Abstract:OBJECTIVE:To evaluate the reproducibility and validity of data on food and beverage intake obtained by means of a telephone-based surveillance system.
METHODS:Reproducibility and validity analyses were carried out in two random subsamples (n=112 and n=119, respectively) of the total sample (N=2,024) of adults (≥18 years) studied by the system in 2005 in the municipality of São Paulo, Southeastern Brazil. Indicators evaluated included protective factors (daily or almost daily intake of fruit and vegetables) and… Show more
“…Monteiro et al 26 demonstrated good reproducibility and adequate validation for most of the questions in the eating analysis of VIGITEL; thus, the non recovery of a sole healthy eating construct is not a result of information bias.…”
Objective: To evaluate markers of food intake of the telephone-based risk factor surveillance system for chronic diseases (VIGITEL) and the trend of these markers. Methods: A total of 135,249 subjects from 27 Brazilian cities interviewed in the 2007 -2009 surveys were evaluated. Eating habits were evaluated based on the frequency of intake of fruit, vegetables, beans, whole and skim milk, regular and diet/light soft drinks and visible fat in meat and poultry. These items were used to create a diet quality score and to identify dietary patterns in a cluster analysis. Results: Time trends indicated statistically significant increase in the frequency of intake of beans, whole milk and regular soft drinks and decline in vegetables and skim milk. There was an increase in the frequency of individuals who reported consuming beans daily, from 11 to 13%. Beans are considered as a protective factor and the prevalence of usual intake is still low. Over the past three years, less than 15% of the studied population reported eating the Brazilian recommended number of 3 servings of fruits and 3 servings of vegetables per day. As to the vegetable intake, a decrease from 5 to 3% was reported. The consumption of regular soft drinks had the highest increase, ranging from 60 to 67%. The assessed items showed a weak correlation and did not represent a sole healthy eating construct. Conclusion: The diet quality of the Brazilians has gotten worst and eating markers that are associated with high risk of chronic diseases should be better qualified.
“…Monteiro et al 26 demonstrated good reproducibility and adequate validation for most of the questions in the eating analysis of VIGITEL; thus, the non recovery of a sole healthy eating construct is not a result of information bias.…”
Objective: To evaluate markers of food intake of the telephone-based risk factor surveillance system for chronic diseases (VIGITEL) and the trend of these markers. Methods: A total of 135,249 subjects from 27 Brazilian cities interviewed in the 2007 -2009 surveys were evaluated. Eating habits were evaluated based on the frequency of intake of fruit, vegetables, beans, whole and skim milk, regular and diet/light soft drinks and visible fat in meat and poultry. These items were used to create a diet quality score and to identify dietary patterns in a cluster analysis. Results: Time trends indicated statistically significant increase in the frequency of intake of beans, whole milk and regular soft drinks and decline in vegetables and skim milk. There was an increase in the frequency of individuals who reported consuming beans daily, from 11 to 13%. Beans are considered as a protective factor and the prevalence of usual intake is still low. Over the past three years, less than 15% of the studied population reported eating the Brazilian recommended number of 3 servings of fruits and 3 servings of vegetables per day. As to the vegetable intake, a decrease from 5 to 3% was reported. The consumption of regular soft drinks had the highest increase, ranging from 60 to 67%. The assessed items showed a weak correlation and did not represent a sole healthy eating construct. Conclusion: The diet quality of the Brazilians has gotten worst and eating markers that are associated with high risk of chronic diseases should be better qualified.
“…The present article describes the results pertaining to indicators of physical activity and sedentariness. The reliability and validity of diet-related indicators was described in Monteiro et al 9 …”
OBJECTIVE:To assess the reliability and validity of indicators of physical activity and sedentariness obtained by means of a telephone-based surveillance system.
METHODS:Reliability and validity studies were carried out in two random subsamples (n=110 and n=111, respectively) obtained from the total sample (N=2,024) of adults (≥18 years) studied by the system in the municipality of São Paulo in 2005. Studied indicators included frequency of "suffi ciently active during leisure time," "inactive in four domains of physical activity (leisure, work, transportation, and housework)," and "habit of watching television for long periods." Reliability was assessed by comparing results of the original telephone interview with those of another identical interview repeated after seven to 15 days. Validity was assessed by comparing the results of the telephone interview with those of three 24-hour recalls (reference method) carried out in the week following the original interview.
RESULTS:Frequencies obtained for of the three evaluated indicators were either identical or very similar for the fi rst and second telephone interviews. Kappa coeffi cients ranged from 0.53 to 0.80, indicating good reliability for all indicators. In relation to the reference method, all indicators showed 80% or higher specifi city, and sensitivity values were 69.7% for "watching television for long periods," 59.1% for "inactive in four domains," and 50% for "suffi ciently active during leisure."
CONCLUSIONS:The indicators of physical activity and sedentariness included in the system seem reliable and sufficiently accurate. If kept operational in coming years, this system may provide Brazil with a useful instrument for evaluating public policies aimed at promoting physical activity and controlling non-transmissible chronic diseases associated with sedentariness.
“…A validade de estimativas de prevalências de fatores de risco de doenças e agravos crônicos não transmissíveis obtidas por meio do inquérito telefônico VIGITEL tem sido demonstrada 18,19 . Destaca-se que a pesquisa em Botucatu apresentou elevada proporção de entrevistas completadas em relação ao total de indivíduos sorteados (86,9%), ligeiramente superior à observada em São Paulo (84,7%) 15 .…”
Foram entrevistados via ligação telefônica 1.410 indivíduos, amostra aleatória e representativa da população acima de 18 anos residente em domicílios conectados à rede de telefonia fixa. A prevalência de tabagismo foi de 21,8%, maior em homens (25%) e em indivíduos na faixa entre 18 e 29 anos. Tabagismo e sedentarismo juntos ocorrem em 13,9% dos homens e 14,2% das mulheres; tabagismo e baixo consumo de frutas em 12,9% dos homens e 12,3% das mulheres; e tabagismo e baixo consumo de legumes em 5,8% dos homens e 5,1% das mulheres. A associação de tabagismo e consumo excessivo de álcool foi observada apenas nos homens (em 3,5% deles) e, da mesma forma que verificada para tabagismo isoladamente, sua ocorrência concomitante a outros fatores comportamentais de risco de doenças e agravos crônicos não transmissíveis (DANT) associou-se inversamente à escolaridade. Os dados apontam indícios de efeito de aglomeração entre tabagismo e sedentarismo, tabagismo e álcool em excesso, tabagismo e dieta inadequada, justificando intervenções focadas na prevenção e redução concomitante dos principais fatores comportamentais de risco de DANT.
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