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Background: Although the importance of food and nutrition actions is recognized, especially in the Family Health Strategy, there are few studies on the organization of nutritional care in the Unified Health System. Objective: To describe and compare the organization of Nutritional Care-AN in Primary Health Care in two macroregions of the State of São Paulo, Brazil. Method: This is a cross-sectional study conducted in 115 Family Health Strategy services. A structured instrument was used. Descriptive data analysis and Fisher's exact test were performed to verify associations between the variable 'region' and those of interest. Results: 115 interviews were conducted with managers from 31 municipalities. There was a higher frequency of actions at RMBS, with statistically significant differences for the following variables: role of community health agent; individual assessment of food intake, vaccination campaigns, and group activities; measurement of body mass index in the gestational curve; breastfeeding support; guidelines on complementary feeding and multidisciplinary team care for overweight. Conclusion: AN predominated in RMBS. However, in both regions, there are limits to be overcome, requiring the analysis of the quality of these actions to achieve completeness. [ABSTRACT FROM AUTHOR]

Introdução: a formação na área de saúde deve contemplar equanimemente os domínios psicomotor, cognitivo e afetivo a partir da problematização de situações cotidianas do Sistema Único de Saúde (SUS). Objetivo: avaliar a formação do nutricionista a partir da integração de saberes da tríade ensino-serviço-comunidade, a partir da Aprendizagem Baseada em Projetos (ABP) e Portfólio Coletivo (PC) na micropolítica do SUS. Método: Um “chá de bebê” planejado e executado por estudantes, orientado por um grupo de docentes, destinado a gestantes da rede SUS, oportunizando o trabalho vivo dos conceitos-ferramentas ‘alteridade’, ‘vínculo’, ‘acolhimento’, e ‘gestão participativa’ foi empreendido. Resultados: Registros no PC evidenciaram articulação entre diferentes saberes e domínios de aprendizagem na formação do nutricionista por competências. Conclusão: ABP+PC é uma ferramenta de ensino-aprendizagem, potente e viável para a formação do profissional capaz de atuar no SUS integrando ensino-serviço-comunidade.

Introdução e objetivo: No Brasil, o excesso de peso representa um alarmante problema de saúde pública, por ser fatore de risco para o acometimento de doenças crônicas não transmissíveis. A crescente no excesso de peso vai além de escolhas individuais, revelando uma forte influência dos fatores sociais. A presente pesquisa objetiva identificar os fatores associados ao excesso de peso em usuários do Programa Academia da Cidade (PAC). Materiais e métodos: estudo transversal realizado com usuários do PAC entre 18 e 59 anos, na cidade do Recife, Pernambuco. Na coleta de dados realizou-se: entrevista estruturada; questionário de conhecimento nutricional e avaliação do estado nutricional. Foi realizada análise univariada no software Statistical Package for the Social Sciences (SPSS), versão 13.0 e multivariada por meio da Regressão de Poisson no software Stata, versão 14. Foi considerada significância estatística quando p-valor

O envelhecimento é um processo natural e fisiológico do homem, porém ele submete o organismo a diversas alterações anatômicas e funcionais que podem influenciar nas condições de saúde e nutrição do idoso. Considerando o grau de vulnerabilidade que os idosos residentes em ILPI apresentam, tanto pelo próprio envelhecimento, quanto pelas condições impostas pela institucionalização, verifica-se a necessidade de realizar estudos sobre ingestão de nutrientes e suas possíveis consequências, como desnutrição e obesidade, associados a perda de funcionalidade física. O objetivo deste estudo foi avaliar a adequação de nutrientes ofertado pelo cardápio da instituição asilar, o estado nutricional através da MiniAvaliação Nutricional e a funcionalidade física de idosos residentes no Lar para Idosos “Frederico Ozanam” localizado no município de Diamantina, Minas Gerais-MG. A avaliação do cardápio por três dias consecutivos mostrou que houve variação na adequação de macro nutriente nos três dias avaliados quando comparado às recomendações da SBAN. Quando comparados às referências da EAR (DRIS) todos os macros nutrientes foram ofertados nos três dias de acordo com a recomendação. Quanto à pontuação na MAN, o maior percentual de idosos (66,6%) pontuou de dezessete a vinte e três pontos e meio, escore que indica que estavam sob risco de desnutrição. O desempenho nos testes físicos mostrou que a maioria dos idosos apresentava alto risco de quedas. Os resultados encontrados nessa pesquisa reforçam que o idoso institucionalizado carece de atenção a saúde, ao cuidado nutricional e de políticas públicas que atendam estas instituições em suas necessidades.

Resumo Introdução Ainda que a importância das ações relacionadas à alimentação e à nutrição sejam reconhecidas, especialmente para a Estratégia Saúde da Família, são escassos os estudos voltados à organização da atenção nutricional no Sistema Único de Saúde. Objetivo Descrever e comparar a organização da Atenção Nutricional (AN) na Atenção Primária à Saúde em duas macrorregiões do estado de São Paulo, Brasil. Método O presente estudo transversal contemplou 115 serviços da Estratégia Saúde da Família, utilizando um instrumento estruturado, realizando uma análise descritiva dos dados e aplicando o teste exato de Fisher para verificar as associações entre a variável “região” e as demais variáveis de interesse. Resultados Foram realizadas 115 entrevistas com os gestores de 31 municípios. Verificou-se uma frequência maior de ações na RMBS, com diferenças estatisticamente significantes para as seguintes variáveis: papel do agente comunitário de saúde; avaliação individual do consumo alimentar, campanhas de vacinação e atividades grupais; mensuração do Índice de Massa Corporal na curva gestacional; apoio ao aleitamento materno; orientações sobre alimentação complementar e atendimento de equipe multidisciplinar para sobrepeso. Conclusão Foi observada uma predominância da AN na RMBS. Entretanto, existem limites a serem superados em ambas as regiões, demandando uma análise da qualidade dessas ações para alcançar a integralidade.

Introduction: By the end of 2020, 82.4 million people were forced to move around the world. This amount qualifies the population forcibly displaced in the world as the largest ever recorded, being 1% of the world population. About 80% of these people are in countries affected by severe food insecurity. Objective: To analyze the existing scientific production on forced migrations, refuge and nutrition, with a focus on food and nutrition security. Method: This is an integrative literature review, using the bases: Virtual Health Library, USA National Library of Medicine, Periodical Portal of the Coordination for the Improvement of Higher Education Personnel and Science Direct. Results: 717 articles were found, 334 (46.6%) in MEDLINE, 241 (33.6%) in Portal Periódicos CAPES, 110 (15.3%) in Science Direct and 32 (4.5%) in the VHL. Five themes were identified: (1) Food and Nutritional Security; (2) Food Practices and Acculturation; (3) Maternal and Child Nutrition; (4) Double burden of malnutrition; (5) Food and Nutrition Education Strategies. Conclusion: Difficulties due to cultural diversities evidenced by language and food practices; lack of access to work and income; access to services and adequate health care are among the main challenges for access to food and nutrition security. [ABSTRACT FROM AUTHOR]

Objective: This study evaluated the performance of the Waist-to-Height Ratio (WHR) as an additional indicator of nutritional status in the first phase of adolescence. Methods: This is a cross-sectional study, developed in 2016/2017, with 148 adolescents (10 to 13 years old) from two public schools of Macaé, a municipality in Rio de Janeiro, Southeast Brazil. We collected information on sexual maturation, weight, height, and waist circumference (WC). The Kappa Test was performed to verify the accordance among Body Mass Index-for-Age (BMI/A), WC, and WHR in relation to health risk screening. The maximum limits of sensitivity and specificity of WHR according to BMI/A were analyzed by ROC curve (Receiver Operating Characteristics). Results: Among the participants, 51.4% were girls, and more than 60% were in the first two stages of sexual maturation. The prevalence of excess weight (overweight+obesity) was 31.8%, obesity 17.6%, and high WHR 20.3%, with no difference according to sex and sexual maturation. WHR showed good agreement with excess weight (Kappa=0.707) and obesity (Kappa=0.780). The agreement between BMI/A and WC was poor. The value 0.45 was the most appropriate WHR cutoff point to identify adolescents with excess weight. Conclusions: This study suggests that WHR performs better than WC as an additional indicator of nutritional status in early adolescence. WHR brings information on central adiposity weighted by height, does not require a comparison curve, and has a cutoff point, which may facilitate screening in health services and epidemiological studies. [ABSTRACT FROM AUTHOR]

Hunger and food insecurity have been on the national and international public agenda for several decades; however, the most recent estimates indicate that these phenomena are worsening rather than improving. Public policies, including those related to food and nutrition, serve as functional devices within the neoliberal model, which reduces social concerns to the mitigation of monetary poverty. Objective : To understand the meanings of food and nutrition policies for participating mothers and technicians, as well as to respond to the expectations and enable the capacities of rights holders. Method : Grounded theory and a constructivist approach, with simultaneous data collection and constant comparison analysis. The analysis was guided by open, axial, and selective coding and categorization. The participants included 34 mothers and nine technicians involved in the policies. Results : Food policies become devices for welfare by configuring the subject as a "recipient." Interactions revolve around operational aspects such as verifying program inclusion requirements and subsidy delivery processes. This logic disregards the voices and cultural practices of the participants and overwhelms them due to excessive intervention. Conclusions : Food and nutrition policies in the neoliberal context fall short of the subjects' aspirations; therefore, there is tension between the subject conceived by policy and the expectations they build based on their program experience. [ABSTRACT FROM AUTHOR]

Diabetes mellitus tipo 2 é uma das maiores causas de óbito por doenças crônicas não transmissíveis, com relevante impacto econômico no sistema de saúde. O atendimento interprofissional é cada vez mais discutido para a recuperação e promoção da saúde. O objetivo desse estudo foi avaliar alterações antropométricas, laboratoriais e clínicas em diabéticos submetidos a intervenção uni ou interprofissional. Vinte usuários foram selecionados aleatoriamente, separados em dois grupos e submetidos a atendimentos uni ou interprofissional. Não foram observadas diferenças para as variáveis antropométricas e laboratoriais entre os dois grupos. Contudo, a variação percentual (momento inicial e final) de todas as variáveis estudadas foi mais benéfica para usuários da intervenção interprofissional. A incorporação dessa modalidade de atendimento mostrou-se viável, promovendo atenção integral aos usuários, otimização da vinda dos usuários a Unidade Básica de Saúde e das estruturas físicas. Com maior tempo de intervenção e número de usuários, futuros estudos podem apresentar resultados ainda mais promissores.

Introduction and objective: In Brazil, overweight represents an alarming public health problem, as it is a risk factor for the involvement of chronic non-communicable diseases. The increase in excess weight goes beyond individual choices, revealing a strong influence of social factors. This research aims to identify the factors associated with overweight in users of the Academia da Cidade Program (ACP). Materials and methods: a cross-sectional study conducted with ACP users between 18 and 59 years old, in the city of Recife, Pernambuco. In the data collection, the following were conducted: structured interview; nutritional knowledge questionnaire and nutritional status assessment. Univariate analysis was performed in the Statistical Package for the Social Sciences (SPSS), version 13.0 and multivariate software through Poisson Regression in stata software, version 14. Statistical significance was considered when pvalue <0.05. Results: 127 users were analyzed, most women (99.2%) and over 40 years (75.5%). The prevalence of overweight was 73.2%, where the main factors associated in the final model were race/color (p=0.011), adherence to health plans (p=0.036), alcohol consumption (p=0.026) and being affected by diabetes mellitus (p=0.030). Conclusion: Although overweight is an increasing number in all groups of society, social determinants unbalance the population, because they are fundamental for early control and diagnosis of diseases. Most users were overweight and the main related factors are sociodemographic and nutritional, highlighting the need for intra- and intersectoral actions. [ABSTRACT FROM AUTHOR]

Aging is a natural and physiological process for man, however, it submits the organism to many anatomical and functional changes that may influence the health and nutrition conditions of the elder. Considering the degree of vulnerability that the elders living in ILPI are found, either due to their own aging or for the conditions imposed by the institutionalization, it is clear the need to carry out studies on nutrient intake and its possible consequences, such as malnutrition and obesity, associated with loss of physical functionality. The purpose of this study was to evaluate the nutritional adequacy offered by the menu of the asylum institution, the nutritional status through the Mini Nutritional Assessment and the physical functionality of elderly people living in the Elderly Home "Frederico Ozanam" which is located in the city of Diamantina, Minas Gerais-MG. The evaluation of the menu during three consecutive days showed that there was variation in the macro nutrient adequacy in the three days evaluated when compared to the SBAN recommendations. When compared to the RDA references (DRIS), all macro nutrients were offered according to the recommendation. Regarding the MAN score, the highest percentage of elder (66.6%) scored from seventeen to twenty-three points. This score indicates that they were at risk of malnutrition. The performance in the physical tests showed that the majority of the elders have a high risk of falls. The results found in this research reinforce that the institutionalized elders need attention to health, nutritional care and public policies that meet these institutions in their needs. [ABSTRACT FROM AUTHOR]

Introdução: O chamado estilo de vida ocidental contemporâneo, marcado pelo aumento do consumo de alimentos e diminuição da realização de exercícios físicos, tem provocado à ascensão de uma nova epidemia: a obesidade. Ela é associada a várias comorbidades, tais como, doenças cardiovasculares, câncer, resistência à insulina, entre outras. Objetivo: Analisar qual a prevalência das comorbidades presentes em pacientes obesos candidatos à cirurgia bariátrica. Materiais e Métodos: Esse é um estudo transversal, retrospectivo e descritivo, realizado a partir do banco de dados fornecidos pelo Ambulatório de Nutrição, localizado no campus do Centro Universitário Assis Gurgacz (FAG), atendido pelo Sistema Único de Saúde (SUS). Resultados: Dentre todos os 230 pacientes candidatos à cirurgia bariátrica, a maioria pertencia ao gênero feminino (83%), sendo o IMC médio dos pacientes de 47,6 ± 7,7kg/m² e idade média de 46,1 ± 10,4 anos. A Hipertensão Arterial Sistêmica (HAS) foi a comorbidade mais prevalente (64,1%), além de outras, como Diabetes Mellitus tipo II (17,2%) e dislipidemias (10,2%). A Obesidade Grau II foi a faixa de IMC cujo número relativo de pacientes hipertensos foi maior (74,1%), embora a Obesidade Grau III obteve o maior número absoluto de pacientes hipertensos (131). Discussão: Em revisão de literatura, também relataram a HAS como a comorbidade mais encontrada em seu estudo. Conclusão: Observou-se que a patologia mais prevalente, assim como em outros estudos prévios, foi a Hipertensão Arterial Sistêmica. Ademais, notou-se a íntima relação entre a obesidade e o aparecimento de outras patologias.

Introduction: The factors that determine the behavior and feeding practices are multiple and complex. Within the National School Feeding Program (PNAE), the approach to this topic should be carried out in a multidisciplinary and intersectoral manner, with food and nutrition education (EAN) as the strategy. The nutritionist is inserted in this context as the technical responsible, or technical framework of the program, thus being an important component among the actors responsible for the development of EAN actions in the school environment. Objective: To know the perception of the nutritionist acting in the PNAE regarding the activities of food and nutrition education, the impact of training in practices and identify the facilities and barriers existing in this context. Methods: We conducted qualitative research with interviews and recording of the speeches for later analysis of content. We analyzed the confrontation of ideas by convergences, divergences and complementarities. Results and Conclusion: It was noted that, despite the recent strengthening of the EAN, there is still a gap between what is proposed by legislation and the practice undertaken by professionals. The main deficiencies described by them were the absence of a consistent theoretical-methodological basis guiding the practices of EAN, insufficient technical framework and difficulty in integrating the different areas, which generates discontinuity in the learning process and inefficiency of actions. Strategies such as periodic courses, training to better plan and involve teams, as well as improvement of working conditions and quantitative of professionals in all dimensions of the PNAE, are indispensable for the full implementation of the program. [ABSTRACT FROM AUTHOR]

DOI: https://doi.org/10.26694/reufpi.v4i3.4213 Objetivo: Objetiva investigar a formação do enfermeiro da Estratégia Saúde da Família sobre nutrição. Metodologia: Estudo transversal de abordagem quantitativa descritiva, realizado com 80 enfermeiros das equipes de Saúde da Família da cidade de Teresina, por meio de formulário aplicado de janeiro a março de 2014. Resultados: Sobre o conhecimento em nutrição, 75% dos enfermeiros afirmam ter conhecimento científico e popular; 72,5 % leem artigos científicos e 90% também leem revistas não científicas. Sobre as dificuldades descrevem falta de conhecimento científico sobre nutrição, demonstrando não possuírem conhecimento suficiente (21,25%); falta de treinamento aos profissionais, descrevem ausência de capacitações (18,75%); ausência do nutricionista nas equipes (13,75%) sendo que esses enfermeiros percebem a importância da presença do nutricionista; falta de conscientização e adesão da população, 08 enfermeiros (10%). Conclusão: A maioria dos enfermeiros não possui formação profissional suficiente para atender às necessidades da população, havendo urgência de definir uma política pública com a inserção do nutricionista na Estratégia.

Resumo Introdução o letramento de pessoas com diabetes quanto à nutrição é importante, pois uma alimentação saudável pode melhorar a qualidade de vida dessas pessoas. Objetivo Objetivou-se criar um instrumento denominado Letramento Nutricional entre pessoas com Diabetes (LND) e avaliar a sua validade, confiabilidade e interpretabilidade. Método estudo metodológico com verificação da validade de conteúdo; pré-teste; estimativa da confiabilidade (consistência interna: alfa de Cronbach; reprodutibilidade: kappa-K, coeficiente de correlação intraclasse [CCI]); estimativa da validade de critério concorrente e interpretabilidade feita pela contagem dos acertos das associações de palavras com escores de 0 a 24 (corte ≤ 18) e teste de hipóteses em amostra probabilística para população infinita por meio de regressão logística; p ≤ 0,05 (OR/IC95%). Resultados a validade de conteúdo foi satisfatória. A confiabilidade (alfa = 0,68; K ≥ 0,60 e CCI = 0,68) foi boa. Quanto à validade concorrente, constatou-se correlação entre o LND e a escolaridade (rs = 0,88; p = 0,000). Dos 212 participantes, 75,8% apresentaram LND > 18. No teste de hipóteses, verificou-se que quanto maior a escolaridade, maior o LND (1,20/1,09-1,31) e o LND foi menor entre homens (0,50/0,25-1,01). Conclusão o LND foi considerado válido, confiável e de fácil interpretação, podendo ser utilizado em pesquisas futuras ou mesmo em serviços de saúde que prestam assistência às pessoas com diabetes.

Objectives: to perform a comparative assessment of the nutritional care process in the prenatal and puerperium periods at a primary care unit in the city of Santos, SP, Brazil before and after the implantation of the Prenatal and Puerperium Nutritional Care Strategy. Methods: a cross-sectional study was composed of 58 pairs of women and their children, of whom, 30 underwent prenatal care before and 28 of them after the implantation by collecting data from perinatal registrations and children's charts. The care was evaluated by the official National guidelines. The chi-square test was used to compare variables between the pre and post intervention groups. Results: there was a significant improvement after the nutritional intervention, regarding to height (p=0.001), registration on pre-pregnancy weight (p=0.032), follow up on Body Mass Index/gestational week (p=0.001), registration on newborn's weight at discharge (p=0.011) and daily weight gain at the first pediatric consultation (p=0.019). Conclusions: the Prenatal and Puerperal Nutritional Care Strategy contributed to improve maternal-child nutritional care and the data registration on patients' charts, demonstrating the necessity to establish processes/flows and an integral care for this population. [ABSTRACT FROM AUTHOR]

Objectives: With a focus on nutritionists’ education, this article analyzes the experience of a team of the Education through Work for Health Program (PET-Saúde) in the Federal University of Rio de Janeiro, Macaé Campus, effective between 2012 and 2014. Methodology: This team developed activities about nutrition in the municipal health system. PET-Saúde was created in the context of university extended education courses, and it is understood as an integral and inseparable part of higher education. Educational and training activities for the team were based on the Paulo Freire’s theoretical framework on problematization-reflection. Content analysis was performed to assess members’ testimonials about their experience in PET-Saúde. Results and discussion: Practice-based learning and knowledge exchange were the main experience benefits to the education of all group members. These benefits contribute to nutritionists’ education, because they narrow the distance between academic education and professional practice. This experience fostered greater social engagement, autonomy, leadership, criticality and broadening of student’s perception on health and nutrition issues within the Brazilian Health System. One needs to think about the repercussions of the experience of PET-Saúde, especially given the current scenario of adjustment of Brazilian higher education. Conclusions: Curricular and pedagogical changes in nutritionists’ education may be rethought, based on this experience, in order to better incorporate social demands and promote education with a transformative potential. In this sense, this experience contributes to the non-hegemonic movement against the professional education model focused on the capitalist marke DOI: 10.12957/demetra.2017.26214

O estudo teve como objetivo avaliar as condições higiênico-sanitárias, estruturais e de funcionamento de Unidades de Alimentação e Nutrição (UAN) e identificar possíveis fatores associados às condições insatisfatórias. Para isso, foram utilizados dados de auditorias, pertencentes a uma concessionária de refeições coletivas, instalada no Rio Grande do Sul. A amostra foi composta por avaliações de 148 UAN, distribuídas em todas as regiões do Estado gaúcho, entre julho de 2014 e junho de 2015. Em relação aos resultados, baixas pontuações gerais e altas frequências de condições insatisfatórias foram observadas em praticamente todos os módulos de investigação. Quanto aos aspectos considerados, identificou-se que maior tempo de funcionamento e melhores condições de instalações e edificações estiveram associados (p < 0,05) a pontuações médias mais elevadas, na maior parte dos módulos avaliados. Diante dos resultados encontrados, percebe-se que as UAN apresentaram condições higiênico-sanitárias desfavoráveis, fato este que pode comprometer a segurança dos alimentos preparados nestes locais. Assim, auditorias auxiliam no processo de adequação das condições nestes estabelecimentos, uma vez que apontam as inconformidades, fornecendo informações que podem auxiliar na realização de ações de melhorias, as quais contribuem na prevenção das ocorrências de Doenças Transmitidas por Alimentos. ===================================================== The study aimed to evaluate hygiene and sanitary conditions as well as structural and operational aspects in food and nutrition facilities and to identify possible factors associated with unsatisfactory conditions. In order to achieve this, the study used data obtained from auditing processes developed at food suppliers based in Rio Grande do Sul. The sample consisted of 148 auditing processes between July 2014 and June 2015. Regarding the results, low overall scores and high frequency of unsatisfactory hygienic conditions were observed in almost all research modules. As for the aspects investigated, it was found that longer operating time and better conditions of the facilities and buildings were associated (p

O VI Congresso Brasileiro de Nutrição Oncológica, IX Jornada Luso-Brasileira em Nutrição Oncológica, IX Jornada Internacional de Nutrição Oncológica, cujo tema central será “A Qualidade da Assistência Nutricional ao Paciente Oncológico e as estratégias para cumprir o nosso papel”, tem por objetivo promover a discussão e reflexão sobre o emprego de novos recursos e terapêuticas nutricionais que possibilitem a melhoria da qualidade da atenção prestada aos pacientes oncológicos.

ABSTRACT OBJECTIVE Identify the perception operating agents have on the Brazilian National School Feeding Program. METHODS This is an observational, cross-sectional and quali-quantitative study developed in non-probability and convenience sampling selected in an event promoted by the National Fund for Educational Development in 2015 in Rio de Janeiro. Data were collected through questions related to pre-defined categories concerning the National School Feeding Program. The questionnaire was answered by 43 nutritionists, 41 members of the School Feeding Board, and 16 school feeding administrators from 38 cities of Rio de Janeiro. The narrative analysis was based on benchmarks of cognitive analysis of public policies. The association among variables was investigated with chi-square test, being calculated the power for association testing. RESULTS The perception of the implementation of the National School Feeding Program has been characterized by some challenges: 1) low number of nutritionists to meet the demand from schools; 2) low adhesion to the public call for the purchase of family farming products due to bureaucratic difficulties and insufficient local food production; 3) reduced coverage of food and nutritional measures due to the restriction of human, material and financial resources; and 4) limitation of the participation of the School Feeding Board due to insufficient training and transport for regular visits. The adequacy of the number of nutritionists showed statistically significant association with the purchase of family farming products (p = 0.002; power = 99%) and with the food and nutritional education activities (p = 0.021; power = 79%). CONCLUSIONS The results indicate the need for employment of nutritionist in sufficient numbers to meet the demands of the National School Feeding Program, investment in educational activities of healthy eating in schools, training of the School Feeding Board, greater availability of vehicles for school visits and assistance to family farmers in order to facilitate their participation in programs of institutional purchases and encourage the diversification of production.

Objective: To evaluate the risk factors for protein-caloric inadequacy in critically ill patients. Methods: Prospective cohort study of patients hospitalized in an adult intensive care unit between February and November 2017. Patients were followed for 7 days. The conditional probability of inadequacy was calculated using the Kaplan-Meier method and the 95% log-rank test. To assess the risk of inadequacy, crude and adjusted hazard ratios (HR) were calculated using Cox regression with a 95% confidence interval. Results: Of the 130 patients, 63.8% were male, 73.8% were <60 years of age, and 49.2% were diagnosed with trauma. The mean APACHE II score was 24 points, and 70.0% of the patients had a protein-caloric adequacy >80%. In the univariate analysis, the significant variables for inadequacy were use of vasoactive drugs, interruptions of diet and failure to initiate nutrition early. In the final model, patients who presented with vomiting/gastric residue (adjusted HR = 22.5; 95%CI 5.14 - 98.87) and fasting for extubation (adjusted HR = 14.75; 95%CI 3.59 - 60.63) and for examinations and interventions (adjusted HR = 12.46; 95%CI 4.52 - 34.36) had a higher risk of not achieving protein-caloric adequacy. Conclusion: Achievement of nutritional goals > 80.0% occurred in 70.0% of patients. The risk factors for protein-caloric inadequacy were nutritional interruptions, especially due to vomiting/gastric residue and fasting for extubation, exams and surgical procedures. [ABSTRACT FROM AUTHOR]

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Introduction: The so-called contemporary Western lifestyle, marked by increased food consumption and decreased physical exercise, has led to the rise of a new epidemic: obesity. It is associated with several comorbidities, such as cardiovascular diseases, cancer, insulin resistance, among others. Objective: To analyze the prevalence of comorbidities present in obese patients who are candidates for bariatric surgery. Methods: This is a cross-sectional, retrospective and descriptive study, based on the database provided by the Nutrition Outpatient Clinic, in the Centro Universitário Assis Gurgacz (FAG), attended by SUS. Results: Among the 230 patients who were candidates for bariatric surgery, the majority belonged to the female gender (83%), the mean BMI of the patients was 47.6 ± 7.7kg / m² and the mean age was 46.1 ± 10.4 years. Systemic Arterial Hypertension (SAH) was the most common comorbidity (64.1%), as well as others such as Diabetes Mellitus type II (17.2%) and dyslipidemia (10.2%). Obesity type II was the range of BMIs with a relative number of hypertensive patients (74.1%), although Obesity type III obtained the highest absolute number of hypertensive patients (131). Discussion: In a literature review, they also reported SAH as the most common comorbidity in their study. Conclusion: It was observed that the most prevalent pathology, as in other previous studies, was Systemic Arterial Hypertension. In addition, the intimate relationship between obesity and the onset of such pathologies was noted. [ABSTRACT FROM AUTHOR]

Resumo Objetivo Determinar a prevalência da leitura de rótulos de alimentos, fatores associados e informações consultadas por adultos e idosos usuários da atenção básica. Métodos Estudo transversal, com coleta de dados mediante aplicação de questionário, com perguntas sobre o hábito de ler rótulos e, aos que responderam afirmativamente, sobre as informações consultadas. Calculou-se a prevalência do desfecho e de sua associação com variáveis demográficas, socioeconômicas, de situação e serviços de saúde, de conhecimento sobre saúde e nutrição, e de hábitos de vida. Resultados Entre os 1.246 entrevistados, a leitura de rótulos foi referida por 70,9%. Os fatores associados foram: sexo, idade, situação conjugal, escolaridade, diagnóstico de doenças crônicas, autopercepção da saúde e da alimentação, acesso a informações sobre saúde e nutrição, recebimento de orientação para alimentação saudável e prática de atividade física. As informações mais consultadas foram o prazo de validade (73,8%) e o valor nutricional (18%). Conclusão A leitura dos rótulos de alimentos precisa ser popularizada, seja por meio de campanhas educativas, seja pela interação entre usuários e profissionais de saúde. É necessário enfatizar não só a importância de observar-se a validade dos produtos, mas, principalmente, de consultar as informações nutricionais, visando a escolhas alimentares mais saudáveis.

Objetivo: Descrever a prevalência de orientação para alimentação saudável, diferenças entre modelo assistencial e fatores associados entre usuários da atenção primária de saúde. Métodos: Estudo transversal, realizado com 1.246 adultos e idosos, em Pelotas, Rio Grande do Sul. Os dados foram coletados entre maio e outubro de 2013, por meio da aplicação de questionário investigando dados socioeconômicos, doenças crônicas autorreferidas, autopercepção da saúde e da alimentação, estado nutricional, modelo assistencial em que é atendido e orientação para alimentação saudável. A associação entre as variáveis independentes e a orientação para alimentação saudável foi verificada por meio da Razão de Prevalências, comparando-se expostos e não expostos quanto à frequência da orientação. Resultados: A prevalência da orientação para alimentação saudável foi de 42% (IC95 39,2-44,7) e apresentaram maior probabilidade: mulheres (RP=1,51; IC95 1,26-1,83), idosos (RP=1,39; IC95 1,20-1,62), aqueles com maior número de doenças crônicas (RP=1,62; IC95 1,36-1,93), que autoperceberam sua alimentação como negativa (RP=1,32; IC95 1,14-1,52) e atendidos pela Estratégia de Saúde da Família (RP=1,15; 1,02-1,30). A probabilidade da orientação para alimentação saudável mostrou-se menor entre os com cor da pele branca (RP=0,85; IC95 0,74-0,97) e ensino médio e superior ou mais (RP=0,88 e 0,83 respectivamente, p teste tendência linear = 0,037). Conclusão: Na atenção primária, a orientação para alimentação saudável não é universal e há iniquidade, deixando clara a necessidade de maiores esforços no sentido de ampliar a oferta. Maior atenção deve ser dada aos homens, aos indivíduos mais jovens, aos com cor da pele branca e àqueles sem diagnóstico de doenças crônicas.

RESUMO Objetivo: Analisar variáveis associadas à deficiência de vitamina A (DVA) em crianças brasileiras de 6 a 59 meses de idade, considerando um modelo hierárquico de determinação. Métodos: Trata-se de um recorte da Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher (PNDS), realizada em 2006. A análise dos dados incluiu 3.417 crianças de seis a 59 meses com dados de retinol. A DVA foi definida como retinol sérico

OBJECTIVES: To analyze the dietary profile of participants who used two health promotion services located in socially vulnerable areas in a Brazilian metropolis. METHODS: A cross-sectional comparative study was conducted with participants (n = 370) aged ≥ 20 years who joined two services of the Academias da Cidade program in Belo Horizonte, Minas Gerais, Brazil. The study participants engaged in physical activity and nutritional education actions directed by the services from 2009 to 2010. The sociodemographic and economic conditions and health and nutrition profiles of each individual were assessed. RESULTS: Participants from a high social-risk who used the service did not demonstrate adequate intake of vegetables (54.6 versus 43.6%; p = 0.038), sweets (33.5 versus 23.2%; p = 0.030), soft drinks (28.5 versus 11.9%; p < 0.001), artificial juice (34.7 versus 22.6%; p = 0.011), and processed meat (48.8 versus 32.7; p = 0.002). However, in the other service, lower social vulnerability, a higher prevalence of abdominal adiposity (60.7 versus 43.0%; p = 0.004) and consumption of high-fat meat products (53.0 versus 36.5%; p = 0.002) was observed. CONCLUSION: Participants who used both services demonstrated inadequate food intake compatible with the development of chronic disease profiles. However, the participants in each service were distinct from each other. This suggests that promotion of healthy eating should to contemplate the territory and its interface with people health.

Objective. To identify, assess, and compare existing policies on noncommunicable diseases (NCDs) in the Caribbean, gaps in policy responses, and the factors influencing successful policy development and implementation following the Port of Spain Declaration of 2007. Specifically, to examine policies that target the upstream determinants of two NCD risk factors--unhealthy diets and physical inactivity. Methods. A total of 76 semi-structured interviews with 80 relevant stakeholders in government, the private sector, and civil society were complemented by policy document analysis. Interviews were analyzed pragmatically, framed by the CARICOM government commitments, the WHO NCD Action Plan, a Multiple Streams framework approach, and realist evaluation ideas. Results. The most widely-reported policy successes involved health promotion activities (e.g., school meal programs) that leveraged multisectoral collaboration among government ministries, such as Health, Education, and Agriculture. Large policy gaps still exist around creating legislative, physical, and social environments to support healthy eating and physical activity at the population level. Multisectoral NCD commissions successfully reached across sectors, but had limited influence on policy development. Different policy levels emerged with national-level policies considered a lengthy process, while "On-the-ground" programming was considered faster to implement than national policies. External barriers included a reliance on food imports enabled by international trade agreements limited availability, quality, and affordability of healthy foods. International pushback limited legislation to reduce food imports and the absence of an international/regional framework, similar to the Framework Convention on Tobacco Control, further impedes efforts. Conclusions. Regional collaboration and political support across sectors are essential to accelerating the pace of action to support healthy eating and active living environments. Policy 'blueprints' could accelerate the process of development. Regional 'NCD champions' could spearhead such responses and approaches. [ABSTRACT FROM AUTHOR]

Copyright of Revista Nutrición Clínica y Dietética Hospitalaria is the property of Sociedad Espanola de Dietetica y Ciencias de la Alimentacion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Previous studies have shown a relationship between food and nutrition insecurity and chronic noncommunicable diseases (NCDs), and it should be noted that nutritional deficiencies and hunger are not the only forms of expression of this condition. The aim of this study was to evaluate the occurrence of food and nutrition insecurity and the risk factors for the development of NCDs among solid waste collectors in a municipality in the countryside of Ceará State (CE), Brazil. A cross-sectional study was conducted with 32 workers, aged 20-66 years. A structured questionnaire was applied to collect personal, socioeconomic, dietary and anthropometric data. Food and nutrition insecurity was evaluated through the Brazilian Food Insecurity Scale (EBIA). There was food and nutrition insecurity in 100% of the sample, low level of education (78.12%) and low income (87.5%), prevalence of overweight (25.0%) and obesity (31.26%) and poor consumption of fruits, vegetables and vegetables. The was a high proportion of moderate and severe food insecurity, and workers presented risk factors for the onset of NCDs. [ABSTRACT FROM AUTHOR]

Background: The literacy about nutrition of people with diabetes is important since healthy eating can improve the life quality of these people. Objective: The objective of this study was to create an instrument called "Nutrition Literacy among people with Diabetes (NLD)" and evaluate its validity, reliability and interpretability. Method: Methodological study with verification of content validity; pre-test; reliability estimation (internal consistency: Cronbach's alpha; reproducibility: kappa-K, Intraclass Correlation Coefficient - ICC); estimation of the validity of concurrent criterion and interpretability made by counting the correct words associations with scores from 0 to 24 (cut = 18) and hypothesis test in sample for infinite population through logistic regression p=0.05; (OR / CI 95%). Results: The content validity was satisfactory. Reliability (alpha = 0.68, K=0.60 and CCI = 0.68) was good. Regarding the concurrent validity, a correlation between NLD and schooling (rs = 0.88, p = 0.000) was found. From the 212 participants, 75.8% presented NLD> 18. In the hypothesis test, it was found that the higher the schooling, the higher the NLD (1.20 / 1.09-1.31); the NLD was lower among men (0.50 / 0.25-1.01). Conclusion: The NLD was considered valid, reliable and easy to interpret, and it could be used in future research or even in health services that provide assistance to people with diabetes. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Atencao Primaria a Saude is the property of Revista de Atencao Primaria a Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To analyze the variables associated with vitamin A deficiency (VAD) in Brazilian children aged 6 to 59 months, considering a hierarchical model of determination. Methods: This is part of the National Survey on Demography and Health of Women and Children, held in 2006. Data analysis included 3,417 children aged from six to 59 months with retinol data. Vitamin A deficiency was defined as serum retinol <0.7 mol/L. Univariate and multiple Poisson regression analysis were performed, with significance level set at 5%, using a hierarchical model of determination that considered three conglomerates of variables: those linked to the structural processes of community (socioeconomic-demographic variables); to the immediate environment of the child (maternal variables, safety and food consumption); and individual features (biological characteristics of the child). Data were expressed in prevalence ratio (PR). Results: After adjustment for confounding variables, the following remained associated with VAD: living in the Southeast [PR=1,59; 95%CI 1,19-2,17] and Northeast [PR=1,56; 95%CI 1,16-2,15]; in urban area [RP=1,31; 95%CI 1,02-1,72]; and mother aged ≥36 years [RP=2,28; 95%CI 1,37-3,98], the consumption of meat at least once in the last seven days was a protective factor [PR=0,24; 95%CI 0,13-0,42]. Conclusions: The main variables associated with VAD in the country are related to structural processes of society and to the immediate, but not individual, environment of the child. [ABSTRACT FROM AUTHOR]

Objective: To validate the content of an educational material aimed at mothers and caregivers on healthy feeding for children less than two years of age. Methods: Quantitative study for content validation of an educational material containing three educational modules and respective folders, elaborated on the basis of official references for healthy feeding for children under two years old and adapted to the Brazilian context. Content validation was made through consensus conference in two stages by seven experts. Results: In the first stage, an individual and anonymous evaluation was made and the items analyzed by the seven experts averaged seven or more, with standard deviation below three. However, some items in the educational modules (operational and adherence) and Leaflet I (motivation and culture) reached cut-off values. The second stage involved a face-to-face meeting with five of the seven experts, expressing their opinions and seeking for a new consensus. The items whose results were close to the cut-off had an expressive increase in importance and consensus level after the meeting. Conclusions: The quantitative data obtained after the consensus meetings were superior to the predefined cut-offs, and the content of the proposed educational material was consensually validated by all participating experts. The consensus conference was an efficient methodological technique to build and validate educational instruments. [ABSTRACT FROM AUTHOR]

Nutritional care contributes to the individual being an agent of his food choices, aware of the benefits of healthy eating. It should be guided by documents such as the Marco de Referência de Educação Alimentar e Nutricional para Políticas Públicas [Food and Nutrition Education Framework for Public Policies]. This article aims to reflect on nutritional care, discussing relevant concepts such as food and nutrition education, the determinants of dietary pattern, counseling, and how the Framework can contribute with this process. The main interface points between this document and nutritional care are the need to understand the interactions and meanings that determine feeding behavior, and care should not focus only on biological aspects of nutrition. Emphasis is placed on the professional's proper posture as an educator, which favors the opening of dialogue and contributes to empowerment, promotion of self-care and generation of autonomy concerning eating behavior. Considering the complexity of food choices, instruments that collaborate with counseling and food and nutrition education can significantly contribute to democratic access to healthy food. [ABSTRACT FROM AUTHOR]

Chronic non-communicable diseases are the main cause of death and premature incapacity in Brazil. This study aimed to identify nutritional profile and food intake habits of the healthcare system grantee of Ipiranga city/PR and to associate with chronical noncommunicable disease prevalence. Methods: Food consumption and anthropometric data were collected from a food intake questionnaire and by collecting physical data measuring weight, height and waist circumference. Diabetes and hypertension data were collected from medical records. 75 people took part on this research. Results: Women consume more rice, beans and white bread while men consume rice, beans, white bread, pork and fruits. We observed 71.8% of people had overweight/obesity, especially among the men. A larger consumption of pasta, pork, white bread and milk were associated with Chronical diseases prevalence, as well as lower consumption of soft drinks, fresh-squeezed juice, soft drinks, eggs, fish, viscera and sweets. Conclusion: An improvement on healthier food intake/consumption habits with a proper nutritional education is important and should be considered a strategy to prevent and treat these diseases. [ABSTRACT FROM AUTHOR]

This study aimed to determine the nutricional status through anthropometric variables, and describe the use of dietary suplements (DS) in adult bodybuilders. Evaluated 100 adults in 5 academies located in the city of Limoeiro do Norte, Ceará. Regarding the body fat percentage (%BF), 62.16 (n=46) males had a slight body fat percentage as well as fat females 73.08 (n=19). The risck of developing cardiovascular diseases through the waist circumference presented low risk, 77.03% (n=57) in male and 88.46% (n=23) in females. The regarding the use of dietary supplements, 78.3% (n=58) of males subjects were using dietary supplements, and 50% (n=13) female. Between dietary supplements most used by male highlights the branched amino acids (AABC) 59.4% (n=44), rich in proteins 50% (n=37), creatine 47.3% (n=35), anda high in carbohydrates 35.1% (n=26). Food suplements most used by sex women, AABC stands out 34.6% (n=09), rich in proteins 26.9% (n=04), creatine 19.2% (n=05), fat burners 19.2% (n=05) and calorie 19.2% (n=05). Emphasizes the importance of proper professional supervision to correct prescription of food supplements. [ABSTRACT FROM AUTHOR]

Objetivo: Analisar quais são as barreiras enfrentadas pelos médicos do Distrito Federal para realizar a promoção da alimentação saudável. Métodos: Foram considerados dados dos médicos que participaram da pesquisa "Promoção da Alimentação Saudável no SUS-DF: conhecimento, atitudes e práticas", conduzida pela Fundação Oswaldo Cruz (FIOCRUZ) em 2008. Examinaram-se os dados referentes às características demográficas e profissionais, bem como as barreiras percebidas. A determinação dos tipos de barreiras foi feita por análise de componentes principais. Resultados: A maioria dos médicos participantes da pesquisa era composta por mulheres (61%) com idade média de 45 anos e média de atividade profissional de 18,7 anos. A análise resultou em uma solução de 4 componentes e que correspondeu a uma explicação de 59% da variância total: (i) barreiras socioculturais dos usuários, (ii) barreiras relacionadas ao processo gerencial; (iii) barreiras de estrutura do serviço de saúde; e (iv) barreiras educacionais e de comunicação. Conclusão: As barreiras que limitam a promoção da alimentação saudável pelos profissionais de saúde são múltiplas e complexas. Os resultados demonstram que o usuário, em última instância, traduz a dificuldade de promover a sua saúde. Ou seja, os médicos consideram a cultura e as condições sociais como barreiras para a promoção da alimentação saudável. A capacidade do processo gerencial do serviço de saúde também parece contribuir para isso. Desse modo, investimentos em materiais educacionais, treinamento e infraestrutura para a promoção da alimentação saudável, aliados a um aprimoramento na formação médica, são recomendações importantes para a superação dessas barreiras.

Purpose: To report the monitoring experience in the Axis of Collective Health of the Nutrition Course of the Federal University of Rio de Janeiro, Campus UFRJ-Macaé, Brazil, reflecting on this practice as a training strategy for nutritionists. Methodology: The monitoring in the Axis is delineated according to the conception of non-hierarchical education and reciprocity, worked respectively by Paulo Freire and Simone de Beauvoir. Content analysis of the experience reports of the authors in the scope of the monitoring was carried out, in a self-assessment perspective. Results and Discussion: This experience revealed the potential of monitoring as a pedagogical strategy in the training of nutritionists, by adding humanization and providing a dialogical channel of horizontal and reciprocal learning. Monitoring contributes to professor training, above all by encouraging professors to rethink their pedagogical practice to better guide the monitors. It also stimulates the protagonism of the students during their learning, being able to favor greater professional autonomy. Time mismatch to work as a team and little student adherence to the activities proposed by the monitors were the main obstacles identified. Within the scope of the courses, possible ways to overcome such difficulties have been tested, but with little success. Conclusions: It is imperative to discuss monitoring in higher academic spheres, aiming to adjust the curriculum of the courses, in order to incorporate a specific time for this purpose. This experience advocates the construction of a new institutional culture, in which monitoring is inserted in the academic routine, inherent to teaching, articulated to research and extension, favoring the formation of autonomous professionals, freed and imbued with humanization in health care. [ABSTRACT FROM AUTHOR]

Copyright of Saúde e Sociedade is the property of Universidade de Sao Paulo, Faculdade de Saude Publica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Saúde e Sociedade is the property of Universidade de Sao Paulo, Faculdade de Saude Publica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Salud Pública is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: With a focus on nutritionists' education, this article analyzes the experience of a team of the Education through Work for Health Program (PET-Saúde) in the Federal University of Rio de Janeiro, Macaé Campus, effective between 2012 and 2014. Methodology: This team developed activities about nutrition in the municipal health system. PET-Saúde was created in the context of university extension, and it is understood as an integral and inseparable part of higher education. Educational and training activities for the team were based on the Freirian theoretical framework on problematization-reflection. Content analysis was performed to assess members' testimonials about their experience in PET-Saúde. Results and discussion: Practice-based learning and knowledge exchange were the main experience benefits to the education of all group members. These benefits contribute to nutritionists' education, because they narrow the distance between academic education and professional practice. This experience fostered greater social engagement, autonomy, leadership, criticality and broadening of student's perception on health and nutrition issues within the Brazilian Health System. One needs to think about the repercussions of the experience of PET-Saúde, especially given the current scenario of adjustment of Brazilian higher education. Conclusions: Curricular and pedagogical changes in nutritionists' education may be rethought, based on this experience, in order to better incorporate social demands and promote education with a transformative potential. In this sense, this experience contributes to the no-hegemonic movement against the professional education model focused on the capitalist market. [ABSTRACT FROM AUTHOR]

Objective: To investigate mothers’ knowledge of infant feeding. Methods: Descriptive study with a qualitative approach, developed in a Primary Health Unit located in the city of Maranguape-CE, with 14 first-time mothers of children aged 6 to 24 months, who were receiving complementary feeding and were resident in the District of Tabatinga between the months of July and October 2009, through participant observation and semi-structured interview. After reading, careful description of the interviews and classification of speech, the following categories emerged: complementary feeding and breastfeeding; food offered to children; and determinants of the healthy infant feeding. Results: Although mothers have basics knowledge of how a healthy diet should be, they continued introducing harmful foods to children, showing lack of control over food education. Mothers are aware that feeding the child could be based on nutritious foods; nevertheless, they prefer choosing those that feature ease of supply. Conclusion: The introduction of new foods was performed incorrectly and nutritional quality is inadequate for children. The mother appears in charge of the child development; however, for this process to be successful, she must become conscious of this subject, since a healthy diet directly influences the child’s organism, as it acts in all body systems.

PURPOSE: To analyze the usefulness of Quick Lactose Intolerance Test in relation to the genetic test based on LCT-13910C>T genotypes, previously validated for clinical practice, for primary hypolactasia/lactase-persistence diagnosis. METHODS: Thirty-two dyspeptic patients that underwent upper gastrointestinal endoscopy entered the study. Two postbulbar duodenal biopsies were taken for the Quick test, and gastric antral biopsy for DNA extraction and LCT-13910C>T polymorphism analysis. DNA was also extracted from biopsies after being used in the Quick Test that was kept frozen until extraction. RESULTS: Nine patients with lactase-persistence genotype (LCT-13910CT or LCT-13910TT) had normolactasia, eleven patients with hypolactasia genotype (LCT-13910CC) had severe hypolactasia, and among twelve with mild hypolactasia, except for one that had LCT-13910CT genotype, all the others had hypolactasia genotype. The agreement between genetic test and quick test was high (pOBJETIVO: Analisar a aplicabilidade do Teste Quick de Intolerância à Lactose em relação ao teste genético baseado nos genótipos LCT-13910C>T, previamente validado para a prática clínica, para diagnóstico de má digestão primária de lactose/digestão de lactose. MÉTODOS: Trinta e dois pacientes dispépticos submetidos à endoscopia digestiva entraram no estudo. Duas biópsias duodenais pós-bulbares foram empregadas no Teste Quick, e biópsia do antro gástrico para extração de DNA e análise do polimorfismo LCT-13910C>T. DNA também foi extraído de biópsias depois de terem sido usadas no teste Quick, e conservadas congeladas. RESULTADOS: Nove pacientes com genótipo de lactase persistente (LCT-13910CT ou LCT-13910TT) tinham normolactasia, onze pacientes com genótipo de hipolactasia (LCT-13910CC) tinham hipolactasia severa, e entre doze com hipolactasia leve, com exceção de uma que tinha genótipo LCT-13910CT, todos os demais tinham genótipo de hipolactasia. A concordância entre o teste genético e o Quick Teste foi alta (p