{"title":"[Reduction in food additive consumption in the first year of life: impact of a randomized trial focused on dietary counseling].","authors":"Larissa Dimer Germann, Paola Seffrin Baratto, Cintia Mendes Gama, Marcia Regina Vitolo","doi":"10.1590/1413-8123202631.00922025","DOIUrl":"10.1590/1413-8123202631.00922025","url":null,"abstract":"<p><p>The objective of this study was to evaluate the impact of maternal dietary counseling to avoid offering ultra-processed foods and sugar in the first year of life on the daily consumption of food additives. A multicenter field trial was conducted in maternity hospitals in Porto Alegre, Salvador and Manaus. The intervention consisted of one session of dietary counseling based on the booklet developed by UNICEF (\"The 10 steps to healthy eating and habits: from birth to 2 years old\") and telephone calls over the following five months. Data collection at 12 months was performed through home visits, in which a 24-hour recall was applied and the additives present on the labels of each food were subsequently identified. The dietary analysis at 12 months consisted of 172 children in the intervention group (IG) and 155 in the control group (CG). Children in the intervention group had lower daily consumption of food additives (IG: 17.4±14.3 vs. CG: 21.2±18.0; p=0.030). The proportion of children consuming more than 22 additives per day was lower in the intervention group (IG: 13% vs. CG: 24%; p=0.048). The intervention was effective in reducing the consumption of food additives in 12-month-old children.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e00922025"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036686","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: 10.1590/1413-8123202631.07242025
Ricardo Andrade Bezerra, Gledson Tavares de Amorim Oliveira, Fábia Cheyenne Gomes de Morais Fernandes, Felipe Vogt Cureau, Isabelle Ribeiro Barbosa
{"title":"Movement behaviors of Brazilian adolescents and association with eating and lifestyle habits.","authors":"Ricardo Andrade Bezerra, Gledson Tavares de Amorim Oliveira, Fábia Cheyenne Gomes de Morais Fernandes, Felipe Vogt Cureau, Isabelle Ribeiro Barbosa","doi":"10.1590/1413-8123202631.07242025","DOIUrl":"10.1590/1413-8123202631.07242025","url":null,"abstract":"<p><p>This study aimed to identify the associations between movement behaviors and food consumption, lifestyle, and health status (self-perception of health status and body image) of Brazilian adolescents. A cross-sectional study was conducted using data from the 2019 National School Health Survey regarding accumulated physical activity (PA) in different domains and sedentary behavior (SB) assessed by screen or television time. PA and SB were grouped and categorized into movement behavior profiles. Associations performed using Poisson regression were adjusted for sex, age, race or skin color, and maternal education; 95% confidence intervals were presented, and p<0.05 was considered significant. The adjusted analysis indicated that physically inactive adolescents with low screen time presented a low prevalence of consumption of unhealthy foods (PR=0.96), healthy foods (PR=0.97), buying food at the canteen (PR=0.94), consumption of alcoholic beverages (PR=0.94), and tobacco use (PR=0.92); however, this profile presented a high prevalence of eating in front of the screen (PR=1.11). Sedentary behavior was associated with variables in the domains of food consumption, lifestyle, and health status of Brazilian adolescents, regardless of the combined assessment of physical activity.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e07242025"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036721","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: 10.1590/1413-8123202631.12942024
Marcel Jhonnata Ferreira Carvalho, Gustavo Fonseca, Antenor Vieira Borges Neto, Kleper de Oliveira Rocha, Carolina Letícia Zilli Vieira, Daniel Araki Ribeiro, Jean Nunes Dos Santos, Patricia Ramos Cury
{"title":"Association between exposure to environmental heavy metals and gastrointestinal and urinary cancer mortality.","authors":"Marcel Jhonnata Ferreira Carvalho, Gustavo Fonseca, Antenor Vieira Borges Neto, Kleper de Oliveira Rocha, Carolina Letícia Zilli Vieira, Daniel Araki Ribeiro, Jean Nunes Dos Santos, Patricia Ramos Cury","doi":"10.1590/1413-8123202631.12942024","DOIUrl":"https://doi.org/10.1590/1413-8123202631.12942024","url":null,"abstract":"<p><p>Environmental exposure to heavy metals has been associated with cancer. Nonetheless, the effects of exposure to combined heavy metals on cancer mortality of urinary and gastrointestinal systems have not been examined. This study assessed the long-term association between environmental exposure to multiple heavy metals and cancer mortality rates in the digestive and urinary tracts. The death rates/100,000 inhabitants over 41 years were collected from Santo Amaro, the exposed town with a former lead smelter, and Ribeira do Pombal, the reference town, in Bahia, Brazil. The exposure duration, age and gender were considered predictors. The overall accuracy of the models ranged from 84 to 97%. For the population above 80 years, the probability of total mortality went from 20% in the first 6 years of exposure to over 70% after 20 years. The same trend was observed for the urinary system. For the digestive system, the mortality in the elders started after 15 years of exposure and peaked with a 30% probability after 35 years. In conclusion, environmental exposure to multiple heavy metals was linked to cancer-related deaths in the gastrointestinal and urinary tracts of the elderly population.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e12942024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036697","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: 10.1590/1413-8123202631.02312024
Ana Paula da Cunha, Marly Marques da Cruz
{"title":"Trends in comorbidities associated with HIV mortality in Brazil, 2000 to 2022: an ecological study.","authors":"Ana Paula da Cunha, Marly Marques da Cruz","doi":"10.1590/1413-8123202631.02312024","DOIUrl":"https://doi.org/10.1590/1413-8123202631.02312024","url":null,"abstract":"<p><p>This study aimed to analyze trends in comorbidities associated with HIV-related mortality in Brazil from 2000 to 2022. This ecological time-series study used Mortality Information System data, including all deaths recorded under ICD-10 codes B20 to B24. Comorbidities were classified under ICD-10 chapters. Age-standardized mortality rates were calculated using the direct method. Trends were analyzed using Prais-Winsten regression. The mean mortality rate was 6.40 deaths per 100,000 inhabitants; for AIDS-defining conditions, the rate was 5.71 deaths per 100,000 inhabitants; and for non-AIDS-defining conditions, 0.65 deaths per 100,000 inhabitants. A decreasing trend was observed only for infectious diseases in Brazil (APC = -2.94; p-value < 0.001), a pattern not observed in some Northern and Northeastern states, where increasing trends were identified. Neoplasms showed a growing trend (APC = 4.69; p-value = 0.002), as did circulatory diseases (APC = 6.97; p-value = 0.002) in Brazil. High mortality rates for AIDS-defining conditions persist despite their overall declining trend, with increasing trends in some states.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e02312024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036730","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: 10.1590/1413-8123202631.03272024
Ana Keila Carvalho Vieira da Silva, Daniela Gomes Dos Santos Biscarde, Nilia Maria de Brito Lima Prado
{"title":"[Invisibility of health agendas for Indigenous peoples in a health region of Bahia, Brazil].","authors":"Ana Keila Carvalho Vieira da Silva, Daniela Gomes Dos Santos Biscarde, Nilia Maria de Brito Lima Prado","doi":"10.1590/1413-8123202631.03272024","DOIUrl":"10.1590/1413-8123202631.03272024","url":null,"abstract":"<p><p>The regionalization of healthcare must consider territorial diversity, which has significant implications for the implementation of public policies, particularly in ensuring differentiated attention to Indigenous territories. This article analyzed how Indigenous health is addressed within the Regional Intermanagers Commission (CIR) in a health region of Bahia, Brazil. This is a documentary analysis of 76 meeting minutes from the CIR, held between March 2013 and March 2023, available in the Bahian Observatory of Regionalization (OBR). The themes discussed in the minutes were analyzed using data matrices. Most of the meetings were regular sessions and focused on agendas set by urban managers. Of the 76 meetings, only 11 addressed aspects of Indigenous health, and only one explicitly included it as a formal agenda item, highlighting the invisibility of Indigenous health issues in regional health management. The minutes primarily covered topics such as management, funding, network organization, service access, infrastructure, and updates. The invisibility of Indigenous health in regional health management represents a critical issue that requires resolution, demanding a more appropriate and equitable management model within the national Indigenous health policy framework.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e03272024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036658","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: 10.1590/1413-8123202631.15332024
Marianna Junger de Oliveira Garozi, Alexandre Vinco Pimenta, Cíntia Tomaz Sant'Ana, Mariana Grancieri, Luciane Daniele Cardoso, Maria das Graças Vaz Tostes, Neuza Maria Brunoro Costa
{"title":"Impact of a nutrition education program on food consumption and nutritional status of family farmers.","authors":"Marianna Junger de Oliveira Garozi, Alexandre Vinco Pimenta, Cíntia Tomaz Sant'Ana, Mariana Grancieri, Luciane Daniele Cardoso, Maria das Graças Vaz Tostes, Neuza Maria Brunoro Costa","doi":"10.1590/1413-8123202631.15332024","DOIUrl":"https://doi.org/10.1590/1413-8123202631.15332024","url":null,"abstract":"<p><p>This study analyzed the impact of a nutrition education program on the food consumption and nutritional status of family farmers in Alegre, Espírito Santo, Brazil. A longitudinal and interventional study, with 81 individuals of both sexes (3 to 74 years old) was carried out. Nutrition education program with 7 activities throughout 8 months period was applied. Food consumption, anthropometric measurements, blood pressure, complete blood count, fasting glucose, total proteins, serum iron, ferritin, C-reactive protein, and lipid profile were evaluated, before and after the intervention. Data was analyzed using the t-test and Wilcoxon test (p<0.05). The Revised Diet Quality Index increased from 49.44 to 58.72 (p=0.001), indicating a significant improvement. There was a significant reduction in energetic and lipid intake, free sugar, sodium, saturated, and trans fatty acids. These changes were associated with decreases in BMI, body fat percentage, waist circumference, plasma cholesterol, and triacylglycerol levels. The nutrition education program had a positive impact on the participants' eating habits and health, contributing to the improvement of public and other intervention health programs.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e15332024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036679","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: 10.1590/1413-8123202631.10562024
Fábio Luiz Mialhe, Katarinne Lima Moraes, Vanessa da Silva Carvalho Vila, Helena Alves de Carvalho Sampaio, Virginia Visconde Brasil, Flávio Rebustini
{"title":"A global measurement tool to assess population health literacy fits all? A critical paper.","authors":"Fábio Luiz Mialhe, Katarinne Lima Moraes, Vanessa da Silva Carvalho Vila, Helena Alves de Carvalho Sampaio, Virginia Visconde Brasil, Flávio Rebustini","doi":"10.1590/1413-8123202631.10562024","DOIUrl":"https://doi.org/10.1590/1413-8123202631.10562024","url":null,"abstract":"<p><p>Health literacy (HL) is considered by the World Health Organization (WHO) as an important determinant of health and several instruments have been elaborated and adapted to measure this construct. In 2022, a group of researchers started a project aimed at developing a HL assessment instrument with global applicability, based on different versions of the European Health Literacy Survey Questionnaire (HLS-EU-Q). This article critically analyses the characteristics of those instruments to help improve health assessment practices and avoiding omitting measurement of locally important information, therefore committing an epistemic injustice. Analysis detected several flaws in the instruments' aforementioned aspects and the conceptual model proposed by WHO which limits their application as global instruments. Countries worldwide should develop specific instruments to measure the general HL of their population based on its sociocultural characteristics and specificities of their health care systems thus avoiding wrong decision-making, which can compromise the effectiveness of policies resulting from these surveys.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e10562024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036680","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: 10.1590/1413-8123202631.09892024
Fernanda Bispo Dos Santos, Elisa Maria de Aquino Lacerda, Andreia Andrade-Silva, Maria Beatriz Trindade de Castro
{"title":"Association between skipping and replacing meals and excess weight in adolescents in Rio de Janeiro, Brazil.","authors":"Fernanda Bispo Dos Santos, Elisa Maria de Aquino Lacerda, Andreia Andrade-Silva, Maria Beatriz Trindade de Castro","doi":"10.1590/1413-8123202631.09892024","DOIUrl":"https://doi.org/10.1590/1413-8123202631.09892024","url":null,"abstract":"<p><p>This article aims to evaluate the association between skipping and replacing meals with excess weight in adolescents. Cross-sectional study among 382 students from public schools in Rio de Janeiro, Brazil, collecting sociodemographic data and dietary habits, focusing on skipping (breakfast, lunch, and dinner) and replacing meals with snacks. The Chi-square test assessed Body Mass Index for Age (overweight> +1 z-score), and logistic regression analyzed associations between meal skipping, replacing meals, and excess weight. Girls who skipped breakfast had a higher excess weight frequency (50% vs 31.6%, p=0.025), while boys with excess weight skipped lunch (13.8% vs 4.8%, p=0.027) and dinner (15.5% vs 5.5%, p=0.020) more frequently. Boys skipping dinner were 3.13 times more likely to have excess weight (95%CI: 1.06-9.21), and girls skipping breakfast were 2.20 times more likely (95%CI: 1.10-4.41). No association was found between replacing meals and excess weight. Skipping dinner and breakfast increased the chances of excess weight in male and female adolescents, respectively.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e09892024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036274","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: 10.1590/1413-8123202631.04392025
Elizabeth Sorrentino, Gabriela Buccini, Sonia Isoyama Venancio
{"title":"[Fidelity, acceptability, and suitability in the implementation of responsive food cards in Brazil].","authors":"Elizabeth Sorrentino, Gabriela Buccini, Sonia Isoyama Venancio","doi":"10.1590/1413-8123202631.04392025","DOIUrl":"https://doi.org/10.1590/1413-8123202631.04392025","url":null,"abstract":"<p><p>The goal of responsive feeding (RF) cards is to encourage food autonomy and to boost cognitive, emotional and social development. It is becoming a critical tool to promote child nutrition in primary care. The aim of the present study is to (1) assess the accuracy of RF cards implementation by trained community health agents (CHA), (2) to investigate their acceptability and adequacy from the perspective of caregivers to 0 to 3-year old children in rural-riverside and urban Brazilian regions. Eight-hour training on using culturally appropriate RF cards was made available to 45 CHAs. Observations on how to conduct the sessions were based on using a checklist applied to four group-education sessions. The opinion of caregivers was collected through deductive coding based on recordings that were transcribed by a professional. The aforementioned training ensured accuracy to delivery RF messages. Caregivers highlighted the messages' adequacy and acceptability over the group-education sessions. The study highlights a viable strategy to achieve RF cards use accuracy in primary care, besides stressing the relevance of culturally adapted materials developed for different populations.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e04392025"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036650","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: 10.1590/1413-8123202631.12602024
Layanne Cristini Martin Sousa, Severina Carla Vieira Cunha Lima, Mariana Silva Bezerra, Rosa Sá de Oliveira Neta, Ângelo Giuseppe Roncalli da Costa Oliveira, Dirce Maria Lobo Marchioni, Clélia de Oliveira Lyra
{"title":"[Do Food Environments Predict Adherence to the Dietary Guidelines for the Brazilian Population? An analysis of the Brazuca Natal study].","authors":"Layanne Cristini Martin Sousa, Severina Carla Vieira Cunha Lima, Mariana Silva Bezerra, Rosa Sá de Oliveira Neta, Ângelo Giuseppe Roncalli da Costa Oliveira, Dirce Maria Lobo Marchioni, Clélia de Oliveira Lyra","doi":"10.1590/1413-8123202631.12602024","DOIUrl":"https://doi.org/10.1590/1413-8123202631.12602024","url":null,"abstract":"<p><p>The objective of this study was to ascertain the relationship between food environments and adherence to the Brazilian Food Guide among residents of a capital city in the northeastern region of Brazil. This is a cross-sectional study that employs data on the food environment (food deserts and swamps) in Natal/RN and individual data on adults and older people from the BRAZUCA Natal study. The data set includes information on gender, age, the monthly income of the person responsible, and an adherence score to the Food Guide, which refers to eating practices in line with and opposed to national recommendations for adequate and healthy eating. The association between the variables was analyzed using multiple linear regression by backward stepwise. The findings indicate that residing in a food desert is associated with a 2.41-point reduction in the adherence score to the Food Guide, irrespective of income, age, and gender. Additionally, living in a food desert is linked to a 1.39-point decrease in the adherence score for practices that are contrary to the Food Guide. Food swamps were not associated with adherence to the Food Guide. Consequently, only food deserts were found to be associated with adherence to the Food Guide among adults and the elderly in Natal-RN. This understanding provides a basis for the development of strategies to promote adequate and healthy eating among this population.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 suppl 1","pages":"e12602024"},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036667","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}