scholarly journals Group-based food and nutritional education for the treatment of obesity in adult women using the family health strategy

2018 ◽  
Vol 31 (1) ◽  
pp. 59-70 ◽  
Author(s):  
Milena Serenini BERNARDES ◽  
Letícia MARÍN-LÉON

ABSTRACT Objective The high prevalence of obesity and its association with chronic diseases is a major public health problem. This study aimed to evaluate a group-based Food and Nutrition Education Program for the treatment of excess weight in Brazilian women attending the Family Health Strategy. Methods This quasi-experimental intervention study was conducted among 172 women, including 87 women in the intervention group who participated in a nutritional education program that addressed topics in the area of nutrition. The Intervention and Control groups underwent an anthropometric evaluation at the beginning of the study and at the 6th month. Results At the end of the intervention, the intervention group showed a significant reduction in weight and Body Mass Index, while the control group showed an increase in these variables. Women who completed the intervention (n=71) showed a mean difference of -5.15 kg and a reduction of 2.04 points in the Body Mass Index. Still 50.7% of the participants in the intervention group achieved a weight loss greater than or equal to 5.0%, and 40.8% of them maintained this reduced weight for up to seven months after the end of the intervention. Conclusion This study emphasizes the importance of group-based food and nutritional education interventions to promote and maintain weight loss, and thus, prevent and treat chronic diseases.

2015 ◽  
Vol 28 (2) ◽  
pp. 365-372
Author(s):  
Janaina Vasconcelos Rocha ◽  
Saulo Vasconcelos Rocha ◽  
Wisla Keile Medeiros Rodrigues ◽  
Paulo Fonseca Valença Neto ◽  
Lélia Renata Carneiro Vasconcelos

Introduction The guided interventions in drug therapies contribute to the effectiveness of health promotion in the Family Health Strategy (FHS). Objective To evaluate the effectiveness of an action grounded in physical activity in heath state of users in the Unified Health System [Sistema Único de Saúde – SUS] of the Family Health Strategy of the Municipality of Iguaí (BA). Methodology Intervention study with an epidemiological approach, studies in the community, sample of 30 registered users on FHU aged ≥ 60 years old. Data collection was performed using an instrument that contained sociodemographic information, and evaluation of blood pressure and glucose levels, weight and height for later calculation of Body Mass Index (BMI). The physical activity program was conducted during the period of 10 months, with a frequency of 5 days/weeks. The activities were carried out in a city of FHU of Iguaí (BA). The data from this study were tabulated and analyzed using SPSS 15.0. Results After the intervention, there was a statistically significant reduction in levels in the blood pressure and glucose levels, and reduction in body mass index, indicating the importance of this intervention as a form of non-pharmacological treatment for hypertension and diabetes. Conclusion We observed the effectiveness of the intervention was possible to reduce risk factors, but it is necessary that the projects have sustainability, to continue with its development.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kelly Cristina Gomes Alves ◽  
Rafael Alves Guimarães ◽  
Marta Rovery de Souza ◽  
Otaliba Libânio de Morais Neto

Abstract Background This cross-sectional study evaluated the adequacy of the Family Health Strategy for the primary care model for chronic noncommunicable diseases and the changes that occurred between the two cycles of external evaluations of the National Program for Improving Access and Quality of Primary Care, which took place in 2012 and 2014, in the higher coverage context of the Family Health Strategy of Brazil, in the state of Tocantins, Brazil. Methods The data source contained information on the infrastructure of the 233 Primary Health Units and on the work process of 266 health teams. The Principal Component Analysis for Categorical Data technique and the McNemar chi-squared statistical test for comparing paired samples were used, and a significance level of 5% with a 95% Confidence Interval was used. Results The analysis identified a low proportion of dispensing of medications for the treatment of chronic disease in both cycles. There was a significant increase in seasonal influenza vaccination, in the number of sterilization, procedure, dressings and inhalation rooms. There was a small but significant reduction in the materials for cervical cancer screening, although they are available in almost 90.0% of the PHUs. More than 70.0% of the health teams carried out additional health education activities, encouraged physical activity, registered schoolchildren with health needs for monitoring, evaluated user satisfaction and user referral. Conclusions The findings of this study highlighted the improvement of the structure of the Primary Health Units, but identified a low provision of medicines to treat chronic diseases. The health promotion was performed as the main work process tool of family health teams, but it was little focused on intersectoral actions and on actions with the population in the area or on the empowerment of users through self-management support for chronic diseases. Furthermore, it is critical that the Family Health Strategy in Tocantins be organized and focused on the care of chronic diseases to improve and adapt itself to a primary chronic care model.


Author(s):  
Edson Batista Dos Santos Júnior ◽  
Richardson Augusto Rosendo da Silva

Cognitive, socioeconomic and demographic evaluation applied to elderly assisted by the family health strategy in Mossoró City, Brazil


1970 ◽  
Vol 4 (3) ◽  
pp. 12-21
Author(s):  
Ana Isabel da Silva Ferreira ◽  
Edna Slob

Objetivo: Avaliar o perfil nutricional das equipes da Estratégia Saúde da Família e do Núcleo de Apoio a Saúde da Família do município de Pedralva. Materiais e métodos: Estudo descritivo, analítico, transversal, realizado com 42 profissionais que compõem as equipes Estratégias Saúde da Família (ESF) e Núcleo de Apoio a Saúde da Família (NASF) no município de Pedralva/MG. Foram coletados dados antropométricos, como peso, altura e circunferências corporais e aplicado um formulário de frequência do consumo alimentar, para avaliar os hábitos alimentares desses profissionais Resultados: Quanto ao estado nutricional, 40,5% dos funcionários se encontravam eutróficos, 40,5% com sobrepeso e 19% com obesidade. Em relação ao risco de doenças cardiovascular, analisando a circunferência abdominal, 9% não apresentou risco, 24% dos funcionários tinham risco elevado e 67%, risco muito elevado; ao se utilizar a relação cintura quadril, encontrou-se 76% dos funcionários sem risco e 24% com risco. De acordo com o inquérito alimentar, observou frequente consumo de arroz, feijão, salada, salgados e carne, pouco consumo de frutas, legumes e peixes. Conclusão: medidas preventivas devem ser tomadas, a fim de evitar que o quadro atual do perfil antropométrico dessa população se torne ainda mais comprometedor, além de garantir melhoria da qualidade de vida dos mesmos.  Palavras-chave: Avaliação nutricional. Estado nutricional. Inquérito alimentar.  ABSTRACT Objective: To evaluate the nutritional profile of the teams of the Family Health Strategy and Support Center for Family Health in the city of Pedralva. Materials and methods: descriptive, analytical, transversal study performed with 42 professionals that make up the teams of the Family Health Strategy (FHS) and the Support Center for Family Health (NASF) in the city of Pedralva/MG. Anthropometric data such as weight, height and body circumferences were collected and a questionare about the frequency of food consumption was applied to assess the dietary habits of these Professional Results: Regarding nutritional status, 40.5% of employees were normal weight, 40.5% overweight and 19% obese. Regarding the risk of cardiovascular diseases, analyzing abdominal circumference, 9% showed no risk, 24% of employees had high risk and 67%, very high risk; when using the waist-hip ratio, we found 76% of employees with no risk and 24% at risk. According to food survey observed frequent consumption of rice, beans, salad, savory meat and little consumption of fruits, vegetables and fish. Conclusion: Preventive measures should be taken to prevent the current situation of anthropometric profile of this population from becoming even more engaging and also ensure improved quality of life for them.  Keywords: Nutritional evaluation. Nutritional status. Dietary survey. 


2021 ◽  
Vol 7 (7) ◽  
pp. 68875-68890
Author(s):  
Filipe Carlos Eudes Pinto Valério ◽  
Gabrielly Maria Mendes De Barros ◽  
José Melquiades Ramalho Neto ◽  
Adla Ferreira Costa ◽  
Thallita Thamara Pereira Vieira ◽  
...  

2014 ◽  
Vol 62 (1) ◽  
pp. 37-45
Author(s):  
Patrícia Maria Costa de OLIVEIRA ◽  
Léa Maria Bezerra de MENEZES ◽  
Maria Vieira de Lima SAINTRAIN ◽  
Paulo César de ALMEIDA ◽  
Maria Eneide Leitão de ALMEIDA

OBJECTIVE: This study aimed to know the understanding of Oral health indicators recommended by the Ministry of Health by dentists in the family health strategy of the state of Ceará in 2008. METHODS: It is a descriptive, cross-sectional study in which it was used a questionnaire to obtain the data concerning the way information on oral health actions performed in Family Health Care Units and other social spaces are registered, as well as investigate their knowledge about oral health indicators. The calculation of the sample of dentist-surgeons adopted an absolute sampling error of 6.8% and a significance level of 5%, resulting in an initial sample of 175 dentists; however, only 159 participated in this study according to the inclusion criteria. For instance, they should have been working in the service in the period from 2001 to 2007. In all, 32 cities participated in the research, distributed in 18 Regional Health Cells selected by drawing lots. The data were processed in the program SPSS version 17.0 and considered statistically significant the inferential analyses with p < 0.05. RESULTS: it was observed that there are differences between the interpretation of the indicators objectives and the data relating to oral health actions recorded by dentist-surgeons from the Family Health Strategy. They also differ from the guidelines of the Ministry of Health. CONCLUSION: The pregnant present some knowledge about oral health that can be improved by means of educational, preventive and healing programs. This group exert big it influences in the family ambit, could act as agents multipliers and avoiding the child's precocious contamination.


2017 ◽  
Vol 6 (3) ◽  
pp. 24
Author(s):  
Pollyanna Taiana de Morais Sousa ◽  
Agna Roberta Rodrigues de Sousa ◽  
Edildete Sene Pacheco ◽  
Giovanna Tainara de Morais Sousa

Objetivo: verificar a prevalência do comportamento sedentário entre profissionais de saúde da atenção primária de um município piauiense. Metodologia: Trata-se de uma pesquisa de campo de caráter descritivo de abordagem quantitativa, desenvolvida nas Unidades Básica de Saúde do município de Floriano, estado do Piauí, com 36 profissionais de saúde, durante os meses de abril e maio do ano de 2016. O estudo foi pautado na Resolução do Conselho Nacional de Saúde Nº 466/12, foi aprovada no comitê de ética e pesquisa com a CAAE Nº 51757915.9.0000.5209. Resultados: obteve-se a prevalência de 55,6% de profissionais sedentários, 52,8% insuficientemente ativos no trabalho, 39,3% têm o hábito de assistir TV por mais de 3 horas e 41,7% estão com índice de massa corporal elevado. Considerações Finais: Observou-se que, apesar de tratarem-se de profissionais de saúde, houve um elevado percentual de comportamento sedentário, aspecto passível de modificações através de atividades voltadas para que os mesmos não tornem-se insuficientemente ativos em seu ambiente de trabalho, estimulando a adoção de práticas que favoreçam a saúde, fator indispensável para desempenhar suas atividades laborais satisfatoriamente.


2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2258-2263 ◽  
Author(s):  
Ângela Maria Mendes Abreu ◽  
Rafael Tavares Jomar ◽  
Gunnar Glauco de Cunto Taets ◽  
Maria Helena do Nascimento Souza ◽  
Daiane Belisário Fernandes

ABSTRACT Objective: to identify the lifetime use of alcohol and other drugs among users of the Family Health Strategy and apply Brief Intervention to problems related to the use of these substances. Method: a descriptive cross-sectional study where 1,031 users of the Family Health Strategy of the city of Rio de Janeiro answered a form with socio-demographic information and the Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis with simple frequency distribution was performed. Results: the most commonly used drugs in lifetime were alcohol and tobacco; among the illegal drugs, marijuana, hypnotics and cocaine/crack stood out. Those who received most Brief Intervention were users of tobacco, hypnotics, marijuana, cocaine/crack and alcohol. Conclusion: it is important to detect early problems associated with the use of alcohol and other drugs in Primary Care, since it has the promotion/protection of health and the prevention of diseases as priority health practices.


2010 ◽  
Vol 18 (4) ◽  
pp. 763-769 ◽  
Author(s):  
Maria José Sanches Marin ◽  
Luana Vergian Storniolo ◽  
Maria Yvette Moravcik

This study analyzes the understanding of professionals composing teams of the Family Health Strategy concerning humanization of care. This qualitative survey was carried out in a city in the interior of São Paulo through interviews with 20 professionals. The data analysis method used was Interpretation of Meanings based on the hermeneutic-dialectic perspective. The meaning of humanization according to the interviewed professionals includes an enlarged view, respect for ethical principles and facilitated access. The difficulties refer to the lack of prepared professionals, excessive demand and deficiencies in service organization. The professionals propose to educate and qualify professionals, make activities adequate given the professionals' roles and improve the organization of services. The professionals demonstrate understanding of the meaning of humanization and acknowledge the need to cope with difficulties.


2018 ◽  
Vol 16 (3) ◽  
Author(s):  
Selma Regina de Andrade ◽  
Renata Goulart Castro ◽  
Monique Haenscke Senna

Estudo com o objetivo de analisar a produção das equipes da Estratégia de Saúde da Família, com base em indicadores do Sistema de Informação da Atenção Básica, antes e após a implantação do Programa para Melhoria da Qualidade na Atenção Básica. Utilizou-se abordagem quantitativa, transversal, descritiva e exploratória, a partir dos Relatórios da Situação de Saúde e Acompanhamento das Famílias, referentes às equipes. Foram incluídas 112 equipes divididas em dois grupos. Realizou-se análise descritiva do conjunto de indicadores e procedeu-se a estatística exploratória e analítica para comparar as diferenças entre os grupos. Constatou-se que as equipes, independentemente de aderirem ou não ao programa, obtiveram incremento nos registros do sistema de informação, sinalizando uma sensibilização de toda a rede para melhoria dos seus registros. Apesar deste aumento, o acompanhamento das famílias não ocorreu na mesma proporção que os cadastramentos.


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