Ultra-Processed Food Consumption and Cardiometabolic Risk Factors in Children Living in Northeastern Brazil.

Objective: To analyze the association between ultra-processed food (UPF) consumption and cardiometabolic, biochemical, and inflammatory risk factors in children in a metropolis in Northeast Brazil.

Methods: A cross-sectional study using baseline data from a community-based controlled trial was carried out with 151 children from public schools in João Pessoa, Paraíba, Brazil aged 7 to 10 years. Dietary consumption was assessed using 24 h food recall, and UPF consumption was estimated using the NOVA classification system.

Weight loss maintenance in primary health care: a randomised controlled trial.

This study evaluates the maintenance of a clinically meaningful weight loss (≥ 5 %) after 12 and 36 months of participation in an intervention to promote fruit and vegetable (FV) consumption. A randomised controlled trial was conducted in a primary health care service. For 7 months, participants in the control group (CG) and in the intervention group (IG) performed guided physical exercise three times/week; the IG also participated in collective activities to promote FV consumption.

Protocol of Randomized Controlled Community Trial (RCCT) for obesity management in Brazilian primary health care.

Background: Obesity is a chronic disease characterized by excess body fat and is a risk factor for other chronic non-communicable diseases. Its multifactorial and complex nature makes its management a challenge for health services. This manuscript presents an investigation protocol that aims to analyze the effectiveness of collective nutritional interventions for obesity management applicable to primary health care.

Consumer food environments change over a 5-year period.

Objective: Evaluate the 5-year changes in the consumers' food environment in the area of a health promotion service in Brazilian primary health care. Our hypothesis is that the consumers' food environment in the areas with primary healthcare services has changes that may favour healthy eating habits over time.

Design: Longitudinal study.

Food Consumption Inequalities in Primary Care in a Large Metropolis.

The aim of this study was to examine the association between health vulnerability and food consumption according to the NOVA classification within primary care in a major Brazilian city. A cross-sectional study was conducted among adults over 20 years old. These participants were part of a representative sample from the Health Academy Program (PAS) in Belo Horizonte, Brazil.

A longitudinal analysis of the fluctuation of food stores in Belo Horizonte, Minas Gerais, Brazil.

Background: Changes in food environments have the potential to affect consumption, nutritional status, and health, and understanding these changes is of utmost importance. This study, therefore, aimed to examine the fluctuation of food stores that sell fruits and vegetables over five years in the health promotion service area of Primary Health Care (PHC) in Belo Horizonte, Minas Gerais, Brazil.

Methods: This was an ecological study that used data from a food environment audit conducted in the realm of Brazilian PHC.

Evolution of fruit and vegetable intake among health promotion service participants in a Brazilian metropolis: 48-month follow-up of a randomized controlled community trial.

Objective: To assess longitudinal effects of a nutrition intervention on fruit and vegetable (F&V) intake among Primary Health Care (PHC) service participants in Belo Horizonte, Brazil.

Methods: Demographics and health data on 3414 PHC service participants were collected at baseline in 2013-2014. F&V intake was assessed at baseline, 12, 36, and 48 months until 2017-2018.

Evaluation of Nutrient Consumption for the Prevention of Chronic Diseases in Health Promotion Services: A Controlled and Randomized Community Trial to Promote Fruits and Vegetables.

To evaluate the effectiveness of a collective intervention to encourage the consumption of fruits and vegetables on the nutrients intake for the prevention of chronic non-communicable diseases (NCDs), a randomized controlled community trial was conducted with a representative sample from the Health Academy Program. While the individuals in the control group (CG) participated in regular physical exercise, those in the intervention group (IG) also participated in a collective intervention. After 12 months, IG and CG showed a reduction in energy, omega 3 and sodium intake and an increase in the consumption of carbohydrates, fiber, vitamins, and minerals.

Food consumption of Brumadinho Health Project participants.

Objective: To analyze the food consumption patterns of residents of Brumadinho, Minas Gerais, Brazil, according to sociodemographic characteristics, neighborhood and area of residence.

Methods: Cross-sectional study with baseline data from the Brumadinho Health Project, conducted with 2,805 adult individuals. The healthy food consumption markers analyzed were: fruits and vegetables (FV), beans and fish; the unhealthy markers were: sweets and soda/artificial juices, whole-fat milk and red meat with visible fat or chicken with skin.

Brumadinho Health Project: food and nutrition insecurity versus socioeconomic statuses and dimensions of the food system after the dam rupture.

Objective: To describe the situation of food insecurity of families according to the socioeconomic characteristics and dimensions of the food system in Brumadinho, state of Minas Gerais, Brazil, after the dam rupture in Córrego do Feijão mine.

Methods: This is a descriptive study focused on households carried out from the baseline of the Brumadinho Health Project. Food insecurity, the main outcome, was assessed by the short version of the Brazilian Food Insecurity Scale.

Sources of food ready to consume around the Health Academy Program units: an analysis according to inequality.

The aim of this study was to spatially examine the distribution of establishments for the acquisition of food that is ready to consume around the Health Academy Program (PAS) in Belo Horizonte, Minas Gerais, Brazil, according to the Municipal Human Development Index (IDH-M).This is an ecological study with the PAS as the unit of analysis. The establishments contained in a circular buffer with a radius of 900 meters from the 77 units of the PAS in operation were evaluated.

The COVID-19 pandemic in a Brazilian metropolis: repercussion on food prices.

We analyzed the impact of the efforts to combat the COVID-19 pandemic on the prices of food sold by a food supply center located in the sixth largest city in Brazil. We examined the percentage change in the prices of 20 types of foods, adjusted by market conditions, using municipal contingency plan stages to compare opening and closing of non-essential services, including bars and restaurants (stage 1: first phase of essential services-only; stage 2: flexibilization; and stage 3: second phase of essential services-only with a "pre-pandemic" period [stage 0]). Log-prices were lower in all contingency stages for leafy greens (variation: 42% to 56%) and vegetables (variation: 28% to 40%).

Is the management of obesity in primary health care appropriate in Brazil?

This study aims to describe the adequacy of basic health units (UBS) in Brazil regarding structure and work process for obesity management and to evaluate user satisfaction with primary health care services. This cross-sectional study was conducted with data from the 2013-2014 National Program for Improving Primary Care Access and Quality (PMAQ) - an initiative to assess primary health care teams' performance. Data were collected between 2013 and 2014 through interviews with primary health care teams and users.

Health and work in Brazil: physical and psychosocial demands.

This study aims to describe the prevalence and factors associated of physical and psychosocial demands among Brazilian workers. Data were obtained from the 2013 Brazilian National Health Survey. Physical demand was defined as jobs that require intense physical effort or excessive walking, whereas psychosocial demand was defined as involvement in stressful activities.

Fruit and vegetable consumption across generations of Brazilian primary care users.

Objectives: Despite the importance of generational approach to understand dietary patterns, studies on the topic are scarce, especially in primary health care. Thus, we aimed to analyze the association between generational status and fruit and vegetable (F + V) consumption across users of the Brazilian Primary Care Program, adjusted by health aspects, socioeconomic factors, and body mass index.

Methods: A cross-sectional study was performed from the baseline, randomized, controlled, community trial.

Longitudinal effect of nutritional intervention on body weight: A randomized controlled trial.

Objectives: This study evaluates, in the medium and long term (12, 36, and 48 mo), the effect of an intervention to promote consumption of fruit and vegetables on the body weight of Brazilian primary health care users.

Methods: A follow-up with participants (n = 3414) in a controlled randomized trial was performed in a primary health care service. Those in the control group performed the service's usual intervention (guided physical exercise 3 times/wk), and those in the intervention group additionally participated for 7 mo in collective activities to promote consumption of fruit and vegetables.

Food consumption differences in Brazilian urban and rural areas: the National Health Survey.

This paper aimed to identify food consumption differences as per healthy and unhealthy diet markers among adults living in Brazilian urban and rural areas. A cross-sectional study was performed with data from the National Health Survey (2013). Diet was assessed by using healthy and unhealthy diet markers.

Spatial inequalities of retail food stores may determine availability of healthful food choices in a Brazilian metropolis.

Objective: To examine the association between economic residential segregation and food environment.

Design: Ecological: Food stores categorised according to the NOVA classification were geocoded, and absolute availability was calculated for each neighbourhood. Segregation was measured using local G statistic, a measure of the sd between the economic composition of a neighbourhood (the proportion of heads of households in neighbourhoods earn monthly income of 0 to 3 minimum wages) and larger metropolitan area, weighted by the economic composition of surrounding neighbourhoods.

Disparities in food consumption between economically segregated urban neighbourhoods.

Objective: To examine associations between economic residential segregation and prevalence of healthy and unhealthy eating markers.

Design: Cross-sectional. A stratified sample was selected in a three-stage process.

Monotony in the consumption of fruits and vegetables and food environment characteristics.

Objective: To analyze the quantity and diversity in the consumption fruits and vegetables, as well as its relationship with the consumer's purchase characteristics and food environment.

Methods: Baseline study stemming from a controlled and randomized community trial investigating a sample representative of Primary Health Care services (Health Academy Program) of Belo Horizonte, state of Minas Gerais. The intake of fruits and vegetables was analyzed in servings/day, whereas diversity was assessed by the Food Frequency Questionnaire.

National general truck drivers' strike and food security in a Brazilian metropolis.

Objective: We analysed the impact of the national general truck drivers' strike on the availability, variety and price of foods sold by a food supply centre.

Design: Descriptive study using secondary data to examine the percentage change in the mean price of fruits, vegetables and eggs before, during and after the strike. The strike in Brazil lasted 10 d from 21 to 30 May 2018.

Comparison between two assessment tools for fruit and vegetable intake relative to the 24-h recall.

Objective: The aim of this study was to evaluate the validity of methods assessing fruit and vegetable (FV) intake among Brazilian users of the Primary Attention Health Care Program.

Methods: The present study included 299 participants (age ≥20 y) from a representative sample from a randomized controlled community trial performed as part of a health promotion program in a Brazilian metropolis. All participants completed three methods for the assessment of FV consumption: brief questionnaire of FV (QBrief-FV), food frequency questionnaire of FV, and a 24-h dietary recall.

[Counseling regarding healthy lifestyles in primary healthcare and the dietary practices of clients].

This cross-sectional study examines a counseling program on healthy lifestyles run by health care professionals to establish the adoption of healthy dietary practices by patients attending a primary health care unit. Participants in the study included 417 clients of the unit, the majority of whom were women (78.9%), with an average age of 39 years, a high incidence of excessive weight, (59.