BackgroundExcess of weight is a serious public health concern in almost all countries, afflicting people of different ages and socioeconomic backgrounds. Studies have indicated the need for developing treatment strategies that intervene directly in the obesogenic environment. This study aims to evaluate the effectiveness of a multi-component and environmental school-based intervention, lasting 16 months, on the recovery of the nutritional status of low-income children and adolescents with overweight/ obesity.Methods/study designThe study was conducted by the Center for Recovery and Nutritional Education (CREN) in São Paulo, Brazil. Two schools located in poor neighborhoods were selected for the intervention, between March 2016 and June 2017. The participants were all students aged 8 to 12 years from the two participating schools. At the beginning of the intervention, anthropometric measurements were carried out to assess the nutritional status of the students. For convenience, students from one of the schools were considered as the control group, while those from the other school formed the experimental group. The intervention in the experimental group (n = 438) consists of the following weekly activities at school: psychological counseling in groups, theoretical/practical nutrition workshops, and supervised physical education classes. In addition, theoretical and practical educational activities are held regularly for parents, teachers, and cooks. Students with excess of weight (≥1 body mass index [BMI] –for-age Z score, n = 138) received clinical and nutritional care periodically at the outpatient care at CREN. Students enrolled in the control group (n = 353) participated in psychological counseling groups and theoretical/practical nutrition workshops for 6 months held in the school environment to provide motivation to entire classrooms. In the following 10 months, students with excess of weight from the control group (n = 125) were invited to attend the routine outpatient care at CREN.DiscussionThis study is the first to assess the effectiveness of a multi-component and environmental school-based intervention for the recovery of low-income, overweight/obese children and adolescents. If positive, the results demonstrate the feasibility for the recovery of excess of weight in populations of similar conditions and age.Trial registrationBrazilian Registry of Clinical Trials - ReBEC Primary Id Number RBR-9t2jr8. Registration Date: Nov. 30, 2016. Retrospectively registered. Protocol version: 3.

Considerada pela Organização Mundial de Saúde (OMS) como problema de saúde pública, a violência contra a mulher (VCM) é uma epidemia mundial, estima-se que as mulheres em vivência de violência doméstica, ao longo de suas vidas, apresentam mais problemas de saúde e buscam, com mais frequência os serviços de saúde do que pessoas que não sofrem estes maus tratos. Diante do exposto, o presente estudo tem como objetivo: Identificar os fatores que facilitam e dificultam a assistência a saúde a mulher em situação de violência domestica segundo a literatura brasileira, visando à importância da identificação das mulheres em vivência de violência e a ampliação deste cuidado não apenas para a cura/tratamento, mas para o vínculo e acolhimento eficaz e humano entre o agente cuidador e o agente alvo de cuidados, visando à superação tanto do cenário atual, quanto de tal momento doloroso na vida na mulher.Descritores: Violência Doméstica e Sexual Contra a Mulher; Cuidados; associados ao uso do recurso booleano “AND”. ABSTRACT Considered by the World Health Organization (WHO) as a public health problem, violence against women (VCM) is a worldwide epidemic, it is estimated that women experiencing domestic violence throughout their lives have and seek health services more often than people who do not suffer from these ill-treatment. In view of the above, the present study aims to: Identify the factors that facilitate and hinder the health care of women in situations of domestic violence according to the Brazilian literature, aiming at the importance of identifying women in the experience of violence and the expansion of this care not only for the cure/treatment, but for the effective and humane bonding and reception between the caregiver agent and the target agent of care, aiming at overcoming both the current scenario and that painful moment in life in the woman. Descriptors: Domestic and Sexual Violence Against Women; Care; associated with the use of the boolean "AND".