Interferentes no consumo de frutas e hortaliças de usuários do Programa Academia da Saúde

Detalhes bibliográficos
Autor(a) principal: Sarah Liduário Rocha Silva
Data de Publicação: 2019
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFMG
Texto Completo: http://hdl.handle.net/1843/31064
Resumo: Introduction: inadequate fruit and vegetable (FV) consumption may stem from individual, cultural, socioeconomic, agricultural and environmental issues. Investigating the interferers factors in this consumption is important for the design of appropriate intervention strategies, especially in health services, given the scope of the Brazilian public health system. Objective: identify factors associated with inadequate consumption of fruit and vegetable in users of the Health Academy Program (HAP). Methods: a cross-sectional study was conducted with 3.414 HAP users from Belo Horizonte, Minas Gerais. The explanatory variables investigated were: sociodemographic, health issues, anthropometry and FV purchase profile. The outcomes investigated were the inadequate fruit consumption (less than three portions/day); and vegetables (less than two portions/day). Frequency analysis and bivariate analysis were performed using Chi-square tests to compare explanatory variables and outcomes. To identify the factors associated with inadequate fruit and vegetable consumption, we used the Multiple Logistic Regression, and the results presented by Odds Ratio values and confidence intervals (95% CI). Results: the prevalence of inadequate consumption of fruits (62.2%) and vegetables (41.2%) was high among PAS users. This inadequacy was associated with: being male (fruits: OR=1.6; IC95%: 1.3-2.0; p<0.001; vegetables: OR=1.7; IC95% 1.4-2.2; p<0.001), to be young adult (20-39 years old) (fruits: 40-50 years old: OR=0.6; IC95%: 0.4-0.8; p<0.001 and >60 years old: OR=0.3; IC95%: 0.2-0.5; p<0.001; vegetables: 40-50 years old: OR=0.6; IC95%: 0.5-0.8; p=0.001 and >60 years old: OR=0.5; IC95%: 0.40.7; p<0.001), assessing the quality of life as poor (good quality of life - fruits: OR=0.7; IC95%: 0.5-0.8; p<0.001; vegetables: OR=0.6; IC95%: 0.5-0.7; p<0.001) and not having knowledge about food crop season (having knowledge about food crop season - fruits: OR=0.7; IC95%: 0.6-0.8; p<0.001; vegetables: OR=0.8; IC95%: 0.7-0.9; p=0.004). Factors associated only with inadequate fruit consumption were: not having diabetes mellitus (having diabetes mellitus: OR=0.7; IC95%: 0.5-0.8; p<0.001) and smoking habit (OR=1.5; IC95% 1.1-2.2; p=0.012); and vegetables: having up to four years of study (5-9 years: OR=0.8; IC95%: 0.7-0.9; p=0.015 and >10 years: OR=0.8; IC95%: 0.6-0.9; p=0.005). Conclusion: similar and distinct interfering factors related to FV inadequate consumption were identified, confirming the need to analyze these foods separately. Knowing these interferers and acting on those that can be modified, such as the proximal ones: smoking habit and knowledge about food crop season, and more distal ones: education and quality of life, may favor the design of more effective strategies to encourage the consumption of FV in health services.
id UFMG_ab76b1f76e6aee0748809ea56950e6ef
oai_identifier_str oai:repositorio.ufmg.br:1843/31064
network_acronym_str UFMG
network_name_str Repositório Institucional da UFMG
repository_id_str
spelling Interferentes no consumo de frutas e hortaliças de usuários do Programa Academia da SaúdeBarreirasConsumo AlimentarFrutasHortaliçasAtenção Primária à SaúdeConsumo AlimentarIntroduction: inadequate fruit and vegetable (FV) consumption may stem from individual, cultural, socioeconomic, agricultural and environmental issues. Investigating the interferers factors in this consumption is important for the design of appropriate intervention strategies, especially in health services, given the scope of the Brazilian public health system. Objective: identify factors associated with inadequate consumption of fruit and vegetable in users of the Health Academy Program (HAP). Methods: a cross-sectional study was conducted with 3.414 HAP users from Belo Horizonte, Minas Gerais. The explanatory variables investigated were: sociodemographic, health issues, anthropometry and FV purchase profile. The outcomes investigated were the inadequate fruit consumption (less than three portions/day); and vegetables (less than two portions/day). Frequency analysis and bivariate analysis were performed using Chi-square tests to compare explanatory variables and outcomes. To identify the factors associated with inadequate fruit and vegetable consumption, we used the Multiple Logistic Regression, and the results presented by Odds Ratio values and confidence intervals (95% CI). Results: the prevalence of inadequate consumption of fruits (62.2%) and vegetables (41.2%) was high among PAS users. This inadequacy was associated with: being male (fruits: OR=1.6; IC95%: 1.3-2.0; p<0.001; vegetables: OR=1.7; IC95% 1.4-2.2; p<0.001), to be young adult (20-39 years old) (fruits: 40-50 years old: OR=0.6; IC95%: 0.4-0.8; p<0.001 and >60 years old: OR=0.3; IC95%: 0.2-0.5; p<0.001; vegetables: 40-50 years old: OR=0.6; IC95%: 0.5-0.8; p=0.001 and >60 years old: OR=0.5; IC95%: 0.40.7; p<0.001), assessing the quality of life as poor (good quality of life - fruits: OR=0.7; IC95%: 0.5-0.8; p<0.001; vegetables: OR=0.6; IC95%: 0.5-0.7; p<0.001) and not having knowledge about food crop season (having knowledge about food crop season - fruits: OR=0.7; IC95%: 0.6-0.8; p<0.001; vegetables: OR=0.8; IC95%: 0.7-0.9; p=0.004). Factors associated only with inadequate fruit consumption were: not having diabetes mellitus (having diabetes mellitus: OR=0.7; IC95%: 0.5-0.8; p<0.001) and smoking habit (OR=1.5; IC95% 1.1-2.2; p=0.012); and vegetables: having up to four years of study (5-9 years: OR=0.8; IC95%: 0.7-0.9; p=0.015 and >10 years: OR=0.8; IC95%: 0.6-0.9; p=0.005). Conclusion: similar and distinct interfering factors related to FV inadequate consumption were identified, confirming the need to analyze these foods separately. Knowing these interferers and acting on those that can be modified, such as the proximal ones: smoking habit and knowledge about food crop season, and more distal ones: education and quality of life, may favor the design of more effective strategies to encourage the consumption of FV in health services.Introdução: a inadequação do consumo de frutas e hortaliças (FH) pode ser oriunda de questões individuais, culturais, socioeconômicas, agrícolas e ambientais. Investigar os fatores interferentes neste consumo é importante para o delineamento de estratégias adequadas de intervenção, sobretudo nos serviços de saúde, haja vista a abrangência do sistema público de saúde brasileiro. Objetivo: identificar os fatores associados ao consumo inadequado de frutas e hortaliças em usuários do Programa Academia da Saúde (PAS). Métodos: conduziu-se estudo transversal com amostra representativa (N=3.414) de usuários do PAS de Belo Horizonte, Minas Gerais. As variáveis explicativas investigadas foram: sociodemográficas, questões de saúde, antropometria e perfil de compra de FH. Os desfechos investigados foram o consumo inadequado de frutas (inferior a três porções/dia); e de hortaliças (inferior a duas porções/dia). Realizou-se análise de frequências e bivariada com uso dos testes Qui-Quadrado para comparação das variáveis explicativas e os desfechos. Para identificar os fatores associados ao consumo inadequado de frutas e de hortaliças utilizou-se a Regressão Logística Múltipla, sendo os resultados apresentados pelos valores de Odds Ratio e intervalos de confiança (IC 95%). Resultados: foram altas as prevalências de consumo inadequado de frutas (62,2%) e de hortaliças (41,2%) entre os usuários do PAS. Esta inadequação foi associada a: ser do sexo masculino (frutas: OR=1,6; IC95%: 1,3-2,0; p<0,001; hortaliças: OR=1,7; IC95% 1,4-2,2; p<0,001), ser adulto jovem (20-39 anos) (frutas: 40-50 anos: OR=0,6; IC95%: 0,4-0,8; p<0,001 e >60 anos: OR=0,3; IC95%: 0,2-0,5; p<0,001; hortaliças: 40-50 anos: OR=0,6; IC95%: 0,5-0,8; p=0,001 e >60 anos: OR=0,5; IC95%: 0,4-0,7; p<0,001), avaliar a qualidade de vida como ruim (qualidade de vida boa - frutas: OR=0,7; IC95%: 0,5-0,8; p<0,001; hortaliças: OR=0,6; IC95%: 0,5-0,7; p<0,001) e não ter conhecimento sobre safra dos alimentos (ter conhecimento sobre safra dos alimentos - frutas: OR=0,7; IC95%: 0,6-0,8; p<0,001; hortaliças: OR=0,8; IC95%: 0,7-0,9; p=0,004). Foram fatores associados somente ao consumo inadequado de frutas: não ter diabetes mellitus (ter diabetes mellitus: OR=0,7; IC95%: 0,5-0,8; p<0,001) e ter o hábito de fumar (OR=1,5 IC95% 1,1-2,2; p=0,012); e a hortaliças: possuir até quatro anos de escolaridade (5-9 anos: OR=0,8; IC95%: 0,7-0,9; p=0,015 e >10 anos: OR=0,8; IC95%: 0,6-0,9; p=0,005). Conclusão: foram identificados fatores interferentes semelhantes e distintos relacionados ao consumo inadequado de FH, confirmando a necessidade de analisar esses alimentos separadamente. Conhecer estes interferentes e agir sobre aqueles passíveis de modificação, como os proximais: hábito de fumar e conhecimento sobre safra dos alimentos, e os mais distais: escolaridade e qualidade de vida, pode favorecer o delineamento de estratégias mais efetivas de incentivo ao consumo de FH nos serviços de saúde.CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas GeraisCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorUniversidade Federal de Minas GeraisBrasilENF - DEPARTAMENTO DE NUTRIÇÃOPrograma de Pós-Graduação em Nutrição e SaúdeUFMGAline Cristine Souza Lopeshttp://lattes.cnpq.br/6800795259915680Raquel de Deus MendonçaLuana Caroline dos SantosMariana Carvalho de MenezesSarah Liduário Rocha Silva2019-11-19T14:33:06Z2019-11-19T14:33:06Z2019-09-09info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/1843/31064porinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMG2019-11-20T06:27:33Zoai:repositorio.ufmg.br:1843/31064Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oairepositorio@ufmg.bropendoar:2019-11-20T06:27:33Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.none.fl_str_mv Interferentes no consumo de frutas e hortaliças de usuários do Programa Academia da Saúde
title Interferentes no consumo de frutas e hortaliças de usuários do Programa Academia da Saúde
spellingShingle Interferentes no consumo de frutas e hortaliças de usuários do Programa Academia da Saúde
Sarah Liduário Rocha Silva
Barreiras
Consumo Alimentar
Frutas
Hortaliças
Atenção Primária à Saúde
Consumo Alimentar
title_short Interferentes no consumo de frutas e hortaliças de usuários do Programa Academia da Saúde
title_full Interferentes no consumo de frutas e hortaliças de usuários do Programa Academia da Saúde
title_fullStr Interferentes no consumo de frutas e hortaliças de usuários do Programa Academia da Saúde
title_full_unstemmed Interferentes no consumo de frutas e hortaliças de usuários do Programa Academia da Saúde
title_sort Interferentes no consumo de frutas e hortaliças de usuários do Programa Academia da Saúde
author Sarah Liduário Rocha Silva
author_facet Sarah Liduário Rocha Silva
author_role author
dc.contributor.none.fl_str_mv Aline Cristine Souza Lopes
http://lattes.cnpq.br/6800795259915680
Raquel de Deus Mendonça
Luana Caroline dos Santos
Mariana Carvalho de Menezes
dc.contributor.author.fl_str_mv Sarah Liduário Rocha Silva
dc.subject.por.fl_str_mv Barreiras
Consumo Alimentar
Frutas
Hortaliças
Atenção Primária à Saúde
Consumo Alimentar
topic Barreiras
Consumo Alimentar
Frutas
Hortaliças
Atenção Primária à Saúde
Consumo Alimentar
description Introduction: inadequate fruit and vegetable (FV) consumption may stem from individual, cultural, socioeconomic, agricultural and environmental issues. Investigating the interferers factors in this consumption is important for the design of appropriate intervention strategies, especially in health services, given the scope of the Brazilian public health system. Objective: identify factors associated with inadequate consumption of fruit and vegetable in users of the Health Academy Program (HAP). Methods: a cross-sectional study was conducted with 3.414 HAP users from Belo Horizonte, Minas Gerais. The explanatory variables investigated were: sociodemographic, health issues, anthropometry and FV purchase profile. The outcomes investigated were the inadequate fruit consumption (less than three portions/day); and vegetables (less than two portions/day). Frequency analysis and bivariate analysis were performed using Chi-square tests to compare explanatory variables and outcomes. To identify the factors associated with inadequate fruit and vegetable consumption, we used the Multiple Logistic Regression, and the results presented by Odds Ratio values and confidence intervals (95% CI). Results: the prevalence of inadequate consumption of fruits (62.2%) and vegetables (41.2%) was high among PAS users. This inadequacy was associated with: being male (fruits: OR=1.6; IC95%: 1.3-2.0; p<0.001; vegetables: OR=1.7; IC95% 1.4-2.2; p<0.001), to be young adult (20-39 years old) (fruits: 40-50 years old: OR=0.6; IC95%: 0.4-0.8; p<0.001 and >60 years old: OR=0.3; IC95%: 0.2-0.5; p<0.001; vegetables: 40-50 years old: OR=0.6; IC95%: 0.5-0.8; p=0.001 and >60 years old: OR=0.5; IC95%: 0.40.7; p<0.001), assessing the quality of life as poor (good quality of life - fruits: OR=0.7; IC95%: 0.5-0.8; p<0.001; vegetables: OR=0.6; IC95%: 0.5-0.7; p<0.001) and not having knowledge about food crop season (having knowledge about food crop season - fruits: OR=0.7; IC95%: 0.6-0.8; p<0.001; vegetables: OR=0.8; IC95%: 0.7-0.9; p=0.004). Factors associated only with inadequate fruit consumption were: not having diabetes mellitus (having diabetes mellitus: OR=0.7; IC95%: 0.5-0.8; p<0.001) and smoking habit (OR=1.5; IC95% 1.1-2.2; p=0.012); and vegetables: having up to four years of study (5-9 years: OR=0.8; IC95%: 0.7-0.9; p=0.015 and >10 years: OR=0.8; IC95%: 0.6-0.9; p=0.005). Conclusion: similar and distinct interfering factors related to FV inadequate consumption were identified, confirming the need to analyze these foods separately. Knowing these interferers and acting on those that can be modified, such as the proximal ones: smoking habit and knowledge about food crop season, and more distal ones: education and quality of life, may favor the design of more effective strategies to encourage the consumption of FV in health services.
publishDate 2019
dc.date.none.fl_str_mv 2019-11-19T14:33:06Z
2019-11-19T14:33:06Z
2019-09-09
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1843/31064
url http://hdl.handle.net/1843/31064
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
Brasil
ENF - DEPARTAMENTO DE NUTRIÇÃO
Programa de Pós-Graduação em Nutrição e Saúde
UFMG
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
Brasil
ENF - DEPARTAMENTO DE NUTRIÇÃO
Programa de Pós-Graduação em Nutrição e Saúde
UFMG
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Repositório Institucional da UFMG
collection Repositório Institucional da UFMG
repository.name.fl_str_mv Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv repositorio@ufmg.br
_version_ 1816829796007542784