scholarly journals Food environment of fruits and vegetables in the territory of the Health Academy Program

2015 ◽  
Vol 31 (suppl 1) ◽  
pp. 159-169 ◽  
Author(s):  
Bruna Vieira de Lima Costa ◽  
Cláudia Di Lorenzo Oliveira ◽  
Aline Cristine Souza Lopes
Keyword(s):  
Fruits And Vegetables ◽  
Nearest Neighbor ◽  
Healthy Foods ◽  
Fitness Program ◽  
The Public ◽  
Minas Gerais State ◽  
Belo Horizonte ◽  
Open Air Markets ◽  
Clustering Pattern

Abstract This study provides a spatial analysis of distribution and access to commercial fruit and vegetable establishments within the territory of a representative sample of public fitness facilities known as the Health Academy Program (HAP) in Belo Horizonte, Minas Gerais State, Brazil. The study evaluated commercial food establishments within a buffer area based on a radius of 1,600 meters around each of 18 randomly selected fitness facilities. Quality of access to fruits and vegetables was assessed by the Healthy Food Store Index (HFSI), consisting of the variables availability, variety, and advertising of fruits, vegetables and ultra-processed foods. The analysis was based on calculation of the Kernel intensity estimator, nearest neighbor method, and Ripley K-function. Of the 336 food establishments, 61.3% were green grocers and open-air markets, with a median HFSI of 11 (5 to 16). In only 17% of the territories, the majority of the “hot area” establishments displayed better access to healthy foods, and only three areas showed a clustering pattern. The study showed limited access to commercial establishments supplying healthy fruits and vegetables within the territory of the public fitness program.

scholarly journals Monotony in the consumption of fruits and vegetables and food environment characteristics

2019 ◽  
Vol 53 ◽  
pp. 63 ◽  
Author(s):  
Raquel De Deus Mendonça ◽  
Mariana Souza Lopes ◽  
Patrícia Pinheiro Freitas ◽  
Suellen Fabiane Campos ◽  
Mariana Carvalho de Menezes ◽  
...  
Keyword(s):  
Food Environment ◽  
Health Care Services ◽  
Fruits And Vegetables ◽  
Daily Intake ◽  
Care Services ◽  
Program Unit ◽  
Primary Health Care Services ◽  
Belo Horizonte ◽  
Community Trial

OBJECTIVE: To analyze the quantity and diversity in the consumption fruits and vegetables, as well as its relationship with the consumer’s purchase characteristics and food environment. METHODS: Baseline study stemming from a controlled and randomized community trial investigating a sample representative of Primary Health Care services (Health Academy Program) of Belo Horizonte, state of Minas Gerais. The intake of fruits and vegetables was analyzed in servings/day, whereas diversity was assessed by the Food Frequency Questionnaire. Users were also questioned on the frequency, purchase location and availability of these foods at their households. To assess the consumer’s food environment, commercial establishments within a 1.6 km radius around the program unit sampled were audited. RESULTS: 3,414 adults and older adults (88.1% women) were investigated, as well as 336 commercial establishments, in 18 units of the Health Academy Program. The average consumption of fruits and vegetables was adequate [5.4 (SD = 2.1) servings/day] but monotonous, with average daily intake of two different types. In the establishments audited, a good diversity (77.7% and 85.0%) and variety (74.5% and 81.4%) of fruits and vegetables was observed, although with lower quality of vegetables (60.4%). After adjusting for sociodemographic variables, we identified that knowledge on food crops (p = 0.006), increased monthly availability of fruits at households (p < 0.001), and greater variety of fruits (p = 0.03) and quality of vegetables (p = 0.05) in commercial establishments could improve the quantitative intake of fruits and vegetables, whereas a greater variety of fruits (p = 0.008) would increase consumption diversity. CONCLUSIONS: The intake of fruits and vegetables was quantitatively adequate but monotonous, being influences by the consumer environment. Such results highlight the need for improving educational actions in health services and programs, in addition to acting on the consumer environment, aiming to promote and maintain the adequate and diversified consumption, as recommended by Brazilian guidelines for proper and healthy eating.

scholarly journals Panorama das barragens de rejeito de minério no Quadrilátero Ferrífero (MG) e suas implicações para a segurança hídrica da Região Metropolitana de Belo Horizonte-MG

GeoTextos ◽  
2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Guilherme Eduardo Macedo Cota ◽  
Antônio Pereira Magalhães Júnior
Keyword(s):  
Water Security ◽  
Legal Aspects ◽  
Metropolitan Region ◽  
Tailings Dams ◽  
Quality Of Water ◽  
Iron Quadrangle ◽  
Quadrilátero Ferrífero ◽  
Minas Gerais State ◽  
Belo Horizonte

<p>O presente trabalho objetiva investigar as lacunas legais no tocante à segurança de barragens de rejeito de minério nas bacias de contribuição dos mananciais que abastecem a Região Metropolitana de Belo Horizonte (RMBH), evidenciando suas implicações para a manutenção da quantidade e da qualidade das águas. Por conseguinte, é elaborado um panorama das barragens da bacia do Alto Rio das Velhas em termos espaciais e legais, principalmente quanto à conformidade em relação à Política Nacional de Segurança de Barragens (PNSB). Os resultados obtidos mostram uma série de lacunas nos aspectos legais das estruturas, sobretudo no tocante à estabilidade dos barramentos, cenário que, por sua vez, compromete a segurança hídrica dos mananciais e o abastecimento de água da RMBH.</p><p><span>Abstract</span></p><p>SCENERY OF ORE TAILINGS DAMS IN THE QUADRILÁTERO FERRÍFERO “IRON QUADRANGLE” (MG) AND IMPLICATIONS FOR WATER SECURITY IN THE METROPOLITAN REGION OF BELO HORIZONTE, MINAS GERAIS STATE, BRAZIL</p><p>This paper aims to investigate the legal gaps regarding the safety of ore tailings dams in the contribution basins of the water sources that supply the Metropolitan Region of Belo Horizonte, highlighting their implications for maintaining the quantity and quality of water. In this context is featured an overview of the spatial distribution and legal aspects of the dams in the Upper Velhas River basin, involving their compliance with the National Dam Safety Politics (PNSB). The results show many legal gaps, especially regarding the structural stability, which, in turn, compromises the water resources security and the regional water supply processes.</p>

scholarly journals Quality of life of patients with cancer undergoing chemotherapy in hospitals in Belo Horizonte, Minas Gerais State, Brazil: does individual characteristics matter?

2021 ◽  
Vol 37 (8) ◽  
Author(s):  
Daniela Pena Moreira ◽  
Giovana Paula Rezende Simino ◽  
Ilka Afonso Reis ◽  
Marcos Antonio da Cunha Santos ◽  
Mariangela Leal Cherchiglia
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Global Health ◽  
Minas Gerais ◽  
Individual Characteristics ◽  
Wilcoxon Test ◽  
Global Health Status ◽  
Minas Gerais State ◽  
Belo Horizonte

This study aims to evaluate changes in quality of life of cancer patients at the beginning of the first and the second cycle of chemotherapy (CT) in hospitals in Belo Horizonte, Minas Gerais State, Brazil. Longitudinal, prospective, descriptive study with a quantitative approach. We enrolled 230 patients, from a broader cohort, diagnosed with the five most frequent types of cancer (breast, colorectal, cervical, lung, and head and neck), aged 18 years or older, who were initiating CT for the first time. quality of life was assessed with the EORTC QLQ-C30 version 3, applied at the beginning of the first and second chemotherapy cycle. The paired Wilcoxon test was used to identify differences in quality of life between the two time points. A multivariate linear regression analysis was performed using the bootstrap method to investigate potential predictors of global health Status/quality of life. There was a significant increase in patients’ emotional function scores (p < 0.001) as well as symptom scores for pain (p = 0.026), diarrhea (p = 0.018), and nausea/vomiting (p < 0.001) after initiation of CT. Widowhood was associated with improvements in the global health Status/quality of life (p = 0.028), whereas the presence of cervical cancer (p = 0.034) and being underweight (p = 0.033) were related to poorer global health status/quality of life scores. CT has detrimental effects on patients’ physical health but, on the other hand, it leads to improvements in the emotional domain. Patients’ individual characteristics at the beginning of CT are associated with changes in their quality of life. Our study could help identify these characteristics.

scholarly journals Analysis of medical prescriptions dispensed at health centers in Belo Horizonte, Minas Gerais, Brazil

2004 ◽  
Vol 20 (1) ◽  
pp. 72-79 ◽  
Author(s):  
Francisco A. Acurcio ◽  
Edson Perini ◽  
Sérgia M. S. Magalhães ◽  
Leonardo G. Vieira Terceiro ◽  
José Maurício Vieira Filho ◽  
...  
Keyword(s):  
Continuing Education ◽  
Health Department ◽  
Minas Gerais ◽  
Health Centers ◽  
Improve Quality ◽  
Minas Gerais State ◽  
Belo Horizonte ◽  
Instructions For Use ◽  
Municipal Health

This article focuses on medical prescriptions dispensed at health centers under the Municipal Health Department in Belo Horizonte, Minas Gerais State, Brazil. The study analyzed 4,607 prescriptions from March to April 1999, grouped according to origin (internal or external). The analysis focused on information written on medical prescriptions. The main findings were: (a) an average of 2.4 drugs per prescription in both groups; (b) prescriptions filled out with 4 or more drugs accounted for 18.0% of internal and 17.6% of external prescriptions; (c) 84.3% of internal and 85.5% of external prescriptions provided no instructions for use of medication; (d) information on dosage regimen varied from 51.2% to 97.6% for internal and 57.9% to 96.5% for external prescriptions; (e) generic names were specified for 51.9% and 28.4% of all drugs on internal and external prescriptions, respectively; (f) prescriptions containing standard drugs from the Municipal Health Department accounted for 88.7% of internal and 76.4% of external prescriptions. Data analysis shows the need for continuing education of physicians and adoption of other methods to improve quality of prescriptions and promote rational use of drugs.

Practical Framework for Benchmarking and Impact Evaluation of Public Transportation Infrastructure: Case of Belo Horizonte, Brazil

2019 ◽  
Vol 2673 (3) ◽  
pp. 711-721 ◽  
Author(s):  
Rounaq Basu ◽  
Bianca Bianchi Alves
Keyword(s):  
Population Density ◽  
Travel Time ◽  
Public Transportation ◽  
Impact Evaluation ◽  
Transportation Infrastructure ◽  
The Public ◽  
Increase With Increase ◽  
Employment Education ◽  
Belo Horizonte

Although accessibility to opportunities is essential for good quality of life, it is strongly dependent on mobility options. This paper provides a practical framework for benchmarking and impact evaluation of public transportation infrastructure, which is demonstrated with a case study of Belo Horizonte in Brazil. It was found that the number of stops per kilometer of bus route is quite low in Belo Horizonte compared with other cities with similar population density, despite the city having a much larger bus network. Three types of opportunities were then considered: employment, education, and potential for social interaction. An isochrone model was used for implementing the cumulative opportunities approach to measure accessibility. GTFS data were used to conduct simulations of transit schedules to obtain two accessibility indicators. The first finding shows that the public transportation system does not provide good connectivity to areas with high population density. While examining sensitivity to travel time thresholds, accessibility was found to increase with increase in travel time but not equally so for populations with different income levels. Lower income cohorts were seen to have lower accessibility than higher income counterparts, irrespective of the type of opportunity. It was found that transport network improvements should aim to reduce the income gap of 60% of BPL population by at least 8%. Finally, recommendations are provided for areas of investment by highlighting critical transit corridors and a critical but isolated underserved suburb. This framework can be easily applied to other case studies around the world.

scholarly journals Literature Review: Quality of Plant-Based Probiotic Drinks With Variation Of Sucrose And Lactic Acid Bacteria

2021 ◽  
Vol 4 (2) ◽  
pp. 112-128
Author(s):  
Felicia Desi Nora Rahmawati ◽  
Ekawati Purwijantiningsih ◽  
Yulia Reni Swasti
Keyword(s):  
Lactic Acid ◽  
Lactic Acid Bacteria ◽  
Fruits And Vegetables ◽  
The Public ◽  
Basic Ingredient ◽  
Genus Lactobacillus ◽  
Good Nutrition ◽  
Organoleptic Parameters ◽  
Wide Community

Probiotics which are generally recognized by the public are processed using cow’s milk as the basic ingredient, which is relatively expensive. Diversification of vegetable ingredients into an alternative to milk as a basic ingredient for probiotics that is processed in a modern way with the aim the product can be consumed by the wide community at a more affordable price. The development of plant-based probiotics processing refers to the various nutritional content of vegetable ingredients and the use of vegetable ingredients of less value in an area. Vegetable ingredients such as fruits and vegetables have good nutrition so that materials are suitable as a medium for growth of lactic acid bacteria. Probiotic supplements that are widely used as a starter for probiotics come from genus Lactobacillus and Bifidobacterium. Feasibility and consumption standard based on chemical, physicochemical, microbiological, and organoleptic parameters are influenced by treatment during the processing of probiotics such as sugar supplementation and variations of probiotic supplements. Application of vegetable materials as a substrate for lactic acid bacteria and treatment during processing determines the final quality of the probiotics product.

scholarly journals Assessment of the nutrition environment in rural counties in the Deep South

2018 ◽  
Vol 7 ◽  
Author(s):  
James M. Shikany ◽  
Tiffany L. Carson ◽  
Claudia M. Hardy ◽  
Yufeng Li ◽  
Samara Sterling ◽  
...  
Keyword(s):  
Fruits And Vegetables ◽  
Subscale Score ◽  
Grocery Stores ◽  
Deep South ◽  
Healthy Foods ◽  
Nutrition Environment ◽  
Convenience Stores ◽  
Rural Counties ◽  
Dietary Choices

AbstractThe nutrition environment, including food store type, may influence dietary choices, which in turn can affect risk of obesity and related chronic diseases such as CHD, diabetes and cancer. The objective of the present study was to elucidate the extent to which healthy foods are available and affordable in various rural food outlets. A subset of the nutrition environment was assessed using the Nutrition Environment Measures Survey in Stores (NEMS-S). The NEMS-S instrument assessed the availability and price of healthy foods (e.g. low-fat/non-fat milk, lean meats and reduced-fat dinner entrées) compared with less healthy counterparts (e.g. whole milk, non-lean meats and regular dinner entrées). The NEMS-S also assessed the quality of fresh fruits and vegetables. Availability, prices and quality of healthy foods were compared between grocery stores (n 24) and convenience stores (n 67) in nine rural counties in Alabama. Mean availability subscale score (possible range 0 to 30; higher score indicates a greater number of healthier foods were available) for grocery stores was 22·6 (sd 8·1), compared with 6·6 (sd 5·2) in convenience stores (P < 0·0001); and mean price subscale score (possible range −9 to 18; higher score indicates that healthier options were less expensive than the less healthy options) for grocery stores was 2·4 (sd 2·7), compared with 0·7 (sd 1·2) in convenience stores (P = 0·0080). Mean total NEMS-S score (possible range −9 to 54) in grocery stores was 29·8 (sd 10·9) compared with 7·3 (sd 7·1) in convenience stores (P < 0·0001). Both grocery and convenience stores could be strategic points of intervention to improve the nutrition environment in the counties that were surveyed.

scholarly journals The place where you live and self-rated health in a large urban area

2015 ◽  
Vol 31 (suppl 1) ◽  
pp. 246-256 ◽  
Author(s):  
Daiana Elias Rodrigues ◽  
Cibele Comini César ◽  
César Coelho Xavier ◽  
Waleska Teixeira Caiaffa ◽  
Fernando Augusto Proietti
Keyword(s):  
Logistic Regression ◽  
Health Behavior ◽  
Social Environment ◽  
Health Policies ◽  
Neighborhood Characteristics ◽  
Large Urban Area ◽  
Self Rated Health ◽  
Minas Gerais State ◽  
Belo Horizonte

Abstract The aim of this study was to determine and quantify the association between one’s perception of the place of residence and self-rated health. 4,048 adult residents of Belo Horizonte, Minas Gerais State, Brazil, participated in the study in 2008 and 2009. Ordinal logistic regression was used to estimate the magnitude of the association. Health was rated as good or very good, fair, or poor or very poor by 65.7%, 27.8%, and 6.5% of the subjects, respectively. Better self-rated health was associated with the following neighborhood characteristics: positive evaluation of aesthetics and mobility, better quality of public services, less physical and social disorder. The perception of violence had a borderline statistically significant association with worse self-rated health. These associations persisted after controlling for potential confounding demographic, socioeconomic, health, and health behavior variables. The results indicate that public and health policies should incorporate interventions that address the physical and social environment in addition to policies focused on individuals.

scholarly journals Which antiretroviral regimen is associated with higher adherence in Brazil? A comparison of single, multi, and dolutegravir-based regimens

2019 ◽  
Vol 35 (9) ◽  
Author(s):  
Tarsilla Spezialli Cardoso ◽  
Juliana de Oliveira Costa ◽  
Edna Afonso Reis ◽  
Micheline Rosa Silveira ◽  
Palmira de Fátima Bonolo ◽  
...  
Keyword(s):  
Highly Active Antiretroviral Therapy ◽  
Illicit Drugs ◽  
Multivariate Logistic Regression Analysis ◽  
Once Daily ◽  
Highly Active ◽  
Minas Gerais State ◽  
Prior Use ◽  
Adhesion Rate ◽  
Belo Horizonte

Abstract: We evaluated adherence to highly active antiretroviral therapy (HAART) and its associated factors according to the type of regimen in patients initiating treatment in Belo Horizonte, Minas Gerais State, Brazil. We measured adherence using the eight items Morisky Therapeutic Adhesion Scale (MMAS-8) and compared the use of “backbone” tenofovir/lamivudine plus efavirenz one tablet once-daily (STR) or dolutegravir in multi-tablet once-daily (MTR-DTG), or other multi-tablet regimens (MTR-other). We conducted a multivariate logistic regression analysis to address factors associated with adherence. A total of 393 patients were included, 254 used STR, 106 MTR-DTG, and 33 MTR-other. The overall adhesion rate was 44.8% (95%CI: 39.4; 50.1), 50% for MTR-DTG, 43.3% for STR and 39.4% for MTR-other. Multivariate analysis showed a higher chance of adherence among patients using MTR-DTG, those who received and understood counseling about their treatment and with a higher quality of life. Prior use of illicit drugs in the lifetime was associated with poorer adherence. Overall adherence was low, highlighting the need for strategies focusing on counseling about medicines and substance use. Pill burden was not an issue for patients using MTR-DTG once-daily, who achieved better results.

scholarly journals Environmental Conditions and Agronomical Factors Influencing the Levels of Phytochemicals in Brassica Vegetables Responsible for Nutritional and Sensorial Properties

2021 ◽  
Vol 11 (4) ◽  
pp. 1927
Author(s):  
Francesca Biondi ◽  
Francesca Balducci ◽  
Franco Capocasa ◽  
Marino Visciglio ◽  
Elena Mei ◽  
...  
Keyword(s):  
Environmental Conditions ◽  
Fruits And Vegetables ◽  
Antioxidant Compounds ◽  
Degenerative Diseases ◽  
Healthy Foods ◽  
Brassica Vegetables ◽  
Phytochemical Compounds ◽  
Main Factors ◽  
Cultivation Techniques

Recently, the consumption of healthy foods has been related to the prevention of cardiovascular, degenerative diseases and different forms of cancers, underlying the importance of the diet for the consumer’s health. Fruits and vegetables contain phytochemicals that act as protective factors for the human body, through different mechanisms of action. Among vegetables, Brassica received a lot of attention in the last years for the phytochemical compounds content and antioxidant capacity that confer nutraceutical value to the product. The amount of healthy bioactive compounds present in the Brassica defines the nutritional quality. These molecules could belong to the class of antioxidant compounds (e.g., phenols, vitamin C, etc.), or to non-antioxidant compounds (e.g., minerals, glucosinolates, etc.). The amount of these compounds in Brassica vegetables could be influenced by several factors, depending on the genotypes, the environmental conditions and the cultivation techniques adopted. The aim of this study is to highlight the main phytochemical compounds present in brassicas used as a food vegetable that confer nutritional and sensorial quality to the final product, and to investigate the main factors that affect the phytochemical concentration and the overall quality of Brassica vegetables.

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