<?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>2183-5985</journal-id>
<journal-title><![CDATA[Acta Portuguesa de Nutrição]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Port Nutr]]></abbrev-journal-title>
<issn>2183-5985</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Nutrição]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-59852021000100028</article-id>
<article-id pub-id-type="doi">10.21011/apn.2021.2406</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[ESTARÃO AS ESCOLAS DO GRANDE PORTO PREPARADAS PARA ALIMENTAR CRIANÇAS COM DOENÇA CELÍACA?]]></article-title>
<article-title xml:lang="en"><![CDATA[ARE SCHOOLS IN THE GRANDE PORTO PREPARED TO FEED CHILDREN WITH CELIAC DISEASE?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[Elisabete]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[Ana Pimenta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jorge]]></surname>
<given-names><![CDATA[Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Associação Portuguesa de Celíacos  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Católica Portuguesa, Escola Superior de Biotecnologia ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,EPIUnit, Instituto de Saúde Pública  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>03</month>
<year>2021</year>
</pub-date>
<numero>24</numero>
<fpage>28</fpage>
<lpage>31</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-59852021000100028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-59852021000100028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-59852021000100028&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  INTRODUÇÃO:  Sendo a dieta isenta de glúten o único tratamento atualmente existente para a doença celíaca, as escolas, local onde as crianças permanecem grande parte do seu dia, devem assegurar uma alimentação compatível com estas necessidades.  OBJETIVOS: Avaliar i) a perceção dos pais de crianças com doença celíaca relativamente à capacidade das escolas fornecerem refeições isentas de glúten, ii) o conhecimento dos profissionais das escolas sobre doença celíaca e sobre cuidados a ter numa dieta isenta de glúten, iii) e o impacto da realização de formação nesse conhecimento.  METODOLOGIA:  Estudo transversal, cuja amostra foi constituída por encarregados de educação de crianças celíacas, com idades compreendidas entre os 2 e os 9 anos, sócios da Associação Portuguesa de Celíacos e residentes no Grande Porto e pelos profissionais das escolas que essas crianças frequentavam. Aplicou-se um questionário aos primeiros para perceção da confiança na segurança das refeições nas escolas e um questionário sobre doença celíaca e dieta isenta de glúten a profissionais de escolas que receberam ou não formação sobre o assunto. Para testar hipóteses sobre a independência de variáveis qualitativas foram aplicados o teste de Qui-quadrado de independência ou o teste exato de Fisher. Em todos os testes de hipóteses foi considerado um nível de significância de &#945;=5%.  RESULTADOS:  Verificou-se que apenas metade dos pais confiava que as escolas eram capazes de cumprir uma dieta isenta de glúten para os seus filhos (56,3%). Mais de metade dos profissionais das escolas nunca tinha recebido formação sobre doença celíaca, tendo-se observado diferenças estatisticamente significativas entre os profissionais que receberam ou não formação em termos de conhecimentos sobre doença celíaca.  CONCLUSÕES:  Uma proporção considerável de pais de crianças celíacas não confia na segurança das refeições servidas nas escolas dos seus filhos. Revelou-se ser necessário assegurar mais formação ao serviço de alimentação e restauração das escolas. Concluiu-se ainda que é necessário trabalhar na formação para melhoria efetiva dos conhecimentos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  INTRODUCTION:  With Gluten Free Diet being the only treatment currently available, schools, the place where children spend most of their day, must ensure a diet that meets these needs.  OBJECTIVES:  To assess i) parent's perceptions of children with celiac disease regarding the ability of schools to provide gluten- free meals, ii) school professional&#8217;s knowledge of celiac disease and care in a Gluten Free Diet, iii) and the impact of training on it.  METHODOLOGY:  Cross-sectional study, whose sample consisted of parents of celiac children, aged 2 to 9 years, members of the Associação Portuguesa de Celíacos and residents of Greater Porto and the school professionals that these children attended. A questionnaire was applied to the first ones to understand their confidence on the safety of meals in schools and, subsequently, a questionnaire about celiac disease and Gluten Free Diet was applied to professionals from schools who received or not training about this issue. To test hypotheses about the independence of qualitative variables, the Chi-square independence test or Fisher's exact test were applied. In all hypothesis tests a significance level of &#945; = 5% was considered.  RESULTS:  It was found that only half of parents trusted that schools were able to comply with a Gluten Free Diet for their children (56.3%). More than half of school professionals had never received training on celiac disease, having been observed statistically significant differences between untrained and trained professionals in terms of knowledge about celiac disease.  CONCLUSIONS:  A considerable proportion of parents of celiac children don&#8217;t trust on the safety of meals served in their children's schools. Further training in the food and catering service is needed. It was also concluded that training provided was not sufficient for effective improvement of knowledge.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Doença celíaca]]></kwd>
<kwd lng="pt"><![CDATA[Dieta isenta de glúten]]></kwd>
<kwd lng="pt"><![CDATA[Encarregados de educação]]></kwd>
<kwd lng="pt"><![CDATA[Escolas]]></kwd>
<kwd lng="en"><![CDATA[Celiac disease]]></kwd>
<kwd lng="en"><![CDATA[Gluten free diet]]></kwd>
<kwd lng="en"><![CDATA[Parents]]></kwd>
<kwd lng="en"><![CDATA[Schools]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Antunes]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Abreu]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primeira determinação de prevalência de doença celíaca numa população portuguesa]]></article-title>
<source><![CDATA[Acta Med Port]]></source>
<year>2006</year>
<volume>19</volume>
<page-range>115-20</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Husby]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Koletzko]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[European society for pediatric gastroenterology, hepatology, and nutrition guidelines for the diagnosis of coeliac disease]]></article-title>
<source><![CDATA[J Pediatr Gastroenterol Nutr]]></source>
<year>2012</year>
<volume>54</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>136-60</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sabatino A]]></surname>
<given-names><![CDATA[Corazza]]></given-names>
</name>
<name>
<surname><![CDATA[G.]]></surname>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coeliac Disease]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2009</year>
<volume>373</volume>
<page-range>1480-93</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Doença Celíaca - o Estado da Arte]]></article-title>
<source><![CDATA[Revista Nutrícias]]></source>
<year>2012</year>
<volume>12</volume>
<page-range>36-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Young]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Thaivalappil]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A systematic review and meta-regression of the knowledge, practices, and training of restaurant and food service personnel toward food allergies and Celiac disease.]]></article-title>
<source><![CDATA[PLOS ONE.]]></source>
<year>2018</year>
<volume>4</volume>
<page-range>1-18</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Orientações sobre ementas e refeitórios escolares]]></article-title>
<source><![CDATA[Direção Geral da Educação]]></source>
<year>2018</year>
<page-range>1-146</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7.</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Paula]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Criança celíaca indo para a escola]]></source>
<year>2011</year>
<month>.</month>
</nlm-citation>
</ref>
<ref id="B8">
<label>8.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Borges]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Doença Celíaca - Que impacto na Qualidade de Vida dos Doentes?]]></article-title>
<source><![CDATA[Faculdade de Medicina da Universidade de Coimbra]]></source>
<year>2016</year>
<page-range>42</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fritz]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Oat safety for celiac disease patients: theoretical analysis correlates adverse symptoms in clinical studies to contaminated study oats.]]></article-title>
<source><![CDATA[Nutr Research]]></source>
<year>2018</year>
<volume>60</volume>
<page-range>54-67</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pinto-Sánchez]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
<name>
<surname><![CDATA[Causada-Calo]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Safety of Adding Oats to a Gluten-Free Diet for Patients With Celiac Disease: Systematic Review and Meta-analysis of Clinical and Observational Studies.]]></article-title>
<source><![CDATA[Gastroenterology]]></source>
<year>2017</year>
<volume>153</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>395-409</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11.</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Infante]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Systematic review: Noncoeliac gluten sensitivity.]]></source>
<year>2015</year>
<volume>41</volume>
<numero>9</numero>
<edition>1</edition>
<issue>9</issue>
<page-range>807-20</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tye-din]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Celiac Disease: A Review of Current Concepts in Pathogenesis, Prevention, and Novel Therapies]]></article-title>
<source><![CDATA[Frontiers in Pediatrics]]></source>
<year>2018</year>
<volume>6</volume>
<numero>350</numero>
<issue>350</issue>
<page-range>1-19</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rostami]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gluten-free diet indications, safety, quality, labels, and challenges.]]></article-title>
<source><![CDATA[Nutrients]]></source>
<year>2017</year>
<volume>9</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>10-4</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
