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The goals of this study were to identify how community- dwelling elderly deal with the prospect of disability/functionality and to understand how the sociocultural context modulates this process. The study adopted a qualitative approach in which the signs, meanings, and actions model was used in the data collection and analysis. The study interviewed 57 elders ranging from 61 to 96 years of age and enrolled in the six primary health units in Bambuí, Minas Gerais State, Brazil. “To stay still or not to stay still” is the underlying question in functioning and disability in old age. However, staying still is not a matter of individual choice, because the answer depends on the elder’s financial, intellectual, and subjective resources and available social support. Staying still also implies a concept of old age inexorably associated with disability, leaving the elderly resigned to their condition; when difficulties increase, their only choice is to “wait for death”. Health teams need to interfere in this concept, providing care to older people during their recovery and until the end of life. © 2015,Fundacao Oswaldo Cruz. All rights reserved.

Macedo T.R.,Federal University of Minas Gerais | Dos Anjos A.F.V.,Prefeitura Municipal de Belo Horizonte | Dos Santos L.C.,Federal University of Minas Gerais | Bethony M.F.G.,Federal University of Minas Gerais | Pereira S.C.L.,Federal University of Minas Gerais
Mundo da Saude | Year: 2015

Nutritional status is one of the indicators of behavior and food habits, and the way a person feeds is involved in many meanings and can influence the way she prepares meals. In this sense, food handlers are very important in the development of attitudes and behaviors relating to food choices and social life in the school setting. Therefore, the aim of this study was to characterize the nutritional status and identify the factors associated with excess weight of food handlers in public schools. This is an analytical study conducted with food handlers in public schools in Belo Horizonte, Minas Gerais, in 2013. Overweight was diagnosed by means of body mass index measurements and was correlated to anthropometric, socioeconomic, health history and food habit variables that were obtained through a semi-structured questionnaire. 274 subjects participated, among whom 99.6% female, mostly married, adult with primary education and per capita income up to the Brazilian national minimum wage were studied. The prevalence of overweight was 82.80%, positively associated with hypercholesterolemia, hypertriglyceridemia, use of medications, habit of snacking, and inversely with the recommended water intake and physical activity practice. The high prevalence of overweight and some factors associated signal the need for planning and implementing actions of health education for the prevention and control of this condition among food handlers in public schools. © 2015 O Mundo da Saúde, São Paulo.

Pessanha J.E.M.,Prefeitura Municipal de Belo Horizonte | Pessanha J.E.M.,Federal University of Minas Gerais | Caiaffa W.T.,Federal University of Minas Gerais | Kroon E.G.,Federal University of Minas Gerais | Proietti F.A.,Federal University of Minas Gerais
Revista Panamericana de Salud Publica/Pan American Journal of Public Health | Year: 2010

Objective. To determine the seroprevalence of dengue fever serotypes in three sanitary districts in the city of Belo Horizonte and investigate the association of seroprevalence with contextual and individual variables. Method. The survey was conducted in the sanitary districts of Venda Nova, Leste and Centro-Oeste between June 2006 and March 2007. All residents aged 1 year or older were eligible for the study. Participants answered a questionnaire and had a 5 mL blood sample collected to determine the presence of anti-dengue types 1, 2, and 3 virus antibodies by seroneutralization. The questionnaire covered demographic aspects, socioeconomic status, physical characteristics of the home, residential mobility between cities, previous history of signs and symptoms associated with dengue fever, and knowledge concerning dengue fever prevention measures, among others. Results. Seroprevalence was 11.9% (95%CI: 9.7-14.6) among the 709 individuals included in the study, and it was not associated with sex, age, family income, and having moved to another town in the past 10 years. Seropositivity was associated with type of construction (apartment or house/shanty, with apartment being a protection factor) and with an elevated health vulnerability index where the dwelling was located. Conclusions. In this study, seroprevalence was lower than in previous studies carried out in mid-size and large Brazilian cities. This suggests that Belo Horizonte has employed efficient control measures. However, heterogeneity within the city was observed in terms of dengue fever transmission, which was largely associated with contextual indicators of vulnerability. The number of susceptibles is still high, and the control of dengue fever remains a difficult public health issue.

de Toledo M.T.T.,Prefeitura Municipal de Belo Horizonte | Abreu M.N.,Federal University of Minas Gerais | Lopes A.C.S.,Federal University of Minas Gerais
Revista de Saude Publica | Year: 2013

OBJECTIVE: To estimate the prevalence of factors associated with adherence to healthy ways of life. METHODS: This is a cross-sectional study carried out with users aged over 19 from a primary health care unit in Belo Horizonte, MG, Southeastern Brazil, from 2009 to 2010. The sample was selected to estimate the proportion of eople who adhere to healthy ways of life (healthy eating and physical activity) through counseling conducted by health care professionals, and associated socio-demographic, dietary and health factors. Additionally, the perceived benefits from the adherence to healthy ways of life and their possible barriers were verified. Descriptive analysis, univariate (Chi-square Test or Fisher's Exact) and multivariate by Poisson Regression were performed. RESULTS: Of the 417 users selected for the survey, only 40.8% received counseling, of which 50.9% demonstrated adherence. In multivariate Poisson regression, adherence was associated with the perception of food being healthy (PR = 1.67, 95%CI 1.15;2.43) and participation in the public service health campaigns(PR = 1.55, 95%CI 1.18;2.03). The main reported benefits of adherence were greater willingness and weight loss and, the most commonly reported barriers were difficulty of changing habits and lack of time. CONCLUSIONS: Adopting healthier lifestyles requires the proposing of strategies that promote adherence, as well as the participation of professionals in implementing counseling as a health promoting action that generates greater autonomy and quality of life among those involved, supported by policies and programs promoting health.

Issa R.C.,Federal University of Minas Gerais | Moraes L.F.,Federal University of Minas Gerais | Francisco R.R.J.,Federal University of Minas Gerais | Dos Santos L.C.,Federal University of Minas Gerais | And 2 more authors.
Revista Panamericana de Salud Publica/Pan American Journal of Public Health | Year: 2014

Objective. To evaluate the planning, production, distribution, and nutritional adequacy of meals served at city schools. Methods. This descriptive cross-sectional study was conducted between March 2011 and April 2012 and included a representative sample (n = 42 schools) of extended shift city schools from Belo Horizonte, Minas Gerais, Brazil. Five meals from each school were randomly selected and analyzed by direct weighing. Production indicators and nutritional adequacy were evaluated in contrast to the recommendations of the city food security bureau and the Brazilian National Program of School Meals (PNAE). Results. Seventy-nine percent of the analyzed meals did not meet the recommendations of the city food security bureau. The rate of waste (food left on plates) was acceptable at 4,90%, but the rates of cooked and not served food (7,06%) and counter leftovers (5,30%) were high. Both the city planned meals and the meals served in the schools were nutritionally inadequate in terms of the PNAE, particularly for children aged 11-15 years. There was a relationship between consumption by school staff and the amount of food that was cooked (r = 0.353; P < 0.001) and the rate of cooked and not served food (r = 0.138; P = 0.045). Waste was positively correlated with the rate of counter leftovers (r = 0.145; P = 0.035), and inversely correlated with fiber intake (r = -0.143; P = 0.038). Conclusions. The results indicate the importance of monitoring the planning, production, and distribution of school meals and of food and nutrition education in order to improve the quality of food and to reduce waste in schools.

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