Dias Patricia Camacho, Henriques Patrícia, Anjos Luiz Antonio Dos, Burlandy Luciene
Universidade Federal Fluminense, Niterói, Brasil.
Cad Saude Publica. 2017 Jul 27;33(7):e00006016. doi: 10.1590/0102-311X00006016.
The study analyzes national strategies for dealing with obesity in Brazil in the framework of the Brazilian Unified National Health System (SUS) and the Food and Nutritional Security System (SISAN). Based on the document analysis method, we examined government documents produced in the last 15 years in the following dimensions: definitions of obesity, proposed actions, and strategies for linkage between sectors. In the SUS, obesity is approached as both a risk factor and a disease, with individual and social/environmental approaches aimed at changing eating practices and physical activity. In the SISAN, obesity is also conceived as a social problem involving food insecurity, and new modes of producing, marketing, and consuming foods are proposed to change eating practices in an integrated way. Proposals in the SUS point to an integrated and intra-sector approach to obesity, while those in SISAN emphasize the problem's inter-sector nature from an expanded perspective that challenges the prevailing sector-based institutional structures.
该研究在巴西统一国家卫生系统(SUS)和食品与营养安全系统(SISAN)的框架内,分析了巴西应对肥胖问题的国家战略。基于文献分析法,我们从以下几个维度审视了过去15年里政府发布的文件:肥胖的定义、提议的行动以及部门间联系战略。在SUS中,肥胖被视为一种风险因素和一种疾病,采取个体和社会/环境方法来改变饮食习惯和身体活动。在SISAN中,肥胖也被视为一个涉及粮食不安全的社会问题,并提出了生产、营销和消费食品的新模式,以综合方式改变饮食习惯。SUS中的提议指出了一种针对肥胖问题的综合部门内方法,而SISAN中的提议则从一个扩展的视角强调了该问题的部门间性质,这对现行的基于部门的体制结构构成了挑战。