Gabriel Cristine Garcia, Vasconcelos Francisco de Assis Guedes de, Andrade Dalton Francisco de, Schmitz Bethsái de Abreu Soares
Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
Arch Latinoam Nutr. 2009 Jun;59(2):128-38.
The high prevalence of overweight and obesity among schoolchildren in Brazil and worldwide has shown that strategies to promote healthy eating habits are needed. Santa Catarina was the first Brazilian State to promulgate specific legislation to regulate the food commercialized in schools (Law n 12.061/2001). The objective was to assess the functioning of school canteens in eight key municipalities of Santa Catarina, investigating whether the foods sold were in accordance with the Law. A questionnaire was completed by the principals and those responsible for the canteens. Item Response Theory was used to examine the levels of compliance with the Law. In all 345 schools took part. Of these, 156 (45%) had a canteen. The presence of a canteen was significantly higher in the private sector (p < 0.001). The majority of the canteens (n=105; 68.2%) did not sell fried snacks, soft drinks, industrialised popcorn, hard candies, lollipops and chewing gum and industrialised packaged snacks. The items which were least likely to comply with the Law were juices and the daily availability of fruits. The notice board on diet was present in only 7.1% of the establishments. Many canteens offered items of low nutritional value. The inspection of these establishments is necessary, together with educational actions targeting the proprietors of the canteens as well as the schools themselves. Training for the canteen's proprietors may constitute a strategy that will guarantee the economic viability of these establishments and the possibility of them being transforming into places of health promotion.
巴西以及全球范围内学童中超重和肥胖的高患病率表明,需要采取促进健康饮食习惯的策略。圣卡塔琳娜州是巴西第一个颁布专门立法来监管学校商业化食品的州(第12061/2001号法律)。目的是评估圣卡塔琳娜州八个主要城市的学校食堂的运营情况,调查所售食品是否符合该法律。校长和食堂负责人填写了一份问卷。采用项目反应理论来检验法律的遵守程度。共有345所学校参与。其中,156所(45%)有食堂。私立部门食堂的存在比例显著更高(p < 0.001)。大多数食堂(n = 105;68.2%)不出售油炸小吃、软饮料、工业化生产的爆米花、硬糖、棒棒糖、口香糖以及工业化包装零食。最不可能符合法律规定的项目是果汁和每日水果供应。只有7.1%的机构设有饮食宣传栏。许多食堂提供营养价值低的食品。对这些机构进行检查很有必要,同时针对食堂经营者以及学校本身开展教育行动。对食堂经营者进行培训可能构成一种策略,既能保证这些机构的经济可行性,又能使其有可能转变为促进健康的场所。