Ingestão De Carnes Em Adultos: Estudo De Base Populacional Na Cidade De Campinas, Brasil. Um Estudo Transversal

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Meat is a food with high nutritional density that has significant participation in the Brazilian diet. However, in excess it can cause harm to health. The aim of this study was to analyze the meat intake (g/day) among adults according to sociodemographic, behavioral and health situation characteristics, and to assess the types of meat most consumed. DESIGN AND SETTING: Cross-sectional population-based study conducted in the city of Campinas, São Paulo, Brazil, in 2008 and 2009. METHODS: Two-stage cluster sampling was used. The analysis included 948 adults between 20 and 59 years, who were participants in the Campinas Health Survey. Meat intake was assessed using 24-hour dietary recall. RESULTS: The mean meat intake adjusted for sex and age was 182.3 g (95% CI: 170.6-193.9 g), with significantly lower intake among women, individuals aged 50 years or over, those with the presence of two or more self-reported chronic diseases and those with three or more health complaints. Higher meat intake was found in segments with intermediate monthly family income (between 1 and 3 minimum wages), those with 16 or more appliances per household and those who consumed soft drinks seven days a week. Beef was consumed most frequently (44%) among the meats in the diet, followed by poultry, fish and pork. CONCLUSION: The data from this study reveal high meat intake in the population of Campinas and identify the segments that need to be prioritized for strategies directed towards appropriate meat intake. © 2016, Associacao Paulista de Medicina. All rights reserved.1342138145409747-2006-8, CNPq, Conselho Nacional de Desenvolvimento Científico e TecnológicoConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq

Diet Quality Among Adolescents: A Population-based Study In Campinas, Brazil [qualidade Da Dieta De Adolescentes: Estudo De Base Populacional Em Campinas, Sp]

We assessed the overall diet quality and adequacy of diet consumption of each component of the diet of adolescents according to demographic, socioeconomic and body mass index (BMI) data. A cross-sectional population-based study analyzed a representative sample of 409 adolescents, aged 12-19 years, using the Healthy Eating Index (HEI). We estimated the prevalence of diets classified in the first quartile of the HEI and the average scores of each component of the HEI. Linear and Poisson multiple regressions were used in the analysis. The mean score of HEI was 59.7. We observed a lower prevalence of inadequate diets in the segment with heads of household presenting higher schooling. The lower socioeconomic status segments, measured by income and schooling, showed a lower consumption of vegetables, fruits, dairy products and a less diversified diet, and a higher intake of cereals and legumes. Overweight/obese adolescents consume more meat and eggs and less fruit compared to low weight/normal weight adolescents. Girls had a higher intake of total fat and lower sodium intake. The results identified diet components that deserve more attention in the strategies to promote healthy eating, and the more vulnerable segments among adolescents.153605616(2010) Child and adolescent health and development: Progress report 2009: Highlights, , World Health Organization, Geneva(2011) Ministério da Saúde, , Brasil, Secretaria de Vigilância em Saúde. Departamento de Análise de Situação de Saúde. Plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis (DCNT) no Brasil 2011-2022. BrasíliaLevy, R.B., Castro, I.R.R., Cardoso, L.O., Tavares, L.F., Sardinha, L.M.V., Gomes, F.S., Consumo e comportamento alimentar entre adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar (PeNSE), 2009 (2010) Rev Cien Saúde Colet, 15 (S2), pp. 3085-3097Toral, N., Slater, B., Cintra, I.P., Fisberg, M., Comportamento alimentar de adolescentes em relação ao consumo de frutas e verduras (2006) Rev Nutr, 19 (3), pp. 331-340(2011) Pesquisa de Orçamentos Familiares-2008-2009: Análise do consumo alimentar pessoal no Brasil, , Instituto Brasileiro de Geografia e Estatística, Rio de Janeiro(2010) Pesquisa de Orçamentos Familiares-2008-2009: Antropometria e estado nutricional de crianças, adolescentes e adultos no Brasil, , Instituto Brasileiro de Geografia e Estatística, Rio de JaneiroCervato, A.M., Vieira, V.L., Índices dietéticos na avaliação da qualidade global da dieta (2003) Rev Nutr, 16 (3), pp. 347-355Kennedy, E.T., Ohls, J., Carlson, S., Fleming, K., The Healthy Eating Index: Design and applications (1995) J Am Diet Assoc, 95, pp. 1103-1108Fisberg, R.M., Slater, B., Barros, R.R., Lima, F.D., Cesar, C.L.G., Carandina, L., Índice de Qualidade da Dieta: Avaliação da adaptação e aplicabilidade (2004) Rev Nutr, 17 (3), pp. 301-308Alves, M.C.G.P., Plano de amostragem (2008) As dimensões da saúde: Inquérito populacional em Campinas, pp. 46-55. , In: Barros MBA, Cesar CLG, Carandina L, Goldbaum M, org, São Paulo: Aderaldo & RothschildGodoy, F.C., Andrade, S.C., Morimoto, J.M., Carandina, L., Goldbaum, M., Barros, M.B.A., Índice de qualidade da dieta de adolescentes residentes no distrito do Butantã, município de São Paulo, Brasil (2006) Rev Nutr, 19 (6), pp. 663-671Thompson, F.E., Byers, T., Dietary assessment resource manual (1994) J Nutr, (124 S), pp. 2245-2317de Onis, M., Onyango, A.W., Borghi, E., Siyam, A., Nishida, C., Siekmann, J., Development of a WHO growth reference for school-aged children and adolescents (2007) Bull World Health Organ, 85, pp. 660-667Nielsen, S.J., Adair, L., An alternative to dietary data exclusions (2007) J Am Diet Assoc, 107, pp. 792-799de Andrade, S.C., Barros, M.B.A., Carandina, L., Goldbaum, M., Cesar, C.L.G., Fisberg, R.M., Dietary Quality Index and associated factors among adolescents of the State of Sao Paulo, Brazil (2010) J Peds, 156 (3), pp. 456-460Pinheiro, A.C., Atalah, E., Propuesta de una metodología de análisis de la calidad global de la alimentación (2005) Rev Méd Chile, 133 (2), pp. 175-182Fernández, I., Aguilar Vilas, M.V., Mateos Vega, C.J., Martínez Para, M.C., Calidad de la dieta de una población de jóvenes de Guadalajara (2009) Nutr Hosp, 24, pp. 200-206Goodwin, D.K., Knol, L.K., Eddy, J.M., Fitzhugh, E.C., Kendrick, O., Donohue, R.E., Sociodemographic correlates of overall quality of dietary intake of US adolescents (2006) Nutr Res, 26, pp. 105-110Garriguet, D., Diet quality in Canada (2009) Stat Canada, 20 (3), pp. 1-12Gomes, M.A., Pereira, M.L.D., Família em situação de vulnerabilidade social: Uma questão de políticas públicas (2005) Cien Saúde Colet, 10 (2), pp. 357-363Levy-Costa, R.B., Sichieri, R., Pontes, N.S., Monteiro, C.A., Disponibilidade domiciliar de alimentos no Brasil: Distribuição e evolução (2005) Rev Saúde Pública, 39 (4), pp. 530-540Fisberg, R.M., Morimoto, J.M., Bueno, M.B., Hábito alimentar: Qualidade da dieta (2008) As dimensões da saúde, pp. 59-66. , In: Barros MBA, Cesar CLG, Carandina L, Goldbaum M (org), Inquérito populacional em Campinas. São Paulo: Aderaldo & RothschildOrtiz-Hernández, L., Gómez-Tello, B.L., Food consumption in Mexican adolescents (2008) Rev Panam Salud Publica/Pan Am J Public Health, 24 (2), pp. 127-135Riediger, N.D., Shooshtari, S., Moghadasian, M.H., The influence of sociodemographic factors on patterns of fruit and vegetable consumption in Canadian adolescents (2007) J Am Diet Assoc, 107, pp. 1511-1518Panigassi, G., Segall-Corrêa, A.M., Marin-León, L., Pérez-Escamilla, R., Maranha, L.K., Sampaio, M.F.A., Insegurança alimentar intrafamiliar e perfil de consumo de alimentos (2008) Rev Nutr, 21 (S), pp. 135-144Lorson, B.A., Melgar-Quinonez, H.R., Taylor, C.A., Correlates of fruit and vegetable intakes in US children (2009) J Am Diet Assoc, 109, pp. 474-478Amin, T.T., Al-Sultan, A.I., Ali, A., Overweight and obesity and their relation to dietary habits and sócio-demographic characteristics among male primary school children in Al-Hassa, Kingdom of Saudi Arabia (2008) Eur J Nutr, 47 (6), pp. 310-318(2006) Ministério da Saúde, p. 210. , Brasil, Secretaria de Atenção à Saúde. Coordenação-Geral da Política de Alimentação e Nutrição. Guia alimentar para a população brasileira: promovendo a alimentação saudável. BrasíliaRolls, B.J., Ello-Martin, J.A., Tohill, B.C., What can intervention studies tell us about the relationship between fruit and vegetable consumption and weight management? (2004) Nutr Rev, 62 (1), pp. 1-17Villa, I., Yngve, A., Poortvliet, E., Grjibovski, A., Liiv, K., Sjöström, M., Dietary intake among under-, normal-and overweight 9-and 15-year-old Estonian and Swedish schoolchildren (2007) Public Health Nutr, 10 (3), pp. 311-322Winham, D., Webb, D., Barr, A., Beans and good health (2008) Nutr Today, 43 (5), pp. 201-209Feskanich, D., Rockett, H.R.H., Colditz, G.A., Modifying the Healthy Eating Index to assess diet quality in children and adolescents (2004) J Am Diet Assoc, 104 (9), pp. 1375-1383Brown, I.J., Tzoulaki, I., Candeias, V., Elliott, P., Salt intakes around the world: Implications for public health (2009) Int J Epidemiol, 38 (9), pp. 791-813Sarno, F., Claro, R.M., Levy, R.B., Bandoni, D.H., Ferreira, S.R.G., Monteiro, C.A., Estimativa de consumo de sódio pela população brasileira, 2002-2003 (2009) Rev Saúde Pública, 43 (2), pp. 219-225(2011) Consea acompanhará acordos para redução de sódio e gordura nos alimentos, , http://portal.saude.gov.br/portal/aplicacoes/noticias/default.cfm?pg=dspDetalheNoticia&id_area=124&CO_NOTICIA=12686, Ministério da Saúde, [Acessado em 4 de julho de], Disponível emSousa, M.H., Silva, N.N., Estimativas obtidas de um levantamento complexo (2003) Rev Saúde Pública, 37 (5), pp. 662-670Fisberg, R.M., Martini, L.A., Slater, B., Métodos de inquéritos alimentares (2005) Inquéritos alimentares: Métodos e bases científicos, pp. 1-31. , In: Fisberg RM, Slater B, Marchioni DML, Martini LA, São Paulo: Editora ManoleWillett, W.C., (1998) Nutritional epidemiology, , 2nd ed. New York: Oxford University PressJúnior, J.C.F., Validade das medidas autorreferidas de peso e estatura para o diagnóstico do estado nutricional de adolescentes (2007) Rev Bras Saúde Matern Infant, 7 (2), pp. 167-174Fonseca, H., Silva, A.M., Matos, M.G., Esteves, I., Costa, P., Guerra, A., Validity of BMI based on self-reported weight and height in adolescents (2010) Acta Paediatrica, 99 (1), pp. 83-88Waijers, P.M.C.M., Feskens, E.J.M., Ocké, M.C., A critical review of predefined diet quality scores (2007) Br J Nutr, 97 (2), pp. 219-23

Total and added sugar intake: Assessment in eight Latin American countries

Non-communicable diseases are growing at an alarming rate in Latin America. We assessed total and added sugar intake in Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela, to verify the adequacy of the World Health Organization’s recommendations, considering gender, socioeconomic level (SEL) and age. A total of 9218 non-institutionalized individuals living in urban areas (age range 15-65 years) were assessed in the Latin American Study of Nutrition and Health (ELANS), a multicenter household population-based cross-sectional survey. Socio-demographic data were collected. Total and added sugar intakes were measured using two non-consecutive 24-h dietary recalls. The prevalence of excessive sugar intake was estimated. A large proportion of individuals showed high consumption of total and added sugar intake, which reflected in the high prevalence of excessive sugar intake. With minimal differences across countries, in general, women, individuals with high SEL, and younger people had higher percentages of total energy intake from total and added sugar intake, and of contribution of carbohydrates from total and added sugars. Thus, there is high consumption of total and added sugar intake in the Latin American countries with some peculiarities considering socio-demographic variables, which should be considered in each country’s health intervention proposals

Latin American consumption of major food groups: Results from the ELANS study

Background The Latin American (LA) region is still facing an ongoing epidemiological transition and shows a complex public health scenario regarding non-communicable diseases (NCDs). A healthy diet and consumption of specific food groups may decrease the risk of NCDs, however there is a lack of dietary intake data in LA countries. Objective Provide updated data on the dietary intake of key science-based selected food groups related to NCDs risk in LA countries. Design ELANS (Latin American Study of Nutrition and Health) is a multicenter cross-sectional study assessing food consumption from an urban sample between15 to 65 years old from 8 LA countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela). Two 24-HR were obtained from 9, 218 individuals. The daily intake of 10 food groups related to NCDs risk (fruits; vegetables; legumes/beans; nuts and seeds; whole grains products; fish and seafood; yogurt; red meat; processed meats; sugar-sweetened beverages (ready-to-drink and homemade)) were assessed and compared to global recommendations. Results Only 7.2% of the overall sample reached WHO's recommendation for fruits and vegetables consumption (400 grams per day). Regarding the dietary patterns related to a reduced risk of NCDs, among the overall sample legumes and fruits were the food groups with closer intake to the recommendation, although much lower than expected (13.1% and 11.5%, respectively). Less than 3.5% of the sample met the optimal consumption level of vegetables, nuts, whole grains, fish and yogurt. Largest country-dependent differences in average daily consumption were found for legumes, nuts, fish, and yogurt. Mean consumption of SSB showed large differences between countries. Conclusion Diet intake quality is deficient for nutrient-dense food groups, suggesting a higher risk for NCDs in the urban LA region in upcoming decades. These data provide relevant and up-to-date information to take urgent public health actions to improve consumption of critically foods in order to prevent NCDs. Copyright

Diet Quality And Associated Factors Among The Elderly: A Population-based Study In Campinas, São Paulo State, Brazil [qualidade Da Dieta E Fatores Associados Entre Idosos: Estudo De Base Populacional Em Campinas, São Paulo, Brasil]

The aim of this study was to assess the quality of diet among the elderly and associations with socio-demographic variables, health-related behaviors, and diseases. A population-based cross-sectional study was conducted in a representative sample of 1,509 elderly participants in a health survey in Campinas, São Paulo State, Brazil. Food quality was assessed using the Revised Diet Quality Index (DQI-R). Mean index scores were estimated and a multiple regression model was employed for the adjusted analyses. The highest diet quality scores were associated with age 80 years or older, Evangelical religion, diabetes mellitus, and physical activity, while the lowest scores were associated with home environments shared with three or more people, smoking, and consumption of soft drinks and alcoholic beverages. The findings emphasize a general need for diet quality improvements in the elderly, specifically in subgroups with unhealthy behaviors, who should be targeted with comprehensive strategies.30816801694Iser, B.P.M., Yokota, R.T.C., Sá, N.N.B., Moura, L., Malta, D.C., Prevalência de fatores de risco e proteção para doenças crônicas nas capitais do Brasil principais resultados do Vigitel 2010 (2012) Ciênc Saúde Coletiva, 17, pp. 2343-2356Inzitari, M., Doets, E., Bartali, B., Benetou, V., Di Bari, M., Visser, M., Nutrition in the age-related disablement process (2011) J Nutr Health Aging, 15, pp. 599-604Soenen, S., Chapman, I.M., Body weight, anorexia, and undernutrition in older people (2013) J Am Med Dir Assoc, 14, pp. 642-648Fisberg, R.M., Marchioni, D.M.L., Castro, M.A., Verly Junior, E., Araújo, M.C., Bezerra, I.N., Ingestão inadequada de nutrientes na população de idosos do Brasil: Inquérito Nacional de Alimentação 2008-2009 (2013) Rev Saúde Pública, 47 (1), pp. 222S-230SKennedy, E.T., Ohls, J., Carlson, S., Fleming, K., The Healthy Eating Index: Design and applications (1995) J Am Diet Assoc, 95, pp. 1103-1108(2005) Department of Health and Human Services, , U.S. Department of AgricultureU.S, Dietary guidelines for Americans, Washington DC: U.S. Department of Agriculture/U.S. Department of Health and Human Services2005Guenther, P.M., Reedy, J., Krebs-Smith, S.M., Reeve, B.B., Basiotis, P.P., (2007) Development and evaluation of the Healthy Eating Index-2005: technical report, , Washington DC: Center for Nutrition Policy and Promotion, U.S. Department of AgricultureFisberg, R.M., Slater, B., Barros, R.R., Lima, F.D., Cesar, C.L.G., Carandina, L., Índice de Qualidade da Dieta: Avaliação da adaptação e aplicabilidade (2004) Rev Nutr, 17, pp. 301-308(2006) Guia alimentar para a população brasileira: promovendo a alimentação saudável, , Coordenação-Geral da Política de Alimentação e Nutrição, Departamento de Atenção Básica, Secretaria de Atenção à Saúde, Ministério da Saúde, Brasília: Ministério da SaúdePrevidelli, A.N., Andrade, S.C., Pires, M.M., Ferreira, S.R.G., Fisberg, R.M., Marchioni, D.M., Índice de Qualidade da Dieta Revisado para população brasileira (2011) Rev Saúde Pública, 45, pp. 794-798Domene, M.A., Avaliação do consumo alimentar (2011) Nutrição em saúde pública, pp. 41-54. , Taddei JA, Lang RMF, Silva GL, Toloni MHA, organizadores, Rio de Janeiro: RubioFisberg, R.M., Villar, B.S., (2002) Manual de receitas e medidas caseiras para cálculo de inquéritos alimentares, , São Paulo: Editora SignusPinheiro, A.B.V., Lacerda, E.M.A., Benzecry, E.H., Gomes, M.C.S., Costa, V.M., (2004) Tabela para avaliação de consume alimentar em medidas caseiras, , 5a Ed. São Paulo: Editora AtheneuCraig, C.L., Marshall, A.L., Sjostrom, M., Bauman, A.E., Booth, M.L., Ainsworth, B.E., International physical activity questionnaire: 12-country reliability and validity (2003) Med Sci Sports Exerc, 35, pp. 1381-1395(2010) Global recommendations on physical activity for health, , World Health Organization, Geneva: World Health OrganizationScazufca, M., Menezes, P.R., Vallada, H., Araya, R., Validity of the self-reporting questionnaire-20 in epidemiological studies with older adults (2009) Soc Psychiatry Psychiatr Epidemiol, 44, pp. 247-254Cervi, A., Franceschini, S.C.C., Priore, S.E., Análise crítica do uso do índice de massa corporal para idosos (2005) Rev Nutr, 18, pp. 765-775Willett, W.C., Howe, G.R., Kushi, L.H., Adjustment for total energy intake in epidemiologic studies (1997) Am J Clin Nutr, 65 (4), pp. 1220S-1228SErvin, R.B., Healthy Eating Index-2005 total and component scores for adults aged 20 and over: National Health and Nutrition Examination Survey, 2003-2004 (2011) Natl Health Stat Report, 44, pp. 1-9Andrade, S.C., (2013) Mudanças na qualidade da dieta e seus fatores associados em residentes do Município de São Paulo em 2003-2008: estudo de base populacional [Tese de Doutorado], , São Paulo: Universidade de São PauloBowman, S.A., Lino, M., Gerrior, S.A., Basiotis, P.P., (1998) The Healthy Eating Index: 1994-96, , Washington DC: Center for Nutrition Policy and Promotion, U.S. Department of AgricultureJuan, W.Y., Guenther, P.M., Kott, P.S., (2008) Diet quality of older Americans in 1994-96 and 2001-02 as measured by the Healthy Eating Index-2005, , Washington DC: Center for Nutrition Policy and Promotion, U.S. Department of Agriculture, (Nutrition Insight, 41)Hiza, H.A.B., Casavale, K.O., Guenther, P.M., Davis, C.A., Diet quality of Americans differs by age, sex, race/ethnicity, income, and education level (2012) J Acad Nutr Diet, 113, pp. 297-306(2011) Plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis (DCNT) no Brasil 2011-2022, , Departamento de Análise de Situação de Saúde, Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília: Ministério da SaúdeWang, Y., Chen, X., How much of racial/ethnic disparities in dietary intakes, exercise, and weight status can be explained by nutritionand healthrelated psychosocial factors and socioeconomic status among US adults? (2011) J Am Diet Assoc, 111, pp. 1904-1911Chen, X., Cheskin, L.J., Shi, L., Wang, Y., Americans with diet-related chronic diseases report higher diet quality than those without these diseases (2011) J Nutr, 141, pp. 1543-1551Lima-Costa, M.F., (2004) A saúde dos adultos na Região Metropolitana de Belo Horizonte: um estudo epidemiológico de base populacional, , Belo Horizonte: Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais(2010) Censo Demográfico 2010: características gerais da população, religião e pessoas com deficiência, , Instituto Brasileiro de Geografia e Estatística, Rio de Janeiro: Instituto Brasileiro de Geografia e EstatísticaSarri, K.O., Higgins, S., Kafatos, A.G., Are religions “healthy”? A review on religious recommendations on diet and lifestyle (2006) J Hum Ecol, 14, pp. 7-20(2010) Censo Demográfico 2010: famílias e domicílios, , Instituto Brasileiro de Geografia e Estatística, Rio de Janeiro: Instituto Brasileiro de Geografia e EstatísticaBorim, F.S.A., Barros, M.B.A., Neri, A.L., Autoavaliação da saúde em idosos: Pesquisa de base populacional no Município de Campinas, São Paulo, Brasil (2012) Cad Saúde Pública, 28, pp. 769-780Lebrão, M.L., Laurenti, R., Saúde, bem-estar e envelhecimento: O estudo SABE no Município de São Paulo (2005) Rev Bras Epidemiol, 8, pp. 127-141Xu, B., Houston, D.K., Locher, J.L., Ellison, K.J., Gropper, S., Buys, D.R., Higher Healthy Eating Index-2005 scores are associated with better physical performance (2012) J Gerontol A Biol Sci Med Sci, 67, pp. 93-99(2011) Global status report on noncommunicable diseases 2010, , World Health Organization, Geneva: World Health OrganizationA política nacional, , http://www2.inca.gov, Observatório da Política Nacional de Controle do Tabaco, (acessado em 15/Dez/2012)(2007) Documento de discussão saúde, nutrição e população (HNP) controle do tabagismo no Brasil, , Departamento de Desenvolvimento Humano, Banco Mundial, Brasília: Banco MundialMcClernon, F.J., Westman, E.C., Rose, J.E., Lutz, A.M., The effects of foods, beverages, and other factors on cigarette palatability (2007) Nicotine Tob Res, 9, pp. 505-510Haibach, J.P., Homish, G.G., Giovino, G.A., A longitudinal evaluation of fruit and vegetable consumption and cigarette smoking (2013) Nicotine Tob Res, 15, pp. 355-363Monteiro, C.A., Castro, R.R., Por que é necessário regulamentar a publicidade de alimentos (2009) Ciênc Cult (São Paulo), 61, pp. 56-59(2011) Pesquisa de Orçamentos Familiares 2008-2009: análise do consumo alimentar pessoal no Brasil, , Instituto Brasileiro de Geografia e Estatística, Rio de Janeiro: Instituto Brasileiro de Geografia e EstatísticaBueno, M.B., Marchioni, D.M.L., César, C.L.G., Fisberg, R.M., Added sugars: Consumption and associated factors among adults and the elderly. São Paulo, Brazil (2012) Rev Bras Epidemiol, 15, pp. 256-264Thomson, J.L., Tussing-Humphreys, L.M., Onufrak, S.J., Connell, C.L., Zoellner, J.M., Bogle, M.L., Simulated reductions in consumption of sugar-sweetened beverages improves diet quality in Lower Mississippi Delta adults (2011) Food Nutr Res, 55, p. 7304Breslow, R.A., Guenther, P.M., Juan, W., Graubard, B.I., Alcoholic beverage consumption, nutrient intakes, and diet quality in the US adult population, 19992006 (2010) J Am Diet Assoc, 110, pp. 551-562Herbeth, B., Samara, A., Stathopoulou, M., Siest, G., Visvikis-Siest, S., Alcohol consumption, beverage preference, and diet in middle-aged men from the STANISLAS study (2012) J Nutr Metab, 2012, p. 987243Barros, M.B.A., Francisco, P.M.S.B., Zanchetta, L.M., César, L.G., Tendências das desigualdades sociais e demográficas na prevalência de doenças crônicas no Brasil, PNAD: 2003-2008 (2011) Ciênc Saúde Coletiva, 16, pp. 3755-3768Lima-Costa, M.F., Matos, D.L., Camargos, V.P., Macinko, J., Tendências em dez anos das condições de saúde de idosos brasileiros: Evidências da Pesquisa Nacional por Amostra de Domicílios (1998, 2003, 2008) (2011) Ciênc Saúde Coletiva, 16, pp. 3689-3696Conde, W.L., Oliveira, D.R., Borges, C.A., Baraldi, L.G., Consistência entre medidas antropométricas em inquéritos nacionais (2013) Rev Saúde Pública, 47, pp. 69-7

Trends In Diet Quality Among Adolescents, Adults And Older Adults: A Population-based Study

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)This study aimed to monitor diet quality and associated factors in adolescents, adults and older adults from the city of São Paulo, Brazil. We conducted a cross-sectional population-based study involving 2376 individuals surveyed in 2003, and 1662 individuals in 2008 (Health Survey of São Paulo, ISA-Capital). Participants were of both sexes and aged 12 to 19 years old (adolescents), 20 to 59 years old (adults) and 60 years old or over (older adults). Food intake was assessed using the 24-h dietary recall method while diet quality was determined by the Brazilian Healthy Eating Index (BHEI-R). The prevalence of descriptive variables for 2003 and 2008 was compared adopting a confidence interval of 95%. The means of total BHEI-R score and its components for 2003 and 2008 were compared for each age group. Associations between the BHEI-R and independent variables were evaluated for each survey year using multiple linear regression analysis. Results showed that the mean BHEI-R increased (54.9 vs. 56.4 points) over the five-year period. However, the age group evaluation showed a deterioration in diet quality of adolescents, influenced by a decrease in scores for dark-green and orange vegetables and legumes, total grains, oils and SoFAAS (solid fat, alcohol and added sugar) components. In the 2008 survey, adults had a higher BHEI-R score, by 6.1 points on average, compared to adolescents. Compared to older adults, this difference was 10.7 points. The diet quality remains a concern, especially among adolescents, that had the worst results compared to the other age groups. © 201643913962007/51488-2, FAPESP, São Paulo Research Foundation2007/51488–2, FAPESP, São Paulo Research Foundation2009/15831-0, FAPESP, São Paulo Research Foundation2009/15831-0, FAPESP, São Paulo Research FoundationFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP

Family Income Per Capita, Age, And Smoking Status Are Predictors Of Low Fiber Intake In Residents Of São Paulo, Brazil

We hypothesized that dietary total fiber intake may be less than recommendations and that the intake of total, soluble, and insoluble fiber may be associated with demographic, lifestyle, and socioeconomic factors. Data were drawn from the Health Survey of São Paulo, a cross-sectional population-based study. Adolescents, adults, and elderly persons living in São Paulo city were included. Demographic, lifestyle, and anthropometric data were collected from households. Dietary intake was measured using two 24-hour dietary recalls. All analyses were conducted based on the sample design of the study. The proportion of individuals who met the adequate intake (AI) for total fiber intake was examined, and foods that contributed to the intake of fiber and fractions were evaluated. The relationship of total, soluble, and insoluble fiber intake with demographic, socioeconomic, and lifestyle characteristics was determined using multiple linear regression models. A low proportion of individuals met the AI for dietary fiber. The foods that most contributed to total fiber intake were beans, French bread, and rice. Total fiber intake was negatively associated with former and current smokers and positively associated with family income per capita and age. Soluble fiber intake was negatively associated with current smokers and positively associated with female sex, age, and family income per capita. Insoluble fiber intake was negatively associated with former or current smokers and positively associated with age. In summary, residents in the city of São Paulo had a low fiber intake, and demographic, socioeconomic, and lifestyle factors were associated with dietary fiber and intake of its fractions. © 2016 Elsevier Inc.36547848

Factors Associated With Dietary Quality Among Adults In Greater Metropolitan São Paulo, Brazil, 2002 [fatores Associados à Qualidade Da Dieta De Adultos Residentes Na Região Metropolitana De São Paulo, Brasil, 2002]

The purpose of this study was to evaluate the demographic, socioeconomic, and lifestyle factors associated with quality of diet in adults residing in Greater Metropolitan São Paulo, Brazil. This was a cross-sectional, population-based study conducted in the district of Butantã and the municipalities of Itapecerica da Serra, Embu, and Taboão da Serra, based on data from a questionnaire and 24-hour recall from 1,840 adults, both males and females, included in a household health survey (ISA-SP). Dietary quality was assessed using the Healthy Eating Index (HEI) adapted to the local reality. Linear regression analysis was used to evaluate the relationship between HEI and other variables. Most individuals (75%) ate diets that were rated as "need improvement". The mean HEI was low for fruit, vegetables, and dairy products. Number of durable goods, head-of-family's schooling, and age ≥ 60 years were associated with HEI in men. For women, age was associated with HEI. Energy intake was considered an adjustment variable for both genders.241169178Kant, A.K., Indexes of overall diet quality: A review (1996) J Am Diet Assoc, 96, pp. 785-791Haines, P.S., Siega-Riz, A.M., Popkin, B.M., The diet quality index revised: A measurement instrument for populations (1999) J Am Diet Assoc, 99, pp. 697-704Lee, R.D., Nieman, D.C., Standards for nutrient intake (2003) Nutritional assessment, pp. 12-72. , Lee RD, Nieman DC, editors, 3rd Ed. New York: McGraw-Hill;Willett, W.C., (1998) Nutritional epidemiology, , 2nd Ed. New York: Oxford University Press;Kennedy, E.T., Ohls, J., Carlson, S., Fleming, K., The healthy eating index: Design and applications (1995) J Am Diet Assoc, 95, pp. 1103-1108Bowman, S.A., Lino, M., Gerrior, S.A., Basiotis, P.P., (1994) The healthy eating index, , Washington DC: Center for Nutrition Policy and Promotion, U.S. Department of Agriculture;, 96Basiotis, P.P., Carlson, A., Gerrior, S.A., Juan, W.Y., Lino, M., (1999) The healthy eating index, , Washington DC: Center for Nutrition Policy and Promotion, U.S. Department of Agriculture;, 2002World Health Organization. Report of a WHO Consultation on Obesity. Obesity: preventing and managing the global epidemic. Geneva: World Health Organization2000. (WHO Technical Report Series, 894)Pinheiro, A.B.V., Lacerda, E.M.A., Benzecry, E.H., Gomes, M.C.S., Costa, V.M., Tabela para avaliação de consumo alimentar em medidas caseiras (2000) São Paulo: Editora, , 4a Ed, Atheneu;Fisberg, R.M., Villar, B.S., Manual de receitas e medidas caseiras para cálculo de inquéritos alimentares: Manual elaborado para auxiliar o processamento de inquéritos alimentares (2002) São Paulo: Signus EditoraFisberg, R.M., Slater, B., Barros, R.R., Lima, F.D., Carandina, L., Barros, M.B.A., Índice de qualidade da dieta: Avaliação da adaptação e aplicabilidade (2004) Rev Nutr PUCCAMP, 17, pp. 301-308Guo, X., Warden, B.A., Paeratakul, S., Bray, G.A., Healthy eating index and obesity (2004) Eur J Clin Nutr, 58, pp. 1580-1586Ford, E.S., Mokdad, A.H., Liu, S., Healthy eating index and C-reative protein concentration: Findings from the National Health and Nutrition Examination Survey III, 1988-1994 (2005) Eur J Clin Nutr, 59, pp. 278-283Rafferty, A.P., Anderson, J.V., McGee, H.B., Miller, C.E., A healthy diet indicator: Quantifying compliance with the dietary guidelines using the BRFSS (2002) Prev Med, 35, pp. 9-15McCullough, M.L., Feskanich, D., Rimm, E.B., Giovannucci, E.L., Ascherio, A., Variyam, J.N., Adherence to the dietary guidelines for Americans and risk of major chronic disease in men (2000) Am J Clin Nutr, 72, pp. 1223-1231McCullough, M.L., Feskanich, D., Stampfer, M.J., Rosner, B.A., Hu, F.B., Hunter, D.J., Adherence to the dietary guidelines for Americans and risk of major chronic disease in women (2000) Am J Clin Nutr, 72, pp. 1214-1222Slattery, M.L., Boucher, K.M., Caan, B.J., Potter, J.D., Ma, K.N., Eating patterns and risk of colon cancer (1998) Am J Epidemiol, 148, pp. 4-16Marchioni, D.M.L., Fisberg, R.M., Góis Filho, J.F., Kowalsky, L.P., Carvalho, M.B., Abrahão, M., Fatores dietéticos e câncer oral: Um estudo caso-controle na Região Metropolitana de São Paulo, Brasil (2007) Cad Saúde Pública, 23, pp. 553-564Joint WHO/FAO Expert Consultation on Diet, Nutrition and the Prevention of Chronic Diseases, World Health Organization. Diet, nutrition and the prevention of chronic diseases. Geneva: World Health Organization2003. (WHO Technical Report Series, 916)Hu, F.B., Willett, W.C., Optimal diets for prevention of coronary heart disease (2002) JAMA, 288, pp. 2569-2578Ness, A.R., Powles, J.W., Fruit and vegetables, and cardiovascular disease: A review (1997) Int J Epidemiol, 26, pp. 1-13Prentice, A., Diet nutrition and the prevention of osteoporosis (2004) Public Health Nutr, 7, pp. 227-243(2000) Dietary reference intakes: Applications in dietary assessment, , Institute of Medicine, Washington DC: National Academies Press;Galeazzi MAM, Domene SMA, Sichieri R, organizadores. Estudo multicêntrico sobre consumo alimentar. Cadernos de Debate 1997no. especForshee, R.A., Storey, M.L., Demographics, not beverage consumption, is associated with diet quality (2006) Int J Food Sci Nutr, 57, pp. 494-511Thiele, S., Mensink, G.B.M., Beitz, R., Determinants of diet quality (2004) Public Health Nutr, 7, pp. 29-37Pérez-Escamilla, R., Haldeman, L., Food label use modifies association of income with dietary quality (2002) J Nutr, 132, pp. 768-772Popkin, B.M., Zizza, C., Siega-Riz, A.M., Who is leading the change? U.S. dietary quality comparison between 1965 and 1996 (2003) Am J Prev Med, 25, pp. 1-8Fisberg RM, Slater B, Morimoto JM, Bueno MB. Hábito alimentar: qualidade da dieta. In: César CLG, Carandina L, Alves MCGP, Barros MBA, Goldbaum M, organizadores. Saúde e condição de vida em São Paulo: inquérito multicêntrico de saúde no Estado de São Paulo. São Paulo: Faculdade de Saúde Pública, Universidade de São Paulo2005. p. 81-9Cesar CLG. Condição de vida. In: César CLG, Carandina L, Alves MCGP, Barros MBA, Goldbaum M, organizadores. Saúde e condição de vida em São Paulo: inquérito multicêntrico de saúde no Estado de São Paulo. São Paulo: Faculdade de Saúde Pública, Universidade de São Paulo2005. p. 63-78(2004) Síntese de indicadores sociais 2003. Rio de, , Instituto Brasileiro de Geografia e Estatística, Janeiro: Instituto Brasileiro de Geografia e Estatística;, Estudos & Pesquisas. Informação Demográfica e Socioeconômica, 1

Prevalence Of Leisure-time Physical Activity And Associated Factors: A Population-based Study In São Paulo, Brazil, 2008-2009 [prevalência De Atividade Física No Lazer E Fatores Associados: Estudo De Base Populacional Em São Paulo, Brasil, 2008-2009]

The purpose of this study was to ascertain the prevalence of self-reported leisure-time physical activity and related factors in the city of São Paulo, Brazil, 2008-2009. A population- based cross sectional study interviewed 2,691 individuals of both sexes, 12 years or older. A two-stage cluster (census tract, household) random sample provided data using home interviews in 2008 and 2009. Leisure-time physical activity was measured with IPAQ, long version. Complex sample-adjusted descriptive statistics provided prevalence estimates, chi-square tests screened associations, and prevalence ratios (PR) expressed effects. Multiple Poisson regression was used to ascertain adjusted effects, and design effects were calculated. Of the interviewees, 16.4% (95%CI: 14.3-18.7) reported leisure-time physical activity. The findings indicate the importance of encouraging leisure-time physical activity, which was associated with male sex, higher income, younger age (12 to 29 years), not smoking, and not reporting frequent fatigue.292270282Kohl, H.W., Craig, C.L., Lambert, E.V., Inoue, S., Alkandari, J.R., Leetongin, G., The pandemic of physical (2012) Lancet, 380, pp. 294-305Hallal, P.C., Andersen, L.B., Bull, F.C., Guthold, R., Haskell, W., Ekelund, U., Global physical activity levels: Surveillance progress, pitfalls, and prospects (2012) Lancet, 380, pp. 247-257Blair, S.N., Kohl, H.W., Paffenbarger, R.S., Clark, D.G., Kooper, K.H., Gibbons, L.W., Physical fitness and all-cause mortality: A prospective study of healthy men and women (1989) JAMA, 262, pp. 2395-2401Haskell, W.L., Lee, I.M., Pate, R.R., Powell, K.E., Blair, S.N., Franklin, B.A., Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association (2007) Med Sci Sports Exerc, 39, pp. 1423-1434Gomes, V.B., Siqueira, K.S., Sichieri, R., Atividade física em uma amostra probabilística da população do Município do Rio de Janeiro (2001) Cad Saúde Pública, 17, pp. 969-976Pitanga, F.J., Lessa, I., Prevalência e fatores associados ao sedentarismo no lazer em adultos (2005) Cad Saúde Pública, 21, pp. 870-877Vigitel Brasil 2010: Vigilância De Fatores De Risco E Proteção Para Doenças Crônicas Por Inquérito Telefônico, , http://portal.saude.gov.br/portal/saude/profissional/area.cfm?id_area=1521, Ministério da Saúde, acessado em 13/Set/2012Nahas, M.V., Garcia, L.M.T., Um pouco de história, desenvolvimentos recentes e perspectivas para a pesquisa em atividade física e saúde no Brasil (2010) Rev Bras Educ Fís Esp, 24, pp. 135-148Sherwood, N.E., Jeffery, R.W., The behavioral determinants of exercise: Implications for physical activity interventions (2000) Annu Rev Nutr, 20, pp. 21-44Oehlschlaeger, M.H.K., Pinheiro, R.T., Horta, B., Gelatti, C., San'Tana, P., Prevalence of sedentarism and its associated factors among urban adolescents (2004) Rev Saúde Pública, 38, pp. 157-163Masson, C.R., Dias-da-Costa, J.S., Olinto, M.T.A., Meneghel, S., Costa, C.C., Bairros, F., Prevalência de sedentarismo nas mulheres adultas da Cidade de São Leopoldo, Rio Grande do Sul, Brasil (2005) Cad Saúde Pública, 21, pp. 1685-1695Baretta, E., Baretta, M., Peres, K.G., Nível de atividade física e fatores associados em adultos no Município de Joaçaba, Santa Catarina, Brasil (2007) Cad Saúde Pública, 23, pp. 1595-1602Ceschini, F.L., Romero, J., Lima, V., Prevalência de inatividade física e fatores associados em bancários (2007) Rev Bras Ciênc Saúde, 3, pp. 3-11Benedetti, T.R.B., Borges, L.J., Petroski, E.L., Gonçalves, L.H.T., Atividade física e estado de saúde mental de idosos (2008) Rev Saúde Pública, 42, pp. 302-307Paes, M.J.O., Duarte, Y.A.O., Lebrão, M.L., Santos, J.L.F., Laurenti, R., Impacto do sedentarismo na incidência de doenças crônicas e incapacidades e na ocorrência de óbitos entre os idosos do Município de São Paulo (2008) Saúde Coletiva, 5, pp. 183-188Cunha, I.C., Peixoto, M.R.G., Jardim, P.C.B.V., Alexandre, V.P., Fatores associados à prática de atividade física na população adulta de Goiânia: Monitoramento por meio de entrevistas telefônicas (2008) Rev Bras Epidemiol, 11, pp. 495-504Azevedo, M.R., Horta, B.L., Gigante, D.P., Victora, C.G., Barros, F.C., Fatores associados ao sedentarismo no lazer de adultos na coorte de nascimentos de 1982, Pelotas, RS (2008) Rev Saúde Pública, 42 (SUPPL. 2), pp. 70-77Florindo, A.A., Hallal, P.C., Moura, E.C., Malta, D.C., Prática de atividades físicas e fatores associados em adultos, Brasil, 2006 (2009) Rev Saúde Pública, 43 (SUPPL. 2), pp. 65-73Zaitune, M.P.A., Barros, M.B.A., César, C.L.G., Carandina, L., Goldbaum, M., Alves, M.C.G.P., Fatores associados à prática de atividade física global e de lazer em idosos: Inquérito de Saúde no Estado de São Paulo (ISA-SP), Brasil (2010) Cad Saúde Pública, 26, pp. 1606-1618Rocha, S.V., Almeida, M.M.G., Araújo, T.M., Virtuoso, J.J.S., Fatores associados à atividade física no lazer entre residentes de áreas urbanas de um município do nordeste do Brasil (2011) Rev Bras Cineantropom Desempenho Hum, 13, pp. 257-264Suzuki, C.S., Moraes, S.A., Freitas, I.C.M., Atividade física e fatores associados em adultos residents em Ribeirão Preto, SP (2011) Rev Saúde Pública, 45, pp. 311-320Farias, J.C., Lopes, A.S., Mota, J., Hallal, P.C., Prática de atividade física e fatores associados em adolescents no Nordeste do Brasil (2012) Rev Saúde Pública, 46, pp. 505-515Porto, D.B., Guedes, D.P., Fernandes, R.A., Reichert, F.F., Perceived quality of life and physical activity in Brazilian older adults (2012) Motricidade, 8, pp. 33-41Dumith, S.C., Physical activity in Brazil: A systematic review (2009) Cad Saúde Pública, 25 (SUPPL. 3), pp. S415-S426Alves, M.C.G.P., Escuder, M.M.L., Plano De Amostragem Do ISA-Capital 2008, , http://www.fsp.usp.br/isasp/pdf/planoamostral2008.pdf, acessado em 28/ Mai/2012Inquérito De Saúde No Município De São Paulo - ISA-Capital 2008: Questionário Completo, , http://www.fsp.usp.br/isa-sp/pdf/questionarioisa2008.pdf, Faculdade de Saúde Pública, Universidade de São Paulo, acessado em 28/Mai/2012Craig, C.L., Marshall, A.L., Sjöström, M., Bauman, A.E., Booth, M.L., Ainsworth, B.E., International physical activity questionnaire: 12-country reliability and validity (2003) Med Sci Sports Exerc, 35, pp. 1381-1395Nelson, M.E., Rejeski, W.J., Blair, S.N., Duncan, P.W., Judge, J.O., King, A.C., Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association (2007) Med Sci Sports Exerc, 39, pp. 1435-1445Sofi, F., Capalbo, A., Marcucci, R., Gori, A.M., Fedi, S., Macchi, C., Leisure time but not occupational physical activity significantly affects cardiovascular risk factors in an adult population (2007) Eur J Clin Invest, 37, pp. 947-953Hallal, P.C., Dumith, S.C., Bastos, J.P., Reichert, F.F., Siqueira, F.V., Azevedo, M.R., Evolução da pesquisa epidemiológica em atividade física no Brasil: Revisão sistemática (2007) Rev Saúde Pública, 41, pp. 453-460Florindo, A.A., Guimarães, V.V., Cesar, C.L., Barros, M.B., Alves, M.C., Goldbaum, M., Epidemiology of leisure, transportation, occupational, and household physical activity: Prevalence and associated factors (2009) J Phys Act Health, 6, pp. 625-632Malta, D.C., Moura, E.C., Castro, A.M., Cruz, D.K.A., Morais, N.O.L., Monteiro, C.A., Padrão de atividade física em adultos brasileiros: Resultados de um inquérito por entrevistas telefônicas, 2006 (2009) Epidemiol Serv Saúde, 18, pp. 7-16Azevedo, M.R., Araujo, C.L., Reichert, F.F., Siqueira, F.V., Silva, M.C., Hallal, P.C., Gender differences in leisuretime physical activity (2007) Int J Public Health, 52, pp. 8-15Monteiro, C.A., Conde, W.L., Matsudo, S.M., Matsudo, V.R., Bonsenor, I.M., Lotufo, P.A., A descriptive epidemiology of leisure-time physical activity in Brazil, 1996-1997 (2003) Rev Panam Salud Pública, 14, pp. 246-254Camões, M., Lopes, C., Fatores associados à atividade física na população portuguesa (2008) Rev Saúde Pública, 42, pp. 208-216Browson, R.C., Jones, D.A., Pratt, M., Blanton, C., Heath, G.W., Measuring physical activity with the behavioral risk factor surveillance system (2000) Med Sci Sports Exerc, 32, pp. 1913-1918Pan, S.Y., Cameron, C., Desmeules, M., Morrison, H., Craig, C.L., Jiang, X.H., Individual, social, environmental, and physical environmental correlates with physical activity among Canadians: A crosssectional study (2009) BMC Public Health, 9, p. 21Sousa, C.A., César, C.L.G., Barros, M.B.A., Carandina, L., Goldbaum, M., Pereira, J.C.R., Doença pulmonar obstrutiva crônica e fatores associados em São Paulo, SP, 2008-2009 (2011) Rev Saúde Pública, 45, pp. 887-896Varo, J.J., Martinez-Gonzalez, M.A., De Irala-Estévez, J., Kearney, J., Gibney, M., Martínez, J.A., Distribution and determinants of sedentary lifestyles in the European Union (2003) Int J Epidemiol, 32, pp. 138-146Blair, S.N., Physical activity, epidemiology, public health and the American College of Sports Medicine (2003) Med Sci Sports Exerc, 35, p. 1463Chen, K., Kandel, D.B., The natural history of drug use from adolescence to mid-thirties in a general population sample (1995) Am J Public Health, 85, pp. 41-47The World Health Report 2002: Reducing Risks, Promoting Healthy Life, , http://www.who.int/whr/2002/en/whr02_en.pdf, World Health Organization, acessado em 31/Mai/2012Global Strategy On Diet, Physical Activity and Health, , http://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_english_web.pdf, World Health Organization, acessado em 31/Mai/2012Barreto, S.M., Pinheiro, A.R.O., Sichieri, R., Monteiro, C.A., Filho, M.B., Schimidt, M.I., Análise da estratégia global para alimentação, atividade física e saúde, da Organização Mundial da Saúde (2005) Epidemiol Serv Saúde, 14, pp. 41-68Rzewnicki, R., Vanden, A.Y., de Bourdeaudhuij, I., Addressing overreporting on the International Physical Activity Questionnaire (IPAQ) telephone survey with a population sample (2003) Public Health Nutr, 6, pp. 299-305Barros, M.B.A., Inquéritos domiciliares de saúde: Potencialidades e desafios (2008) Rev Bras Epidemiol, 11 (SUPPL. 1), pp. 6-1

Healthy Eating Index: Evaluation Of Adapted Version And Its Applicability [Índice De Qualidade Da Dieta: Avaliação Da Adaptação E Aplicabilidade]

Objective: This study was to adapt and to applied the U.S.A.'s Healthy Eating Index to evaluate the diet quality of individuals (n=50) residing in Botucatu, São Paulo, Brazil. Methods: The food intake was measured by the 24-hour dietary recall method, and evaluated by an adapted Healthy Eating Index. The index was obtained by a score of the distribution of the ten components of the considered healthy diet. Results: The mean Healthy Eating Index was 51,5; it was found that 12 percent of individuals had "good" diets; 74 percent, had diets that "needed improvement"; and 14 percent, had "poor" diets. There were a negative and significant correlation (p<0,05) between the Healthy Eating Index and the total dietary fat, fatty acids, cholesterol and sodium. The mean retinol and fiber intakes, presented a positive and significant correlation with the Healthy Eating Index. Conclusion: The results showed that the use of Healthy Eating Index in a target population is feasible.173301308Willet, W.C., (1998) Nutritional Epidemiology. 2nd Ed., , New York: Oxford University Press(1990) Diet, Nutrition and the Prevention of Chronic Diseases: Report of a WHO Study Group, , Study Group on Diet, Nutrition and Prevention of Noncommunicable Diseases. Geneva: World Health OrganizationBurr, M.L., Antioxidants and cancer (1994) J Hum Nutr Diet, 7, pp. 409-416Flagg, E.W., Coates, R.J., Greenberg, R.S., Epidemiologic studies of antioxidants and cancer in humans (1995) J Am Coll Nutr, 14, pp. 419-427Mertz, W., Foods and nutrients (1984) J Am Diet Assoc, 84, pp. 769-770Popkin, B.M., Nutritional patterns and transitions (1993) Popul Dev Rev, 19, pp. 138-157Estudo multicêntrico sobre consumo alimentar (1997) Cad Deb, , Volume especialMondini, L., Monteiro, C.A., Mudanças no padrão de alimentação (1995) Velhos e Novos Males da Saúde no Brasil, pp. 79-89. , Monteiro CA, organizador. São Paulo: HucitecKennedy, E.T., Ohls, J., Carlson, S., Fleming, K., The Healthy Eating Index: Design and applications (1995) J Am Diet Assoc, 95, pp. 1103-1109Bowman, A.S., Lino, M., Gerrior, A.S., Basiotis, P.P., (1998) The Healthy Eating Index: 1994-96, , http://www.USDA.gov/fcs/cnpp.htm, Center for Nutrition Policy and Promotion. CNPP-5. [online] [cited 2000 Dec 15]Thompson, F.E., Byers, T., Dietary assessment resource manual (1994) J Nutr, 124 (SUPPL.), pp. 2245-2317Philippi, S.T., Latterza, A.R., Cruz, A.T.R., Ribeiro, L.C., Pirâmide alimentar adaptada: Guia para escolha dos alimentos (1999) Rev Nutr, 12, pp. 65-80(1995) Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, , Washington, DC: U.S. Dept of Agriculture/Agricultural Research Service(1989) Diet and Health: Implications for Reducing Chronic Disease Risk, , Committe On Diet And Health. Washington: National Academy PressPatterson, R.E., Haines, P.S., Popkin, B.M., Diet Quality Index capturing a multidimensional behavior (1994) J Am Diet Assoc, 94, pp. 57-64Haines, P.S., Siega-Riz, A.M., Popkin, B.M., The Diet Quality Index revised: A measurement instrument for populations (1999) J Am Diet Assoc, 99, pp. 697-704Hann, C.S., Rock, C.L., King, I., Drewnowski, A., Validation of the Healthy Eating Index with use of plasma biomarkers in a clinical sample of women (2001) Am J Clin Nutr, 74, pp. 479-486(2000) Consumo de Alimentos de Risco e Proteção para Doenças Cardiovasculares Entre Funcionários Públicos Estaduais do Município de São Paulo, , [dissertação]. São Paulo: Faculdade de Saúde Pública, Universidade de São PauloRego, R.A., Fatores de risco para doenças crônicas não transmissíveis: Inquérito domiciliar no Município de São Paulo, SP (Brasil): Metodologia e resultados preliminares (1990) Rev Saude Publica, 24, pp. 277-28