Ciencia & saude coletivaPub Date : 2026-09-21eCollection Date: 2026-01-01DOI: 10.1590/1413-8123202631.22722024
Ligia Kerr, Ana Rita Coimbra Motta-Castro, Marto Leal, Rosane da Silva Santana, Rosa Maria Salani Mota, Regina Célia Moreira, Elaine Lopes de Oliveira, Edilene Peres Real da Silveira, Andréa Fachel Leal, Daniela Knauth, Maria Amélia Veras, Ana Maria de Brito, Edgar Merchan-Hamann, Ximena Pamela Diaz Bermudez, Alexandre Kerr Pontes, Raimunda Hermelinda Maia Macena, Luana Nepomuceno Costa Lima, Mark Drew Crosland Guimarães, Inês Dourado, Lisângela Cristina Oliveira, Luis Fernando Macedo Brígido, Ana Roberta Pati Pascom, Carla Kerr Pontes, Laio Magno, Anya Pimentel Gomes Fernandes Vieira-Meyer, Ivana Cristina de Holanda Cunha Barreto, Carl Kendall
{"title":"Increase in syphilis among men who have sex with men in Brazil.","authors":"Ligia Kerr, Ana Rita Coimbra Motta-Castro, Marto Leal, Rosane da Silva Santana, Rosa Maria Salani Mota, Regina Célia Moreira, Elaine Lopes de Oliveira, Edilene Peres Real da Silveira, Andréa Fachel Leal, Daniela Knauth, Maria Amélia Veras, Ana Maria de Brito, Edgar Merchan-Hamann, Ximena Pamela Diaz Bermudez, Alexandre Kerr Pontes, Raimunda Hermelinda Maia Macena, Luana Nepomuceno Costa Lima, Mark Drew Crosland Guimarães, Inês Dourado, Lisângela Cristina Oliveira, Luis Fernando Macedo Brígido, Ana Roberta Pati Pascom, Carla Kerr Pontes, Laio Magno, Anya Pimentel Gomes Fernandes Vieira-Meyer, Ivana Cristina de Holanda Cunha Barreto, Carl Kendall","doi":"10.1590/1413-8123202631.22722024","DOIUrl":"https://doi.org/10.1590/1413-8123202631.22722024","url":null,"abstract":"<p><p>This article aims to report the prevalence of syphilis and its associated factors among men who have sex with men (MSM) in Brazil. Respondent-driven sampling was conducted in 12 cities in Brazil between June and December 2016. The target sample size was 350 MSM in each city. Five to six seeds were selected to initiate recruitment and coupons and interviews were conducted online. MSM were considered syphilis-positive if the RST+ and Venereal Disease Research Laboratory results were positive for FTA-Abs. A total of 4176 MSM were recruited. The lifetime prevalence of syphilis was 26.9% (95%CI: 24.0-29.9). The prevalence of active syphilis is 13.2%. Factors associated with active syphilis were as follows: age < 25 years (PR: 1.67, 95%CI: 1.29-2.17), use of mobile dating apps to seek sexual partners (PR: 1.35, 95%CI: 1.01-1.80), and previous diagnosis of sexually transmitted infection (STI) (PR: 1.33, 95%CI: 1.03-1.70). A high prevalence of active syphilis among MSM, particularly young individuals, was found. Approaches to the development of health interventions for MSM STI screening and treatment should be applied.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e22722024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2026-09-21eCollection Date: 2026-01-01DOI: 10.1590/1413-8123202631.13772024
Rita de Cássia Ribeiro, Bruna Vieira de Lima Costa, Nathalia Sernizon Guimarães, Ana Beatriz Leão Silva, Rosana Maria Calazans, Izabel Cristina Corrêa Barcelos, Giovana Ridolfi Aburachid, Tulio Neves de Oliveira, Bruna Emanuella Benfica Cirilio, Simone Cardoso Lisboa Pereira
{"title":"Social assistance and citizenship units: food and nutrition guidelines for menu planning.","authors":"Rita de Cássia Ribeiro, Bruna Vieira de Lima Costa, Nathalia Sernizon Guimarães, Ana Beatriz Leão Silva, Rosana Maria Calazans, Izabel Cristina Corrêa Barcelos, Giovana Ridolfi Aburachid, Tulio Neves de Oliveira, Bruna Emanuella Benfica Cirilio, Simone Cardoso Lisboa Pereira","doi":"10.1590/1413-8123202631.13772024","DOIUrl":"https://doi.org/10.1590/1413-8123202631.13772024","url":null,"abstract":"<p><p>This research deals with the development of dietary and nutrition guidelines for the planning and evaluation of menus in social assistance and citizenship units. The topic is especially important because there are currently no specific guidelines establishing the parameters for meal provision in these highly complex public facilities. The methodology included the collection of information on the institutional menu preparation and evaluation process in a Brazilian metropolis and a bibliographic review of recommendations for adopting and promoting an adequate and healthy diet in Brazil. Thirteen guidelines were formulated, structured around three core elements (qualitative, quantitative and good practices) encompassing the human right to food and adequate and healthy meals, sustainability and the environment and strategic menu planning and good production practices. Each element respects the general purpose of the recommendation and is underpinned by an in-depth theoretical framework. These guidelines can serve as a key public management tool and a regulatory framework to guide the efficient use of financial resources allocated to the production and provision of healthy meals to socially vulnerable people.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e13772024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2026-09-21eCollection Date: 2026-01-01DOI: 10.1590/1413-8123202631.15582024
Pamella Luiza Dos Santos Benedetto, Fabrícia Geralda Ferreira, Wellington Segheto, Leonice Aparecida Doimo
{"title":"[Vitamin D status and associated factors in military and civilian dependents: Rio de Janeiro, Brazil, 2018-2022].","authors":"Pamella Luiza Dos Santos Benedetto, Fabrícia Geralda Ferreira, Wellington Segheto, Leonice Aparecida Doimo","doi":"10.1590/1413-8123202631.15582024","DOIUrl":"https://doi.org/10.1590/1413-8123202631.15582024","url":null,"abstract":"<p><p>This cross-sectional study evaluated vitamin D status and associated factors in military personnel and civilian dependents of the Brazilian Air Force, in Rio de Janeiro, between 2018 and 2022. Data from the Central Air Force Hospital (HCA) database were used, covering 15,651 individuals (6,162 military personnel and 9,399 civilians), aged 18 to 60 years. The variables analyzed were sex, age, occupation (military or civilian), month of collection, and vitamin D values, measured by chemiluminescence. The classification of vitamin D status followed criteria from the HCA Clinical Analysis Laboratory and the European Expert Consensus. Among military personnel, the prevalence rates of deficiency, insufficiency, and sufficiency were 21.3%, 47.6%, and 31.1%, respectively. Among civilians, they were 29.9%, 46.4%, and 23.7%. Men, older individuals, and collections conducted in the fall or summer showed better vitamin D levels. Although military personnel had a lower risk of deficiency and insufficiency than civilians, the prevalence of hypovitaminosis D is high. These data indicate the need for individual and collective strategies to improve vitamin D levels, especially among military personnel.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e15582024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2026-09-21eCollection Date: 2026-01-01DOI: 10.1590/1413-8123202631.17362024
Débora Jaqueline Miranda de Moraes Nunes, Luciana Neri Nobre, Adriano Marçal Pimenta, Helen Hermana Miranda Hermsdorff, Josefina Bressan, Cíntia Lacerda Ramos
{"title":"Association between food consumption based on the degree of processing and dyslipidemia in Brazilian adults (CUME study).","authors":"Débora Jaqueline Miranda de Moraes Nunes, Luciana Neri Nobre, Adriano Marçal Pimenta, Helen Hermana Miranda Hermsdorff, Josefina Bressan, Cíntia Lacerda Ramos","doi":"10.1590/1413-8123202631.17362024","DOIUrl":"10.1590/1413-8123202631.17362024","url":null,"abstract":"<p><p>This study evaluated the association between food consumption, based on degree of processing, and the incidence of dyslipidemia in Brazilian adults. This prospective study was conducted with 2,771 Minas Gerais Universities Cohort (CUME Study) participants. They were free of dyslipidemia at baseline and had four years of follow-up. Generalized Equation Estimation was performed. The incidence of lipid profile alterations was 27.0 % for high-LDL-c, 20.6% for low-HDL-c, and 24.6% for hypertriglyceridemia. Although in the crude model, participants who consumed a greater proportion of energy from ultra-processed foods were at greater risk of elevated LDL-C and triglycerides and low HDL-C levels; and consuming a greater proportion of minimally processed foods was protective against dyslipidemia, this association did not persist in the adjusted model. This indicates that, in this study, food consumption, according to the NOVA classification, was not associated with changes in the lipid profile of CUME participants over the four-year follow-up period.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e17362024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2026-09-21eCollection Date: 2026-01-01DOI: 10.1590/1413-8123202631.07492025
Bruna Grazielle Mendes Rodrigues, Ana Luísa Claro de Moura, Malvina Thais Pacheco Rodrigues, Regina Tomie Ivata Bernal, Karoline de Macêdo Gonçalves Frota, Márcio Dênis Medeiros Mascarenhas
{"title":"[Food consumption according to degree of processing and associated factors during the COVID-19 pandemic in Piauí, Brazil: population-based survey].","authors":"Bruna Grazielle Mendes Rodrigues, Ana Luísa Claro de Moura, Malvina Thais Pacheco Rodrigues, Regina Tomie Ivata Bernal, Karoline de Macêdo Gonçalves Frota, Márcio Dênis Medeiros Mascarenhas","doi":"10.1590/1413-8123202631.07492025","DOIUrl":"https://doi.org/10.1590/1413-8123202631.07492025","url":null,"abstract":"<p><p>To investigate food consumption according to the degree of processing and associated factors in the state of Piauí, a population-based cross-sectional study with multi-stage cluster sampling was carried out. Sociodemographic and economic variables, as well as food consumption, were investigated using Pearson's chi-square test and prevalence ratio. Among the 2,104 participants (≥2 years of age), the highest consumption of natural and minimally processed foods was observed in people living in the capital (98.6%; 95%CI: 96.5-99.4), aged 20 to 59 years (94.1%; 95%CI: 91.9-95.7) and ≥60 years (92.6%; 95%CI: 88.1-95.5), black (95.0%; 95%CI: 90.7-97.4), with medium (92.9%; 95%CI: 89.0-95.5) and higher (95%; 95%CI: 91.2-97.2) education, family income >2 minimum wages (95.8%; 95%CI: 92.3-97.2) and who did not receive government benefits (95.2%; 95%CI: 83.4-91.0). In contrast, individuals aged 2 to 19 years (41.7%; 95% CI: 32.3-51.7) showed significantly higher consumption of ultra-processed foods (UPF). These results highlight the need for public policies that promote healthy eating from childhood and expand access to quality foods, especially among the most economically vulnerable groups.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e07492025"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2026-09-21eCollection Date: 2026-01-01DOI: 10.1590/1413-8123202631.07232025
Dixis Figueroa Pedraza
{"title":"[Implementation and evaluation of food and nutrition actions in the school environment].","authors":"Dixis Figueroa Pedraza","doi":"10.1590/1413-8123202631.07232025","DOIUrl":"10.1590/1413-8123202631.07232025","url":null,"abstract":"<p><p>The Programa Saúde na Escola and the Programa Nacional de Alimentação Escolar can be integrated through food and nutrition actions in the school environment. The objective of this article is to develop a proposal for the implementation and evaluation of food and nutrition actions in the school environment, verifying their applicability. A methodological study that resulted in the development of a logical model and an implementation and monitoring matrix related to school feeding and nutrition actions, covering parameters of structure, process/actions and results of three components (anthropometric assessment, promotion of healthy eating and school feeding). Health professionals and teachers from 11 municipalities in Paraíba took part. Applicability was verified in a case study with four early childhood education schools. The three components showed deficiencies in both structure and process. In the results, there was low completion of the Child Handbook, high consumption of foods not offered in school meals, especially industrialized, and good acceptance of school meals. The proposal drawn up could help improve health promotion programs in the school environment, with a focus on food and nutrition.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e07232025"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stages of change in feeding behavior are associated with the consumption of fruits, vegetables, sweets and fats by adolescents.","authors":"Hérica Thaís Vieira Aguiar, Lucinéia de Pinho, Antônio Prates Caldeira, Luciana Neri Nobre, Cíntia Lacerda Ramos","doi":"10.1590/1413-8123202631.20062024","DOIUrl":"https://doi.org/10.1590/1413-8123202631.20062024","url":null,"abstract":"<p><p>The study verified the stages of change in adolescents' eating behavior regarding the regular consumption of fruits, vegetables, sweets, and fatty foods. This is a cross-sectional study with adolescents from public schools in Montes Claros-MG, Brazil, who were identified through a sample selected by probabilistic cluster sampling. The adolescents answered a questionnaire covering food consumption, stage of change in eating behavior, and sociodemographic conditions. Their weight and height were assessed. Food consumption was assessed according to Vigitel, which considered regular consumption when the food group was consumed ≥5 times per week. The factors that influence the probability of the stage of change in eating behavior influencing the consumption of fruits, vegetables, sweets, and fats were analyzed by Poisson regression. A total of 880 adolescents participated in the study; the majority reported being in the \"maintenance\" (25.6%) and \"action\" (13.6%) stages for all markers of food consumption. Adolescents in the \"pre-contemplation\" stage were more likely not to consume fruits and vegetables daily when compared to those in the \"maintenance\" phase. The less advanced they were in the change stage, the lower the frequency of vegetable consumption.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e20062024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2026-09-21eCollection Date: 2026-01-01DOI: 10.1590/1413-8123202631.13912024
Giovana Longo-Silva, Renan Serenini, Márcia de Oliveira Lima, Júlia Souza de Melo, Larissa de Lima Soares, Risia Cristina Egito de Menezes
{"title":"Chrononutrition: exploring determinants and feature importance of eating timing among Brazilian adults.","authors":"Giovana Longo-Silva, Renan Serenini, Márcia de Oliveira Lima, Júlia Souza de Melo, Larissa de Lima Soares, Risia Cristina Egito de Menezes","doi":"10.1590/1413-8123202631.13912024","DOIUrl":"https://doi.org/10.1590/1413-8123202631.13912024","url":null,"abstract":"<p><p>Our study aimed to explore factors influencing the timing of food intake, including physiological, behavioral, personal preferences, cultural, and environmental dynamics. Using data from 5,260 Brazilian adults collected through a virtual, exploratory, population-based survey (Sonar-Brazil/2023-24), Lasso regression identified the determinants of the timing of the first and last food intake, lunch, eating midpoint, and weekly breakfast skipping. Random Forest analysis was used to assess the feature importance for the eating midpoint. Chronotype emerged as the primary predictor across all outcomes: as chronotype shifted towards eveningness, the frequency of breakfast skipping increased and food intake timings delayed. While depression, obesity, evening screen time, smoking, caffeine consumption, having dinner as the largest meal, short sleep duration, and working remotely were associated with a later eating midpoint, age, female sex, exercising, evening alcohol consumption, diet quality, working in-office, and higher education were associated with an earlier eating midpoint. Insights into modifiable factors influencing eating timing can inform public health interventions aimed at promoting healthier eating habits aligned with the circadian system, tailored to diverse regional and individual contexts.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e13912024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Changes in conceptions of food quality in the Brazilian School Meals Program].","authors":"Patricia Camacho Dias, Kamilla Bertu, Letícia de Souza Bottino Rocha, Daniele Mendonça Ferreira, Luciene Burlandy, Roseane Moreira Sampaio Barbosa","doi":"10.1590/1413-8123202631.11262024","DOIUrl":"https://doi.org/10.1590/1413-8123202631.11262024","url":null,"abstract":"<p><p>The objective of this study was to analyze the ideas about quality of AE, established through the legal documents of the National School Feeding Program (PNAE) in the period from 1955 to 2020, based on the constitutive dimensions of the FNS concept formalized in national legislation. Based on the method of document analysis and the theoretical references of discursive institutionalism, ideas about quality were problematized in light of the concept of food and nutritional security (SAN, acronym in Portuguese). 16 PNAE legislations were analyzed considering the historical, political and social context and conceptions about quality. The analysis was compared with scientific production, food and nutrition policy documents, SAN, AE and historical research. Ideas about AE quality have undergone transformations in several parameters and values, being influenced by SAN policies. The PNAE was initially institutionalized as a \"food supplementation\" program and was consolidated as a SAN program, where the quality of the AE considers everything from the origin of the food to its suitability for the local food culture. It currently incorporates the dietary guidelines of the food guides, indicating that the institutionalization of the PNAE enhances the combination of different dimensions of quality.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e11262024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2026-09-21eCollection Date: 2026-01-01DOI: 10.1590/1413-8123202631.07432025
Pâmela Gracielle da Fonseca, Rita de Cássia Ribeiro, Rosana Maria Calazans, Bruna Emanuella Benfica Cririlo, Giovana Ridolfi Aburachid, Juliana Lamounier Elias, Bruna Vieira de Lima Costa, Juliana Costa Liboredo, Simone Cardoso Lisboa Pereira, Nathalia Sernizon Guimarães
{"title":"[Time trends in the special dietary needs of preschoolers and schoolchildren: the case of a Brazilian metropolis].","authors":"Pâmela Gracielle da Fonseca, Rita de Cássia Ribeiro, Rosana Maria Calazans, Bruna Emanuella Benfica Cririlo, Giovana Ridolfi Aburachid, Juliana Lamounier Elias, Bruna Vieira de Lima Costa, Juliana Costa Liboredo, Simone Cardoso Lisboa Pereira, Nathalia Sernizon Guimarães","doi":"10.1590/1413-8123202631.07432025","DOIUrl":"https://doi.org/10.1590/1413-8123202631.07432025","url":null,"abstract":"<p><p>This ecological study analyzed the temporal trend of special dietary needs in children aged 2 to 12 enrolled in the public school system of Belo Horizonte (MG) between 2014 and 2023. Secondary data from medical reports filed at schools, provided by the Municipal Department of Food and Nutritional Security, were used. Variables included year, gender, age, school location and type of dietary restriction. The analysis used descriptive statistics and Prais-Winsten regression. Among the 1967 children, 12.6% had some special dietary need, especially lactose intolerance (39.8%), cow's milk protein allergy (12.6%) and egg allergy (4.2%). From 2021 onwards, there was a significant increase, with 421 cases of intolerance in 2023. The annual increase rates were: 6.69% (intolerance), 5.51% (allergies) and 5.74% (selectivity). Around 43.4% of the reports did not specify the restriction. The high level of adherence to school meals (54.6%) highlights the role of the PNAE in food safety. The findings reinforce the need for intersectoral strategies to ensure inclusive and safe food in the school environment.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e07432025"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}