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To investigate the food environment and availability of foods in establishments in areas with and without Food and Nutrition Public Establishments (FNPE). The availability, variety and promotion of foods that compose Healthy Food Store Index (HFSI) were compared between establishments in both areas. The availability and variety of fruits and vegetables mean were higher among FNPE. The availability of ultra-processed foods was higher in convenience stores/bakeries. HFSI did not differ between areas. The fact that the index of availability of healthy foods did not differ between areas reflected the low impact of FNPE on food marketing dynamics. [ABSTRACT FROM AUTHOR]

About one third of the most common cancers could be prevented by the reduction of modifiable behavioral risk factors. We aimed to identify behavioral patterns of risk and protective factors for cancer in Brazil, between 2014 and 2015. Data from Vigitel Survey (n = 95,027 adults aged ≥ 18 years) from all Brazilian capitals and Federal District were used. Thirteen risk (RBF) and protective behavioral factors (PBF) for cancer were investigated. RBF included the consumption of red meat, meat with high-fat content, soft drinks, sweets and abusive alcohol, replacement of lunch/dinner for snacks, television viewing, obesity, and smoking. PBF included the consumption of beans, fruits and vegetables, and physical activity practice. Patterns were identified by principal component analysis and linear regressions models assessed its association with sociodemographic characteristics. Four behavioral patterns for cancer were identified. The 'healthy behavior pattern' and the 'unhealthy food consumption pattern' were positively associated to females and schooling. The 'unhealthy behavior pattern' and the 'mixed behavior pattern' were both negatively associated to females, age and schooling. Our data revealed different vulnerable population groups for cancer. Actions for reduction of modifiable behavioral risk factors aiming at cancer prevention should consider distinct approaches by sex, age, and schooling. [ABSTRACT FROM AUTHOR]

ObjectiveTo describe trends in the prevalence of anaemia and Fe deficiency in children under 2 years of age living in a town in western Brazilian Amazonia.DesignTemporal analysis of two cross-sectional population-based surveys. Information on socio-economic status, morbidity and breast-feeding was obtained using a structured questionnaire. Child weight and length were measured for anthropometric evaluation. Concentrations of blood Hb, plasma ferritin and soluble transferrin receptor were measured.SettingThe town of Acrelândia, state of Acre, north-west Brazil.SubjectsA total of 170 and 224 participants of the 2003 and 2007 surveys, respectively.ResultsComparison between the 2003 and 2007 surveys revealed no statistically significant differences in the prevalence of anaemia (48 (95 % CI 39, 56) % to 40 (95 % CI 33, 47) %) or Fe-deficiency anaemia (39 (95 % CI 30, 48) % to 37 (95 % CI 30, 45) %), respectively. However, an increase in the overall prevalence of Fe deficiency from 62 (95 % CI 51, 68) % to 81 (95 % CI 75, 86) % was observed (χ2 test, P ≤ 0·001). In age- and sex-adjusted analyses for risk of Fe deficiency, only early introduction of cow's milk (<90 d) was associated with Fe deficiency in 2003 (prevalence ratio (PR) = 0·76; 95 % CI 0·57, 1·01), while caesarean section (PR = 1·18; 95 % CI 1·03, 1·35) and birth weight <3500 g (PR = 1·15; 95 % CI 1·00, 1·34) were associated with Fe deficiency in 2007.ConclusionsNo improvements were observed in the prevalence of anaemia, exposing a worrying scenario for public health, while a significant increase was found in the prevalence of Fe deficiency in the studied infants and toddlers. [ABSTRACT FROM PUBLISHER]

The study aimed to analyze the economic impact of the adoption of optimized and nutritionally balanced diets to Brazilian families, considering the Brazilian dietary guidelines and the economic disparities of the population. Data from the Brazilian Household Budget Survey from 2008-2009 (550 strata; 55,970 households) were used. About 1,700 foods and beverages purchased by the Brazilians were classified into 4 groups according to NOVA system. Linear programming models estimated isoenergetic diets preserving the current diet as baseline and optimizing healthier diets gradually based on the "golden rule" of the Brazilian dietary guidelines, respecting nutritional restrictions for macronutrients and micronutrients (based on international recommendations) and food acceptance limits (10th and 90th percentiles of the per capita calorie distribution from the population). The diet cost was defined based on the sum of the average cost of each food group, both in the current and optimized diets (BRL per 2,000Kcal/person/day). The economic impact of the Brazilian dietary guidelines to Brazilian household budget was analyzed by comparison the cost of the optimized diets to the cost of the current diet, calculated for the total population and by income level. Three healthier diets were optimized. Current diet cost was BRL 3.37, differed among low- and high-income strata (BRL 2.62 and BRL 4.17, respectively). Regardless of income, diet cost decreased when approaching the guidelines. However, low-income strata compromised their household budget more than two times the high-income strata (20.2% and 7.96%, respectively). Thus, the adoption of healthier eating practices can be performed with the same or lower budget.

Objective: To determine the agreement between body self-image (based on the Stunkard figure rating scale) and nutritional status and to evaluate body satisfaction among the Khisêdjê indigenous people of Parque Indígena do Xingu (Xingu Indigenous Park)., Methods: A cross-sectional study involving 131 natives aged 20 and older. Data on body image, body mass index and waist circumference were collected. Kappa statistics, χ2 (p < 0.05), crude and adjusted prevalence ratios and Student's t-test were used for data analysis., Results: The prevalence of overweight and obesity was respectively 42 and 5.3%. The percentage of satisfaction with body profile was 61.8% with no difference between the sexes. There was good agreement between actual and ideal self-image (p < 0.001), but poor agreement between actual and ideal self-image with nutritional status for both sexes. A higher prevalence of body dissatisfaction due to overweight was detected in individuals with central obesity and overweight., Conclusion: The results suggest that body self-image evaluated by the Stunkard silhouette scale has little applicability as an indicator of nutritional status among the indigenous Khisêdjê of Xingu Indigenous Park.

Our objective was to investigate nutritional status and complementary feeding practices in children from 6 to 24 months of age living in the Western Brazilian Amazon. A cross-sectional study was conducted within an urban area of Acrelândia, Acre State. A total of 164 children were studied. Prevalence rates for stunting and anemia were 12% and 40%, respectively, and overall prevalence of iron deficiency was 85%. Vitamin A and B12 serum levels were below normal thresholds in 15% and 12% of children, respectively. Low intake was observed for the following nutrients (% of children): folic acid (33%), vitamin C (40%), vitamin A (42%), zinc (46%), and iron (71%). Iron bioavailability in the diet was approximately 8%. Very low dietary intakes of fruits, vegetables, and meats were observed, in contrast with excessive consumption of cow's milk and porridge.