Communication in health: a new time

The interface between the fields of health and communication brings together a wide diversity of topics, perspectives and articulations between academic production (scientific content) and its dissemination to the public (health journalism). The development and convergence of communication technologies, the progressive mediatization of society and institutions, the new generation of readers and their ways of consuming health content are some of the examples of the various issues addressed in health communication. The aim of this article is to reflect on the relationship between media and health and its current importance in the production and dissemination of contents, in light of the new information and communication technologies, producing efficient and credible information, directed to different audiences.Fiocruz MS, Fundacao Oswaldo Cruz, Inst Comunicacao Informacao Cient & Tecnol Saude, ICICT, Rio De Janeiro, RJ, BrazilESPM, CIC, Sao Paulo, SP, BrazilUniv Estacio Sa, Rio De Janeiro, RJ, BrazilGNT, Rio De Janeiro, RJ, BrazilEuvejo Com Br, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Setor Med Adolescente, Sao Paulo, SP, BrazilUniv Estadual Campinas, UNICAMP, Campinas, SP, BrazilUniv Guarulhos, UNG, Guarulhos, SP, BrazilUniv Sao Paulo, Fac Med, Dept Molestias Infecciosas & Parasitarias, Sao Paulo, SP, BrazilCRN3, Conselho Reg Nutr Regiao 3a, Comissao Et, Sao Paulo, SP, BrazilUniv Sao Paulo, Inst Psicol, Programa Posgrad Psicol Clin, Sao Paulo, SP, BrazilUNIFEB, Fundacao Educ Barretos, Barretos, SP, BrazilUniv Sao Paulo, Fac Med, Dept Pediat, Sao Paulo, SP, BrazilCEPPAN, Clin Estudos & Pesquisas Psicanalise Anorexia & B, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Inst Coracao InCor, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, UNIFESP, Sao Paulo, SP, BrazilUniv Sao Paulo, Sao Paulo, SP, BrazilESPM, Sao Paulo, SP, BrazilUniv Presbiteriana Mackenzie, Sao Paulo, SP, BrazilPUC, Sao Paulo, SP, BrazilUniv Metodista Sao Paulo, Sao Paulo, SP, BrazilUniv Sao Paulo, ECA, Sao Paulo, SP, BrazilEPM, Sao Paulo, SP, BrazilUniv Pantheon Sorbonne, Paris, FranceGen Assembly NYC, New York, NY USAUniv Fed Sao Paulo, Escola Paulista Med, Setor Med Adolescente, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, UNIFESP, Sao Paulo, SP, BrazilUniv Fed São Paulo, EPM, Sao Paulo, SP, BrazilWeb of Scienc

O PEDIATRA DEVE INVESTIGAR SINTOMAS DE TRANSTORNOS OBSESSIVOS COMPULSIVOS EM CRIANÇAS COM DIFICULDADES ALIMENTARES?

RESUMO Objetivo: Revisar evidências atuais da relação entre transtorno obsessivo compulsivo e dificuldades alimentares. Métodos: Revisão das bases Science Direct e PubMed no período entre 2007 e 2017 em inglês, português e espanhol, com os termos em associação “transtorno obsessivo compulsivo” e “picky eating/dificuldade alimentar”. Foram selecionados apenas estudos de coorte, caso controle ou transversal, realizados em qualquer país, com crianças, adolescentes e/ou adultos e de qualquer tamanho amostral. Foram excluídos os artigos de opinião. Resultados: Cerca de 245 artigos foram selecionados e apenas 4 foram incluídos no estudo, segundo critérios de seleção. Os trabalhos descrevem essencialmente que há diferença no comportamento seletivo entre os sujeitos com e sem transtorno obsessivo compulsivo, com tendência para exacerbação de sintomas como nojo, ansiedade e escore de inflexibilidade de comportamento alimentar nos pacientes com esse transtorno. Conclusões: Existem sintomas compartilhados entre transtorno obsessivo compulsivo e dificuldade alimentar. O estudo alerta aos profissionais que acompanham pacientes com dificuldades alimentares para a importância da investigação de possíveis comorbidades psiquiátricas

Maternal Feeding Practices among Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference Center

BackgroundGiven the positive influence of responsive caregiving on dietary habits in childhood, to raise awareness of caregivers regarding their behavior is crucial in multidisciplinary care on infant feeding.ObjectivesTo identify the most common responsive and non-responsive feeding practices in mothers of children with feeding complaints, as well as to seek associations between practices and caregivers’ profile.MethodsCross-sectional study with 77 children under 18 years old, with complaints of feeding difficulties. Data were collected during interviews with mothers: child age, gender, duration of exclusive breastfeeding, presence of organic disease, dynamics of bottle use, self-feeding practices and posture at meals, use of appropriate feeding equipment; basic information about the mothers (parity and level of education), caregiver feeding style, presence of coercive feeding, frequency and characteristics of family meals. Statistical analysis considered significance level at 5%.ResultsThe non-responsive profile predominated among mothers (76.2%, with the Authoritarian style being the most prevalent—39.7%). The responsive profile was characterized by absence of coercive feeding, stimulation of self-feeding practices, use of appropriate feeding equipment and meal environment, with interaction at meals. Non-responsive profile consisted of both inadequate environment and posture at meals, use of distraction and coercive feeding, lack of shared meals, and disregard for children’s hunger signals. Only the habit of sharing meals with children was associated with mothers’ profile, and considered a protection factor against non-responsive care (OR 0.23; 95% CI 0.06–0.88). Both Authoritarian (p = 0.000) and indulgent mothers (p = 0.007) breastfed exclusively for longer time than negligent ones. There was a higher level of interaction with children in “responsive” parental style (OR 0.056; p = 0.01) compared to other feeding styles.ConclusionResults highlight the need for educational interventions focused on caregivers’ behaviors