Download Ministério da Saúde Secretaria de Políticas de Saúde Área Técnica

Progressive self-established goals
the “step-by-step” approach
 10 quantitative steps to healthy eating and healthy
weight are suggested and recommended. Families and
individuals within families are invited to analyze own
behavior on the light of such steps and set up their
goals.
 Self-applicable questionnaire with 20 simple
questions and overall index will be made available
through all channels as a support tool.
Cointinho, Public Health Nutrition, Feb 2002
Step 1. Increase the consumption of a variety of
fruits and vegetables up to 5 serving sizes per
day;
Step 2. Eat beans, at least 4 times a week;
Step 3. Reduce foods high in fat, such as fat
meat, processed meat, fried foods, chips and
crisps and bakery products high in fat to 2
serving sizes per day.
Cointinho, Public Health Nutrition, Feb 2002
Step 4. Reduce vegetable oil consumption to
less than one can (900 ml) of oil per 4 family
members a month.
Step 5. Have 3 meals and no more than one
snack daily. Don’t skip meals. As a snack, eat
a fruit.
Step 6. Reduce to consumption of “empty”
calories from pop-drinks, refined sugar and
other refined sugar rich foods to a minimum of
1 serving size a day;
Cointinho, Public Health Nutrition, Feb 2002
Step 7. Reduce the consumption of alcohol to a
minimum and avoid the daily consumption of
any alcohol;
Step 8.
Make, as much as possible, your
meals a family occasion; don’t eat in the street
or when watching TV.
Step 9. Maintain your weight within the healthy
range - your BMI should be from 18.5 to 24.9
Cointinho, Public Health Nutrition, Feb 2002
Step 10. Be active. Accumulate 30 minutes of
physical activity daily. Climb stairs instead of
using the lift, walk whenever possible, don’t
spend long periods watching TV. Dance with
others - or with yourself!
Cointinho, Public Health Nutrition, Feb 2002
Some selected on-going
projects and programs
Cointinho, Public Health Nutrition, Feb 2002
Food labeling
• Mandatory nutrition labeling on processed foods
(ANVISA - Resolution 94, November 1 2000)
– All packed foods to list energy, protein, carbohydrates,
total fats, saturated fats, cholesterol, calcium, iron, sodium,
dietary fiber
– Brazilian serving sizes were established to provide easier
information for consumers: high fat, high fiber, medium
fiber, low fiber
– Design of a communication strategy for consumers, on
how to interpret and use nutrition labeling
– Information on the nutritional content of raw and unpacked
foods at point of sale
Cointinho, Public Health Nutrition, Feb 2002
Food labeling
• Information on food labels can be derived from
Brazilian food composition tables or direct analysis.
– New table will include 250 foods analyzed for micro and
micronutrients. Emphasis on indigenous tropical fruits and
vegetables. (With University of Campinas).
– A full databank will be build with all labeling information.
Cointinho, Public Health Nutrition, Feb 2002
For informed consumer choice
‘Shop smart - the best buy’ software
- Software to help consumers to make good value and
healthier choices. To be available at the points of sale.
Special prices and bargains are part of the retailers’
stock policies and the software takes all of those into
account to suggest the best value nutritionally sound
purchase. (With University of Campinas)
Educational material produced to consumers,
industry and food retail shops.
Cointinho, Public Health Nutrition, Feb 2002
Guidelines, manuals and
information to the public
• Production of technical guidelines and manuals
for more than 150.000 community health workers
already covering 70% of the Brazilian population.
- Food guidelines for children under two;
- Good eating at low cost;
- Brazilian regional plant foods;
Cointinho, Public Health Nutrition, Feb 2002
– National Screening of Hypertension will be
carried out in November 2001 - booklet with
self-applicable questionnaire and “step-bystep” approach to health eating and physical
activity will be delivered to more than 40
million Brazilian adults.
Cointinho, Public Health Nutrition, Feb 2002
Surgery for morbid obesity
• Regulation of gastroplasty for morbid obese
patients in state owned healthcare institutions.
(IMC >40 or IMC>35 with associated diseases)
- In 1999 63 bariatric operations were carried out
financed by the public health services.
- From January to December 2000, more than 200
operations have been carried out with public funds.
Cointinho, Public Health Nutrition, Feb 2002
Children and schools
• Regulation of the school meals program, to
increase raw and semi-processed foods to 70% of
total purchases, and increase the amount of fruits
and vegetables given to children. One portion of
fruit and vegetable a day of each school children
is the aim. (With the Ministry of Education)
• Studies being undertaken in the following fields
- Regulation of the advertising and marketing of foods
during children’s TV programs and children’s
magazines
- Regulation of foods sold in school canteens
Cointinho, Public Health Nutrition, Feb 2002
Children and Schools
• TV channel
- Special TV channel to train elementary school teachers.
Four videos (10 minutes each) broadcast every two
months since April 1999, potentially reaching 37 million
elementary school children. Themes: Obesity,
malnutrition; physical activity and health; food and
culture; food safety. (With Ministry of Education)
- Programs can be recorded and shown to students.
Support material is also produced and distributed so
teachers can create new classwork topics.
Cointinho, Public Health Nutrition, Feb 2002
Television
• 3 videos (1.5 minutes each) produced and broadcast on
state owned educational TV channels as part of the series
“What do I do, doc?”, from July 23 1999 for 15 consecutive
days. Repeated every 4 months. Themes, healthy diets,
healthy weight (the 10 steps), obesity, nutrition and aging.
• 2 videos (3 minutes each) produced and broadcast by the
cable TV channel TV Futura, several times. Themes,
healthy food habits and obesity
Cointinho, Public Health Nutrition, Feb 2002
Print media
• Magazines
Ciência Hoje das Crianças. Childrens’ science
magazine.
Folder with games in the August 1999
issue. 230.000 copies
Nova-Escola’ Magazine for school teachers. Poster
and information in the November 1999 issue. 600,000
copies. Hundreds of phone calls received for
complementary information.
Cointinho, Public Health Nutrition, Feb 2002
Website
www.saude.gov.br
programas e projetos - alimentação e nutrição
Helpline
• Disk Saúde - toll-free number - 0800.611997 comprehensive databank with information on all
aspects of food and nutrition.
Cointinho, Public Health Nutrition, Feb 2002