<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0871-3413</journal-id>
<journal-title><![CDATA[Arquivos de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Arq Med]]></abbrev-journal-title>
<issn>0871-3413</issn>
<publisher>
<publisher-name><![CDATA[ArquiMed - Edições Científicas AEFMUP ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0871-34132006000100001</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Efeito de duas metodologias de educação alimentar na ingestão e nos conhecimentos das recomendações de fruta e vegetais em adolescentes]]></article-title>
<article-title xml:lang="en"><![CDATA[Effect of two nutrition education methodologies in adolescents’ intake and knowledge about recommendations of fruit and vegetables]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Granja]]></surname>
<given-names><![CDATA[Liliana]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Severo]]></surname>
<given-names><![CDATA[Milton]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[Ana Paula]]></given-names>
</name>
<xref ref-type="aff" rid="A02"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[Elisabete]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[Carla]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Universidade do Porto Faculdade de Medicina Serviço de Higiene e Epidemiologia]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="A02">
<institution><![CDATA[,Centro de Saúde de Ermesinde  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2006</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2006</year>
</pub-date>
<volume>20</volume>
<numero>1-2</numero>
<fpage>5</fpage>
<lpage>12</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0871-34132006000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0871-34132006000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0871-34132006000100001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Este estudo pretendeu avaliar o efeito de duas metodologias de educação alimentar (software interactivo e sessões alimentares) no consumo e no conhecimento das recomendações de fruta e vegetais (F&V) em adolescentes. Foram avaliados 161 estudantes (idade mediana =14 anos), pertencentes a 3 grupos seleccionados aleatoriamente: no primeiro grupo aplicou-se uma sessão com software interactivo, o segundo recebeu cinco sessões de educação alimentar e o terceiro grupo não foi sujeito a qualquer intervenção. Usou-se um questionário auto-aplicado para avaliação da ingestão de F&V e dos conhecimentos sobre as recomendações, em dois momentos separados de dois meses. Foi observado um aumento médio de 0,74 e 0,55 porções na ingestão total de F&V no grupo 1 e 2, respectivamente. Contudo, estes aumentos não foram significativamente diferentes dos encontrados no grupo controlo (0,20) nem suficientes para alterar significativamente a proporção de indivíduos com um consumo superior a 5 porções F&V/dia. A proporção de alunos com conhecimentos sobre a ingestão recomendada de F&V aumentou significativamente nos grupos sujeitos a intervenção, quando comparados com o grupo controlo. As intervenções tiveram maior impacto no aumento dos conhecimentos do que no consumo de F&V.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[This study aimed to evaluate the effect of two nutrition education methodologies (interactive software and nutrition education sessions) in adolescents’ fruit and vegetables (F&V) intake and knowledge about recommendations on the intake of F&V.One hundred and sixty one students (median age=14 years) were evaluated and divided into three groups: the first group received one session with the interactive software, the second received 5 nutrition education sessions and the third was not submitted to any intervention. F&V intake and knowledge about recommendations were evaluated using a self-administered questionnaire, at baseline and two months after intervention. An increase of 0.74 and 0.55 servings on total F&V intake was found in group 1 and 2, respectively. However, these increases were not significantly different from the control group (0.20) and did not significantly change the proportion of students with total F&V intake of 5 or more servings per day. Knowledge about F&V intake recommendations increased significantly in the intervention groups, compared with the control group. The interventions were less successful in increasing F&V intake rather than knowledge about recommendations on the intake of F&V.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[educação alimentar]]></kwd>
<kwd lng="pt"><![CDATA[fruta]]></kwd>
<kwd lng="pt"><![CDATA[vegetais]]></kwd>
<kwd lng="pt"><![CDATA[adolescentes]]></kwd>
<kwd lng="en"><![CDATA[nutrition education]]></kwd>
<kwd lng="en"><![CDATA[fruit]]></kwd>
<kwd lng="en"><![CDATA[vegetables]]></kwd>
<kwd lng="en"><![CDATA[adolescents]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[  <HTML> <HEAD>  </HEAD> <B>Efeito de Duas Metodologias de Educa&ccedil;&atilde;o Alimentar na Ingest&atilde;o  e nos Conhecimentos das Recomenda&ccedil;&otilde;es de Fruta e Vegetais em Adolescentes</B> </p>      <P   align="justify">Liliana Granja*, Milton Severo*, Ana Paula Alves&Dagger;, Elisabete Ramos*, Carla Lopes* </P>     <P align="justify"><I>*</I>Servi&ccedil;o de Higiene e Epidemiologia, Faculdade    de Medicina da Universidade do Porto; &Dagger;Centro de Sa&uacute;de de Ermesinde,    Portugal </P>     <P align="justify">&nbsp;</P>     <P align="justify"><b>Resumo</b></P>     <P align="justify">Este estudo pretendeu avaliar o efeito de duas metodologias    de educa&ccedil;&atilde;o alimentar (<I>software</I> interactivo e sess&otilde;es    alimentares) no consumo e no conhecimento das recomenda&ccedil;&otilde;es de    fruta e vegetais (F&V) em adolescentes. Foram avaliados 161 estudantes (idade    mediana =14 anos), pertencentes a 3 grupos seleccionados aleatoriamente: no    primeiro grupo aplicou-se uma sess&atilde;o com <I>software</I> interactivo,    o segundo recebeu cinco sess&otilde;es de educa&ccedil;&atilde;o alimentar e    o terceiro grupo n&atilde;o foi sujeito a qualquer interven&ccedil;&atilde;o.    Usou-se um question&aacute;rio auto-aplicado para avalia&ccedil;&atilde;o da    ingest&atilde;o de F&V e dos conhecimentos sobre as recomenda&ccedil;&otilde;es,    em dois momentos separados de dois meses. Foi observado um aumento m&eacute;dio    de 0,74 e 0,55 por&ccedil;&otilde;es na ingest&atilde;o total de F&V no grupo    1 e 2, respectivamente. Contudo, estes aumentos n&atilde;o foram significativamente    diferentes dos encontrados no grupo controlo (0,20) nem suficientes para alterar    significativamente a propor&ccedil;&atilde;o de indiv&iacute;duos com um consumo    superior a 5 por&ccedil;&otilde;es F&V/dia. A propor&ccedil;&atilde;o de alunos    com conhecimentos sobre a ingest&atilde;o recomendada de F&V aumentou significativamente    nos grupos sujeitos a interven&ccedil;&atilde;o, quando comparados com o grupo    controlo. As interven&ccedil;&otilde;es tiveram maior impacto no aumento dos    conhecimentos do que no consumo de F&V. </P >     <P   ><B>Palavras-chave:</B> educa&ccedil;&atilde;o alimentar; fruta e vegetais; adolescentes</P >     <P   >&nbsp;</P>     <P   ><b>Abstract</b></P>     <P><B>Effect of Two Nutrition Education Methodologies in Adolescents&rsquo; Intake    and Knowledge About Recommendations of Fruit and Vegetables</B></P>     ]]></body>
<body><![CDATA[<P align="justify">This study aimed to evaluate the effect of two nutrition education methodologies    (interactive software and nutrition education sessions) in adolescents&rsquo;    fruit and vegetables (F&V) intake and knowledge about recommendations on the    intake of F&V.One hundred and sixty one students (median age=14 years) were    evaluated and divided into three groups: the first group received one session    with the interactive software, the second received 5 nutrition education sessions    and the third was not submitted to any intervention. F&V intake and knowledge    about recommendations were evaluated using a self-administered questionnaire,    at baseline and two months after intervention. An increase of 0.74 and 0.55    servings on total F&V intake was found in group 1 and 2, respectively. However,    these increases were not significantly different from the control group (0.20)    and did not significantly change the proportion of students with total F&V intake    of 5 or more servings per day. Knowledge about F&V intake recommendations increased    significantly in the intervention groups, compared with the control group. The    interventions were less successful in increasing F&V intake rather than knowledge    about recommendations on the intake of F&V. </P>     <P align="justify"><B>Key-words</B>: nutrition education; fruit and vegetables; adolescents</P>     <P align="justify">&nbsp;</P>     <P   >Texto completo dispon&iacute;vel apenas em PDF.</P >     <p>Full text only available in PDF format.</p>     <P align="justify">&nbsp;</P >     <p   align="justify" ><B>REFER&Ecirc;NCIAS</B> </p >    <!-- ref --><P   align="justify" >1 -World Health Organization (WHO). Diet, Nutrition and the Prevention of Chronic Diseases. Technical Report Series No. 797. Geneva: WHO, 1990. </P >     &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000020&pid=S0871-3413200600010000100001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><P   align="justify" >2 - Beaglehole R, Bonita R. Public Health at the Crossroads: Achievements and    Prospects. 2004. 2nd edition. Cambridge University Press. Cap&iacute;tulo 2:    &ldquo;Global health: past trends and present challenges&rdquo;. p.15-53. </P >     <P   align="justify" >3 -World Health Organization (WHO). Highlights on Health in Portugal. Epidemiology, Statistics and Health Information Unit of the World Health Organization&rsquo;s Regional Office for Europe, 1997. </P >     ]]></body>
<body><![CDATA[<P   align="justify" >4 - Ness AR, Powels JW. Fruit and vegetables, and cardiovascular disease: a review.    Int J Epidemiol 1997;26:1-13. </P >     <P   align="justify" >5 - Riboli E, Norat T. Epidemiologic evidence of the protective effect of fruit    and vegetables on cancer risk. Am J Clin Nut 2003;78 (Suppl 3):559S-69. </P >     <P   align="justify" >6 - Liu RH. Health benefits of fruit and vegetables are from additive and synergistic    combinations of phytochemicals. Am J Clin Nut 2003;78 (Suppl 3):517S-20. </P >     <P   align="justify" >7 - Ch&aacute;vez MM, Ch&aacute;ves A. Diet that prevents cancer: recommendations    from the American Institute of Cancer Research. Int J Cancer 1998;11:85-9. </P >     <P   align="justify" >8 - Watt PAL, Welch AA, Day NE, Bingham SA. Is five a day an effective way of    increasing fruit and vegetable intake?. Public Health Nutr 2003;7:257-61. </P >     <P   align="justify" >9 - World Wealth Assembly (WHA). Global strategy on diet, physical activity and    health. 2004. Dispon&iacute;vel em: <a href="http://www.who.int/gb/ebwha/pdf_files/WHA57/A57_R17-en.pdf" target="_blank">http://www.who.int/gb/ebwha/pdf_files/WHA57/A57_R17-en.pdf</a>    (consultado em 15/Dez/ 2004). </P >     <P   align="justify" >10 - Havas S, Heimendinger J, Reynolds K et al. 5-A-DAY- for Better Health: a    new research initiative. J Am Diet Assoc 1994;94:32-6. </P >     <P   align="justify" >11 - Ciliska D, Miles E, O&rsquo;Brien M, et al. Effectiveness of Community -    based interventions to increase fruit and vegetable consumption. J Nutr Educ    2000;32:341-52. </P >     <P   align="justify" >12 - Lien L, Lytle LA, Klepp KI. Stability in consumption of fruit, vegetables    and sugary foods in a cohort from age 14 to 21. Prev Med 2001;33:217-26. </P >     <P   align="justify" >13 - Kelder SH, Perry CL, Klepp K-I, Lytle LA. Longitudinal tracking of adolescent    smoking, physical activity, and food choice behaviours. Am J Public Health 1994;84:1121-6.  </P >     ]]></body>
<body><![CDATA[<P   align="justify" >14 - Krebs-Smith SM, Heimendinger J, Patterson BH et al. Psychosocial factors    associated with fruit and vegetable consumption. Am Journal Health Promotion    1995;10:98-104. </P >     <P   align="justify" >15 - Guidelines for school health programs to promote lifelong healthy eating.    J Sch Health 1997;67:9-26. </P >     <P   align="justify" >16 - Rodrigo CP, Aranceta J. School based nutrition education: lessons learned    and new perspectives. Public Health Nutr 2001;4:131-9. </P >     <P   align="justify" >17 - Hoelscher DM, Evans A, Parcel GS, Kelder SH. Designing effective nutrition    interventions for adolescents. J Am Diet Assoc 2002;102 (Suppl 3):52 S -62.  </P >     <P   align="justify" >18 - Havas S, Anliker J, Damron D, Langenberg P, et al. Final results of the    Maryland WIC 5-A-Day Promotion Program. Am J Public Health 1998;88:1161-7. </P >     <P   >19 - Campbell MK, Carbone E, Morreale LH, et al. Randomized Trial of a Tailored    Nutrition Education CD-ROM Pro gram for Women Receiving Food Assistance. J Nutr    Educ Behav 2004;36:58-66. </P >     <P   align="justify" >20 - Baranowski T, Baranowski J, Cullen KW, et al. Squire&rsquo;s Quest! Dietary    outcome Evaluation of a Multimedia Game. Am J Prev Med 2003;24:52-60. </P >     <P   align="justify" >21 - Kreisel K. Evaluation of a computer-based nutrition education tool. Public    Health Nutr 2003;7:271-7. </P >     <P   align="justify" >22 - Beech BM, Rice R, Myers L, Johnson C, Nicklas TA. Knowledge, attitudes,    and practices related to Fruit and Vegetable consumption of high school students.    J Adolesc Health 1999; 4:244-50. </P >     <P   align="justify" >23 - Bogers RP, Brug J, Assema P, Dagnelie PC. Explaining fruit and vegetables    consumption: the theory of planned behaviour and misconception of personal intake    levels. Appetite 2004;42:157-66. </P >     ]]></body>
<body><![CDATA[<P   >24 - Brug J, Campbell M, Assema P. The application and impact of computer-generated    personalized nutrition education: a review of the literature. Patient Educ Couns    1999; 36: 45-56. </P >     <P   >25 - Wardle J, Parmenter K, Waller J. Nutrition Knowledge and food intake. Appetite    2000;34:269-75. </P >     <P   >26 - Lytle LA, Varnell S, Murray DM, et al. Predicting Adolescent&rsquo;s Intake    of Fruit and Vegetables. J Nutr Educ Behav 2003;35:170-8. </P >     <P   >27 - Story M, Neumark-Sztainer D, French S. Individual and environmental influences    on adolescents eating behaviour. J Am Diet Assoc 2002;102 (Suppl 3): 40 S -51.  </P >     <P   >28 - Shannon C, Story M, Fulkerson JA, French SA. Factors in the School Cafeteria    Influencing Food Choices by High School Students. J Sch Health 2002;72:229-34.  </P>     <P >29 - Lien N, Jacobs DR, Klepp KI. Exploring predictors of eating behaviour    among adolescents by gender and socio-economic status. Public Health Nutr 2002;5:671-81.  </P >     <P >&nbsp;</P >     <P   ><B>Correspond&ecirc;ncia: </B></P >     <P   >Prof.&ordf; Carla Lopes Servi&ccedil;o de Higiene e Epidemiologia </P >     <P   >Faculdade de Medicina da Universidade do Porto </P >     ]]></body>
<body><![CDATA[<P   >Alameda Prof. Hern&acirc;ni Monteiro 4200 - 319 Porto </P >     <P>e-mail: <a href="mailto:carlal@med.up.pt">carlal@med.up.pt </a></P>     <P>&nbsp;</P>     </body> </HTML>      ]]></body><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<collab>World Health Organization</collab>
<article-title xml:lang="en"><![CDATA[Diet, Nutrition and the Prevention of Chronic Diseases]]></article-title>
<source><![CDATA[Technical Report Series]]></source>
<year>1990</year>
<volume>797</volume>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[WHO,]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
