Patricia Jaime

Patricia Jaime
University of São Paulo | USP · Department of Nutrition (São Paulo)

Doctor of Public Health

About

190
Publications
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Introduction
Public Health Nutrition and Primary Health Care

Publications

Publications (190)
Article
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Health professionals have to be confident to manage therapeutic groups of patients with obesity considering the potential of such approach to organize and provide health care. This study aimed to validate the scale of self-efficacy among health professionals to manage therapeutic groups of patients with obesity. Items were developed by an interprof...
Article
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This study objective was to describe the distribution of food consumption markers in Brazil per sociodemographic characteristics and its evolution from 2013 to 2019. Healthy food consumption markers (regular consumption of beans, fruits, vegetables, and fish, recommended consumption of red meat, and never replacing meals with snacks) and unhealthy...
Article
Food industries are reformulating their products to lower total sugar and caloric content. Caloric sugars are often substituted by or combined with non-caloric sweeteners. Our study analyzed information about the presence, number and type, and content of different sweeteners displayed on the ingredient list of 10 key ultra-processed products (UPP),...
Article
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Objective: To analyze the convergent validity and invariance of a scale to measure adherence to eating practices recommended by the Dietary Guidelines for the Brazilian Population. Methods: A subsample (n=1309) of the NutriNet-Brasil cohort (self-filled web-based study) answered the 24-items scale based on the Guide, as well as socioeconomic and...
Article
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This study aimed to develop and validate an instrument to assess Brazilian adults' knowledge, perceptions, and behaviors (KPB) toward salt and sodium. Based on a PAHO/WHO questionnaire, a new instrument was developed and evaluated by 11 experts, generating item and scale-level content validity indexes (I-CVI and S-CVI, respectively). Face validity...
Article
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The availability of ultra-processed foods in a municipality tends to be related to different types of food retailers and their location in the territory, besides social, economic, and demographic factors. The aim of this study was to evaluate the availability of ultra-processed foods according to different types of food retailers and sociodemograph...
Article
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Resumo O objetivo do estudo foi analisar a associação entre o espaço geográfico urbano e o consumo regular de frutas e hortaliças no Brasil. Estudo de base populacional, transversal, com dados da Pesquisa Nacional de Saúde (2013), considerando 60.202 adultos ≥18 anos. As variáveis dependentes foram o consumo regular de frutas (CRF) e o consumo regu...
Article
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To describe the methodology of development of a protocol for application of the Brazilian Dietary Guidelines by primary healthcare professionals in individual dietary advice. A five-step approach was followed: (1) format definition; (2) definition of the instrument for assessment of individuals’ food consumption; (3) Dietary Guidelines’ content ext...
Article
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Objective: To analyze the convergent validity and invariance of a scale to measure adherence to eating practices recommended by the Dietary Guidelines for the Brazilian Population. Methods: A subsample (n=1309) of the NutriNet-Brasil cohort (self-filled web-based study) answered the 24-items scale based on the Guide, as well as socioeconomic and di...
Article
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This study aims to explore potential barriers and facilitators for healthy eating in the consumer food environment, and to analyze the association with different types of food retailers, having as theoretical reference the Dietary Guidelines for the Brazilian Population. This is a cross-sectional study carried out in the municipality of Jundiaí, Sã...
Article
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Objective: To develop and validate a self-applicable instrument for measuring primary health care (PHC) workers' knowledge on healthy eating. Methods: A six-step methodological study to develop and validate a measurement instrument: item development based on the Brazilian Dietary Guidelines' chapters; content validation with a panel of experts;...
Article
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Background Excessive sodium consumption is one of the leading dietary risk factors for non-communicable diseases, including cardiovascular disease (CVD), mediated by high blood pressure. Brazil has implemented voluntary sodium reduction targets with food industries since 2011. This study aimed to analyse the potential health and economic impact of...
Article
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The conceptual manuscript discusses interfaces between academic and practical fields of Global Health and Planetary Health, shedding light on some critical perspectives of cumulative and synergistic causes of global crises, and effects on health and food security, on human rights, on migration, and on environment. Concepts of Global Health and Plan...
Article
Objective This study aimed to develop a conceptual framework of the process of Food-Based Dietary Guidelines (FBDG) implementation and analyse Brazil’s employed measures to implement Dietary Guidelines for the Brazilian Population (2014). Design Qualitative research. Setting Aiming to develop the conceptual framework, a literature review on FBDGs...
Article
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The aim of this study was to develop and validate a scoring system, based on AUDITNOVA, to assess the healthiness of the consumer food environment, considering food availability, price, advertising, and placement strategies. Audited data of 650 food retailers were used to develop, validate, and test the consumer food environment healthiness score....
Article
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Background The double burden of malnutrition points to an urgent need to develop strategies to promote healthy diets. Health professionals are key elements for health promotion and must be prepared to deal with these issues in health services. Aim This study aimed to evaluate the impact of an educational intervention based on Brazilian Dietary Gui...
Preprint
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Resumo Objetivo Desenvolver e validar um instrumento destinado a avaliar a proximidade de intervenções que buscam promover saúde, em relação aos princípios da Política Nacional de Promoção da Saúde do Brasil. Métodos Estudo transversal de desenvolvimento e validação de um instrumento, a partir de consulta a 20 trabalhadores, na análise da primeira...
Article
This study aimed to assess consumers’ perceptions about the impact of consumption of different foods on health and body weight, as well as to identify risk perceptions about food-related chronic diseases. Face-to-face questionnaires were conducted with 525 Brazilians. Individuals were asked about their perception of risks associated with the consum...
Article
This study aimed to investigate the patterns of eating context and its association with ultra-processed food consumption by British children. This cross-sectional study was conducted with a representative sample of UK children aged 4–10 years old (n = 1772) from the National Diet and Nutrition Survey 2008/2014. Data on food consumption, meal contex...
Article
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Resumo O objetivo deste artigo é identificar os fatores associados ao consumo elevado de sal na população brasileira adulta. Estudo transversal com dados de 8.083 adultos da Pesquisa Nacional de Saúde (PNS, 2014/15). O consumo de sal foi baseado na estimativa de excreção urinária de sódio de 24 horas, calculada pela relação sódio/creatinina em amos...
Article
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Background Implementation science has scant evidence of how dietary guidelines can be developed into actionable behavior-change messages and even less evidence on their motivating potential and perceived effect on behavior. This may explain the widening gap between nutrition science and individual behavior and the low uptake of dietary recommendati...
Article
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Objective: To identify the associated factors to high salt intake in the adult Brazilian population. Methods: Cross-sectional study of 8,083 adults participating in the National Health Survey (PNS, 2014/15). Salt consumption was based on the estimation of 24-hour urinary sodium calculatedthe sodium/creatinine ratio in urine spot. High salt intake w...
Chapter
Os textos deste livro se propõem a qualificar o debate acerca das ações de alimentação e nutrição na Atenção Básica. Os autores refletem sobre o conjunto de práticas de cuidados essenciais ao campo da alimentação e nutrição nas atividades diárias das Unidades Básicas de Saúde (UBS) das equipes de Saúde da Família. Espera-se, assim, contribuir para...
Article
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In the past, food industry actors tried to delay and weaken public health efforts to promote adequate and healthy diets in Brazil. This study aimed to identify the political strategies used by food industry actors in Brazil. We undertook a document analysis of publicly available information and interviews with eighteen key informants in public heal...
Article
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Objective Develop and validate a protocol for the use of the Food Guide for the Brazilian Population (FGBP) in the dietary guidelines for elderly people during individual clinic appointments in Primary Health Care (PHC). Methods The elaboration followed six methodological steps, namely: (1) protocol format definition; (2) definition of the instrume...
Article
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Resumo Objetivo Desenvolver e validar um protocolo de uso do Guia Alimentar para a População Brasileira na orientação alimentar da pessoa idosa durante as consultas clínicas individuais na Atenção Primária à Saúde (APS). Métodos Esta construção seguiu seis etapas metodológicas, sendo elas: (1) definição do formato do protocolo; (2) definição do ins...
Article
The present commentary summarizes the attacks to the Dietary Guidelines for the Brazilian Population from ultra-processed food manufacturers and the Brazilian Ministry of Agriculture, Livestock and Supply (MAPA). After MAPA issued a technical note calling on the Ministry of Health urgently to review the Guide by cutting out its recommendation to av...
Article
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Background Capacity-building of health professionals regarding to nutrition is a strategy for qualifying public health work to promote healthy diets in primary health care (PHC) services. Objective To evaluate the effect of an intervention based on Brazilian Dietary Guidelines (BDG) on the knowledge, self-efficacy (SE) and collective efficacy (CE)...
Conference Paper
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Background Excessive salt consumption is the leading dietary risk factor for cardiovascular disease (CVD). In Brazil, 30% of salt in the diet comes from packaged foods; Government and food industries have agreed on voluntary salt reduction targets for 29 food categories since 2011. The objective of this study was to quantify the potential health an...
Article
Background It is necessary to analyze the nutritional profile and advertising claims of ultra-processed foods available in small food retailers. Methods This is an observational cross-sectional study that carried out an audit on small food businesses. Information was collected on advertising, price, ingredient list, nutritional composition and por...
Article
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Abstract Introduction Cardiovascular diseases (CVDs) represent the main cause of death among non-communicable diseases (NCDs) in Brazil, and they have a high economic impact on health systems. Most populations around the world, including Brazilians, consume excessive sodium, which increases blood pressure and the risk of CVDs. Objective To model t...
Article
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Background: Dietary Guidelines are an important tool for population health promotion efforts. However, current surveillance data suggest that only a small minority of the population meet the 2014 Brazilian Dietary Guidelines (BDG) recommendations. Translating recommendations into practice may not be immediately clear and behavior-change messages g...
Article
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Objetivo analisar a tendência temporal da cobertura do Sistema de Vigilância Alimentar e Nutricional Web (Sisvan Web) em menores de 5 anos de idade da região Norte brasileira, no período de 2008 a 2017. Métodos estudo ecológico de séries temporais, com dados do Sisvan Web; a variação percentual anual (VPA) da cobertura do sistema foi estimada pelo...
Article
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Cad. Saúde Pública 2020; 36(4):e00040620 Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho original seja corretamente citado.
Article
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Objective: to describe the adequacy of dietary practices in relation to the Dietary guidelines for the brazilian population, and to analyze associated factors among Brazilian adults. Methods: this was a cross-sectional study using a convenience sample of 900 adults (18-60 years old) resident in Brazil; a dietary practices scale (24 items; score...
Article
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This paper proposes a costing tool for hypertension and cardiovascular disease by adapting cost-of-illness methodologies to estimate the attributable burden of excessive salt intake on cardiovascular disease. The methodology estimates the changes in blood pressure that result from each gram change in salt intake and links diet to the direct and ind...
Article
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Objective To develop, validate and analyse intra- and inter-raters’ agreement and reliability of a scale for the evaluation of food and nutrition education practices in primary health care. Methods Three theoretical references were used for the development of items with answers on a 4-point scale (not observed, partially/satisfactorily/fully obser...
Article
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Objective: To develop and assess the reliability of an instrument that enables auditing information on consumer food environment indicators, such as availability, price, promotional and advertising strategies, and quantity of brands available, using the food recommendations adopted by the Dietary Guidelines for the Brazilian Population as a theore...
Article
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Objective: To estimate the salt intake in the Brazilian population according to their urinary sodium excretion. Methods: The National Health Survey (2013) aimed to gather data on the health of adults (≥ 18 years) through a random selection of households. In each household, one adult was selected to have their biological data collected (anthropom...
Article
Objective: This study compared the knowledge and perceived self-efficacy and collective efficacy to apply the Brazilian Dietary Guidelines (Dietary Guidelines) among nutritionists and other health professionals working in primary health care. Methods: The performance of 209 participants in a construct validation study of two scales was analyzed: GA...
Article
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Introduction: Current challenges in the food and nutrition fields have required training nutritionists to develop teamwork skills, demanding the use of active methodologies. Methods: This qualitative descriptive study aimed at knowing Nutrition students' perceptions about the use of Team Based Learning (TBL) in a course. Focus groups were conducte...
Article
The aim of the current study is to describe milk supplementary feeding programs held in Brazilian states and capitals, as well as to discuss their pertinence and compliance with the national food and nutrition security agenda. Methods: the current programs were mapped (through government websites) and described (through electronic forms sent to pub...
Article
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This study aimed to assess consumers' uses of and opinions on the current Brazilian food label and their reaction to the introduction of a front-of-package warning label. We conducted 12 focus groups among a diverse sample of adult consumers, to broadly assess: (1) uses of and perceptions about the current food label, and (2) opinions about impleme...
Article
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Background: The food environment can influence opportunities and barriers to food access. This study aimed to investigate whether access to healthy foods varies according to store types and the socioeconomic status of the users of the public health promotion program in Brazil, known as the Health Academy Program. Methods: A total of 18 Health Ac...
Article
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Introduction: In Brazil, the Food and Nutrition Surveillance System (Sistema de Vigilância Alimentar e Nutricional - SISVAN) provides continuous data on the nutritional status and food intake of the population user of primary health care to elaborate actions, programs, and policies. Objective: This article describes the percentage of registratio...
Article
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Objective To develop and test a scale for healthy eating practices measurement according to the Dietary Guidelines for the Brazilian Population recommendations. Design Methodological study. The current Brazilian food-based dietary guideline highlights the importance of choosing foods, combining foods to create meals and modes of eating. These reco...
Article
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The present commentary contains a clear and simple guide designed to identify ultra-processed foods. It responds to the growing interest in ultra-processed foods among policy makers, academic researchers, health professionals, journalists and consumers concerned to devise policies, investigate dietary patterns, advise people, prepare media coverage...
Article
Introduction Warning labels (WLs) are the newest paradigm of nutrient-based, front-of-package labels (FOP) that have been consistently shown to be superior to other FOP labels. Their performance may be attributed to their design and the consistency in the information they communicate. The present study assessed designs effects of WLs in improving u...
Article
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The study investigated availability and food sources in urban areas using elements of the NOVA food classification system, adopted by the Brazilian Dietary Guidelines, in a Brazilian municipality. In addition, the study also aimed to identify inequalities in the geographical distribution of food retailers that commercialize healthy and/or unhealthy...
Article
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Objective To describe the development and validation of a workshop protocol for the implementation of the Dietary Guidelines for the Brazilian Population in primary healthcare units. Methods This descriptive study was developed in the state of São Paulo, Brazil, and it involved 20-25 professionals in the experimentation phase and 12 experts in the...
Article
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This commentary contains a clear and simple guide designed to identify ultra-processed foods. It responds to the growing interest in ultra-processed foods among policy makers, academic researchers, health professionals, journalists and consumers concerned to devise policies, investigate dietary patterns, advise people, prepare media coverage, and w...
Article
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Almost all foods are processed to some extent, if only by preservation, and it is therefore unhelpful to criticise foods as being ‘processed’. A number of food classifications have been devised that pay special attention to types of processing. A systematic review has shown that, of these, NOVA is the most specific, coherent, clear, comprehensive and...
Article
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O presente estudo se propôs a caracterizar os diferentes tipos de equipamentos de varejo de alimentos presentes no ambiente alimentar e descrever sua distribuição no território segundo indicadores sociodemográficos. Para tanto, foram utilizados dados secundários do município de Jundiaí-SP. Foram verificadas a variedade e a densidade dos equipamento...
Article
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The BMJ’s introduction to its series on the science and politics of nutrition states: “More articles are planned.” The BMJ should commission a further series with more authors from countries where fresh foods and freshly cooked regular meals are common. This should generate policies and actions that further protect public health as well as culture,...
Article
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A response to the BMJ series Science and politics of nutrition. We suggest that the BMJ follows this series on the science and politics of nutrition with a further co-ordinated series of papers involving more authors from regions and countries whose food systems expressed as freshly prepared regular meals still survive. Nutrition scientists should...
Article
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Resumo O estudo analisa os avanços e desafios da implementação da Política Nacional de Promoção da Saúde (PNPS) quanto às suas agendas prioritárias e aponta aspectos críticos para sua sustentabilidade em tempos de crises. Estudo de revisão narrativa, abrangendo estudos publicados e documentação institucional. A PNPS foi aprovada em 2006 e revisada...
Article
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Food and nutrition are basic requirements for the promotion and protection of health. Nutrition monitoring and dietary recommendations are included in the mission of the Unified Health System (SUS, in its Portuguese acronym), as established by the Organic Health Law no. 8,080 of 1990. This article presents and discusses the food and nutrition agend...
Article
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Background: Brazil is currently debating the implementation of front-of-package labels. This study tested if Warning labels (WLs) improved consumer understanding, perceptions, and purchase intentions compared to Traffic-Light labels (TLLs) in 1607 Brazilian adults. Methods: In this online, randomized controlled experiment participants saw images...