Implementation of food-based dietary guidelines: conceptual framework and analysis of the Brazilian case

Abstract

Objective: This study aimed to develop a conceptual framework of the process of Food-Based Dietary Guidelines (FBDG) implementation and analyse Brazil’s employed measures to implement Dietary Guidelines for the Brazilian Population (2014). Design: Qualitative research. Setting: Aiming to develop the conceptual framework, a literature review on FBDGs implementation was carried out. Both documents scoped within the macropolitical sphere and scientific articles were reviewed. In the study case, measures took in Brazil were identified through a search on institutional websites and technical management reports of government sectors responsible for FBDG implementation in the country. Participants: This study does not involve humans. Results: The new conceptual framework frames FBDGs implementation as a part of a larger set of intersectoral public policies to promote healthy eating and highlights two main implementation ways: educational materials and public policies. Brazil has a range of policies to promote healthy eating guided by the perspective of food as a right. Most of the implemented measures focused on the concept of “FBDGs as educational materials,” although the recommendations have also been implemented in public policies. Conclusion: The FBDG implementation should be carried out in an integrated manner with multi-sector involvement. The Brazilian’s case analysis can be helpful to decision makers in food policy across the globe be inspired by the Brazilian efforts, considering that the Brazilian FBDG was one of the firsts to has adopted a multidimensional paradigm of healthy eating, including diet sustainability.

Adequacy of the content on infant feeding on popular websites regarding the recommendations of the Dietary Guidelines for Brazilian children under 2 years of age

“…7 The implementation plan must include the production and distribution of educational materials, the inclusion of guidelines in public policies, use protocols for nutritional counseling in Primary Health Care (PHC) and also continuing education for health professionals. 28 In this sense, the Ministry of Health promotes an online course with the recommendations of the Guide entitled: "Breastfeed and feed Brazil: recommendations based on the Dietary guide for Brazilian children under 2 years of age".…”

Adequação do conteúdo sobre alimentação de lactentes em websites populares quanto às recomendações do Guia alimentar para crianças brasileiras menores de 2 anos

“…7 O plano de implementação deve incluir a produção e distribuição de materiais educativos, a inclusão das diretrizes em políticas públicas, protocolos de uso para aconselhamento nutricional na Atenção Primária à Saúde (APS) e também educação permanente para profissionais de saúde. 28 Nesse sentido, o Ministério da Saúde promove um curso online com as recomendações do Guia intitulado: "Amamenta e alimenta Brasil: recomendações baseadas no Guia Alimentar para Crianças Brasileiras Menores de 2 anos".…”

Desenvolvimento e validação de conteúdo de uma qualificação combinada em alimentação saudável e atividade física para profissionais da Atenção Primária à Saúde

“…Ambos foram alicerçados em evidências científicas atuais sobre a relação entre alimentação, atividade física e saúde [10][11][12] . Ações de difusão e disseminação de tais documentos são necessárias 13 , mas mostram-se um desafio, visto que profissionais da saúde indicam que a qualificação profissional e a ausência ou insuficiência de acesso a materiais instrutivos são alguns dos fatores que prejudicam o enfrentamento do excesso de peso no contexto do SUS 14 .…”