<?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>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732022000500545</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v38i5.13387</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Avaliação dos hábitos alimentares nos cuidados de saúde primários: uma ferramenta de apoio à prática clínica]]></article-title>
<article-title xml:lang="en"><![CDATA[Eating habits&#8217; assessment in primary health care: a clinical practice support tool]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Metelo-Coimbra]]></surname>
<given-names><![CDATA[Catarina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barbosa]]></surname>
<given-names><![CDATA[Ana Cecília]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paiva]]></surname>
<given-names><![CDATA[Ana Cláudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tadeu]]></surname>
<given-names><![CDATA[Sofia Padrão]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Junqueira Neto]]></surname>
<given-names><![CDATA[Nuno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS Maia/Valongo USF Santa Justa ]]></institution>
<addr-line><![CDATA[Valongo ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ACeS Santo Tirso/Trofa USF Uma Ponte Para a Saúde ]]></institution>
<addr-line><![CDATA[Trofa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,ACeS Maia/Valongo USF São João de Sobrado ]]></institution>
<addr-line><![CDATA[Sobrado ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,ACeS Santo Tirso/Trofa USF Ponte Velha ]]></institution>
<addr-line><![CDATA[Santo Tirso ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,ACeS Maia/Valongo USF Lidador ]]></institution>
<addr-line><![CDATA[Maia ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>31</day>
<month>10</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>10</month>
<year>2022</year>
</pub-date>
<volume>38</volume>
<numero>5</numero>
<fpage>545</fpage>
<lpage>551</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732022000500545&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732022000500545&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732022000500545&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A prevalência do excesso de peso e obesidade tem vindo a aumentar nas últimas décadas, atingido cerca de 60% da população portuguesa. Estas patologias associam-se a elevada morbimortalidade, traduzindo-se num incremento de custos em saúde. Os cuidados de saúde primários (CSP) são responsáveis por intervir preventivamente junto da população, promovendo estilos de vida saudáveis.  Objetivo:  Criar uma ferramenta informática de apoio à prática clínica que permita ao médico de família (MF) abordar, de forma interativa e personalizada, o excesso de peso e a obesidade em adultos.  Métodos:  A ferramenta foi idealizada para integrar o layout do SClínico®, sendo identificada através de botão alusivo à alimentação. O clique permitiria a abertura de um questionário dividido em duas partes. Inicialmente calcular-se-iam as necessidades energéticas diárias do indivíduo (em kcal), segundo o método de Harris-Benedict. De seguida, seria obtido um valor estimado do aporte calórico diário, através do registo de um diário alimentar de 24 horas. A conversão dos alimentos referidos pelo utente em kcal seria automática, com recurso a uma base de dados pré-existente. Após preenchimento, pela diferença entre as necessidades calóricas do indivíduo e o aporte dietético obter-se-ia o balanço diário em kcal. Este valor poderia ser apresentado ao utente como ponto de partida para intervenção breve pelo MF, diálogo sobre erros alimentares e reflexão acerca da dualidade consumo/gasto energético. A ferramenta permitiria ainda a consulta do histórico de registos prévios e a impressão de folhetos de educação para a saúde. Como principal obstáculo à sua implementação, os autores destacam o tempo limitado de consulta.  Discussão e Conclusão:  As medidas antecipatórias e cuidados preventivos são prioridades nos CSP. A ferramenta proposta amplificaria os dados disponíveis para a intervenção breve pelo MF sobre os hábitos alimentares dos utentes, promovendo e melhorando a prática dessa abordagem nos CSP, em linha com os objetivos nacionais.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The prevalence of overweight and obesity has increased in recent decades, reaching about 60% of the Portuguese population. These pathologies are associated with higher morbidity and mortality, translating into an increase in health care expenditure. Primary Health Care (PHC) is responsible for intervening preventively in the population and promoting healthy lifestyles.  Objective:  Create a computer clinical practice support tool that allows the family doctor (FD) to address, in an interactive and personalized way, overweight and obesity in adults.  Methods:  This tool, designed to integrate the SClínico® layout, would be identified by a button referring to nutrition. Clicking on it would open a questionnaire divided into two parts. Initially, the individual's daily energy needs would be calculated (in kcal), according to the Harris-Benedict Method. Then, an estimation of the daily caloric intake would be obtained using a 24-hour food diary report. The conversion into kcal would be done automatically, using a national database. After filling out the questionnaire, the difference between the individual's caloric needs and the dietary intake would be presented as a daily balance in kcal. This value could be presented to the patient as a starting point for a brief intervention by the FD, dialogue on food errors, and reflection on the consumption/energy expenditure duality. The tool would also allow the consultation of the history of previous records and the printing of health education leaflets. As the main obstacle to its implementation, the authors highlight the limited consultation time.  Discussion and Conclusion:  Anticipatory measures and preventive care are priorities in PHC. The proposed tool would amplify the available data for the performance of a brief intervention on patients&#8217; eating habits by the FD, thus promoting and improving this approach in PHC, in line with the national objectives.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Hábitos alimentares]]></kwd>
<kwd lng="pt"><![CDATA[Balanço energético]]></kwd>
<kwd lng="pt"><![CDATA[Atividade física]]></kwd>
<kwd lng="pt"><![CDATA[Intervenção breve]]></kwd>
<kwd lng="pt"><![CDATA[Prevenção]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados de saúde primários]]></kwd>
<kwd lng="en"><![CDATA[Food habits]]></kwd>
<kwd lng="en"><![CDATA[Energy balance]]></kwd>
<kwd lng="en"><![CDATA[Physical activity]]></kwd>
<kwd lng="en"><![CDATA[Brief intervention]]></kwd>
<kwd lng="en"><![CDATA[Prevention]]></kwd>
<kwd lng="en"><![CDATA[Primary health care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<collab>World Health Organization</collab>
<source><![CDATA[Noncommunicable diseases country profiles 2018]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[WHO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<collab>NCD Risk Factor Collaboration</collab>
<article-title xml:lang=""><![CDATA[Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2017</year>
<volume>390</volume>
<numero>10113</numero>
<issue>10113</issue>
<page-range>2627-42</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<collab>Direção-Geral da Saúde</collab>
<source><![CDATA[A obesidade como doença crónica]]></source>
<year>2022</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[DGS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gaio]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Antunes]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Namorado]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Barreto]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gil]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kyslaya]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence of overweight and obesity in Portugal results from the First Portuguese Health Examination Survey (INSEF 2015)]]></article-title>
<source><![CDATA[Obes Res Clin Pract]]></source>
<year>2018</year>
<volume>12</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>40-50</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[CT]]></given-names>
</name>
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Severo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Alarcão]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Guiomar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Inquérito alimentar nacional e de atividade física, IAN-AF 2015-2016: relatório de resultados]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Porto ]]></publisher-loc>
<publisher-name><![CDATA[Universidade do Porto]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<collab>Direção-Geral da Saúde</collab>
<source><![CDATA[Manual de boas práticas literacia em saúde: capacitação dos profissionais de saúde]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[DGS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<collab>Instituto Nacional de Estatística</collab>
<source><![CDATA[Balança alimentar portuguesa, 2016--2020]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[INE]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<collab>Serviços Partilhados do Ministério da Saúde</collab>
<source><![CDATA[SClínico - Cuidados de saúde primários: release notes da versão 2.4]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[SPMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shinn]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Salgado]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[National programme for promotion of physical activity the situation in Portugal]]></article-title>
<source><![CDATA[Cienc Saude Colet]]></source>
<year>2020</year>
<volume>25</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1339-48</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<collab>Ministério da Saúde</collab>
<source><![CDATA[Acesso a cuidados de saúde nos estabelecimentos do SNS e entidades convencionadas: relatório anual]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[Ministério da Saúde]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<collab>Serviços Partilhados do Ministério da Saúde</collab>
<source><![CDATA[Risco nutricional: SClínico - Manual de utilizador, todos os perfis]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[SPMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<collab>Programa Nacional para a Promoção da Alimentação Saudável</collab>
<source><![CDATA[Aconselhamento breve para a alimentação saudável nos cuidados de saúde primários: modelo de intervenção e ferramentas 2020]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[Direção-Geral da Saúde]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Queiroz]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[SOAP revisitado]]></article-title>
<source><![CDATA[Rev Port Clin Geral]]></source>
<year>2009</year>
<volume>25</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>221-7</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Verbeke]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Schrans]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Deroose]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[De Maeseneer]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The International Classification of Primary Care (ICPC-2) an essential tool in the EPR of the GP]]></article-title>
<source><![CDATA[Stud Health Technol Inform]]></source>
<year>2006</year>
<volume>124</volume>
<page-range>809-14</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Harris]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Benedict]]></surname>
<given-names><![CDATA[FG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A biometric study of human basal metabolism]]></article-title>
<source><![CDATA[Proc Natl Acad Sci U S A]]></source>
<year>1918</year>
<volume>4</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>370-3</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bingham]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Gill]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Welch]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Day]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Cassidy]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Khaw]]></surname>
<given-names><![CDATA[KT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of dietary assessment methods in nutritional epidemiology weighed records v. 24 h recalls, food-frequency questionnaires and estimated-diet records]]></article-title>
<source><![CDATA[Br J Nutr]]></source>
<year>1994</year>
<volume>72</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>619-43</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="book">
<collab>PortFIR</collab>
<source><![CDATA[Tabela da composição de alimentos: plataforma Portuguesa de informação alimentar v. 4.0]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Lisboa ]]></publisher-loc>
<publisher-name><![CDATA[Instituto Nacional de Saúde Doutor Ricardo Jorge]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quanto tempo é tempo bastante . Rev Port Clin]]></article-title>
<source><![CDATA[Geral]]></source>
<year>2006</year>
<volume>22</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>549-53</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fleming]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Screening and brief intervention in primary care settings]]></article-title>
<source><![CDATA[Alcohol Res Health]]></source>
<year>2004</year>
<volume>28</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>57-62</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Cordeiro]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Bento]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Integração dos nutricionistas no Serviço Nacional de Saúde em Portugal]]></article-title>
<source><![CDATA[Acta Port Nutr]]></source>
<year>2017</year>
<numero>8</numero>
<issue>8</issue>
<page-range>16-21</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
