RESUMO

OBJECTIVE: The present study investigated how trans-fat is reported on the packaging of foods sold in a Brazilian supermarket. DESIGN: The present descriptive, cross-sectional study analysed the ingredient list, nutrition facts label and claims of no trans-fat on the packaging. SETTING: A large supermarket in Florianópolis, Brazil. SUBJECTS: All food products available at the supermarket. RESULTS: Of the 2327 study products, more than half had components containing trans-fat in the ingredient list, especially hydrogenated vegetable fat and its alternative names. A small percentage of food products reported some trans-fat content on the nutrition facts label and roughly a quarter of the food products claimed to contain no trans-fat on the front of the packaging. There was very low agreement among the trans-fat content reported in the nutrition facts label, claims of no trans-fat made on the packaging and the ingredient list. CONCLUSIONS: There was low agreement among the different ways of reporting trans-fat, suggesting that it is not possible to rely on the nutrition facts label or no trans-fat claims printed on the packaging of Brazilian food products. Hence, the Brazilian legislation on food labels needs to change to improve the reliability of food labels and to help control the trans-fat intake of the population.

Assuntos

RESUMO

The purpose of this exploratory, descriptive, and cross-sectional study was to investigate the relationship between the price and availability of food products with and without trans fatty acids in food stores near elementary schools located in low- and medium-income neighborhoods of a Brazilian city. The supply of products containing trans fatty acids was higher in both regions, and these products were also cheaper. It is noteworthy that this availability may influence food choices and, consequently, the health status of children and adolescents, since this population is more likely to buy less-healthy foods when these are more available, accessible, and financially attractive.

Assuntos

RESUMO

Consumption of trans fat has been proven to be harmful to human health. This lipid is found mainly in partially hydrogenated vegetable fat, which is widely used in processed foods. The aim of this study was to analyze official publications on maximum limits for consumption of trans fat and the regulations for its mandatory notification on the nutritional labeling of processed foods in Brazil. Weaknesses in the content of the documents analyzed were found, especially regarding the need for reformulation of both the maximum recommended consumption and the notification of trans fat on nutritional labeling for processed foods. This paper makes suggestions for this reformulation, through which it is sought to help consumers in controlling their trans fat intake and, consequently, in promotion of health.

Assuntos

RESUMO

O consumo de gordura trans é comprovadamente prejudicial à saúde humana. Esse lipídio é encontrado principalmente na gordura vegetal parcialmente hidrogenada, amplamente utilizada em alimentos industrializados. O objetivo do estudo foi analisar publicações oficiais sobre o limite máximo de consumo de gordura trans e sua regulamentação de notificação obrigatória na rotulagem nutricional de alimentos industrializados brasileiros. Foram constatadas fragilidades no conteúdo dos documentos analisados, sobretudo a necessidade de reformulação, tanto na recomendação máxima de consumo quanto na notificação da gordura trans na rotulagem nutricional dos alimentos industrializados. São feitas sugestões para essa reformulação, com as quais se busca auxiliar o consumidor no controle de ingestão de gordura trans e, consequentemente, na promoção da saúde.

Consumption of trans fat has been proven to be harmful to human health. This lipid is found mainly in partially hydrogenated vegetable fat, which is widely used in processed foods. The aim of this study was to analyze official publications on maximum limits for consumption of trans fat and the regulations for its mandatory notification on the nutritional labeling of processed foods in Brazil. Weaknesses in the content of the documents analyzed were found, especially regarding the need for reformulation of both the maximum recommended consumption and the notification of trans fat on nutritional labeling for processed foods. This paper makes suggestions for this reformulation, through which it is sought to help consumers in controlling their trans fat intake and, consequently, in promotion of health.

El consumo de grasas trans es comprobadamente perjudicial para la salud humana. Este lípido es encontrado fundamentalmente en la grasa vegetal parcialmente hidrogenada, ampliamente utilizada en alimentos industrializados. El objetivo del estudio fue analizar publicaciones oficiales sobre el límite máximo de consumo de grasas trans y su regulación de notificación obligatoria en la rotulación nutricional de alimentos industrializados brasileños. Se constataron fragilidades en el contenido de los documentos analizados, principalmente la necesidad de reformulación, tanto en la recomendación máxima de consumo como en la notificación de la grasa trans en la rotulación nutricional de los alimentos industrializados. Se hicieron sugerencias para la reformulación, con las cuales se busca ayudar al consumidor en el control de ingestión de grasas trans y, consecuentemente, en la promoción de la salud.

Assuntos

RESUMO

Objetivou-se analisar se a dieta prescrita foi efetivamente consumida por pacientes que permaneceram em terapia nutricional enteral forçada, em um hospital de grande porte. Avaliou-se 42 pacientes em nutrição enteral, com média de idade de 64,02 mais ou menos 19,22 anos (60% eram idosos). Foram coletados dados demográficos, clínicos e dietéticos. As necessidades energética e protéica foram determinadas de acordo com o diagnóstico nutricional e clínico, utilizando-se a fórmula de Harris Benedict (1919) e os fatores atividade e estresse. A quantidade diária de calorias e proteínas prescrita e consumida e as intercorrências foram verificadas diariamente. Para análise, adotou-se p menor que 0,05. Constatou-se reduzido número de dias em uso de terapia enteral (mediana de quatro), sendo a disfagia (63%) e anorexia (32,5%) as principais indicações. Todos receberam alimentação enteral de forma contínua, por bomba infusora e com o produto polimérico, tendo sido quase a totalidade por via nasoentérica (95%) e com o produto hipercalórico (67%). Não se constatou diferença na média prescrita ou consumida de caloria e proteína por idosos e adultos; da mesma forma, naqueles que apresentavam ou não doença neoplásica, neurológica ou desnutrição. No entanto, verificou-se que as médias de caloria e proteína (por kg peso) infundidas por dia aos pacientes foram menores do que as necessidades estimadas e prescritas pela equipe. Apenas 31% dos pacientes alcançaram suas necessidades nutricionais. A principal causa da não infusão do total prescrito foi o atraso na administração da dieta. Concluiu-se que houve um inadequado consumo da dieta prescrita para os pacientes em terapia enteral.

The objective was to determine whether the diet prescribed was actually consumed by patients who remained in forced enteral nutritional therapy in a large hospital. We evaluated 42 patients on enteral nutrition, with a mean age of 64.02 over 19.22 years or less (60% were elderly). We collected demographic, clinical and dietary factors. The needs for energy and protein were determined according to diagnostic and clinical nutrition, using the Harris Benedict formula (1919) and activity factors and stress. The daily amount of calories and proteins consumed and prescribed and complications were checked daily. For analysis, with p less than 0.05. It was found few days, using enteral therapy (median four), and dysphagia (63%) and anorexia (32.5%) were the main indications. All patients received enteral feeding continuously by infusion pump and the polymer product, having been through almost all nasoentérica (95%) and product hypercaloric (67%). There was no difference in the mean prescribed or consumed calorie and protein for seniors and adults similarly, those who had not or neoplastic disease, neurological or malnutrition. However, it was found that the average calorie and protein (per kg) infused per day to patients were lower than estimated needs and prescribed by the team. Only 31% of patients reached their nutritional needs. The main cause of non-infusion of the total required was the delay in the administration of the diet. concluded that there was an inadequate intake of diet prescribed for patients on enteral therapy.

El objetivo era determinar si la dieta prescrita en realidad se consumió por los pacientes que permanecieron en la terapia de la nutrición enteral forzada en un gran hospital. Se evaluaron 42 pacientes con nutrición enteral, con una edad media de 64,02 más o menos 19,22 años (60% eran personas de edad avanzada). Se recogieron datos demográficos, clínicos y factores dietéticos. Las necesidades de energía y proteínas se determinaron de acuerdo a la diagnóstico nutricional y clínica, mediante la fórmula Harris Benedict (1919) y actividad de los factores y el estrés. La cantidad diaria de calorías y proteínas consumidas y reglamentarias y las complicaciones se inspeccionarán diariamente. Para el análisis, con p <0,05. Se encontró unos pocos días, utilizando la terapia enteral (mediana de cuatro) y disfagia (63%) y anorexia (32,5%) fueron las principales indicaciones. A todos los pacientes recibieron alimentación enteral continua en bomba de infusión y el producto de polímero de, después de haber pasado por casi todos los nasoentérica (95%) y productos hipercalóricos (67%). No hubo diferencia en la media de calorías consumidas o prescrito y proteger ina [para los ancianos y adultos del mismo modo, aquellos que no tenían o enfermedades neoplásicas, neurológicas o de malnutrición. Sin embargo, se constató que la media de calorías y proteínas (por kg) infundido por día a los pacientes fueron menores que las necesidades estimadas y prescritos por el equipo. Sólo el 31% de los pacientes alcanzaron sus necesidades nutricionales. La principal causa de la no-perfusión del total requerido es el retraso en la administración de la dieta. concluyó que no había un consumo inadecuado de la dieta prescrita para los pacientes en terapia enteral.

Assuntos