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将巴西饮食指南转化为临床实践:医疗保健专业人员的创新策略。

Translating the Brazilian Dietary Guidelines into clinical practice: innovative strategies for healthcare professionals.

作者信息

Couto Vanessa Del Castillo Silva, Louzada Maria Laura da Costa, Jaime Patrícia Constante

机构信息

Núcleo de Pesquisas epidemiológicas em Nutrição e Saúde (NUPENS), Universidade de São Paulo, São Paulo, SP, Brasil.

Comissão Especial de Meio Ambiente, Sustentabilidade e Cultura Alimentar da Associação Brasileira para o Estudo da Obesidade (Abeso), São Paulo, SP, Brasil.

出版信息

Arch Endocrinol Metab. 2025 Feb 3;69(1):e240142. doi: 10.20945/2359-4292-2024-0142.

Abstract

The Brazilian Dietary Guidelines provide crucial recommendations for a healthy diet, aiming at promoting health and preventing non-communicable chronic diseases. The core principle is the preference for natural or minimally processed foods and freshly prepared dishes over ultra-processed foods. Despite their growing recognition, healthcare professionals struggle to integrate these guidelines into clinical practice. This article aims to present two innovative strategies for incorporating the Brazilian Dietary Guidelines into healthcare. The Protocols based on the Brazilian Dietary Guidelines for Individual Dietary Advice are standardized clinical tools to support healthcare professionals (nutritionists or not) in giving nutritional advice during individual appointments to various life stages. The Protocols operationalize the assessment of individuals' dietary patterns using the Food Consumption Markers Questionnaire and support the delivery of personalized and priority recommendations through a stepwise flowchart. Conversely, Brazilian Dietary Guidelines-based Meal Plans consist of personalized dietary prescriptions comprising structured daily menus that, unlike conventional plans primarily focusing on nutrient goals, prioritize overall eating patterns guided by the Brazilian Dietary Guidelines. The proposal encourages, in the first place, the selection of a variety of culinary preparations based on natural or minimally processed foods, emphasizing tasteful, accessible, and culturally appropriate choices as the initial step. In a second step, these plans can be customized to individual energy requirements, and adjustments made based on strategic nutrient needs. This article aims to support the enhancement of healthcare professionals' skills in promoting healthy eating practices, thereby contributing to improved health and a reduced disease burden among the Brazilian population.

摘要

巴西饮食指南为健康饮食提供了重要建议,旨在促进健康和预防非传染性慢性病。其核心原则是优先选择天然或最少加工的食物以及新鲜烹制的菜肴,而非超加工食品。尽管这些指南越来越受到认可,但医疗保健专业人员仍难以将其纳入临床实践。本文旨在介绍两种将巴西饮食指南纳入医疗保健的创新策略。基于巴西饮食指南的个人饮食建议协议是标准化的临床工具,可支持医疗保健专业人员(无论是否为营养师)在针对不同生命阶段的个人预约中提供营养建议。这些协议通过食物消费标记问卷对个人饮食模式进行评估,并通过逐步流程图支持提供个性化和优先建议。相反,基于巴西饮食指南的膳食计划由个性化饮食处方组成,包括结构化的每日菜单,与主要关注营养目标的传统计划不同,这些菜单优先考虑以巴西饮食指南为指导的整体饮食模式。该提议首先鼓励选择基于天然或最少加工食物的各种烹饪方法,强调选择美味、易获取且符合文化习惯的食物作为第一步。第二步,可以根据个人能量需求对这些计划进行定制,并根据战略营养需求进行调整。本文旨在支持提高医疗保健专业人员推广健康饮食做法的技能,从而有助于改善巴西人口的健康状况并减轻疾病负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e60/11834862/aac3ee0dcabc/2359-4292-aem-69-01-e240142-g01.jpg

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