Programa de Pós-Graduação em Saúde, Ambiente e Sociedade na Amazônia - PPGSAS/ICS
URI Permanente desta comunidadehttps://repositorio.ufpa.br/handle/2011/10372
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Navegando Programa de Pós-Graduação em Saúde, Ambiente e Sociedade na Amazônia - PPGSAS/ICS por Orientadores "ARAÚJO, Marília de Souza"
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Item Acesso aberto (Open Access) Adolescentes rurais: comportamentos de risco para doenças crônicas não transmissíveis em um município do interior do estado do Pará(Universidade Federal do Pará, 2019-03-15) OLIVEIRA, Victor Vieira de; ARAÚJO, Marília de Souza; http://lattes.cnpq.br/9371703949781020Recent studies have demonstrated the epidemiological transition and the increased occurrence of Noncommunicable Chronic Diseases (NCD), especially among adolescents in less developed countries, and in those who live in poor areas. Although it is recognized that these diseases are more commonly perceived in adults, their manifestations are the result of the interaction of risk factors acquired at an early age. Therefore, the objective of this research was to identify the risk factors for NCDs in adolescents from the rural area of a town in the northeast of the state of Pará, Brazil, as well as to present the risk factors for NCDs through the following variables: physical activity, tobacco use, alcohol consumption, Body Mass Index, waist circumference and blood pressure, identifying the possible associations between these variables with the socio-demographic, socioeconomic conditions and with the behavioral and alimentary markers. An observational, cross-sectional epidemiological study was carried out on a representative sample of students of both sexes, aged between 15 and 19 years, enrolled in the regular high school of six public schools in the rural area of the municipality of Ipixuna-PA. The data were obtained through a questionnaire and clinical evaluation, being analyzed by means of explanatory analysis and univariate and multiple logistic regression, considering a significance level of 5% (p < 0,05) and a 95% confidence interval (CI). The sample consisted mostly of female individuals, with an average age of 17 years, who were insufficiently active, who had already experienced alcohol and tobacco, belonging to the most socially vulnerable strata and who had a poor-fiber diet, but rich in fats and sugar. The sedentary lifestyle was significantly related to the female sex, while the risk of altered blood pressure and tobacco experimentation were significantly related to the male sex. Socioeconomic conditions have been shown to influence mainly blood pressure increase, tobacco experimentation, and waist circumference, while older age has been shown to be a protective factor for abdominal obesity. Likewise, the consumption and experimentation of alcohol and tobacco showed to have their use combined, as well as the presence of abdominal obesity and overweight. Inadequate feeding, in turn, was associated with the greater risk of the adolescent being insufficiently active. This study makes clear the need for more effective public policies aimed at raising awareness of the need for a healthier lifestyle among adolescents in rural areas.Item Acesso aberto (Open Access) Análise dos instrumentos normativos reguladores da aquisição de alimentos destinados à alimentação escolar municipal belenense após a emenda constitucional nº 64/10: comparação entre a práxis e a garantia social estabelecida pela “constituição cidadã”(Universidade Federal do Pará, 2018-08-08) SILVA, Wadih Brazão e; SÁ, Naiza Nayla Bandeira de; http://lattes.cnpq.br/1712074978664736; ARAÚJO, Marília de Souza; http://lattes.cnpq.br/9371703949781020Taking as a reference the scientific evidence that inadequate food results in a variety of health problems, as well as the fact that, from 2010, food has been elevated to the category of social law set forth in the Federal Constitution through Constitutional Amendment number 64, the present study is directed to the research about the effective observation of this right in relation to the student population that receives school meals in the city of Belém from the year of validity of said Amendment, delimiting the period from February 2010 to February 2018. Therefore, it assumed as a premise that the full realization of the social right to food only occurs if the food has nutritional value and that this condition is in the drafting of normative instruments (Bidding Documents and Public Call Records) governing the acquisition of food intended for school lunches in the municipality. The study focused on the poor quality of school meals in some schools in Belém, analyzing the normative instruments of municipal public acquisition of food for school meals in the light of the quality criteria recommended by the National School Feeding Program (PNAE) and of the dispositions of the current legislation, and proposes alternatives for the mitigation of the mentioned problem.