Healthy eating through the eyes of adolescents: A qualitative analysis of messages from the Dietary Guidelines for the Brazilian Population

ABSTRACT Objective To evaluate the interpretation by adolescents of messages contained in the Dietary Guidelines for the Brazilian Population. Methods Qualitative study of adolescents distributed across “conversation circles”. Each group received messages about healthy eating from the Dietary Guidelines and was instructed to develop materials containing their own interpretation thereof, using appealing wording and format. Content analysis was then used to evaluate these materials. Results Presentation of the produced materials revealed a focus on placing the participants at the center of the process and highlighting the dynamic and innovative nature of each strategy. Corpus analysis identified three clusters of meaning: (I) Food classification and selection model: The participants showed comprehension of the different formulations of foods and their impacts on health, but using other terms. A reductionist understanding of the composition of a healthy diet was observed; (II) Environment and eating practices: the environment was characterized as conducive or not to healthy eating, and open-air markets were recognized as spaces for healthy choices. Creating recipes was judged a wise choice to be shared; and (III) Diet-related individual and collective wellness: consequences of unhealthy food intake were linked to physical and emotional well-being. Concerns were raised about the use of natural resources and the impact of pesticides on individuals and the environment. Conclusion To facilitate understanding of the Dietary Guidelines, the wording of its messages must be adapted, and the discussion about healthy eating and proper diet must be broadened to ascribe greater value to the act of cooking in this population.

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Understanding “nostalgic inequality”: A critical analysis of barriers to Latinos’ healthy eating practices in the United States

International Journal of Healthcare ◽

10.5430/ijh.v3n1p58 ◽

2017 ◽

Vol 3 (1) ◽

pp. 58

Author(s):

Anahi Viladrich

Keyword(s):

United States ◽

New York ◽

Healthy Eating ◽

Minority Groups ◽

The United States ◽

Raising Awareness ◽

The Individual ◽

Eating Practices ◽

First And Second Generation ◽

The Impact

Based on two mixed-methods studies conducted with first and second generation Latinas in New York City (NYC), this article questions simplistic notions of acculturation by stressing the impact of structural conditions (at the individual, social and physical levels) in determining Latinas’ food practices in the United States (U.S.). The term “nostalgic inequality” is used here to argue that Latinas’ retention of, and adaptation to, their traditional staples (i.e., nostalgic foods) tends to favor affordable and fat-saturated items (e.g., fried and processed foods) that through time contribute to higher rates of obesity and cardiovascular disease, among other deleterious health conditions. In the end, this review is aimed at raising awareness about the barriers to healthy eating experienced by disadvantaged minority groups in the U.S. urban milieu.

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Assessing the impact of an online survivorship program.

Journal of Clinical Oncology ◽

10.1200/jco.2016.34.3_suppl.e285 ◽

2016 ◽

Vol 34 (3_suppl) ◽

pp. e285-e285

Author(s):

Helayne Waldman ◽

Shani Fox

Keyword(s):

Cancer Survivors ◽

Support Groups ◽

Well Being ◽

Dietary Guidelines ◽

Care Plan ◽

Survivorship Care Plan ◽

Institute Of Medicine ◽

Plan Implementation ◽

Knowledge And Attitude ◽

The Impact

e285 Background: In the report From Cancer Patient to Cancer Survivor: Lost in Transition (2006), the Institute of Medicine identified follow-up of cancer survivors as a missing link in cancer care and made recommendations to the medical establishment to fill that gap. So far, studies of recommendation effectiveness have revolved around survivorship care plan implementation. However, a 2013 study indicated that use of SCPs is still more the exception than the rule. Methods: We have created a unique online program that is intended to address two key mandates of the IOM report: 1) Educationfor theprevention of recurrent and new cancers, and 2) Self-carestrategiesto help deal with consequences of cancer and its treatment i.e. lymphedema, fatigue; [and] psychological distress. Dr. Helayne Waldman and Dr. Shani Foxhave fashioned an online, real time, 12 week education and support program for cancer survivors, the first of its type in the U.S. The focus of the content is on maintaining wellness after treatment and includes topics such as physical activity, dietary guidelines, inflammation control and stress management. The program also contains a coaching component, where participants track their activities and share information via live discussion and interactive blogs. Results: We have established a framework for gathering, analyzing and reporting our data. Our target sample size is 40-50 participants. At the program’s outset we will administer a 20 question self-assessment to test participants’ knowledge of self-care practices and attitudes about their current state of wellness. At the program’s end in December we'll readminister in order to measure the change in both knowledge and attitude. We’ll then conduct an analysis of the data, and will report our findings at the ASCO meeting in January. Conclusions: We believe that education and support for survivors is critical to their physical and emotional well-being. Unfortunately, there is currently no program available to do this in a live, interactive format from the comfort of one’s home. We believe PCPs, hospital support groups and other non-profits will find this type of program to be an invaluable resource in serving to educate and manage the concerns of cancer survivors and to move closer to realizing the promise of the IOM report.

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Awareness of the Food-Based Diet Guidelines, Eating Practices, and Preferred Sources of Nutrition Information of Employees in an Open University in the Philippines

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v9i2.1654 ◽

2021 ◽

Vol 9 (2) ◽

pp. 131

Author(s):

Jelaine Real Bagos ◽

Myra D Oruga

Keyword(s):

Healthy Eating ◽

The Philippines ◽

Dietary Guidelines ◽

Open University ◽

Health And Wellness ◽

Food Groups ◽

Sources Of Information ◽

Unhealthy Diet ◽

Eating Practices ◽

The University

Physical inactivity and unhealthy diet are considered as major risk factors in the development of the “fatal four” Non-communicable Diseases (NCDs) (WHO, 2018). As the University of the Philippines Open University (UPOU) adopts a sedentary work lifestyle with most of the employees spending long hours at the office sitting in front of a computer screen, the university must be able to promote health and wellness in the workplace, particularly healthy eating. Thus, the study aimed to determine UPOU employees’ awareness of the Food-based Dietary Guidelines (FBDGs), adherence to the 2012 Nutritional Guidelines for Filipinos (NGF), and preferred sources of information on healthy eating to provide insights for the development of nutrition interventions in the university. A total of 85 healthy employees aged 19-59 years old accomplished an online adapted survey from February to April 2019 which included questions on awareness of the four FBDGs--2012 NGF; Kumainments (simplified version of NGF); Daily Nutritional Guide Pyramid (DNGP); and Pinggang Pinoy (a plate-like pictorial model), eating practices relative to the 2012 NGF, and preferred sources of information on the FBDGs. Data were analyzed using descriptive statistics. Results of the study showed that most of the respondents were not aware of the FBDGs. Among those who were aware, only a few have read the FBDGs. Adherence to the guidelines was also low as reflected by a very low percentage of respondents practicing the messages on the recommended frequency of intake of food groups. Results suggest conducting lectures or seminars and producing video materials about nutrition which can be uploaded in UPOU’s online repository of multimedia resources and social media sites to promote healthy eating practices among UPOU employees and ensure a healthy and sustainable workforce.

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¿Mejora el bono de desarrollo humano la lactancia materna exclusiva en Ecuador?Does human development bonus improve exclusive breastfeeding in Ecuador?

Estudios Sociales Revista de Alimentación Contemporánea y Desarrollo Regional ◽

10.24836/es.v23i45.182 ◽

2015 ◽

Vol 23 (45) ◽

Author(s):

Jhon Alexander Méndez Sayago ◽

César Carranza Barona

Keyword(s):

Human Development ◽

Healthy Eating ◽

Regression Discontinuity ◽

Fuzzy Regression ◽

World Health ◽

The World ◽

Health Organization ◽

Eating Practices ◽

The Impact ◽

Econometric Technique

En este artículo se evalúa el impacto del Bono de Desarrollo Humano en Ecuador sobre la adopción de prácticas saludables de alimentación y nutrición, específicamente en el cumplimiento de la norma internacional sobre lactancia materna exclusiva propuesta por la organización Mundial de la Salud (OMS). Mediante la técnica econométrica de evaluación de impacto, denominada regresión discontinua difusa, se encontró que el Bono de Desarrollo Humano no tiene impacto significativo en la adopción de esta norma por parte de sus beneficiarios.AbstractThis paper assesses the impact of the Human Development Bond in Ecuador on adopting healthy eating practices and nutrition, specifically in compliance with the international standard on exclusive breast- feeding proposed by the World Health Organization (WHO). Using econometric technique called impact assessment fuzzy regression discontinuity found that Human Development Bond has no significant impact on the adoption of this standard by their beneficiaries.

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A pilot randomised controlled trial of a web-based implementation intervention to increase child intake of fruit and vegetables within childcare centres

Pilot and Feasibility Studies ◽

10.1186/s40814-020-00707-w ◽

2020 ◽

Vol 6 (1) ◽

Cited By ~ 1

Author(s):

Courtney Barnes ◽

Alice Grady ◽

Nicole Nathan ◽

Luke Wolfenden ◽

Nicole Pond ◽

...

Keyword(s):

Healthy Eating ◽

Controlled Trial ◽

Implementation Strategies ◽

Population Level ◽

Type Ii ◽

Implementation Intervention ◽

Web Based ◽

Randomised Controlled ◽

Eating Practices ◽

The Impact

Abstract Background As dietary behaviours developed during early childhood are known to track into adulthood, interventions that aim to improve child nutrition at a population level are recommended. Whilst early childhood education and care (ECEC) is a promising setting for interventions targeting children’s nutrition behaviours, previous interventions have largely used high intensity, face-to-face approaches, limiting their reach, implementation and potential impact at a population level. Web-based modalities represent a promising means of supporting the delivery of childcare-based interventions whilst overcoming challenges of previous approaches; however, the feasibility of using such modalities to support implementation is largely unknown. As such, this study sought to collect feasibility and pilot data to inform the design of a web-based intervention together with health promotion officer support within childcare centres. Child dietary intake will also be assessed to provide an estimate of the impact of the implementation intervention. Methods A superiority cluster randomised controlled trial with repeat cross-sectional data collection employing an effectiveness-implementation type-II hybrid design will be conducted with childcare centres within the Hunter New England region of New South Wales, Australia. Type-II hybrid designs provide the opportunity to assess intervention efficacy whilst piloting the feasibility of the implementation strategies. Centres allocated to the intervention group will receive access to a web-based program together with health promotion officer support to implement targeted healthy eating practices to improve child diet in care. A number of outcomes will be assessed to inform the feasibility to conduct a larger trial, including childcare centre and parent recruitment and consent rates for each component of data collection, uptake of the implementation strategies, acceptability of the intervention and implementation strategies, appropriateness of the implementation strategies and the contextual factors influencing implementation. Discussion This study will provide high-quality evidence regarding the potential feasibility of a web-based intervention and the impact of healthy eating practices on child diet in care. Web-based modalities provide a promising approach for population-wide implementation support to childcare centres given their potential reach and consistency with existing infrastructure. Trial registration Prospectively registered with Australian New Zealand Clinical Trial Registry (ACTRN12619001158156).

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Feasibility of a Web-Based Implementation Intervention to Improve Child Dietary Intake in Early Childhood Education and Care: Pilot Randomized Controlled Trial

Journal of Medical Internet Research ◽

10.2196/25902 ◽

2021 ◽

Vol 23 (12) ◽

pp. e25902

Author(s):

Courtney Barnes ◽

Sze Lin Yoong ◽

Nicole Nathan ◽

Luke Wolfenden ◽

Taya Wedesweiler ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Healthy Eating ◽

Controlled Trial ◽

Intervention Group ◽

Web Based ◽

Randomized Controlled ◽

Eating Practices ◽

The Impact ◽

The Web ◽

Policies And Practices

Background Internationally, the implementation of evidence-based healthy eating policies and practices within early childhood education and care (ECEC) settings that encourage children’s healthy diet is recommended. Despite the existence of evidence-based healthy eating practices, research indicates that current implementation rates are inadequate. Web-based approaches provide a potentially effective and less costly approach to support ECEC staff with implementing nutrition policies and practices. Objective The broad aim of this pilot randomized controlled trial is to assess the feasibility of assessing the impact of a web-based program together with health promotion officer (HPO) support on ECEC center implementation of healthy eating policies and practices. Specifically, we seek to describe the completion rate of study evaluation processes (participant consent and data collection rates); examine ECEC center uptake, acceptability, and appropriateness of the intervention and implementation strategies; understand the potential cost of delivering and receiving implementation support strategies; and describe the potential impact of the web-based intervention on the implementation of targeted healthy eating practices among centers in the intervention group. Methods A 6-month pilot implementation trial using a cluster-randomized controlled trial design was conducted in 22 ECEC centers within the Hunter New England region of New South Wales, Australia. Potentially eligible centers were distributed a recruitment package and telephoned by the research team to assess eligibility and obtain consent. Centers randomly allocated to the intervention group received access to a web-based program, together with HPO support (eg, educational outreach visit and local technical assistance) to implement 5 healthy eating practices. The web-based program incorporated audit with feedback, development of formal implementation blueprints, and educational materials to facilitate improvement in implementation. The centers allocated to the control group received the usual care. Results Of the 57 centers approached for the study, 22 (47%) provided consent to participate. Data collection components were completed by 100% (22/22) of the centers. High uptake for implementation strategies provided by HPOs (10/11, 91% to 11/11, 100%) and the web-based program (11/11, 100%) was observed. At follow-up, intervention centers had logged on to the program at an average of 5.18 (SD 2.52) times. The web-based program and implementation support strategies were highly acceptable (10/11, 91% to 11/11, 100%). Implementation of 4 healthy eating practices improved in the intervention group, ranging from 19% (2/11) to 64% (7/11). Conclusions This study provides promising pilot data to warrant the conduct of a fully powered implementation trial to assess the impact of the program on ECEC healthy eating practice implementation. Trial Registration Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12619001158156; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378099 International Registered Report Identifier (IRRID) RR2-10.1186/s40814-020-00707-w

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Impact of ultra-processed foods on micronutrient content in the Brazilian diet

Revista de Saúde Pública ◽

10.1590/s0034-8910.2015049006211 ◽

2015 ◽

Vol 49 (0) ◽

pp. 1-8 ◽

Cited By ~ 53

Author(s):

Maria Laura da Costa Louzada ◽

Ana Paula Bortoletto Martins ◽

Daniela Silva Canella ◽

Larissa Galastri Baraldi ◽

Renata Bertazzi Levy ◽

...

Keyword(s):

Food Consumption ◽

Family Income ◽

Dietary Guidelines ◽

Brazilian Population ◽

Processed Foods ◽

Linear Regression Models ◽

Minimally Processed ◽

Cross Sectional ◽

Per Capita ◽

The Impact

OBJECTIVE To evaluate the impact of consuming ultra-processed foods on the micronutrient content of the Brazilian population’s diet. METHODS This cross-sectional study was performed using data on individual food consumption from a module of the 2008-2009 Brazilian Household Budget Survey. A representative sample of the Brazilian population aged 10 years or over was assessed (n = 32,898). Food consumption data were collected through two 24-hour food records. Linear regression models were used to assess the association between the nutrient content of the diet and the quintiles of ultra-processed food consumption – crude and adjusted for family income per capita. RESULTS Mean daily energy intake per capita was 1,866 kcal, with 69.5% coming from natural or minimally processed foods, 9.0% from processed foods and 21.5% from ultra-processed foods. For sixteen out of the seventeen evaluated micronutrients, their content was lower in the fraction of the diet composed of ultra-processed foods compared with the fraction of the diet composed of natural or minimally processed foods. The content of 10 micronutrients in ultra-processed foods did not reach half the content level observed in the natural or minimally processed foods. The higher consumption of ultra-processed foods was inversely and significantly associated with the content of vitamins B12, vitamin D, vitamin E, niacin, pyridoxine, copper, iron, phosphorus, magnesium, selenium and zinc. The reverse situation was only observed for calcium, thiamin and riboflavin. CONCLUSIONS The findings of this study highlight that reducing the consumption of ultra-processed foods is a natural way to promote healthy eating in Brazil and, therefore, is in line with the recommendations made by the Guia Alimentar para a População Brasileira (Dietary Guidelines for the Brazilian Population) to avoid these foods.

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Development and testing of a scale to evaluate diet according to the recommendations of the Dietary Guidelines for the Brazilian Population

Public Health Nutrition ◽

10.1017/s1368980018004123 ◽

2019 ◽

Vol 22 (5) ◽

pp. 785-796 ◽

Cited By ~ 2

Author(s):

Kamila Tiemann Gabe ◽

Patricia Constante Jaime

Keyword(s):

Factor Analysis ◽

Goodness Of Fit ◽

Intraclass Correlation ◽

Dietary Guidelines ◽

Brazilian Population ◽

Face Validity ◽

Validity And Reliability ◽

Good Reliability ◽

Domestic Organization ◽

The Impact

AbstractObjectiveTo develop and test a scale for healthy eating practices measurement according to the Dietary Guidelines for the Brazilian Population recommendations.DesignMethodological study. The current Brazilian food-based dietary guideline highlights the importance of choosing foods, combining foods to create meals and modes of eating. These recommendations formed the main domains of the scale and served as a basis for the development of ninety-six items, each with a 4-point Likert response option. Content and face validity were tested. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to determine construct validity. Internal consistency was determined using α and ω coefficients, and reproducibility was tested using test–retest.SettingBrazil.ParticipantsA ten-member expert panel was used to assess content validity. Adults aged 18–60 years were included in the face validity (n 20), EFA (n 352), CFA and reliability tests (n 900).ResultsOf the ninety-six initial items, twenty-four were excluded and fifty-five were reworded following the content and face validations. EFA detected a four-domain structure (Food choices, Modes of eating, Planning and Domestic organization), which explained 41 % of the variance. CFA led to a final twenty-four-item model with acceptable goodness-of-fit indices and good reliability measures (α=0·77; ω=0·83). Intraclass correlation coefficient for the total score (0·82) and analysis of the Bland–Altman plot suggested good reproducibility of the scale.ConclusionsThe scale presents good evidence of validity and reliability. This innovative study created a useful tool for evaluation of the impact of the Dietary Guidelines for the Brazilian Population.

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Feasibility of a Web-Based Implementation Intervention to Improve Child Dietary Intake in Early Childhood Education and Care: Pilot Randomized Controlled Trial (Preprint)

10.2196/preprints.25902 ◽

2020 ◽

Author(s):

Courtney Barnes ◽

Sze Lin Yoong ◽

Nicole Nathan ◽

Luke Wolfenden ◽

Taya Wedesweiler ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Healthy Eating ◽

Controlled Trial ◽

Intervention Group ◽

Web Based ◽

Randomized Controlled ◽

Eating Practices ◽

The Impact ◽

The Web ◽

Policies And Practices

BACKGROUND Internationally, the implementation of evidence-based healthy eating policies and practices within early childhood education and care (ECEC) settings that encourage children’s healthy diet is recommended. Despite the existence of evidence-based healthy eating practices, research indicates that current implementation rates are inadequate. Web-based approaches provide a potentially effective and less costly approach to support ECEC staff with implementing nutrition policies and practices. OBJECTIVE The broad aim of this pilot randomized controlled trial is to assess the feasibility of assessing the impact of a web-based program together with health promotion officer (HPO) support on ECEC center implementation of healthy eating policies and practices. Specifically, we seek to describe the completion rate of study evaluation processes (participant consent and data collection rates); examine ECEC center uptake, acceptability, and appropriateness of the intervention and implementation strategies; understand the potential cost of delivering and receiving implementation support strategies; and describe the potential impact of the web-based intervention on the implementation of targeted healthy eating practices among centers in the intervention group. METHODS A 6-month pilot implementation trial using a cluster-randomized controlled trial design was conducted in 22 ECEC centers within the Hunter New England region of New South Wales, Australia. Potentially eligible centers were distributed a recruitment package and telephoned by the research team to assess eligibility and obtain consent. Centers randomly allocated to the intervention group received access to a web-based program, together with HPO support (eg, educational outreach visit and local technical assistance) to implement 5 healthy eating practices. The web-based program incorporated audit with feedback, development of formal implementation blueprints, and educational materials to facilitate improvement in implementation. The centers allocated to the control group received the usual care. RESULTS Of the 57 centers approached for the study, 22 (47%) provided consent to participate. Data collection components were completed by 100% (22/22) of the centers. High uptake for implementation strategies provided by HPOs (10/11, 91% to 11/11, 100%) and the web-based program (11/11, 100%) was observed. At follow-up, intervention centers had logged on to the program at an average of 5.18 (SD 2.52) times. The web-based program and implementation support strategies were highly acceptable (10/11, 91% to 11/11, 100%). Implementation of 4 healthy eating practices improved in the intervention group, ranging from 19% (2/11) to 64% (7/11). CONCLUSIONS This study provides promising pilot data to warrant the conduct of a fully powered implementation trial to assess the impact of the program on ECEC healthy eating practice implementation. CLINICALTRIAL Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12619001158156; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378099 INTERNATIONAL REGISTERED REPORT RR2-10.1186/s40814-020-00707-w

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Food-based dietary guidelines: a comparative analysis between the Dietary Guidelines for the Brazilian Population 2006 and 2014

Public Health Nutrition ◽

10.1017/s1368980017000428 ◽

2017 ◽

Vol 21 (1) ◽

pp. 210-217 ◽

Cited By ~ 22

Author(s):

Mayara Sanay da Silva Oliveira ◽

Ligia Silva-Amparo

Keyword(s):

Feeding Habits ◽

Dietary Guidelines ◽

Brazilian Population ◽

Cultural Dimensions ◽

Systematic Analysis ◽

Processing Level ◽

Food Pattern ◽

Social Environmental ◽

Eating Practices ◽

Culinary Practices

AbstractObjectiveIn 2014, the Brazilian Ministry of Health launched the second edition of the Dietary Guidelines for the Brazilian Population (DGBP), which deploys the new food classification NOVA. It esteems that the second DGBP overcomes the limitations in the previous food guide, reformulating the diet concepts, food pattern, culture and system. The present paper analyses the advances and limits established in the second edition, contrasting with its first edition.DesignThe study employs a discourse analysis. The corpus was established through four stages: (i) floating reading of the empirical materials; (ii) deepening readings; (iii) selected discursive sequences; and (iv) organization of the discursive sequences into a matrix for analysis. The data analysis used three steps: (i) identification of similar texts in external materials; (ii) elucidation of linguistic effect through deepening readings of the external materials; and (iii) systematic analysis to identify sequences that expressed equivalence or disparities.SettingBrazil.SubjectsDGBP 2006 and 2014.ResultsAdoption of the NOVA food classification, based on food processing level, enabled the development of dietary guidelines that consider the limitations of the nutritional discourse and may incorporate the sociocultural and social-environmental discourses, evoking pleasure in food, diversity of feeding habits and stimulating culinary practices as promoters of healthy eating practices.ConclusionsThe second DGBP enables a new way of thinking about meals and foods, on the strengthening of socio-cultural dimensions of feeding, and on addressing food and nutritional guidelines on culinary practices, eating and edibility.

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