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Analysis of the implementation of Food and Nutrition Education actions in public schools in a capital city in southern Brazil

Análise da implementação de ações de Educação Alimentar e Nutricional em escolas públicas municipais de uma capital da região do Sul do Brasil

ABSTRACT

Objective

To analyze the insertion of Food and Nutrition Education actions in Early Childhood and Elementary Education units of the municipal public school system of Florianópolis, Santa Catarina, Brazil, in 2019.

Methods

This analytical study applied an online questionnaire directed to the 125 Early Childhood and Elementary Education schools in Florianópolis.

Results

Ninety-four schools (75.2%) participated in the study, among which 94.7% developed Nutritional Food Education actions in 2019. It was made evident that the insertion of Nutritional Food Education in the Pedagogical Political Project (p<0.001) and the planning of such actions (p<0.001) in schools has a significant association with their implementation. The participation of the professionals in training in food and nutrition showed no association with the implementation of the Nutritional Food Education actions. The actions developed most frequently were the pedagogical activities in the school curriculum (95.5%), the school garden (71.9%), and the hands-on cooking classes (46.1%).

Conclusion

The study identified a positive panorama in the capital of Santa Catarina, with actions included transversally in the school curriculum with a multiprofessional focus standing out. However, the need for studies that monitor and evaluate the actions is emphasized.

Keywords
Food and nutrition education; Nutrition programs and policies; School feeding; School health promotion

RESUMO

Objetivo

Analisar a inserção de ações de Educação Alimentar e Nutricional em unidades de Educação Infantil e Ensino Fundamental da rede pública municipal de Florianópolis, no ano de 2019.

Métodos

Ratos Wistar machos foram divididos em dois grupos experimentais de acordo com a dieta da mãe durante a gestação e lactação: grupo controle (NP: 17% caseína n=6) e grupo desnutrido (LP: 8% caseína n=6). Aos 60 dias de vida, os ratos foram sacrificados para coleta do hipotálamo para posterior análise bioquímica.

Resultados

Participaram do estudo 94 das 125 escolas de Educação Infantil e Ensino Fundamental de Florianópolis (75,2%). Dessas, 94,7% desenvolveram ações de Educação Alimentar Nutricional no ano de 2019. Evidenciou-se que a inserção da Educação Alimentar Nutricional no Projeto Político Pedagógico (p<0,001) e o planejamento dessas ações (p<0,001) nas escolas têm associação significativa com a sua realização. A participação dos profissionais em formação sobre alimentação e nutrição não mostrou associação com a realização das ações de Educação Alimentar Nutricional. As ações desenvolvidas com mais frequência foram a inclusão de atividades pedagógicas no currículo escolar (95,5%), a horta pedagógica (71,9%) e as oficinas culinárias (46,1%).

Conclusão

O estudo identificou um panorama positivo na capital catarinense, com destaque para ações incluídas transversalmente no currículo escolar, com enfoque multiprofissional. Ressalta-se, no entanto, a necessidade de desenvolvimento de estudos de monitoramento e avaliação das ações.

Palavras-chave
Educação alimentar e nutricional; Programas e políticas de nutrição e alimentação; Alimentação escolar; Promoção da saúde escolar

INTRODUCTION

In Brazil, Food and Nutrition Education (FNE) is understood as a strategy for the Promotion of Adequate and Healthy Eating (PAHE), the realization of the Human Right to Adequate Food (HRAF), and the guarantee of Food and Nutrition Security (FNS). This conception was consolidated in 2012 with the publication of the Food and Nutrition Education Reference Framework for Public Policies [11 Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Marco de referência de educação alimentar e nutricional para as políticas públicas. Brasília: MDS; 2012.]. However, in Brazil and throughout the world, FNE has been strengthened as an important PAHE strategy in food and nutrition programs [22 Love P, Booth A, Margerison C, Nowson C, Grimes C. Food and nutrition education opportunities within Australian primary schools. Health Promot Int. 2020;35(6):1291-1301. https://doi.org/10.1093/heapro/daz132
https://doi.org/10.1093/heapro/daz132...
,33 Food and Agriculture Organization. School-based food and nutrition education. Roma: FAO; 2020 [cited 2021 Sep 8]. Available from: http://www.fao.org/documents/card/en/c/cb2064en
http://www.fao.org/documents/card/en/c/c...
].

In the school context, in 2009, FNE became one of the axes of action of the Programa Nacional de Alimentação Escolar (PNAE, National School Feeding Program), aimed at all students in the public basic education system in Brazil [44 Ministério da Educação (Brasil). Lei nº 11.947, de 16 de junho de 2009. Dispõe sobre o atendimento da alimentação escolar e do Programa Dinheiro Direto na Escolar aos alunos da educação básica; altera as Leis nos 10.880, de 9 de junho de 2004, 11.273, 6 de fevereiro de 2006, 11.507, de 20 de julho de 2007; revoga dispositivos da medida provisória nº 2.178-36, de 24 de agosto de 2001, e a Lei nº 8.913, de 2 de julho de 1994; e dá outras providências. Brasília: Diário Oficial da União; 2009 [cited 2022 May 19]. Available from: http://www.planalto.gov.br/ccivil_03/_ato2007-2010/2009/lei/l11947.htm
http://www.planalto.gov.br/ccivil_03/_at...
]. Therefore, FNE is characterized as a set of formative actions that must be included transversally in the school curriculum continuously and permanently [55 Ministério da Educação (Brasil). Resolução nº 26, de 17 de junho de 2013. Dispõe sobre o atendimento da alimentação escolar aos alunos da educação básica no âmbito do Programa Nacional de Alimentação escolar (PNAE). Brasília: Diário Oficial da União; 2013 [cited 2022 May 19]. Available from: https://www.in.gov.br/materia/-/asset_publisher/Kujrw0TZC2Mb/content/id/30683767/do1-2013-06-18-resolucao-n-26-de-17-de-junho-de-2013-30683763
https://www.in.gov.br/materia/-/asset_pu...
,66 Ministério da Educação (Brasil). Resolução nº 6, de 8 de maio de 2020. Dispõe sobre o atendimento da alimentação escolar aos alunos da educação básica no âmbito do Programa Nacional de Alimentação Escolar – PNAE. Brasília: Ministério; 2020 [cited 2022 May 19]; Available from: https://www.in.gov.br/en/web/dou/-/resolucao-n-6-de-8-de-maio-de-2020-256309972
https://www.in.gov.br/en/web/dou/-/resol...
].

In general, around 85% of Brazilian municipalities carry out FNE actions [77 Almeida GM, Silva SU, Soares GB, Gregório NP, Sousa LM, Monego ET. Educação Alimentar e Nutricional no exercício profissional do Nutricionista atuante no Programa Nacional de Alimentação Escolar: um panorama brasileiro. Demetra. 2018;13(4):851-73. https://doi.org/10.12957/demetra.2018.36604
https://doi.org/10.12957/demetra.2018.36...
]. Holding lectures every six months seems to be the most used FNE strategy for preschoolers and schoolchildren and for updating teachers, with a maximum duration of one hour [77 Almeida GM, Silva SU, Soares GB, Gregório NP, Sousa LM, Monego ET. Educação Alimentar e Nutricional no exercício profissional do Nutricionista atuante no Programa Nacional de Alimentação Escolar: um panorama brasileiro. Demetra. 2018;13(4):851-73. https://doi.org/10.12957/demetra.2018.36604
https://doi.org/10.12957/demetra.2018.36...

8 Camozzi ABQ, Monego ET, Menezes IHCF, Silva PO. Promoção da Alimentação Saudável na Escola: realidade ou utopia? Cad Saude Colet. 2015;23(1):32-7. https://doi.org/10.1590/1414-462X201500010006
https://doi.org/10.1590/1414-462X2015000...

9 Ottoni IC, Domene SMÁ, Bandoni DH. Educação Alimentar e Nutricional em escolas: uma visão do Brasil. Demetra. 2019;14:e38748. https://doi.org/10.12957/demetra.2019.38748
https://doi.org/10.12957/demetra.2019.38...
-1010 Magalhães HHSR, Porte LHM. Percepção de educadores infantis sobre educação alimentar e nutricional. Cienc Educ. 2019;25(1):131-44. https://doi.org/10.1590/1516-731320190010009
https://doi.org/10.1590/1516-73132019001...
]. There is also a report of the use of the lectures for family members of schoolchildren [1111 Silva SU, Monego ET, Sousa LM, Almeida GM. As ações de educação alimentar e nutricional e o nutricionista no âmbito do Programa Nacional de Alimentação Escolar. Cienc Saude Colet. 2018;23(8):2671-81. https://doi.org/10.1590/1413-81232018238.19642016
https://doi.org/10.1590/1413-81232018238...
].

An integrative literature review identified eight studies that analyzed FNE interventions in schoolchildren aged six to 17 years and found strategies based on information transmission. Six used the nutritional and food consumption assessment as an evaluative tool, finding no significant changes due to the short time between the action and the analysis performed [1212. Borsoi AT, Teo CRPA, Mussio BR. Educação alimentar e nutricional no ambiente escolar: uma revisão integrativa. Rev Ibe Est Ed. 2016;11(3):1441-60. https://doi.org/10.21723/riaee.v11.n3.7413
https://doi.org/10.21723/riaee.v11.n3.74...
].

Researchers have identified that, even after 2012, the FNE actions have not been continuous and are generally restricted to the biological aspects of food and eating [77 Almeida GM, Silva SU, Soares GB, Gregório NP, Sousa LM, Monego ET. Educação Alimentar e Nutricional no exercício profissional do Nutricionista atuante no Programa Nacional de Alimentação Escolar: um panorama brasileiro. Demetra. 2018;13(4):851-73. https://doi.org/10.12957/demetra.2018.36604
https://doi.org/10.12957/demetra.2018.36...

8 Camozzi ABQ, Monego ET, Menezes IHCF, Silva PO. Promoção da Alimentação Saudável na Escola: realidade ou utopia? Cad Saude Colet. 2015;23(1):32-7. https://doi.org/10.1590/1414-462X201500010006
https://doi.org/10.1590/1414-462X2015000...
-99 Ottoni IC, Domene SMÁ, Bandoni DH. Educação Alimentar e Nutricional em escolas: uma visão do Brasil. Demetra. 2019;14:e38748. https://doi.org/10.12957/demetra.2019.38748
https://doi.org/10.12957/demetra.2019.38...
,1111 Silva SU, Monego ET, Sousa LM, Almeida GM. As ações de educação alimentar e nutricional e o nutricionista no âmbito do Programa Nacional de Alimentação Escolar. Cienc Saude Colet. 2018;23(8):2671-81. https://doi.org/10.1590/1413-81232018238.19642016
https://doi.org/10.1590/1413-81232018238...
]. The approach to food culture distances itself from the actual social dimension of food, which encompasses determinants of food choice, identities, or social relations, for example [1313 Verthein UP, Amparo-Santos L. A noção de cultura alimentar em ações de Educação Alimentar e Nutricional em escolas Brasileiras: uma análise crítica. Cien Saude Colet. 2021;26:4849-58. https://doi.org/10.1590/1413-812320212611.3.01932020
https://doi.org/10.1590/1413-81232021261...
].

Developing actions in an expanded manner through problematizing strategies and active teaching methodologies that provide autonomy to individuals, value popular experiences and knowledge, and are based on dialogue remains a challenge in the field [1212. Borsoi AT, Teo CRPA, Mussio BR. Educação alimentar e nutricional no ambiente escolar: uma revisão integrativa. Rev Ibe Est Ed. 2016;11(3):1441-60. https://doi.org/10.21723/riaee.v11.n3.7413
https://doi.org/10.21723/riaee.v11.n3.74...
]. Such a perspective is based on the dialogical pedagogy of Paulo Freire, who viewed schools as environments conceived from ideas, solutions, debates, and reflections understood collectively [11 Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Marco de referência de educação alimentar e nutricional para as políticas públicas. Brasília: MDS; 2012.,1414 Santos LAS. O fazer educação alimentar e nutricional: algumas contribuições para reflexão. Cien Saude Colet, 2012;17(2):453-62. https://scielosp.org/pdf/csc/2012.v17n2/455-462/pt
https://scielosp.org/pdf/csc/2012.v17n2/...
].

Thus, despite the movement to strengthen FNE as a field of knowledge and practice, one notices the maintenance of a distance from what is proposed in documents and legislation. Among the main challenges are the following: addressing the social aspects of food in the process; involving different professionals, family members, and the community as a whole; expanding the understanding of school feeding as a right; and inserting or consolidating FNE in the curriculum as a transversal topic [88 Camozzi ABQ, Monego ET, Menezes IHCF, Silva PO. Promoção da Alimentação Saudável na Escola: realidade ou utopia? Cad Saude Colet. 2015;23(1):32-7. https://doi.org/10.1590/1414-462X201500010006
https://doi.org/10.1590/1414-462X2015000...
,1111 Silva SU, Monego ET, Sousa LM, Almeida GM. As ações de educação alimentar e nutricional e o nutricionista no âmbito do Programa Nacional de Alimentação Escolar. Cienc Saude Colet. 2018;23(8):2671-81. https://doi.org/10.1590/1413-81232018238.19642016
https://doi.org/10.1590/1413-81232018238...
].

These challenges are not the same in all Brazilian regions. In this regard, it should be noted that the Southern Region and, especially, the state of Santa Catarina usually obtain national prominence in issues related to FNE, developing, for example, actions and expanded projects of school gardens and hands-on cooking classes. It also usually stands out in the percentage of acquisition of food from family farming for the PNAE [77 Almeida GM, Silva SU, Soares GB, Gregório NP, Sousa LM, Monego ET. Educação Alimentar e Nutricional no exercício profissional do Nutricionista atuante no Programa Nacional de Alimentação Escolar: um panorama brasileiro. Demetra. 2018;13(4):851-73. https://doi.org/10.12957/demetra.2018.36604
https://doi.org/10.12957/demetra.2018.36...
,99 Ottoni IC, Domene SMÁ, Bandoni DH. Educação Alimentar e Nutricional em escolas: uma visão do Brasil. Demetra. 2019;14:e38748. https://doi.org/10.12957/demetra.2019.38748
https://doi.org/10.12957/demetra.2019.38...
]. Still, studies on FNE in the school setting are scarce, and the mechanisms for evaluating/monitoring the actions are incipient.

For this reason, this study aimed to analyze the insertion of FNE actions developed in early childhood and elementary schools of the municipal public school system of Florianópolis, the capital of the state of Santa Catarina (SC), Brazil.

METHODS

This was a cross-sectional analytical study with all (n=125) schools of Early Childhood Education (ECE) (n=89) and Elementary Education (EE) (n=36) of the municipal public school system of Florianópolis (SC), Brazil. The schools were identified through a list available on the website of the Municipal Department of Education [1515 Secretaria Municipal de Educação (Florianópolis). Mapa: Unidades Educativas da rede pública municipal. Florianópolis: Secretaria; 2019 [cited 2019 Oct 19]. Available from: https://www.pmf.sc.gov.br/entidades/educa/index.php?cms=mapas+unidades+educativas++&menu=4&submenuid=139
https://www.pmf.sc.gov.br/entidades/educ...
].

To collect the data, a semi-structured questionnaire was applied online (Google Forms) aimed at principals, school supervisors, teachers, and other professionals who participated in FNE actions at the schools. The questionnaire was sent to the school institutional email addresses along with the description of the study, with a thirty-day return period and weekly deadline reminder, with non-respondents contacted by phone. To increase awareness, there was the support of nutritionists who worked in school feeding in the municipality and had direct contact with schools.

The respondents signing the Informed Consent Form was adopted as the inclusion criterion. Schools that refused to participate were considered losses, and those that did not respond to contact via email and phone after five attempts (on different days and times) were deemed failures.

The semi-structured questionnaire used in data collection underwent a content validation process through a panel of experts with experience in the areas of health and education, including two teachers/researchers, two nutritionists working in school feeding in the public school system, one nutritionist Centro Colaborador em Alimentação e Nutrição do Escolar (CECANE, Collaborating Center on Food and Nutrition of Schoolchildren), one municipal public manager of school feeding, one educator from the public school system, and one manager of an educational unit of the public school system [1616 Soar C, Gabriel CG, Hinning PF, Uggioni PL, Souza IC. Desenvolvimento e validação de instrumento para diagnóstico das ações de Educação Alimentar e Nutricional no âmbito escolar. Demetra. 2022;17:e65638. https://doi.org/10.12957/demetra.2015.16072
https://doi.org/10.12957/demetra.2015.16...
]. Chart 1 shows the questionnaire sections, analyzed variables, and measurement units.

Chart 1
Sections of the semi-structured online questionnaire, variables, and units of measurement. Florianópolis, SC, Brazil, 2022.

The data were exported from Google Forms, organized into databases in Microsoft Office Excel 2010®, and transported to version 11.0 of the statistical program Stata (StataCorp LP). The descriptive analysis of the categorical variables was expressed in frequencies and percentages. The Shapiro-Wilk test was applied to evaluate the symmetry. Pearson’s Chi-Square test verified an association between the variable “FNE actions carried out” and the variables “inserted FNE actions into the Pedagogical Political Project (PPP)”, “planned FNE actions”, and “professionals participated in training in food and nutrition”. The value of p<0.05 was used for statistical decision-making.

The study was approved by the Human Research Ethics Committee of the Universidade Federal de Santa Catarina (Federal University of Santa Catarina). The Informed Consent Form was made available at the beginning of the form, and the respondents had the option to accept or refuse to participate in the study.

RESULTS

Ninety-four schools participated in this study, with a 75.2% participation rate, 63 (67.0%) of which were ECE schools, 28 (29.8%) were EE schools, and three (3.2%) had both modalities of education (ECE/EE). The respondents were distributed as follows: 63 (67.0%) were principals, 13 (13.8%) were teachers, nine (9.6%) were supervisors, and nine (9.6%) were other professionals, e.g., as classroom assistants. Among the reasons for non-participation, the impossibility of contact via email and phone and the unavailability of time on the part of the respondents stood out.

Most of the schools reported inserting FNE actions into their PPP (n=66, 70.2%). Among them, 38 (57.6%) did so after 2009. The professionals who most discussed FNE in the PPPs were principals, supervisors, and teachers (n=66, 100%) (Table 1).

Table 1
Situation of the implementation of Food and Nutrition Education actions in schools of the municipal public school system of Florianópolis, SC, Brazil, 2019.

Among the ways FNE was addressed in the PPP, 42 schools (63.6%) highlighted collective projects (which involved the entire school community), school gardens, and the cafeteria project (a municipal project consisting of organizing the cafeteria to ensure autonomy when serving); 10 (15.1%) reported one-off actions of awareness on healthy eating; 5 (7.6%) mentioned transversal actions included in the school subjects and/or areas of knowledge that sought to contemplate the different aspects of eating. Lastly, 9 (13.6%) were unable to answer.

Only 29 schools (30.8%) reported the participation of their professionals in training in food and nutrition, with emphasis on the education team (n=22, 75.9%). Regarding the time since the last training, 12 schools (41.4%) reported it had been less than one year prior (Table 1). It was identified that 70 schools (74.5%) planned the FNE actions. In general, two to four actions were structured (n=33, 47.1%), as shown in Table 1.

Of the participating schools, 89 (94.7%) carried out FNE actions (Table 2). However, only 67 participants (71.2%) really considered that they had carried them out. In other words, most of the schools did not answer “yes” in the question about implementing FNE actions, but they responded in other questions that they carried out FNE actions within the school subjects and in the vegetable garden. Regarding the number of actions, 73 of the schools (82.0%) carried out two to four. The main persons responsible for the actions were the education team (n=56, 62.9%). Most of the schools had the guidance and/or follow-up of nutritionists (n=75, 84.3%) and the involvement of student family members (n=49, 55.1%) (Table 1).

Table 2
Association between the implementation of Food and Nutrition Education (FNE) actions, insertion of FNE actions into the Pedagogical Political Project (PPP), planning of FNE actions, and training in food and nutrition by schools of the municipal public school system of Florianópolis, SC, Brazil, 2019.

Family involvement occurred mainly through participation in collective projects, assistance in maintaining the vegetable garden or in hands-on cooking classes (n=20, 40.8%), and participation in training on the topic of food/nutrition or meetings with nutritionists (n=10, 20.5%). Only six schools (12.2%) did not answer how family involvement occurred.

A significant association was found between the insertion of FNE actions into the PPPs and their implementation (p=0.000), as well as between the planning and implementation of the actions (p=0.000). No association was found between the holding of training in food/nutrition and the implementation of FNE (p=0.125). However, all schools where professionals underwent training carried out FNE actions in 2019 (Table 2).

Among the most developed FNE actions, 85 schools (95.5%) reported having developed actions in the school curriculum, 64 (71.9%) through the school garden, and 41 (46.1%) through hands-on cooking classes (Table 3).

Table 3
Food and Nutrition Education actions developed, teaching methodologies, periodicity, and evaluation of these activities carried out by the schools of the municipal public school system of Florianópolis, SC, Brazil, 2019.

Among the ECE schools (n=64), 61 (95.3%) carried out FNE actions in all Pedagogical Action Centers, namely Languages, Social and Cultural Relations, and Nature. In turn, among the 28 EE schools, 22 (78.6%) carried out FNE actions within the school subject of Science and Biology (Table 3).

Regarding the teaching methodology, the active methodology was more present in the FNE actions developed (n=66, 74.2%). Regarding the periodicity of the FNE actions, 46 (51.7%) were permanent (Table 3).

In addition, most of the schools evaluated the actions (n=71, 79.8%) basically through the perceptions of school cooks and other professionals of the students’ eating (n=50, 70.4%), as one may observe in Table 3.

DISCUSSION

This study presents a panorama of the FNE actions developed in Florianópolis (SC), Brazil. Among its findings, it brings important information and results about critical aspects of the implementation of FNE in the school environment, such as its insertion into the PPP, the participation of school actors in specific training, and the main teaching methodologies used, as well as the periodicity and form of evaluation of the actions.

The discussion about FNE in the school environment has been traveling a long way that gained strength from 2009 when FNE became the axis of action of the PNAE [11 Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Marco de referência de educação alimentar e nutricional para as políticas públicas. Brasília: MDS; 2012.,66 Ministério da Educação (Brasil). Resolução nº 6, de 8 de maio de 2020. Dispõe sobre o atendimento da alimentação escolar aos alunos da educação básica no âmbito do Programa Nacional de Alimentação Escolar – PNAE. Brasília: Ministério; 2020 [cited 2022 May 19]; Available from: https://www.in.gov.br/en/web/dou/-/resolucao-n-6-de-8-de-maio-de-2020-256309972
https://www.in.gov.br/en/web/dou/-/resol...
,88 Camozzi ABQ, Monego ET, Menezes IHCF, Silva PO. Promoção da Alimentação Saudável na Escola: realidade ou utopia? Cad Saude Colet. 2015;23(1):32-7. https://doi.org/10.1590/1414-462X201500010006
https://doi.org/10.1590/1414-462X2015000...
]. However, for its effectiveness in everyday school life, it is essential for the actions to be contemplated in the PPP [44 Ministério da Educação (Brasil). Lei nº 11.947, de 16 de junho de 2009. Dispõe sobre o atendimento da alimentação escolar e do Programa Dinheiro Direto na Escolar aos alunos da educação básica; altera as Leis nos 10.880, de 9 de junho de 2004, 11.273, 6 de fevereiro de 2006, 11.507, de 20 de julho de 2007; revoga dispositivos da medida provisória nº 2.178-36, de 24 de agosto de 2001, e a Lei nº 8.913, de 2 de julho de 1994; e dá outras providências. Brasília: Diário Oficial da União; 2009 [cited 2022 May 19]. Available from: http://www.planalto.gov.br/ccivil_03/_ato2007-2010/2009/lei/l11947.htm
http://www.planalto.gov.br/ccivil_03/_at...
,55 Ministério da Educação (Brasil). Resolução nº 26, de 17 de junho de 2013. Dispõe sobre o atendimento da alimentação escolar aos alunos da educação básica no âmbito do Programa Nacional de Alimentação escolar (PNAE). Brasília: Diário Oficial da União; 2013 [cited 2022 May 19]. Available from: https://www.in.gov.br/materia/-/asset_publisher/Kujrw0TZC2Mb/content/id/30683767/do1-2013-06-18-resolucao-n-26-de-17-de-junho-de-2013-30683763
https://www.in.gov.br/materia/-/asset_pu...
,1717 Barbosa NVS, Machado NMV, Soares MCV, Pinto ARR. Alimentação na escola e autonomia - desafios e possibilidades. Cien Saude Colet. 2013;18(4):937-45. https://doi.org/10.1590/S1413-81232013000400005
https://doi.org/10.1590/S1413-8123201300...
]. The FNE Framework addresses this issue in its ninth principle, stating that planning is “[…] essential for the efficacy and effectiveness of the initiatives and the sustainability of the actions” [11 Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Marco de referência de educação alimentar e nutricional para as políticas públicas. Brasília: MDS; 2012.]. In this sense, the significant association between FNE in the PPPs and action planning demonstrated its importance for the consolidation of FNE in everyday life of the schools in this study.

In a survey on the FNE actions in the state of Goiás in 2012, most participants also reported that they were inserted into the PPP, although they could not say how [1111 Silva SU, Monego ET, Sousa LM, Almeida GM. As ações de educação alimentar e nutricional e o nutricionista no âmbito do Programa Nacional de Alimentação Escolar. Cienc Saude Colet. 2018;23(8):2671-81. https://doi.org/10.1590/1413-81232018238.19642016
https://doi.org/10.1590/1413-81232018238...
]. In the present study, this occurred mainly through collective projects, school gardens, and the cafeteria project. Moreover, most of the schools began to include FNE in their PPP after 2009, which seems to be related to the implementation of FNE in the legal framework of the PNAE [44 Ministério da Educação (Brasil). Lei nº 11.947, de 16 de junho de 2009. Dispõe sobre o atendimento da alimentação escolar e do Programa Dinheiro Direto na Escolar aos alunos da educação básica; altera as Leis nos 10.880, de 9 de junho de 2004, 11.273, 6 de fevereiro de 2006, 11.507, de 20 de julho de 2007; revoga dispositivos da medida provisória nº 2.178-36, de 24 de agosto de 2001, e a Lei nº 8.913, de 2 de julho de 1994; e dá outras providências. Brasília: Diário Oficial da União; 2009 [cited 2022 May 19]. Available from: http://www.planalto.gov.br/ccivil_03/_ato2007-2010/2009/lei/l11947.htm
http://www.planalto.gov.br/ccivil_03/_at...
].

In this regard, it is important to mention that the Municipal Department of Education of the capital of Santa Catarina has already obtained national prominence multiple times for pioneering and innovation in the development of FNE actions within the scope of the PNAE, with emphasis on projects that have been encompassing the entire network for more than twenty years [77 Almeida GM, Silva SU, Soares GB, Gregório NP, Sousa LM, Monego ET. Educação Alimentar e Nutricional no exercício profissional do Nutricionista atuante no Programa Nacional de Alimentação Escolar: um panorama brasileiro. Demetra. 2018;13(4):851-73. https://doi.org/10.12957/demetra.2018.36604
https://doi.org/10.12957/demetra.2018.36...
,1818 Morgado FS, Santos MAA. A horta escolar na educação ambiental e alimentar: experiência do Projeto Horta Viva nas escolas municipais de Florianópolis. R Eletr Extensão. 2008;5(6):1-10. https://doi.org/10.5007/%25x
https://doi.org/10.5007/%25x...
,1919 Secretaria Municipal de Educação (Florianópolis). Aprendizado na hora de comer: creches da rede municipal de ensino utilizam o momento da alimentação para transmitir conhecimentos. Florianópolis: Secretaria; 2014 [cited 2022 May 19]. Available from: http://www.pmf.sc.gov.br/entidades/educa/index.php?pagina=notpagina¬i=11542
http://www.pmf.sc.gov.br/entidades/educa...
]. It should be noted that the committed work of the nutritionist who works in the management and execution of the PNAE seems to reflect positively on the insertion of the FNE into the PPP and on the planning and implementation of the actions, given that most schools have the guidance and/or follow-up of this professional. The positive effect between the presence of the nutritionist and the implementation of the FNE actions was also observed in another study developed in the municipalities of the state of Goiás in 2012 [1111 Silva SU, Monego ET, Sousa LM, Almeida GM. As ações de educação alimentar e nutricional e o nutricionista no âmbito do Programa Nacional de Alimentação Escolar. Cienc Saude Colet. 2018;23(8):2671-81. https://doi.org/10.1590/1413-81232018238.19642016
https://doi.org/10.1590/1413-81232018238...
].

It should also be pointed out that, for proceeding with FNE with the school environment, the involvement of other school actors is necessary [11 Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Marco de referência de educação alimentar e nutricional para as políticas públicas. Brasília: MDS; 2012.,66 Ministério da Educação (Brasil). Resolução nº 6, de 8 de maio de 2020. Dispõe sobre o atendimento da alimentação escolar aos alunos da educação básica no âmbito do Programa Nacional de Alimentação Escolar – PNAE. Brasília: Ministério; 2020 [cited 2022 May 19]; Available from: https://www.in.gov.br/en/web/dou/-/resolucao-n-6-de-8-de-maio-de-2020-256309972
https://www.in.gov.br/en/web/dou/-/resol...
,2020 Fundo Nacional do Desenvolvimento da Educação. Nota Técnica nº 2810740/2022/COSAN/CGPAE/DIRAE – Educação Alimentar e Nutricional no PNAE: atores sociais e possibilidades de atuação. Brasília: FND; 2022 [cited 2022 June 1]. Available from: https://www.gov.br/fnde/pt-br/acesso-a-informacao/acoes-e-programas/programas/pnae/media-pnae/encontros-tecnicos/NotaTecnicaEANassinada.pdf
https://www.gov.br/fnde/pt-br/acesso-a-i...
]. Following this understanding, the present study observed that the discussion of FNE in the PPP and the implementation of the actions were carried out mainly by the education team. In this sense, the joint work between the pedagogical team and the nutritionist is decisive, as it provides for the integration of different actors and the likely continuity of the proposed actions [2121 Santos LAS, Carvalho DMM, Reis ABC, Ramos LB, Freitas MCS. Formação de coordenadores pedagógicos em alimentação escolar: Um relato de experiência. Cien Saude Colet. 2013;18(4):993-1000. https://doi.org/10.1590/S1413-81232013000400012
https://doi.org/10.1590/S1413-8123201300...
].

The participation of family members was also significant in the present study, especially in actions involving the maintenance of vegetable gardens and hands-on cooking classes. Family involvement may contribute to the continuity of FNE at home [88 Camozzi ABQ, Monego ET, Menezes IHCF, Silva PO. Promoção da Alimentação Saudável na Escola: realidade ou utopia? Cad Saude Colet. 2015;23(1):32-7. https://doi.org/10.1590/1414-462X201500010006
https://doi.org/10.1590/1414-462X2015000...
,2222 Sipioni ME, Zouain MS, Ribett MJ, Zouain ACS, Rezende AMB. Percepções de professores da educação básica sobre alimentação saudável e educação alimentar e nutricional na escola. R Assoc Bras Nutr. 2021;12(2):21-4. https://doi.org/10.47320/rasbran.2021.2063
https://doi.org/10.47320/rasbran.2021.20...
]. But not only that, the sustainment of these actions in other spaces depends on socioeconomic aspects, public policies, and food environments. It should be emphasized that, as a permanent and problematizing practice, FNE aims to empower individuals to claim their rights and develop skills for adequate and healthy eating as soon as they have sufficient resources for such [11 Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Marco de referência de educação alimentar e nutricional para as políticas públicas. Brasília: MDS; 2012.].

In the present study, the participation of professionals in training in food and nutrition was relatively low. However, those who participated carried out FNE actions at their schools. Unlike this study, research with early childhood teachers in a municipality in the state of Minas Gerais found that most of the studied population underwent some training in the matter [1010 Magalhães HHSR, Porte LHM. Percepção de educadores infantis sobre educação alimentar e nutricional. Cienc Educ. 2019;25(1):131-44. https://doi.org/10.1590/1516-731320190010009
https://doi.org/10.1590/1516-73132019001...
]. In general, such training is coordinated by intersectoral teams linked to the Department of Education, with emphasis on the participation of actors connected to the CECANE [2222 Sipioni ME, Zouain MS, Ribett MJ, Zouain ACS, Rezende AMB. Percepções de professores da educação básica sobre alimentação saudável e educação alimentar e nutricional na escola. R Assoc Bras Nutr. 2021;12(2):21-4. https://doi.org/10.47320/rasbran.2021.2063
https://doi.org/10.47320/rasbran.2021.20...
]. In this context, the strategic role of the different CECANE distributed throughout Brazil for the PAHE and the strengthening of the pedagogical function of the PNAE are highlighted. However, it is important to point out the financial difficulties that have been faced by these Collaborating Centers, which put at risk the qualified and permanent activity of actors with expertise in the topic.

Still on the training within the context of food and nutrition, it is a consensus in different studies that they have a fundamental role in raising awareness for the inclusion of FNE in the school curriculum and, later, in the implementation of actions [1212. Borsoi AT, Teo CRPA, Mussio BR. Educação alimentar e nutricional no ambiente escolar: uma revisão integrativa. Rev Ibe Est Ed. 2016;11(3):1441-60. https://doi.org/10.21723/riaee.v11.n3.7413
https://doi.org/10.21723/riaee.v11.n3.74...
,2121 Santos LAS, Carvalho DMM, Reis ABC, Ramos LB, Freitas MCS. Formação de coordenadores pedagógicos em alimentação escolar: Um relato de experiência. Cien Saude Colet. 2013;18(4):993-1000. https://doi.org/10.1590/S1413-81232013000400012
https://doi.org/10.1590/S1413-8123201300...
,2323 Santos ABMV, Souza GSF, Mendonça IN, Nonato LFT, Alves MGD, Oliveira MAS, et al. Caminhos para articulação da Educação Alimentar e Nutricional com o currículo escolar: relato de experiência no contexto do ensino fundamental. Demetra. 2021;16:e56719. https://doi.org/10.12957/demetra.2021.56719
https://doi.org/10.12957/demetra.2021.56...
]. However, researchers have warned that it is necessary to ensure permanent training continuously since awareness may be affected by everyday school life [2121 Santos LAS, Carvalho DMM, Reis ABC, Ramos LB, Freitas MCS. Formação de coordenadores pedagógicos em alimentação escolar: Um relato de experiência. Cien Saude Colet. 2013;18(4):993-1000. https://doi.org/10.1590/S1413-81232013000400012
https://doi.org/10.1590/S1413-8123201300...
]. Thus, training aimed at ensuring the HRAF and FNS is important to promote the autonomy of schoolchildren and enable sustainable environments from environmental, social, and economic points of view [11 Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Marco de referência de educação alimentar e nutricional para as políticas públicas. Brasília: MDS; 2012.,44 Ministério da Educação (Brasil). Lei nº 11.947, de 16 de junho de 2009. Dispõe sobre o atendimento da alimentação escolar e do Programa Dinheiro Direto na Escolar aos alunos da educação básica; altera as Leis nos 10.880, de 9 de junho de 2004, 11.273, 6 de fevereiro de 2006, 11.507, de 20 de julho de 2007; revoga dispositivos da medida provisória nº 2.178-36, de 24 de agosto de 2001, e a Lei nº 8.913, de 2 de julho de 1994; e dá outras providências. Brasília: Diário Oficial da União; 2009 [cited 2022 May 19]. Available from: http://www.planalto.gov.br/ccivil_03/_ato2007-2010/2009/lei/l11947.htm
http://www.planalto.gov.br/ccivil_03/_at...
,55 Ministério da Educação (Brasil). Resolução nº 26, de 17 de junho de 2013. Dispõe sobre o atendimento da alimentação escolar aos alunos da educação básica no âmbito do Programa Nacional de Alimentação escolar (PNAE). Brasília: Diário Oficial da União; 2013 [cited 2022 May 19]. Available from: https://www.in.gov.br/materia/-/asset_publisher/Kujrw0TZC2Mb/content/id/30683767/do1-2013-06-18-resolucao-n-26-de-17-de-junho-de-2013-30683763
https://www.in.gov.br/materia/-/asset_pu...
,88 Camozzi ABQ, Monego ET, Menezes IHCF, Silva PO. Promoção da Alimentação Saudável na Escola: realidade ou utopia? Cad Saude Colet. 2015;23(1):32-7. https://doi.org/10.1590/1414-462X201500010006
https://doi.org/10.1590/1414-462X2015000...
]. In addition, those involved must have time to plan and carry out these activities [11 Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Marco de referência de educação alimentar e nutricional para as políticas públicas. Brasília: MDS; 2012.,22 Love P, Booth A, Margerison C, Nowson C, Grimes C. Food and nutrition education opportunities within Australian primary schools. Health Promot Int. 2020;35(6):1291-1301. https://doi.org/10.1093/heapro/daz132
https://doi.org/10.1093/heapro/daz132...
,88 Camozzi ABQ, Monego ET, Menezes IHCF, Silva PO. Promoção da Alimentação Saudável na Escola: realidade ou utopia? Cad Saude Colet. 2015;23(1):32-7. https://doi.org/10.1590/1414-462X201500010006
https://doi.org/10.1590/1414-462X2015000...
,2222 Sipioni ME, Zouain MS, Ribett MJ, Zouain ACS, Rezende AMB. Percepções de professores da educação básica sobre alimentação saudável e educação alimentar e nutricional na escola. R Assoc Bras Nutr. 2021;12(2):21-4. https://doi.org/10.47320/rasbran.2021.2063
https://doi.org/10.47320/rasbran.2021.20...
].

It should be noted that the participation of the nutritionist in permanent and continuing education may enhance this space of collective construction. Their role is to translate the relationship between FNE, HRAF, and FNS to the other professionals in the school environment [11 Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Marco de referência de educação alimentar e nutricional para as políticas públicas. Brasília: MDS; 2012.,77 Almeida GM, Silva SU, Soares GB, Gregório NP, Sousa LM, Monego ET. Educação Alimentar e Nutricional no exercício profissional do Nutricionista atuante no Programa Nacional de Alimentação Escolar: um panorama brasileiro. Demetra. 2018;13(4):851-73. https://doi.org/10.12957/demetra.2018.36604
https://doi.org/10.12957/demetra.2018.36...
,88 Camozzi ABQ, Monego ET, Menezes IHCF, Silva PO. Promoção da Alimentação Saudável na Escola: realidade ou utopia? Cad Saude Colet. 2015;23(1):32-7. https://doi.org/10.1590/1414-462X201500010006
https://doi.org/10.1590/1414-462X2015000...
]. Hence, the knowledge may be passed through popular know-how, the sharing of family recipes, the insertion of traditional foods, the rescue of what the ancestors ate, and discussions that address the food items produced in the region. These are ways of keeping cultural and affective memories alive, giving centrality to food, and addressing issues that may be distant from the knowledge of education professionals but are actually part of everyday life [11 Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Marco de referência de educação alimentar e nutricional para as políticas públicas. Brasília: MDS; 2012.,99 Ottoni IC, Domene SMÁ, Bandoni DH. Educação Alimentar e Nutricional em escolas: uma visão do Brasil. Demetra. 2019;14:e38748. https://doi.org/10.12957/demetra.2019.38748
https://doi.org/10.12957/demetra.2019.38...
].

Most of the schools that participated in this study carried out FNE actions in 2019. However, not all schools considered the actions developed within the school subjects and/or in their vegetable gardens specific to FNE. This shows that there is a mistaken knowledge about FNE that seems to be related to the inadequate training of these school actors.

Among the most frequent actions found were pedagogical activities inserted into the school curriculum, suggesting that the practice of FNE in the investigated schools was transversely inserted into the curriculum, as recommended by the competent bodies [44 Ministério da Educação (Brasil). Lei nº 11.947, de 16 de junho de 2009. Dispõe sobre o atendimento da alimentação escolar e do Programa Dinheiro Direto na Escolar aos alunos da educação básica; altera as Leis nos 10.880, de 9 de junho de 2004, 11.273, 6 de fevereiro de 2006, 11.507, de 20 de julho de 2007; revoga dispositivos da medida provisória nº 2.178-36, de 24 de agosto de 2001, e a Lei nº 8.913, de 2 de julho de 1994; e dá outras providências. Brasília: Diário Oficial da União; 2009 [cited 2022 May 19]. Available from: http://www.planalto.gov.br/ccivil_03/_ato2007-2010/2009/lei/l11947.htm
http://www.planalto.gov.br/ccivil_03/_at...
,55 Ministério da Educação (Brasil). Resolução nº 26, de 17 de junho de 2013. Dispõe sobre o atendimento da alimentação escolar aos alunos da educação básica no âmbito do Programa Nacional de Alimentação escolar (PNAE). Brasília: Diário Oficial da União; 2013 [cited 2022 May 19]. Available from: https://www.in.gov.br/materia/-/asset_publisher/Kujrw0TZC2Mb/content/id/30683767/do1-2013-06-18-resolucao-n-26-de-17-de-junho-de-2013-30683763
https://www.in.gov.br/materia/-/asset_pu...
,66 Ministério da Educação (Brasil). Resolução nº 6, de 8 de maio de 2020. Dispõe sobre o atendimento da alimentação escolar aos alunos da educação básica no âmbito do Programa Nacional de Alimentação Escolar – PNAE. Brasília: Ministério; 2020 [cited 2022 May 19]; Available from: https://www.in.gov.br/en/web/dou/-/resolucao-n-6-de-8-de-maio-de-2020-256309972
https://www.in.gov.br/en/web/dou/-/resol...
, 2424 Presidência da República (Brasil). Lei nº 13.666, de 16 de maio de 2018. Altera a Lei nº 9.394, de 20 de dezembro de 1996 (Lei de Diretrizes e Bases da Educação Nacional), para incluir o tema transversal da educação alimentar e nutricional no currículo escolar. Brasília: Diário Oficial da União; 2018 [cited 2022 May 19]. Available from: http://www.planalto.gov.br/ccivil_03/_ato2015-2018/2018/lei/l13666.htm
http://www.planalto.gov.br/ccivil_03/_at...
,2525 Ministério da Educação (Brasil). Temas Contemporâneos Transversais na Base Nacional Comum Curricular. Brasília: Ministério; 2018. https://www.in.gov.br/en/web/dou/-/resolucao-n-6-de-8-de-maio-de-2020-256309972
https://www.in.gov.br/en/web/dou/-/resol...
].

Studies developed from 2019 to 2021 about the perceptions of teachers on FNE identified that the actions should be treated as transversal content in schools and not as a specific subject [1010 Magalhães HHSR, Porte LHM. Percepção de educadores infantis sobre educação alimentar e nutricional. Cienc Educ. 2019;25(1):131-44. https://doi.org/10.1590/1516-731320190010009
https://doi.org/10.1590/1516-73132019001...
,2222 Sipioni ME, Zouain MS, Ribett MJ, Zouain ACS, Rezende AMB. Percepções de professores da educação básica sobre alimentação saudável e educação alimentar e nutricional na escola. R Assoc Bras Nutr. 2021;12(2):21-4. https://doi.org/10.47320/rasbran.2021.2063
https://doi.org/10.47320/rasbran.2021.20...
]. Despite this, it has been observed that, most of the time, FNE is addressed predominantly in the school subject of Science/Biology [77 Almeida GM, Silva SU, Soares GB, Gregório NP, Sousa LM, Monego ET. Educação Alimentar e Nutricional no exercício profissional do Nutricionista atuante no Programa Nacional de Alimentação Escolar: um panorama brasileiro. Demetra. 2018;13(4):851-73. https://doi.org/10.12957/demetra.2018.36604
https://doi.org/10.12957/demetra.2018.36...
,88 Camozzi ABQ, Monego ET, Menezes IHCF, Silva PO. Promoção da Alimentação Saudável na Escola: realidade ou utopia? Cad Saude Colet. 2015;23(1):32-7. https://doi.org/10.1590/1414-462X201500010006
https://doi.org/10.1590/1414-462X2015000...
,1010 Magalhães HHSR, Porte LHM. Percepção de educadores infantis sobre educação alimentar e nutricional. Cienc Educ. 2019;25(1):131-44. https://doi.org/10.1590/1516-731320190010009
https://doi.org/10.1590/1516-73132019001...
,1111 Silva SU, Monego ET, Sousa LM, Almeida GM. As ações de educação alimentar e nutricional e o nutricionista no âmbito do Programa Nacional de Alimentação Escolar. Cienc Saude Colet. 2018;23(8):2671-81. https://doi.org/10.1590/1413-81232018238.19642016
https://doi.org/10.1590/1413-81232018238...
,2222 Sipioni ME, Zouain MS, Ribett MJ, Zouain ACS, Rezende AMB. Percepções de professores da educação básica sobre alimentação saudável e educação alimentar e nutricional na escola. R Assoc Bras Nutr. 2021;12(2):21-4. https://doi.org/10.47320/rasbran.2021.2063
https://doi.org/10.47320/rasbran.2021.20...
], a fact corroborated by the present study.

The predominance of FNE in the school subject of science/biology may be understood by the fact that the National Curricular Parameters recommend that textbooks address this field in this section [2626 Ministério da Educação (Brasil). Parâmetros Curriculares Nacionais: introdução aos parâmetros curriculares nacionais. Brasília: Ministério; 1997.,2727 Lima MM, Toral N. Análise dos conteúdos de alimentação e nutrição nos livros didáticos de Ciências do ensino fundamental da rede pública de ensino. Demetra. 2020;15:e42744. https://doi.org/10.12957/demetra.2020.42744
https://doi.org/10.12957/demetra.2020.42...
]. For example, a study showed the presence of content on the Food Guide for the Brazilian Population in elementary school science books. However, the authors highlighted the predominance of the conception of nutritional rationality [2828 Ministério da Saúde (Brasil). Guia alimentar para a população brasileira. Brasília: Ministério; 2014. https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_brasileira_2ed.pdf.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_brasileira_2ed.pdf
https://bvsms.saude.gov.br/bvs/publicaco...
,2929 Costa GB, Vincha KRR, Carneiro ACLL. Abordagem do Guia Alimentar para a População Brasileira em livros de ciências do ensino fundamental. Demetra. 2021;16:e51578. https://doi.org/10.12957/demetra.2021.51578
https://doi.org/10.12957/demetra.2021.51...
]. This point deserves attention, given that the initiatives to carry out FNE usually start from textbooks [88 Camozzi ABQ, Monego ET, Menezes IHCF, Silva PO. Promoção da Alimentação Saudável na Escola: realidade ou utopia? Cad Saude Colet. 2015;23(1):32-7. https://doi.org/10.1590/1414-462X201500010006
https://doi.org/10.1590/1414-462X2015000...
]. To this end, it is important to review how the theme is incorporated into textbooks to ensure the expanded concept of FNE presented by the FNE Framework. Moreover, it is essential that the topic be involved in different school subjects such as arts, history, and geography, among others [11 Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Marco de referência de educação alimentar e nutricional para as políticas públicas. Brasília: MDS; 2012.,2222 Sipioni ME, Zouain MS, Ribett MJ, Zouain ACS, Rezende AMB. Percepções de professores da educação básica sobre alimentação saudável e educação alimentar e nutricional na escola. R Assoc Bras Nutr. 2021;12(2):21-4. https://doi.org/10.47320/rasbran.2021.2063
https://doi.org/10.47320/rasbran.2021.20...
,2929 Costa GB, Vincha KRR, Carneiro ACLL. Abordagem do Guia Alimentar para a População Brasileira em livros de ciências do ensino fundamental. Demetra. 2021;16:e51578. https://doi.org/10.12957/demetra.2021.51578
https://doi.org/10.12957/demetra.2021.51...
].

The school garden and the hands-on cooking classes were also frequent FNE practices in the present study. Although not expressive, other studies have found the use of school gardens as a pedagogical tool for developing FNE [77 Almeida GM, Silva SU, Soares GB, Gregório NP, Sousa LM, Monego ET. Educação Alimentar e Nutricional no exercício profissional do Nutricionista atuante no Programa Nacional de Alimentação Escolar: um panorama brasileiro. Demetra. 2018;13(4):851-73. https://doi.org/10.12957/demetra.2018.36604
https://doi.org/10.12957/demetra.2018.36...
,99 Ottoni IC, Domene SMÁ, Bandoni DH. Educação Alimentar e Nutricional em escolas: uma visão do Brasil. Demetra. 2019;14:e38748. https://doi.org/10.12957/demetra.2019.38748
https://doi.org/10.12957/demetra.2019.38...
,1111 Silva SU, Monego ET, Sousa LM, Almeida GM. As ações de educação alimentar e nutricional e o nutricionista no âmbito do Programa Nacional de Alimentação Escolar. Cienc Saude Colet. 2018;23(8):2671-81. https://doi.org/10.1590/1413-81232018238.19642016
https://doi.org/10.1590/1413-81232018238...
,3030 Belik W, Chaim NA. O programa nacional de alimentação escolar e a gestão municipal: eficiência administrativa, controle social e desenvolvimento local. Rev Nutr. 2009;22(5):595-607. https://doi.org/10.1590/S1415-52732009000500001
https://doi.org/10.1590/S1415-5273200900...
,3131 Bernardon R, Schmitz BAS, Recine EGI, Rodrigues MLCF, Gabriel CG. School gardens in the Distrito Federal, Brazil. Rev Nutr. 2014;27(2):205-16. https://doi.org/10.1590/1415-52732014000200007
https://doi.org/10.1590/1415-52732014000...
]. In Brazil, using vegetable gardens as FNE instruments has been advocated since 2004 through the project “Educando com a horta” (“Educating with the vegetable garden”) of the Fundo Nacional de Desenvolvimento Escolar (FNDE, National Fund for School Development) of the Ministry of Education in conjunction with the Food and Agriculture Organization of the United Nations. In 2009, the project was reformulated and included the gastronomy axis [3232 RedeNutri. Educando com a horta escolar e a gastronomia. Brasília: RedeNutri; 2012 Jan 26 [cited 2022 May 20]. Available from: http://ecos-redenutri.bvs.br/tiki-read_article.php?articleId=280
http://ecos-redenutri.bvs.br/tiki-read_a...
]. The municipality of Florianópolis (SC), participated in the project, and, according to the Centro de Estudos e Promoção da Agricultura do Grupo (Center for Studies and Promotion of Agriculture of the Group), from 2010 to 2013, they carried out the consulting, implementations, and management of 84 vegetable gardens in ECE and EE schools of the municipal public school system. However, the participation of the municipality in the project took place up to 2017 [3333 Centro de Estudos e Promoção da Agricultura de Grupo. Hortas Escolares e Comunitárias. Florianópolis: Centro; 2021 [cited 2022 May 20]. Available from: https://cepagroagroecologia.wordpress.com/educacao-ambiental/educando-com-a-horta-escolar-e-a-gastronomia/
https://cepagroagroecologia.wordpress.co...
].

In this sense, integrating the vegetable garden with cuisine allows for using the food as a reference, values the regional/local food consumption, and incorporates playfulness [77 Almeida GM, Silva SU, Soares GB, Gregório NP, Sousa LM, Monego ET. Educação Alimentar e Nutricional no exercício profissional do Nutricionista atuante no Programa Nacional de Alimentação Escolar: um panorama brasileiro. Demetra. 2018;13(4):851-73. https://doi.org/10.12957/demetra.2018.36604
https://doi.org/10.12957/demetra.2018.36...
]. In addition, the pedagogical potential provided by vegetable gardens goes beyond the concept of healthy eating. It involves expanding knowledge related to food and nutrition by students and professionals in the school environment [3434 Amiri A, Geravandi S, Rostami F. Potential effects of school garden on students’ knowledge, attitude and experience: a pilot project on sixth grade students in Iran. Urban Green. 2021;62:127174. https://doi.org/10.1016/j.ufug.2021.127174
https://doi.org/10.1016/j.ufug.2021.1271...
,3535 Soltero EG, Parker NH, Mama SK, Ledoux TA, Lee RE. Lessons learned from implementing of garden education program in early child care. Health Promot Pract. 2021;22(2):266. https://doi.org/10.1177%2F1524839919868215
https://doi.org/10.1177%2F15248399198682...
]. In the United States, a set of strategies called “Farm to School” relies on the development of vegetable gardens in the school environment and highlights benefits in staff motivation, increased knowledge and interest in the preparation of local foods and seasonal recipes, and interactions that strengthen the classroom and the cafeteria [3636 Lee E, Smathers C, Zubieta AC, Ginnetti S, Shah A, Freedman DA. Identifying Indicators of Readiness and Capacity for Implementing Farm-to-School Interventions. J Sch Health. 2019;89(5):373-81. https://doi.org/10.1111/josh.12747
https://doi.org/10.1111/josh.12747...
]. A study conducted in American schools in 2019 showed that children develop social and academic skills, e.g., vocabulary expansion, after having contact with vegetable gardens [3535 Soltero EG, Parker NH, Mama SK, Ledoux TA, Lee RE. Lessons learned from implementing of garden education program in early child care. Health Promot Pract. 2021;22(2):266. https://doi.org/10.1177%2F1524839919868215
https://doi.org/10.1177%2F15248399198682...
].

The present study identified that the FNE actions were developed predominantly through active teaching methodologies. This result differs from studies conducted from 2011 to 2014, which found the hegemony of traditional and passive teaching methods in the practice of FNE, with lectures being the most reported format [77 Almeida GM, Silva SU, Soares GB, Gregório NP, Sousa LM, Monego ET. Educação Alimentar e Nutricional no exercício profissional do Nutricionista atuante no Programa Nacional de Alimentação Escolar: um panorama brasileiro. Demetra. 2018;13(4):851-73. https://doi.org/10.12957/demetra.2018.36604
https://doi.org/10.12957/demetra.2018.36...
,99 Ottoni IC, Domene SMÁ, Bandoni DH. Educação Alimentar e Nutricional em escolas: uma visão do Brasil. Demetra. 2019;14:e38748. https://doi.org/10.12957/demetra.2019.38748
https://doi.org/10.12957/demetra.2019.38...
,1111 Silva SU, Monego ET, Sousa LM, Almeida GM. As ações de educação alimentar e nutricional e o nutricionista no âmbito do Programa Nacional de Alimentação Escolar. Cienc Saude Colet. 2018;23(8):2671-81. https://doi.org/10.1590/1413-81232018238.19642016
https://doi.org/10.1590/1413-81232018238...
,1212. Borsoi AT, Teo CRPA, Mussio BR. Educação alimentar e nutricional no ambiente escolar: uma revisão integrativa. Rev Ibe Est Ed. 2016;11(3):1441-60. https://doi.org/10.21723/riaee.v11.n3.7413
https://doi.org/10.21723/riaee.v11.n3.74...
,2121 Santos LAS, Carvalho DMM, Reis ABC, Ramos LB, Freitas MCS. Formação de coordenadores pedagógicos em alimentação escolar: Um relato de experiência. Cien Saude Colet. 2013;18(4):993-1000. https://doi.org/10.1590/S1413-81232013000400012
https://doi.org/10.1590/S1413-8123201300...
]. Active methodologies are pointed out as a propitious teaching model for placing students at the center of the learning process and, thus, developing the autonomy and active participation of such actors, stemming from real problems and situations [3737 Johnston L, Williams SB, Ades A. Education for ECMO providers: using education science to bridge the gap between clinical and educational expertise. Semin Perinatol. 2018;42(2)138-46. https://doi.org/10.1053/j.semperi.2017.12.010
https://doi.org/10.1053/j.semperi.2017.1...
]. Thus, researchers have pointed out that developing vegetable gardens, hands-on cooking classes, and playful interactive activities and integrating the school with the family are timely and strategic ways to implement the actions [99 Ottoni IC, Domene SMÁ, Bandoni DH. Educação Alimentar e Nutricional em escolas: uma visão do Brasil. Demetra. 2019;14:e38748. https://doi.org/10.12957/demetra.2019.38748
https://doi.org/10.12957/demetra.2019.38...
].

Regarding the periodicity of the actions, a good part of the schools developed permanent actions in 2019, suggesting alignment with the FNE Framework and the PNAE [11 Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Marco de referência de educação alimentar e nutricional para as políticas públicas. Brasília: MDS; 2012.,44 Ministério da Educação (Brasil). Lei nº 11.947, de 16 de junho de 2009. Dispõe sobre o atendimento da alimentação escolar e do Programa Dinheiro Direto na Escolar aos alunos da educação básica; altera as Leis nos 10.880, de 9 de junho de 2004, 11.273, 6 de fevereiro de 2006, 11.507, de 20 de julho de 2007; revoga dispositivos da medida provisória nº 2.178-36, de 24 de agosto de 2001, e a Lei nº 8.913, de 2 de julho de 1994; e dá outras providências. Brasília: Diário Oficial da União; 2009 [cited 2022 May 19]. Available from: http://www.planalto.gov.br/ccivil_03/_ato2007-2010/2009/lei/l11947.htm
http://www.planalto.gov.br/ccivil_03/_at...
]. An evolution of this aspect was observed, given that some previous evidence suggested that, although FNE actions are increasingly present in the school environment, they still do not occur continuously and permanently [77 Almeida GM, Silva SU, Soares GB, Gregório NP, Sousa LM, Monego ET. Educação Alimentar e Nutricional no exercício profissional do Nutricionista atuante no Programa Nacional de Alimentação Escolar: um panorama brasileiro. Demetra. 2018;13(4):851-73. https://doi.org/10.12957/demetra.2018.36604
https://doi.org/10.12957/demetra.2018.36...
,88 Camozzi ABQ, Monego ET, Menezes IHCF, Silva PO. Promoção da Alimentação Saudável na Escola: realidade ou utopia? Cad Saude Colet. 2015;23(1):32-7. https://doi.org/10.1590/1414-462X201500010006
https://doi.org/10.1590/1414-462X2015000...
,1111 Silva SU, Monego ET, Sousa LM, Almeida GM. As ações de educação alimentar e nutricional e o nutricionista no âmbito do Programa Nacional de Alimentação Escolar. Cienc Saude Colet. 2018;23(8):2671-81. https://doi.org/10.1590/1413-81232018238.19642016
https://doi.org/10.1590/1413-81232018238...
].

The schools of the present study reported evaluating the FNE actions mainly through the perception of school cooks and other professionals of the change in food choices, the feedback from parents, and the change in attitude in the classroom. However, it was not mentioned whether these evaluations are documented and whether they are taken into account to reformulate the actions carried out or to consider them during planning. However, it is understood that the FNE in the school environment will be effective when it gives the students the opportunity to build knowledge that allows them to make choices, especially in seizing the HRAF, to be critical of the information transmitted by the media, and to be autonomous in the face of so many options that are presented in its context [1717 Barbosa NVS, Machado NMV, Soares MCV, Pinto ARR. Alimentação na escola e autonomia - desafios e possibilidades. Cien Saude Colet. 2013;18(4):937-45. https://doi.org/10.1590/S1413-81232013000400005
https://doi.org/10.1590/S1413-8123201300...
]. Thus, developing evaluation instruments for FNE actions that address these potentialities becomes crucial.

This study did not advance to the analysis of some important aspects of the development of the actions, with emphasis on methodological and procedural issues. However, this is a characteristic of online and, especially, self-applicable instruments, which are usually more objective and do not depend on an interviewer [3838 Faleiros F, Käppler C, Pontes FAR, Silva SSC, Goes FSN, Cucick CD. Uso de questionário online e divulgação virtual como estratégia de coleta de dados em estudos científicos. Texto Contexto Enferm. 2016;25(4):e3880014. http://dx.doi.org/10.1590/0104-07072016003880014
https://doi.org/10.1590/0104-07072016003...
]. To advance, conducting complementary investigations such as case studies is suggested. In addition, the beginning of data collection at the end of the year may have hindered greater adherence and needs to be better agreed upon in future applications.

CONCLUSION

Through this study, we found a panorama of the implementation of FNE in ECE and EE schools of the municipal public school system of Florianópolis (SC), Brazil. It stood out that these actions were included in the PPP, planned, and transversally inserted into the school curriculum with a multiprofessional focus and family involvement. However, it is considered elementary that strengthening FNE is a continuous process. For such, public policies are significant pieces in stimulating the insertion of these actions in the school environment. It is essential that the professionals involved in the process constantly participate in training and have time to plan, execute, and evaluate the actions carried out.

Therefore, it is considered necessary to investigate the topic from other perspectives to deepen the research on the participation of other school actors in the FNE actions, e.g., school cooks. In addition, it is crucial to investigate how the training and permanent education of the different actors involved with the FNE take place. The knowledge of the current FNE panorama in other municipalities, states, and countrywide is also made evident as fundamental.

  • How to cite this article:Florintino CS, Silva DKS, Gabriel CG, Soar C, Uggioni PL, Neves J. Analysis of the implementation of Food and Nutrition Education actions in public schools in a capital city in southern Brazil. Rev Nutr. 2023;36:e220185. https://doi.org/10.1590/1678-9865202336e220185
  • Support

    Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). Edital MCTIC/CNPq nº 28/2018.
  • Article based on the doctoral dissertation of CS FLORINTINO, entitled “Análise da implementação de ações de Educação Alimentar e Nutricional em unidades de educação infantil e fundamental da rede pública municipal de Florianópolis, Santa Catarina’’. Universidade Federal de Santa Catarina; 2021.

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Edited by

Editor

Maria Angélica Tavares de Medeiros

Publication Dates

  • Publication in this collection
    29 May 2023
  • Date of issue
    2023

History

  • Received
    19 Aug 2022
  • Reviewed
    12 Dec 2022
  • Accepted
    10 Mar 2023
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