Abstract
Abstract Objectives: to analyze the implementation of initiatives and environments promoting healthy feeding as well as the practice of physical activity in public and private schools in Recife. Methods: the schools selected in the City of Recife (n=39) are part of the sample in the Study of Cardiovascular Risks in Adolescents (ERICA). The degree of implementation was estimated by means of interviews with the school manager emphasizing the following components: community participation, presence of healthy environments, partnership with the health segment, monitoring of nutritional status and nutrition policies. The variables selected were assigned points whose sum rated them as satisfactory implementation, poor implementation and critical implementation. Results: the promotion of healthy eating as well as the practice of physical activity was satisfactorily implemented in 13.8% of public schools. However, no private schools obtained such rating. Public schools, when compared to private schools, showed themselves to be more structured, concerning the policies and environments promoting healthy eating and school community participation, however, they showed greater fragility regarding the promotion of physical activity practice and nutritional status monitoring. A few schools had satisfactory implementation in the partnership with the health segment. Conclusions: public and private schools have presented barriers which compromise the full implementation of initiatives and environments promoting healthy eating and physical activity practice.
Highlights
Chronic non-communicable diseases (CNCD), cerebrovascular accident, heart attack, diabetes and arterial hypertension, constitute health problems with greater magnitude in the global scope
Consideringscarce the information on state of implementation of health promoting measures in schools in Recife city, and considering obesity, sedentary behavior and adoption of inappropriate eating habits as some of the main factors of morbidity in adolescents, the present study aims to evaluate the implementation of initiatives and health promoting environments, focused in healthy eating and the practice of physical activity aimed to adolescents in public and private schools in Recife
The average of meetings held by public and private school networks, in order to approach the thematic of healthy eating with the parents was of 1.1 ± 0.3 and 1.3 ± 0.5 meetings/year, respectively
Summary
Chronic non-communicable diseases (CNCD), cerebrovascular accident, heart attack, diabetes and arterial hypertension, constitute health problems with greater magnitude in the global scope. Researches show that part of these health problems has its origins in the childhood or adolescence.[4,5] In the perspective defined by life course epidemiology, early preventive strategies are emphasized so that they guarantee, for example, appropriated nutrition during the phases and actions which build favorable environments to health and support healthy choices.[1,5,6] From this framework, besides primary prevention, health promotion has been configured as theoretical and practical alternative, necessary to face these complex factors which constitute the current epidemiological framework of the CNCDs.[7,8] To consider, beyond the biological aspects, the environmental, cultural and social contexts promotes a broader approach, more coherent with the health promotion.[8,9,10]
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