Research potential of food and nutrition in the Family Health Strategy: A structured review

Vasconcelos, Ivana Aragão Lira; Santos, Leonor Maria Pacheco

doi:10.1590/1415-52732014000100010

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Review • Rev. Nutr. 27 (01) • Jan-Feb 2014 • https://doi.org/10.1590/1415-52732014000100010 copy

Research potential of food and nutrition in the Family Health Strategy: A structured review

Potencialidades da pesquisa em alimentação e nutrição na Estratégia de Saúde da Família: uma revisão estruturada

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

Determine the profile of research groups and publications with food and nutrition-related actions promoted by the Family Health Strategy in Brazil since 1994.

METHODS:

Two procedures were used: structured review and research group search. The former searched the databases Web of Science, Medline, Lilacs, SciELO and Embase, and followed the principles that guide systematic reviews in the Cochrane Collaboration. The references of the selected articles were also consulted. The research groups were searched in the Research Group Directory of the National Council for Scientific and Technological Development.

RESULTS:

A total of 54 articles published between 2002 and 2012 in 20 different journals were identified. Ten of these were retrieved from the references section of other articles. Focusing mostly on children from the Southeast region, these studies were coordinated by dieticians, nurses, and physicians. Diabetes Mellitus, high blood pressure, and breastfeeding were the most common topics (n=23). The quantitative methodology was employed by 42 articles, most about diagnoses. Only five research groups studied the Family Health Strategy, despite the growing number of studies in the area over the years.

CONCLUSION:

Despite the growing scientific production, the findings of this structured review indicate that few studies focused on food and nutrition in the Family Health Strategy, probably because of the existence of few research groups in the country. More comprehensive and consistent studies on the topic are needed.

Family health; Feeding; Nutrition public health; Primary health care; Research groups; Review literature as topic

								(1 of 2)
Author, year	Municípalities	Size^a	FHS cover^b	HDI-M^c	Sample	Topic	Purpose^d	Education of
	(n), Region							the 1º author
Borges &	(1), SE	M	II	High	41 lactating women Breastfeeding		D	Nurse
Philippi (2003)²⁵
Ferreira et al.	(1), NE	L	III	Medium	293 children aged 6	Micronutrient	DP	Nurse
(2003)²⁶					to 23 months	inadequacy
Sousa & Araújo	(1), NE	L	III	Medium	371 children aged 6	Micronutrient	D	Nurse
(2004)²⁷					to 60 months	inadequacy
Mano & Pierin	(1), SE	M	II	High	226 records of	HBP/DM	D	Nurse
(2005)²⁸					hypertensives in the FHS or not
Parada et al.	(1), SE	S	IV	Medium	166 children aged	Breastfeeding	D	Nurse
(2005)²⁹					<1 year
Barbosa et al.	(1), NE	L	IV	Medium	284 older adults	Micronutrient	D	Dietician
(2006)³⁰						inadequacy
Maria-Mengel &	(1), SE	L	I	High	120 children aged 6	Child health/	D	Psychologist
Linhares (2007)³¹					to 44 months	care
Melo et al.	(1), NE	L	II	Medium	115 pregnant	Nutritional	D	Physician
(2007)³²					women	status
Nascimento et	(1), NE	L	IV	Medium	315 older adults	Micronutrient	D	Dietician
al. (2007)³³						inadequacy
Alves et al.	(1), NE	M	III	Medium	68 children aged 5 to 10 years with	Nutritional status	DP	Physician
(2008)³⁴					BMI =85^th
Azeredo et al.	(1), SE	S	IV	Medium	36 professionals	Breastfeeding	D	Dietician
(2008)³⁵					and 137 mothers of children aged < 24 months
Assunção &	(1), SE	M	III	High	164 diabetics aged	HBP/DM	NCT	Physical therapist
Ursine (2008)³⁶					>18 years
Cotta et al.	(1), SE	S	IV	Medium	150 hypertensives,	HBP/DM	D	Occupational therapist
(2009)³⁷					5 diabetics, and 25 with DM and HBP
Girotto et al.	(1), S	L	III	High	385 hypertensive	HBP/DM	D	Pharmacist
(2009)³⁸					adults and older adults
Azeredo et al.	(1), SE	MS	III	High	103 anemic	Micronutrient	DP	Dietician
(2010)³⁹					children	inadequacy
Brecailo et al.	(1), S	L	III	Medium	426 children aged	Breastfeeding	D	Dietician
(2010)⁴⁰					<2 years
Felisbino-	(1), SE	S	IV	Medium	1332 children aged	Nutritional	D	Nurse
Mendes et al.					<10 years	status
(2010)⁴¹
Silva et al.	(1), SE	L	I	High	43 diabetic older	HBP/DM	D	Nurse
(2010)⁴²					adults
Cristovão et al.	(1), SE	M	II	High	298 adult women	Nutritional	D	Nurse
(2011)⁴³						status
Garcia et al.	(1), N	S	IV	Medium	164 children aged 6	Nutritional	D	Dietician
(2011)⁴⁴					to 24 months	status

Author, year	Municípalities	Size^a	FHS cover^b	HDI-M^c	Sample	Topic	Purpose^d	Education of
	(n), Region							the 1º author
Cunha et al.	(1), CW	S	IV	Medium	80 enrolled in the	HBP/DM	D	Physical
(2012)⁴⁵					HiperDia			educator/
								therapist
Marinho et al.	(1), NE	L	IV	Medium	419 non-diabetic	Nutritional	D	Nurse
(2012)⁴⁶					adults	status
Ribeiro et al.	(1), SE	S	IV	Medium	27 hypertensive	HBP	HP	Dietician
(2012)⁴⁷					women
Soares et al.	(1), NE	L	III	Medium	235 older adults	Nutritional	D	Physical
(2012)⁴⁸						status		therapist
Ferreira-Marim	(1), SE	L	I	High	155 preschoolers	Nutritional	D	Dietician
et al. (2012)⁴⁹					aged 2 to 5 years	status
Vianna et al.	(1), SE	S	IV	Medium	70 older adults	Nutritional	DP	Physical
(2012)⁵⁰						status		educator

Author, year	Municípalities	Size^a	FHS cover^b	HDI-M^c	Sample	Topic	Purpose^d	Education of the 1º author
Cesar et al.	(2), SE	2 S	2 IV	2 Medium	409 children	Child health/	control	Physician
(2002)⁵¹						care
Ciconi et al.	(1), SE	L	II	Medium	61 professionals	Breastfeeding	organization	Biologist
(2004)⁵²
Dubeux et al.	(1), NE	L	II	Medium	40 teams	Breastfeeding	control	Dental
(2004)⁵³							surgeon
Faleiros et al.	(1), S	L	II	High	112 children	Breastfeeding	control	Physician
(2005)⁵⁴
Roncalli & Lima	(4), NE	-	-	-	2 144 children < 5	Child health/	control	Dental
(2006)⁵⁵					years w/ and w/o	care		surgeon
Araújo &	(1), NE	M	I	High	FHS
Guimarães					135 adults/ older	HBP/DM	control	Physician
(2007)⁵⁶					adults with HBP
Caldeira et al.	(1), SE	L	II	Medium	Professionals: 41	Breastfeeding	organization	Physician
(2007)⁵⁷					with higher		and control
					education and 152
					with high school
Lima et al.	(1), SE	S	IV	Medium	49 postpartum	Child health/	control	Nurse
(2007)⁵⁸					women and 26	care
					newborns
Caldeira et al.	(1), SE	L	II	Medium	About 1400	Breastfeeding	organization	Physician
(2008)⁵⁹					mothers
Cesar et al.	(1), S	L	II	Medium	361 pregnant	Prenatal care	control	Physician
(2008)⁶⁰					women
Costa et al.	(1), SE	S	IV	Medium	33 pregnant	Prenatal care	organization	Dietician
(2009)⁶¹					women and 35		and control
					professionals
Lima et al.	(1), SE	M	I	High	472 hypertensives	HBP/DM	planning	Physician
(2009)⁶²							and control
Niquini et al.	(1), SE	M	I	High	7 FHCU e 230	Prenatal care	organization	Dietician
(2010)⁶³					pregnant women
Niquini et al.	(1), SE	M	I	High	230 pregnant	Prenatal care	control	Dietician
(2012)⁶⁴					women
Cervato-	(1), SE	M	II	High	123 dieticians from	Professional	planning	Dietician
Mancuso et al.					primary care and 51	practice	and
(2012)⁶⁵					from NASF		organization
Cesar et al.	(1), S	L	II	Medium	2395 mothers	Prenatal care	control	Physician
(2012)⁶⁶

Author, year	Municípalities	Size^a	FHS cover^b	HDI-M^c	Sample	Topic	Purpose^d	Education of
								the 1º author
Felisberto et al.	(10), NE	6 S; 1	2 III	10	10 coordinators	Child health/	MT -	Physician
(2002)⁶⁷		MS;	and 8	Medium	and 146	care	control
		3L	IV		professionals
Fernandez et al.	(1), SE	M	II	High	8 physicians, 8	Food and	MT -	Dietician
(2005)⁶⁸					nurses, 45 CA, 16	nutrition	organization
					nurse assistants
Alves e Nunes	(3), NE	-	-	-	50 appointments	HBP/DM	HP	Psychologist
(2006)⁶⁹					with 10 FHS
					physicians
Bustamante e	(1), NE	M	I	High	6 families with	Child health/	D	Psychologist
Trad (2007)⁷⁰					small children	care
Slomp et al.	(1), S	L	III	Medium	90 newborns	Child health/	NCT	Nurse
(2007)⁷¹						care
Frota et al.	(1), NE	S	IV	Medium	15 mothers with	Breastfeeding	D	Nurse
(2009)⁷²					children aged <1
					year
Pontes et al.	(1), NE	M	III	Medium	17 couples and	Breastfeeding	D	Nurse
(2009)⁷³					parents of children
					aged 6 to 8 months
Silva et al.	(1), SE	L	II	Medium	15 physicians	Prenatal/child	NCT	Physician
(2009)⁷⁴						care
Araújo et al.	(1), NE	S	IV	Medium	11 nurses	HBP/DM	NCT	Nurse
(2010)⁷⁵
Pinto & Bosi	(1), NE	M	I	Medium	8 obese adult	Nutritional	D	Dietician
(2010)⁷⁶					females	status
Ramos & Cuervo	(1), S	M	I	High	11 PHCU or FHCU	Welfare	MT -	Dietician
(2012)⁷⁷					coordinators and	program/HRAF	planning
					12 professionals		and
							organization
Camossa et al.	(1), SE	L	II	High	21 professionals	Professional	MT -	Dietician
(2012)⁷⁸					from 2 teams, 6	practice	planning
					residents and 1		and
					manager		organization

Keywords		2000	2002	2004	2006	2008	2010	Database^*
CH + Nut		7	19	24	24	21	34	42
CH	+ Diet	0	2	9	11	10	18	27
CH	+ Nut + Diet	0	2	8	11	9	18	27
PH	+ Nut	6	16	23	26	27	33	35
PH	+ Diet	0	6	10	12	12	14	21
PH	+ Nut + Diet	0	5	9	10	10	12	19
BC	+ Nut	0	1	2	2	6	8	9
BC	+ Diet	0	1	2	2	5	6	5
BC	+ Nut + Diet	0	1	2	2	4	5	5
PC	+ Nut	0	2	2	1	1	5	10
PC	+ Diet	0	2	2	4	3	5	10
PC	+ Nut + Diet	0	0	0	1	1	3	7
FHS + Nut		2	3	4	9	11	11	10
FHS + Diet		0	1	1	6	8	6	7
FHS + Nut + Diet		0	0	0	3	5	4	5
CA + Nut		0	0	1	1	1	1	1
CA	+ Diet	0	0	0	0	0	0	1
CA	+ Nut + Diet	0	0	0	0	0	0	1

	Year of establishment (n)		Brazilian region of the institution		Prevailing academic area
	PHC	FHS	PHC	FHS	PHC	FHS
Base corrente	1976 (1)	1999 (1)	SE (22)	SE (3)	Nutrition (23)	Collective health (2)
	1982 (1)	2002 (1)	NE (15)	CW (1)	Collective health (16)	Nutrition (2)
	1989 (1)	2007 (1)	S (11)	NE (1)	Medicine (10)	Medicine (1)
	1990 (2)	2009 (2)	CW (5)		Others (5)
	1992 (2)		N (1)
	1995 (1)
	1996 (1)
	1997 (1)
	1999 (1)
	2000 (7)
	2001 (1)
	2002 (1)
	2004 (6)
	2005 (3)
	2006 (5)
	2007 (2)
	2008 (3)
	2009 (2)
	2010 (4)
	2011 (5)
	2012 (4)
Total	54	5	54	5	54	5

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[1] CONTRIBUTORS IAL VASCONCELOS sought the articles and research groups in the Research Group Directory, wrote the article, and organized the references. LMP SANTOS supervised the work, reviewed the published articles, guided the Research Group Directory search, and helped to write and review the manuscript.