Factors associated with inadequate consumption of fruit and vegetables among users of Primary Health Care in Brazil
DOI:
https://doi.org/10.12957/demetra.2022.63393Palabras clave:
Associated Factors. Food Consumption. Fruit. Vegetables. Primary Health Care.Resumen
Introduction: Inadequate fruit and vegetable (FV) consumption may derive from individual, cultural, socioeconomic, and environmental issues. Objective: This study aims to identify factors associated with inadequate fruit and vegetable consumption among men and women in Brazilian Primary Health Care. Methods: This is a cross-sectional study with a sample representative of the Health Academy Program (Programa Academia da Saúde-PAS, in Portuguese). The consumption of FV was evaluated by a validated questionnaire which included the frequency and number of portions consumed. The inadequate consumption was classified as fruits <3 servings/day; vegetables <2 servings/day. Sociodemographic, health, and anthropometric profile, such as the purchase of fruit and vegetable were investigated. Results: The inadequate consumption of fruits (women: 61.4%; men: 68.1%) and vegetables (women: 40.6%; men: 51.1%) was high. Among women, factors associated with inadequate FV consumption were: being elderly, report their quality of life as good and their knowledge about food crop season; and the diagnosis of diabetes was associated with inadequate fruit intake. For men, factors associated with inadequate fruit consumption were: being elderly and current attempt to lose body weight; and for vegetables, good quality of life and having a risk of metabolic complications. Conclusion: Equal and different factors for women and men associated with inadequate consumption of FV were identified. These results highlight the importance of actions to promote healthy eating which considers the differences in the consumption of these foods according to the gender of the participants.
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Brasil. Ministério da Saúde. Guia alimentar para a população brasileira. Secretaria de Atenção à Saúde, Departamento de Atenção Básica. 2. ed. Brasília, 2014.
World Health Organization. Fruit and vegetables for health. Report of a Joint FAO/WHO Workshop 1-3 September 2004. Kobe: WHO; 2004.
Wang X, Ouyang Y, Liu J et al. Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose-response meta-analysis of prospective cohort studies. BMJ. 2014; 29(349): g4490.
World Health Organization. Global status report on non communicable diseases 2010. Geneva: WHO; 2011.
Brasil. Ministério da Saúde. Ministério do Planejamento, Orçamento e Gestão. Instituto Brasileiro de Geografia e Estatística - IBGE. Diretoria de Pesquisas. Coordenação de Trabalho e Rendimento. Pesquisa Nacional de Saúde 2013: Percepção do estado de saúde, estilos de vida e doenças crônicas. Rio de Janeiro, 2014.
Chapman K, Goldsbury D, Watson W et al. Exploring perceptions and beliefs about the cost of fruit and vegetables and whether they are barriers to higher consumption. Appetite. 2017; 113, 310-319.
Singleton CR, Fouché S, Deshpande R et al. Barriers to fruit and vegetable consumption among farmers’ market incentive programme users in Illinois, USA. Public Health Nutr. 2018; 1-5.
Figueira TR, Lopes ACS, Modena CM. Barreiras e fatores promotores do consumo de frutas e hortaliças entre usuários do Programa Academia da Saúde. Rev. Nutrição. 2016; 29(1): 85-95.
Freitas PP, Menezes MC, Lopes ACS. Consumer food environment and overweight. Nutrition. 2019; 66: 108-114.
Silva LES, Claro RM. Tendências temporais do consumo de frutas e hortaliças entre adultos nas capitais brasileiras e Distrito Federal, 2008-2016. Cad. Saúde Pública. 2019; 35(5): e00023618.
Jaime PC, Figueiredo ICR, Moura EC et al. Fatores associados ao consumo de frutas e hortaliças no Brasil, 2006. Rev. Saúde Pública. 2009; 43 (Supl2): 57-64.
Instituto Brasileiro de Geografia e Estatística. Apresenta o município de Belo Horizonte por meio da ferramenta Cidades, 2018. http://cidades.ibge.gov.br/xtras/perfil.php?lang=&codmun=310620&search=| |infogr%E1ficos:-informa%E7%F5es-completas (accessed February 2021).
Brasil. Portaria n. 2.681, de 7 de novembro de 2013. Redefine o Programa Academia da Saúde no âmbito do Sistema Único de Saúde, 2013. http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt2681_07_11_2013.html. (accessed February 2021).
Menezes MC, Costa BVL, Ferreira NL et al. S. Percurso metodológico de ensaio comunitário controlado em serviço de saúde: pesquisa epidemiológica translacional em nutrição. Demetra: Alimentação, Nutrição e Saúde. 2017; 12: 1203-1222.
Prefeitura de Belo Horizonte (PBH). Índice de Vulnerabilidade da saúde, 2012. Belo Horizonte, 2013.
Menezes MC, Mingoti SA, Cardoso CS et al. Intervention based on Transtheoretical Model promotes anthropometric and nutritional improvements - a randomized controlled Trial. Eat Behav. 2015; 17: 37-44.
Mendonça RD, Mingoti AS, Jaime PC et al. The impact of a nutritional intervention on the nutritional status and anthropometric profile of participants in the Health Gym Programme in Brazil. Ciênc. Saúde coletiva [online]. 2015; 20(6): 1937-1946.
Lopes MS, Santos LC, Lopes ACS et al. Comparison between two assessment tools for fruit andvegetable intake relative to the 24-h recall. Nutrition. 2017; 38: 34-40.
World Health Organization. Diet, nutrition and the prevention of chronic diseases, report of a joint WHO/FAO expert consultation. Geneva: WHO; 2003. (Technical Report Series, n. 916).
Duran AC, Diex Roux AV, Latorre MRDO et al. Neighborhood socioeconomic characteristics and differences in the availability of healthy food stores and restaurants in São Paulo, Brazil. Health and Place. 2013; 23: 39-47.
Brasil. Ministério da Saúde. Orientações para a coleta e análise de dados antropométricos em serviços de saúde: Norma Técnica do Sistema de Vigilância Alimentar e Nutricional: SISVAN. Brasília: Ministério da Saúde; 2011.
Nutrition Screening Initiative - NSI. Nutrition interventions manual for professionals caring for older Americans.Washington: The Nutrition Screening Initiative; 1992.
World Health Organization - WHO. Waist circumference and waist-hip ration: report of WHO expert consulation. Geneva: WHO; 2011. 47p.
Argentina. Ministerio de Salud. Estrategia Nacional de Prevención y Control de Enfermedades No Transmisibles. Tercera Encuesta Nacional de Factores de Riesgo para Enfermedades No Transmisibles. Primera Edición. Buenos Aires. Instituto Nacional de Estadísticas y Censos, 2015.
Olsho LEW, Klerman JA, Wilde PE et al. Financial incentives increase fruit and vegetable intake among Supplemental Nutrition Assistance Program participants: a randomized controlled trial of the USDA Healthy Incentives Pilot. Am J Clin Nutr. 2016; 104:423–435.
Claro RM, Monteiro CA. Renda familiar, preço de alimentos e aquisição domiciliar de frutas e hortaliças no Brasil. Rev. Saúde Pública. 2010; 44(6): 1014-1020.
Aquino JA, Baldoni NR, Flôr CR et al. Effectiveness of individual strategies for the empowerment of patients with diabetes mellitus: A systematic review with meta-analysis. Primary Care Diabetes. 2018; 12: 97-110.
Toledo MTT, Mendonça RD, Abreu MN et al. Aconselhamento sobre modos saudáveis de vida na Atenção Primária à Saúde. O Mundo da Saúde. 2017; 41(1): 87-97.
Oliveira MS, Lacerda LNL, Santos LCS et al. Consumo de frutas e hortaliças e as condições de saúde de homens e mulheres atendidos na atenção primária à saúde. Ciênc. Saúde Colet. 2015; 20(8): 2313-2322.
Oliveira LPM, Assis AMO, Silva MCM et al. Fatores associados a excesso de peso e concentração de gordura abdominal em adultos na cidade de Salvador, Bahia, Brasil. Cad. Saúde Pública. 2009; 25(3): 570-582.
Neville CE, McKinley MC, Draffin CR et al. Participating in a fruit and vegetable intervention trial improves longer term fruit and vegetable consumption and barriers to fruit and vegetable consumption: a follow-up of the ADIT study. Intern. J. Behav. Nutr. Physical Activity. 2015; 12:158.
Glasson C, Chapman K, James E. Fruit and vegetables should be targeted separately in health promotion programmes: differences in consumption levels, barriers, knowledge and stages of readiness for change. Public Health Nutr. 2011;14(4):694-670.
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