Implementation of healthy school canteens in schools of the Federal District, Brazil
Keywords:
School feeding, Training, Food and nutrition educationAbstract
Objective
A methodology for assessing the implementation of healthy school canteens in schools of the Federal District was developed and administered.
Methods
A descriptive study was done in 2006 to assess the following: a) an educational intervention that trained canteen owners and implemented ten steps to a healthy school canteen; and b) canteen profiles on three different occasions: before the training course and six and twenty-four months after. A system was then developed for classifying the healthiness of the preparations.
Results
Thirty-five canteen owners were trained and nine participated in all three canteen assessments. Compliance with the ten steps to a healthy school canteen and availability of healthier snacks increased from the first to the second assessment, but not to the third. Although canteen owners were no longer compliant with the intervention, they tried to stay more in touch with other canteens interested in offering healthy snacks (p=0.002).
Conclusion
The training course had positive results, especially in the short run. However, the one-year follow-up for this group was not enough to ensure sustainability of the actions. Effective implementation and maintenance of healthy canteens require systematic monitoring and legal and scholastic support.
References
Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obes Rev. 2004; 5(Suppl 1):s4-s85. doi: 10.1111/j.1467-789X.2004.00133.x.
Brasil. Ministério da Saúde. Portaria Interministerial nº 1.010, de 8 de maio de 2006. Institui as diretrizes para a promoção da alimentação saudável nas escolas de educação infantil, fundamental e nível médio das redes públicas e privadas, em âmbito nacional. Diário Oficial da União. 9 maio 2006.
Schmitz BAS, Corso ACT, Caldeira GV, Gimeno SGA, Gabriel CG, Vasconcelos FAG. Overweight and obesity related factors in schoolchildren in Santa Catarina State, Brazil. Arch Latinoam Nutr. 2010; 60(4):332-9.
Ippolito-Shepherd J, Cerqueira MT, Ortega DP. Iniciativa Regional Escuelas Promotoras de la Salud en las Américas. Glob Health Promot. 2005; 12(3-4):220-9. doi: 10.1177/10253823050120030139.
Gabriel CG, Santos MV, Vasconcelos FAG, Milanez GHG, Hulse SB. Cantinas escolares de Florianópolis: existência e produtos comercializados após a instituição da Lei de Regulamentação. Rev Nutr. 2010; 23(2):191-9. doi: 10.1590/S1415-52732010000200002.
Bell AC, Swinburn BA. What are the key food groups to target for preventing obesity and improving nutrition in schools? Eur J Clin Nutr. 2004; 58(2):258-63. doi:10.1038/sj.ejcn.1601775.
Kramer-Atwood JL, Dwyer J, Hoelscher DM, Nicklas TA, Johnson RK, Schulz G. Fostering healthy food consumption in schools: focusing on the challenges of competitive foods. J Am Diet Assoc. 2002; 102(9):1228-33. doi:10.1016/S0002-8223(02)90272-5.
Story M, Hayes M, Kalina B. Availability of foods in high schools: is there cause for concern? J Am Diet Assoc. 1996; 96(2):123-6. doi: 10.1016/S0002-8223(96)00039-9.
Gabriel CG, Vasconcelos FA, Andrade DF, Schmitz BAS. First Law regulating school canteens in Brazil: evaluation after seven years of implementation. Arch Latinoam Nutr. 2009; 59(2):128-38.
Brasil. Manual das cantinas escolares saudáveis: promovendo a alimentação saudável. Brasília: Ministério da Saúde; 2010 [acesso 2011 jun 13]. Disponível em: <http://189.28.128.100/nutricao/docs/geral/manual_cantinas.pdf>.
Brasil. Experiências estaduais e municipais de regulamentação da comercialização de alimentos em escolas no Brasil: identificação e sistematização do processo de construção e dispositivos legais adotados. Brasília: Ministério da Saúde; 2007 [acesso 2011 jun 22]. Disponível em: <http://189.28.128.100/nutricao/docs/geral/regula_comerc_alim_escolas_exper_estaduais_municipais.pdf>.
Rodrigues MLF, Silva JRM, Bernardon R, Amorim N, Recine E, Monteiro R, et al. A escola promovendo hábitos alimentares saudáveis: uma estratégia educacional para a promoção da alimentação saudável na rede de ensino infantil e fundamental. In: Tecendo redes: conexão entre saberes para a educação. Rio de Janeiro: e-papers; 2007. p.61-81.
Schmitz BAS, Recine E, Cardoso GT, Silva JRM, Amorim NFA, Bernardon R, Rodrigues MLCF. A escola promovendo hábitos alimentares saudáveis: uma proposta metodológica de capacitação para educadores e donos de cantina escolar. Cad Saúde Pública. 2008; 24(Supl 2):s312-s22. doi:10.1590/S0102-311X2008001400016.
Center for Disease Control and Prevention. U.S. Department of Health and Human Services. Guidelines for School Health Programs to Promote Lifelong Healthy Eating. MMWR Recomm Rep. 1996; 45 (RR-9): 1-33.
Food and Drug Administration. Code of Federal Regulations, Title 21 - Food and drugs (v. 2), Chapter I-Food and Drug Administration, Department of Health and Human Services, Part 101-Food Labeling-Table of Contents, Subpart AGeneral Provisions, Sec. 101.14 Health claims: general requirements and Subpart E-Specific requirements for Health Claims. U.S. Government Printing Office, Revised as of April 1. 2002.
Food And Drug Administration. Code of Federal Regulations, Title 21 - Food and drugs (v. 2), Chapter I- Food and Drug Administration, Department of Health and Human Services, Part 101-Food Labeling-Table of Contents, Subpart AGeneral Provisions, Sec. 101.12 Reference amounts customarily consumed per eating occasion. Silver Spring (MD): FDA; 2002.
Akutsu RC, Botelho RA, Camargo EB, Sávio KEO, Araújo WC. The technical cards as quality instrument for good manufacturing process. Rev Nutr. 2005; 18(2):277-9. doi: 10.1590/S1415-52732005000200011.
Brasil. Dez passos para a promoção da alimentação saudável nas escolas. Brasília: Ministério da Saúde; 2004 [acesso 2011 jun 22]. Disponível em: <http://189.28.128.100/nutricao/docs/geral/dezPassosPasEscolas.pdf>.
French SA. Public health strategies for dietary change: schools and workplaces. J Nutr. 2005; 135(4):910-2.
Müller MJ, Danielzik S, Pust S. School and familybased interventions to prevent overweight in children. Proc Nutr Soc. 2005; 64(2):249-54.
Sharman M. International school-based interventions for preventing obesity in children. Obes Rev. 2006; 8(2):155-67. doi: 10.1111/j.1467-789X.2006.00268.x.
Mâsse LC, Frosh MM, Chriqui JF, Yaroch AL, Agurs- Collins T, Blanck HM, et al. Development of a School Nutrition-Environment State Policy Classification System (SNESPCS). Am J Prev Med. 2007; 33(Suppl 1):s277-s291. doi:10.1016/j.amepre.2007.07.017.
Guia alimentar para a população brasileira. Brasília: Ministério da Saúde; 2006 [acesso 2011 jun 22]. Disponível em: <http://dtr2001.saude.gov.br/editora/produtos/livros/pdf/05_1109_M.pdf>.
Ledikwe JH, Ello-Martin J, Rolls BJ. Portion sizes and the obesity epidemic. J Nutr. 2005; 135(4): 905-9.
Mendonça CP, Anjos LA. Aspectos das práticas alimentares e da atividade física como determinantes do crescimento do sobrepeso/obesidade no Brasil. Cad Saúde Pública. 2004; 20 (Supl 3): 698-709. doi: 10.1590/S0102-311X2004000300006.
Labouze E, Goffi C, Moulay L, Azaïs-Braesco V. A multipurpose tool to evaluate the nutritional quality of individual foods: Nutrimap. Public Health Nutr. 2007; 10(7):690-700. doi: 10.1017/S1368980007382505.
Vieira-da-Silva LM, Almeida Filho N. Eqüidade em saúde: uma análise crítica de conceitos. Cad Saúde Pública. 2009; 25(Supl 2):s217-s26. doi: 10.1590/S0102-311X2009001400004.
Garcia RWD. Práticas e comportamento alimentar no meio urbano: um estudo no centro da cidade de São Paulo. Cad Saúde Pública. 1997; 13(3): 455-67. doi: 10.1590/S0102-311X1997000300021.
Monteiro CA, Levy RB, Claro RM, Castro IRR, Cannon G. A new classification of foods based on the extent and purpose of their processing. Cad Saúde Pública. 2010; 26(11):2039-49. doi: 10.1590/S0102-311X2010001100005.
Bernardon R, Silva JRM, Cardoso GT, Monteiro RA, Amorim NFA, Schmitz BAS, et al. Construção de metodologia de capacitação em alimentação e nutrição para educadores. Rev Nutr. 2009; 22(3): 389-98. doi: 10.1590/S1415-52732009000300009.
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Copyright (c) 2023 Nina Flávia de Almeida AMORIM, Bethsáida de Abreu Soares SCHMITZ, Maria de Lourdes Carlos Ferreirinha RODRIGUES, Elisabetta Gioconda Iole RECINE, Cristine Garcia GABRIEL
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