Navegando por Autor "Pereira, Gabriela Santana"
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Artigo Long-term effect of the Brazilian workers’ food program on the nutritional status of manufacturing workers: a population-based prospective cohort study(PLoS One, 2020-04) Bezerra, Ingrid Wilza Leal; Torres, Karina Gomes; Pereira, Gabriela Santana; Costa, Raiane Medeiros; Souza, Anissa Melo de; Oliveira, Antônio GouveiaBackground: The Brazilian Workers Food Program (WFP) is a public policy program of nutritional assistance to workers, with the main objective of improving nutritional conditions, which was implemented 40 years ago and serves over 21.4 million workers. Objectives: To compare the long-term change in anthropometric indicators of the nutritional status and dietary intake between workers of manufacturing industries adherent to and non-adherent to the WFP. Methods A prospective cohort study, based on a combined stratified and multistage probability sampling, was carried out, with two waves with a 4-year interval. The change in body mass index (BMI), waist circumference (WC) and dietary intake at lunch by the 24-hour recall method were compared between groups with analysis of covariance. Results A total of 273 workers in 16 industries from an initial cohort of 1069 workers in 26 industries of the State of Rio Grande do Norte in Brazil were evaluated in the two waves. The mean age was 37±10 years and 53.1% were male, with no differences between groups in age and sex distribution. BMI increased in both groups (0.44 kg/m2 in non-WFP, p = 0.003, and 0.56 kg/m2 in WFP, p = 0.0006) and WC increased in the WFP group (1.50 cm, p = 0.0006). BMI change over time did not show statistical differences between groups (p = 0.54) but WC had a greater increase in the WFP group (difference 1.37 cm, p = 0.047). There were no differences between groups in the change over time of the dietary intake. Conclusion: BMI and WC increased over time in manufacturing workers of industries both adherent and non-adherent to the WFP, but with a greater increase of WC in the WFP group. In order to achieve the objectives of the WFP, there will be a need for periodic evaluation and monitoring of nutritional indicators in these workers and implementation of monitoring and enforcement actions of the WFPArtigo Participation in a food assistance program and excessive weight gain: an evaluation of the brazilian worker's food program in male and female manufacturing workers(BMC Public Health, 2022-07) Bezerra, Ingrid Wilza Leal; Costa, Raiane Medeiros; Torres, Karina Gomes; Pereira, Gabriela Santana; Souza, Anissa Melo de; Oliveira, Antonio GouveiaBackground: Several published studies have reported an association between participation in a food assistance program and greater prevalence of overweight/obesity. Our aim was to compare nutritional status and nutrient consumption between workers from manufacturing companies participant and non-participant in the Brazilian Workers’ Food Program (WFP). Design: Cross-sectional survey, based on a probability sample of manufacturing workers in Brazil obtained by stratifed two-stage sampling, comparative between WFP and non-WFP participating companies. Body mass index (BMI), waist circumference (WC), and nutrient consumption (24-hour recall) were collected by trained nutritionists. Statistical analysis was done separately in each sex with mixed efects multilevel linear regression model including sampling weights and covariate adjustment. Results: Thirty-three companies were randomly selected from all companies in three diferent economic activity sectors (food and beverages, non-metallic minerals, and textiles) in North-eastern Brazil, with stratifcation by company size, and a random sample of 929 workers (484 from non-WFP and 445 from WFP companies) was obtained from those companies. In males, the WFP group had higher BMI (+1.08 kg/m2 , p<0.001), greater WC (+3.27 cm, p<0.001) and greater prevalence of obesity (OR 1.67, p<0.001). In females, no statistical signifcant diferences were observed in anthropometric parameters, but the WFP group had lower prevalence of obesity (OR 0.49, p=0.05). Among workers in companies that provide lunch, males from WFP companies have greater consumption of carbohydrates (+39.5 kcal, p=0.02) and protein (+11.1 kcal, p=0.08), while females have lower protein consumption (−14.2 kcal, p=0.04) and also lower total daily consumption of carbohydrates (−59.3 Kcal, p=0.05) and total lipids (−14.2 Kcal, p=0.04). Conclusions: Participation in the WFP is associated with increased BMI and WC among male workers; however, this association was not found in females. Compared to the non-WFP group, in the WFP group, males have greater consumption of carbohydrates and protein at lunch, while women have lower protein intake. These results indicate the need that proposals for public policies aimed to the improvement of the nutritional status of populations take into consideration the diferent efects of food assistance programs in males and femalesTCC Perfil de alimentação ofertada em empresas vinculadas ao programa de alimentação do trabalhador no Rio Grande do Norte(Universidade Federal do Rio Grande do Norte, 2016-05-18) Pereira, Gabriela Santana; Bezerra, Ingrid Wilza Leal; Bezerra, Ingrid Wilza Leal; Medeiros, Gidyenne Chrystine Bandeira Silva de; Nascimento, Annamaria Barbosa do NascimentoO presente estudo teve como objetivo avaliar o perfil da alimentação ofertada aos trabalhadores de empresas vinculadas ao Programa de Alimentação do Trabalhador (PAT) no Estado do Rio Grande do Norte, quanto aos aspectos dietéticos. Foi um estudo de caráter descritivo, realizado em quatro indústrias têxteis localizadas na Grande Natal/RN, cadastradas no Programa de Alimentação do Trabalhador e com responsáveis técnicos habilitados em nutrição, onde se avaliou cinco cardápios referentes a uma semana de oferta de alimentos e à refeição do almoço. A análise dos cardápios demonstrou que as refeições ofertadas pelas empresas beneficiadas pelo PAT são hipercalóricas, hiperproteicas, hipoglicídicas, normolipídicas e hipersódicas. Quanto aos outros elementos alimentares, observou-se que a oferta de fibra e sódio foi superior ao preconizado pelo programa. Em relação à oferta de legumes e verduras, eram fornecidos pelo menos uma porção/dia e a oferta de frutas teve adequação média de 75%. Quanto aos aspectos qualitativos, verificou-se que as indústrias realizam ações de promoção de práticas alimentares saudáveis apenas uma vez por ano. Sendo assim, o estudo demonstrou que as indústrias beneficiadas pelo Programa de Alimentação do Trabalhador no estado do Rio Grande do Norte, ainda necessitam adequar sua oferta de alimentos e nutrientes aos parâmetros nutricionais estabelecidos pela Portaria no 66. Isso mostra a importância de uma atuação eficiente do profissional nutricionista na área da alimentação coletiva, promovendo alimentação adequada por meio do planejamento de cardápios nutricionalmente apropriados e de ações frequentes de promoção de práticas alimentares saudáveis.TCC Prevalência de doenças crônicas não transmissíveis em trabalhadores da indústria do RN(Universidade Federal do Rio Grande do Norte, 2018-12-07) Bezerra, Rafaella Bertoldo Dutra; Bezerra, Ingrid Wilza Leal; Gabriela Santana Pereira; Bezerra, Ingrid Wilza Leal; Lopes, Marcia Marília Gomes Dantas; Pereira, Gabriela SantanaO presente estudo objetivou avaliar a variação longitudinal da prevalência de Doenças Crônicas não Transmissíveis (DCNT) em trabalhadores das Indústrias de Transformação do Rio Grande do Norte vinculadas ao Programa de Alimentação do Trabalhador (PAT). O estudo possui natureza quantitativa e caráter descritivo e comparativo ao longo de 4 anos. Para isso, foram incluídas oito indústrias que aceitaram participar desta nova etapa de pesquisa, onde seus trabalhadores foram avaliados por entrevistadores treinados por meio de um questionário semiestruturado contendo informações autorreferidas de saúde quanto à presença de DCNT, além de medidas antropométricas aferidas para a classificação adequada do Índice de Massa Corporal (IMC). A análise dos dados foi realizada no programa Microsoft Excel®. Foram apresentadas estatísticas descritivas, utilizando-se medidas tendência central e dispersão ou a distribuição percentual das prevalências de interesse do estudo. Os resultados demonstraram uma população predominantemente masculina (54,9%), com média de 40 anos de idade, renda de 1,6 salários mínimos, com a maior parte dos indivíduos com ensino médio completo (53,5%) e, mediante o diagnóstico de IMC, com prevalência de sobrepeso (média de 27,79 kg/m²). Além disso, houve um aumento de 7,7% na prevalência de hipertensão arterial sistêmica (HAS), de 2,1% na de diabetes mellitus tipo 2 e de 3,6% na de excesso de peso, uma constância em 9,9% para hipercolesterolemia e uma redução de 2,1% na de hipertrigliceridemia. Também mostrou um baixo uso de medicamentos pelos indivíduos acometidos por DCNT visto que há uma necessidade de 100% de aderência para controle efetivo dessas doenças e promoção de saúde, e que nem todos faziam o tratamento adequado. Sendo assim, os resultados encontrados no presente estudo permitem concluir que houve uma tendência para o aumento na prevalência de DCNT pesquisadas ao longo de quatro anos, com o uso de medicamentos para o seu controle ainda abaixo do esperado. Por fim, destaca-se a importância do desenvolvimento de estudos dessa natureza, que se dediquem a grupos específicos, como os trabalhadores, e que identifiquem a prevalência de DCNT, bem como o seu avanço, gerando diagnósticos de base populacional que favoreçam a proposição ou o aprimoramento de políticas públicas para o enfrentamento desse problema.Artigo Quantitative and qualitative changes in diet associated with the consumption of ultra-processed foods: a survey on a representative sample of manufacturing workers in brazil(Nutrients, 2023-06) Morais, Célia Márcia Medeiros de; Costa, Raiane Medeiros; Bezerra, Ingrid Wilza Leal; Souza, Anissa Melo de; Torres, Karina Gomes; Pereira, Gabriela Santana; Oliveira, Antonio GouveiaThe increasing intake of ultra-processed (UP) foods is causing changes in the profile of food and nutrient consumption, negatively influencing consumer behavior. The present study aimed to evaluate the influence of UP foods on the diet of Brazilian adults, verifying the association between its increasing contribution to total energy and trends in the consumption of other NOVA groups, food subgroups, energy consumption, and macro- and micronutrients. We conducted an observational, cross-sectional study of a probability sample of 921 manufacturing workers in the state of Rio Grande do Norte, Brazil, from a combined stratified and two-stage survey. Trends in consumption across quintiles of UP food contribution to the total energy intake were tested with linear regression. The results showed that higher UP food consumption is associated with a higher intake of energy, carbohydrates and total-, mono- and polyunsaturated fats, saturated fats and trans fats, and the micronutrients calcium, iron and thiamine; and higher consumption of ready-to-eat foods, accompanied by lower consumption of foods that require preparation, such as beans, tubers and roots, vegetables and fruits, which may represent a risk for the development of non-transmissible chronic diseases in this populationArtigo Relationship between metabolic syndrome and the Brazilian worker's food program in male and female manufacturing workers(Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 2020-10) Bezerra, Ingrid Wilza Leal; Pereira, Gabriela Santana; Souza, Anissa Melo de; Santos, Isabelle Cristina Clemente dos; Silbiger, Vivian Nogueira; Costa, Raiane Medeiros; Torres, Karina Gomes; Oliveira, Antônio GouveiaIntroduction: Several studies have reported increased cardiometabolic risk among workers assisted by food assistance public policies. The aim of this study was to estimate the prevalence of metabolic syndrome (MetS) and its individual components among manufacturing workers and their relationship to the Brazilian Workers’ Food Program (WFP). Methods: It was a prospective, cross-sectional, two-stage survey comparative of manufacturing workers from companies adherent and non-adherent to the WFP stratified by sector of activity and company size. The workers were interviewed in the workplace, and data on waist circumference (WC), blood pressure, and 12-hours fasting blood glucose (FBG), serum triglycerides (TG), and total and HDL-cholesterol were obtained. Mixed effects multilevel regression was used to compare WFP and non-WFP groups separately in each sex. All subjects gave written informed consent. Results: The survey included 332 workers from 16 WFP companies and 344 workers from 17 non-WFP companies. The general prevalence of MetS, according to IDF/AHA/NHLBI criteria, was high but not statistically different between sexes (39.8% in females versus 28.5% for males, p=0.16). Statistically significant differences were found between sexes in the prevalence of individual components: WC (77.8% in females versus 38.3% in males, p=0.002), TG (27.3% in females versus 40.8% in males, p=0.07), and HDL-C (52.2% in females versus 43.1% in males, p=0.05). Among males, MetS prevalence was significantly higher in the WFP group (33.0% versus 23.9%, p=0.008), and, in the individual components, the WFP group had higher prevalence of increased WC (47.0% versus 29.4%, p<0.001) and elevated FBG (8.9% versus 6.3%, p<0.001), as well as greater average levels of TG, HDL-C and FBG. Among female workers, no statistically significant differences between groups were observed in MetS prevalence and its individual components, but WFP female worker presented lower systolic and diastolic blood pressure. Conclusion: In a low-income population, male manufacturing workers participating in a food assistance program are at increased risk of MetS, an effect that was not identified among female workersArtigo Relationships between motivations for food choices and consumption of food groups: a prospective cross-sectional survey in manufacturing workers in Brazil(Nutrients, 2020-05) Bezerra, Ingrid Wilza Leal; Souza, Anissa Melo de; Pereira, Gabriela Santana; Torres, Karina Gomes; Costa, Raiane Medeiros; Oliveira, Antônio GouveiaMotivations for food choices may determine consumption, and understanding that relationship may help direct strategies for formulating diets. This study aimed to identify associations between motivations for food choices and consumption of food groups. An observational cross-sectional survey was conducted in 921 manufacturing workers from 33 companies in Brazil, based on a stratified two-stage probability sample. Motivations for food choices were assessed with the Food Choice Questionnaire, and intake of food groups was measured using 24-h dietary recall. Consumption was classified into 31 food groups defined according to their nutritional value and the NOVA classification. Data were analyzed with multilevel mixed-effects regression. The results showed that sensory appeal and price were the most important motivations for food choices, while ethical concern was less important. Sensory appeal was positively associated with consumption of industrialized condiments (p = 0.022), price showed a negative correlation with consumption of plant oils (p = 0.022), ethical concern showed positive correlation within consumption white meat (p = 0.065) and negative correlation within pasta dishes (p < 0.001). Regarding the NOVA classification, health correlated with an increase in consumption of unprocessed foods (p = 0.017) and weight control with a decrease in consumption of processed culinary ingredients (p = 0.057)Dissertação Risco de Síndrome Metabólica em trabalhadores de indústrias de transformação vinculadas e não vinculadas ao Programa de Alimentação do Trabalhador(Universidade Federal do Rio Grande do Norte, 2020-08-28) Pereira, Gabriela Santana; Oliveira, Antônio Manuel Gouveia de; Bezerra, Ingrid Wilza Leal; ; ; ; Lemos, Telma Maria Araújo Moura; ; Monteiro, Sandra Maria Nunes;Estudos vêm relatando um aumento do risco cardiometabólico entre trabalhadores devido à uma maior frequência de excesso de peso e maior perímetro abdominal (PA) naqueles assistidos pelo Programa de Alimentação do Trabalhador (PAT), única Política Pública de Segurança Alimentar e Nutricional voltada para este público no Brasil. Assim, o objetivo deste estudo foi estimar a prevalência da Síndrome Metabólica (SMet) e seus componentes individuais entre trabalhadores da indústria e sua relação com o PAT. Para tanto, desenvolveu-se uma pesquisa prospectiva em dois estágios, transversal, comparativa de trabalhadores de indústrias de transformação aderentes e não aderentes ao PAT, estratificadas por setor de atividade e tamanho da empresa. Após assinarem o consentimento, foram coletados dados socioeconômicos, biodemográficos, antropométricos, informações de saúde e verificação da pressão arterial dos trabalhadores. Também se coletou amostras de sangue (12h de jejum) para determinação de glicemia, triglicerídeos e HDL-colesterol. A regressão logística multinível de efeitos mistos foi usada para comparar os grupos PAT e não PAT separadamente em cada sexo. A pesquisa incluiu um total 930 trabalhadores e 33 indústrias. A prevalência geral de SMet foi alta, mas sem diferenças estatísticas entre os sexos (39,8% mulheres versus 28,5% nos homens, p = 0,16). Ao comparar os grupos, os homens do grupo PAT apresentaram prevalência de SMet significativamente maior (33,0% versus 23,9% não PAT, p = 0,008) e para os componentes individuais, observou-se maior prevalência de PA aumentada (47,0% versus 29,4% não PAT, p <0,001) e glicemia de jejum elevada (8,9% versus 6,3% não PAT, p <0,001). Para as mulheres, não foram observados resultados estatisticamente significativos na prevalência de SMet e seus componentes individuais entre os grupos. Assim, conclui-se que os programas de assistência alimentar estão associados ao aumento da prevalência da SMet nos homens, mas não nas mulheres, sugerindo que existe uma diferença nos efeitos dos programas de assistência alimentar sobre o estado de saúde de indivíduos de baixa renda, que pode ter influência do sexo e da insegurança alimentar.