Azevedo Simone de Pinho Ferreira, Damião Jorginete de Jesus, Castro Inês Rugani Ribeiro de
Fundação Oswaldo Cruz, Instituto Fernandes Figueira, Rio de Janeiro, RJ, Brazil.
Universidade do Estado do Rio de Janeiro, Departamento de Nutrição Social, Rio de Janeiro, RJ, Brazil.
Epidemiol Serv Saude. 2025 May 2;34:e20240391. doi: 10.1590/S2237-96222024v34e20240391.en. eCollection 2025.
To develop a matrix with potential interfaces between the principles and recommendations of the Brazilian dietary guidelines and food and nutrition care actions developed in the mother and child hospital environment.
A theoretical-conceptual study that included: reading and extracting excerpts from the Dietary Guidelines for the Brazilian Population and the Dietary Guidelines for Brazilian Children Under 2 Years of Age; mapping, through on-site observation of the care spaces of a maternal and child hospital (inpatient units, outpatient units, human milk bank, lactation room, hospital food and nutrition unit and self-service restaurant/canteen/cafeteria for patient companions); identification and systematization of potential interfaces between food and nutrition care actions in the selected spaces and the principles and recommendations of the Dietary Guidelines; preparation of preliminary versions of the matrix and its assessment by panels of experts; preparation of the final version of the matrix.
The matrix is composed of two sections: one, referring to the Brazilian Population Guidelines and the other, to the Child Guidelines. Different opportunities for materializing the Dietary Guidelines were identified in the matrix, including food and nutrition education in different spaces, creation of menus aligned with the Dietary Guidelines for patients and workers, reorganization of spaces to promote commensality and restriction clauses on ultra-processed foods in food and nutrition units.
The matrix presents necessary interfaces for the implementation of the Dietary Guidelines in the hospital context, highlighting their potential to support the promotion of adequate and healthy eating, as well as to qualify food and nutrition care in this space.
构建一个矩阵,展现巴西饮食指南的原则和建议与母婴医院环境中开展的食品和营养护理行动之间的潜在关联。
开展一项理论概念性研究,包括:阅读并摘录《巴西人群饮食指南》和《巴西2岁以下儿童饮食指南》;通过实地观察一家母婴医院的护理空间(住院部、门诊部、母乳库、哺乳室、医院食品和营养科以及患者家属自助餐厅/食堂/咖啡厅)进行映射;确定并系统化所选空间中食品和营养护理行动与饮食指南的原则和建议之间的潜在关联;编制矩阵的初步版本并由专家小组进行评估;编制矩阵的最终版本。
该矩阵由两部分组成:一部分涉及巴西人群指南,另一部分涉及儿童指南。矩阵中确定了落实饮食指南的不同机会,包括在不同空间开展食品和营养教育、为患者和工作人员制定符合饮食指南的菜单、重新规划空间以促进共同进餐以及在食品和营养科对超加工食品设置限制条款。
该矩阵展示了在医院环境中实施饮食指南所需的关联,突出了其在支持促进充足且健康饮食以及提升该领域食品和营养护理质量方面的潜力。