Costa Amine Farias, Tavares Letícia Ferreira, Castro Junior Paulo Cesar Pereira de, Barbosa Raphael Barreto da Conceição, Honório Olivia Souza, Oliveira Ana Carolina Rocha, Cardoso Letícia de Oliveira
Instituto Nacional de Câncer, Hospital do Câncer II, Rio de Janeiro, RJ, Brazil.
Universidade Federal do Rio de Janeiro, Instituto de Nutrição Josué de Castro, Departamento de Gastronomia, Rio de Janeiro, RJ, Brazil.
Epidemiol Serv Saude. 2025 Aug 8;34:e20240532. doi: 10.1590/S2237-96222025v34e20240532.en. eCollection 2025.
To evaluate the adequacy of a pediatric hospital in a large city in the metropolitan region of Rio de Janeiro to the recommendations of the Brazilian Dietary Guidelines regarding the service provision contract, dietary prescription and aspects of the food environment.
Observational study evaluating four dimensions of the hospital food environment and its surroundings: current legislation and food service provision contract; prescribed diets, the menu and technical sheets of preparations; infrastructure of the Food and Nutrition Unit; and the sale and advertising of food in the internal and external food environment. Technical visits were conducted to evaluate documents, assess menus and conduct direct observation, using previously validated instruments.
The service provision contract was fully compliant for the infant formulas and enteral diets, and the menu was partially compliant (81%). Most of the preparations analyzed were classified as high quality or intermediate quality (77%). Considering the infrastructure of the Food and Nutrition Unit, 90%, 89% and 71% of the responses were positive for essential, recommended and necessary items, respectively. The hospital's food environment stood out for offering in nature and minimally processed foods. However, there was a wide variety of ultra-processed foods available in self-service machines and from street vendors.
Despite a satisfactory food environment, the presence and sale of ultra-processed foods was identified in the hospital and its surroundings.
评估里约热内卢大都市区某大城市一家儿科医院在服务提供合同、饮食处方及食物环境方面对巴西饮食指南建议的符合程度。
观察性研究，评估医院食物环境及其周边的四个维度：现行法规和食物服务提供合同；规定饮食、菜单及制剂技术说明；食品与营养科的基础设施；以及医院内部和外部食物环境中食品的销售与广告。使用先前验证过的工具进行技术走访，以评估文件、评估菜单并进行直接观察。
服务提供合同在婴儿配方奶粉和肠内饮食方面完全合规，菜单部分合规（81%）。所分析的大多数制剂被归类为高质量或中等质量（77%）。考虑到食品与营养科的基础设施，对于基本项目、推荐项目和必要项目，分别有90%、89%和71%的回答为肯定。该医院的食物环境以提供天然和最少加工食品而突出。然而，自助售货机和街头小贩处有各种各样的超加工食品。
尽管食物环境令人满意，但在医院及其周边发现了超加工食品的存在和销售。
