Escolhas para uma vida saudável: intervenção nutricional em adolescentes escolares
The increase in the prevalence of early obesity, especially in the first decades of the 21st century, has become an important public health problem of worldwide proportions. This is due to the fact that obesity among children and adolescents tends to persist in adulthood and is strongly associate...
Na minha lista:
| Autor principal: | |
|---|---|
| Outros Autores: | |
| Formato: | doctoralThesis |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
|
| Assuntos: | |
| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/30430 |
| Tags: |
Adicionar Tag
Sem tags, seja o primeiro a adicionar uma tag!
|
| Resumo: | The increase in the prevalence of early obesity, especially in the first decades of the 21st
century, has become an important public health problem of worldwide proportions. This is
due to the fact that obesity among children and adolescents tends to persist in adulthood and is
strongly associated with the development of chronic diseases and increased risk of death.
Actions become relevant and necessary to contain this progression, in this sense, the school
environment is suitable for educational interventions to prevent and combat obesity. The
AME Program “Attitude, Movement and Choices for a Healthy Life” was developed in the
Postgraduate Program in the Collective Health at the Federal University of Rio Grande do
Norte and is a multicomponent, including school-based food and nutrition education,
reduction of sedentary behavior, and the practice of physical activity. The objective of the
doctoral thesis is to develop strategies in Food and Nutrition Education (FNE) in a schoolbased multicomponent intervention program to promote adequate and healthy food and active
lifestyle among adolescents. This is a developmental research in which the current scientific
literature was used and available in order to develop strategies for FNE axis of the AME
Program. The method is organized in two sections, the first described the method of studies of
systematic reviews (SR) that contributed with the technical-scientific basis for the
development of the protocol; and the second section described the protocol of the randomized
clinical trial (RCT). In the first section, two SRs were developed following the
recommendations of the Preferred Report Items for Systematic Reviews and Meta-analyzes
(PRISMA) and were registered in the International prospective register of systematic reviews
(PROSPERO - CRD42019116520 and CRD42019100914). To contextualize where the FNE
axis of the AME Program is inserted, the second section presents the methods of the RCT.
The research was approved by the Research Ethics Committee (CEP-HUOL UFRN) and
registered in the Brazilian Registry of Clinical Trials (RBR-86xv46). The doctoral thesis is
organized in the collection of articles. The first SR investigates the effectiveness of schoolbased FNE interventions and their effects on adolescent food consumption and 24 RCTs were
included. In 16 studies, the intervention managed to improve the consumption of at least one
food or group of foods recommended as healthy foods. The results indicate that school-based
interventions are generating favorable changes in adolescent food consumption. The second
SR investigates the scientific evidence regarding the association between red meat
consumption and cardiovascular diseases, including the dose-response effect and 22
prospective cohort studies were included. The results indicate a possible association between the consumption of red meat, especially processed meat, and the incidence and mortality from
coronary heart disease, stroke and / or heart failure. The trend of linear dose response
indicates that the greater the consumption of red meat, the greater the risk of incidence and
mortality from cardiovascular diseases. Thus, based on the results found in the SR, in the
context of the RCT and combined with the recommendations of official documents of the
World Health Organization, Ministry of Health of Brazil and international institutions, the
theoretical foundation of the intervention proposal for the FNE axis of the AME Program was
carried out. The study presents the rationale for the development of the axis; the guiding
theories of the AME program; goals and objectives; and characteristics of the FNE axis of the
AME program. Developing FNE strategies in a school-based multicomponent intervention
program to promote an active lifestyle and adequate and healthy nutrition among adolescents
may provide adolescents with the construction of critical and reflective thoughts that can
transform their lives, that of their families, community and even their territory. |
|---|