FH) está relacionado à elevada carga de doenças em todo o mundo, evidenciando a necessidade de intervenções, efetivas, de baixo custo e aplicáveis. Este estudo objetivou avaliar a efetividade de intervenção nutricional, pautada no modelo transteórico e na pedagogia dialógica e problematizadora, sobre o aumento no consumo de FH de usuários do Programa Academia da Saúde (PAS) de Belo Horizonte, Minas Gerais. Este trabalho será apresentado em quatro artigos 1) “The dietary profile of socially vulnerable participants in health promotion programs in a Brazilian metropolis”; 2) “Promoting fruit and vegetable consumption a randomized controlled community Trial; 3) “Adesão à intervenção nutricional comunitária e fatores associados” e 4) “Interventional promotion for consumption of fruits and vegetables in a primaryhealthcare service A randomized controlled trial”. O primeiro artigo possui delineamento transversal (n=370) e buscou identificar o perfil alimentar de participantes em dois polos dos PAS localizados em áreas socialmente vulneráveis, além de caracterizar o consumo de FH. O segundo descreve o delineamento da intervenção, abordando as ações e estratégias educativas utilizadas. Já o terceiro e quarto artigos fazem parte de ensaio comunitário controlado e aleatorizado conduzido em amostra representativa de 18 polos do PAS. No terceiro artigo calculou-se a adesão à intervenção nutricional comunitária e os fatores associados e, no quarto artigo, avaliou-se a efetividade e o processo de intervenção sobre o aumento do consumo de FH. Verificou-se, no primeiro artigo, o consumo insuficiente de frutas entre os usuários do PAS (67,7% polo I e 75,7% polo II), sendo que indivíduos que frequentavam o polo com maior vulnerabilidade social apresentaram maior inadequação no consumo de hortaliças (43,6% vs. 54,6%; p=0,038). Perante estes resultados foram desenvolvidas ações...

ABSTRACT

Inadequate fruit and vegetable (FV) consumption is related to high disease load worldwide, highlighting the need for intervention, effective, inexpensive and applicable.This study aimed to assess the effectiveness of a nutritional intervention based on trans-theoretical model, dialogic and problematizing pedagogy for increasing the FV consumption of users of the Program Academia da Saúde (PAS) of Belo Horizonte, Minas Gerais. This volume will be presented in four articles 1) “The dietary profile of socially vulnerable participants of health promotion programs ina Brazilian metropolis;” 2) “Promoting fruit and vegetable consumption a randomized controlled community Trial; 3) “Adherence to a community nutritional intervention and associated factors;” and 4) “Interventional promotion for consumption of fruits and vegetables in a primary healthcare service A randomized controlled trial”. Article 1 of the thesis has a cross-sectional design (n=370) and it aimed to identify the dietary profile of participants of two PAS units located in socially vulnerable areas, in addition to characterize the consumption of FH. The second study describes the design of the intervention, addressing the actions and educational strategies used. The articles 2 and 3 are parts of a randomized controlled trial in a community conducted in a representative sample, which consisted of 18 PAS poles. The third article calculated adherence to a community nutritional intervention and its associated factors, and the fourth article assessed the effectiveness and process of an intervention to increase FV consumption. We found, in the first article, inadequate fruit consumption among users of PAS (67.7% pole I and 75.7% pole II), and users of the PAS pole in the most socially vulnerable area had higher vegetable intake inadequacy (43.6% vs. 54.6%; p=0.038). In view of these findings we were develop educational actions based on trans-theoretical model and dialogic and problematizing...