Long-term effect of the Brazilian Workers' Food Program on the nutritional status of manufacturing workers: A population-based prospective cohort study

Autor: Antonio Gouveia Oliveira, Gabriela S. Pereira, Raiane M. Costa, Ingrid Wilza Leal Bezerra, Karina G. Torres, Anissa Melo de Souza
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Physiology
Economics
Occupational Health Services
Social Sciences
Geographical locations
Occupational safety and health
Body Mass Index
Food Supply
0302 clinical medicine
Sociology
Manufacturing Industry
Medicine and Health Sciences
Medicine
Public and Occupational Health
Prospective Studies
030212 general & internal medicine
Workplace
Prospective cohort study
Multidisciplinary
Anthropometry
Nutritional status
Middle Aged
Workforce
Cohort
Social Systems
Female
Food Assistance
Guideline Adherence
Anatomy
Waist Circumference
0305 other medical science
Brazil
Research Article
Employment
Adult
Waist
Political Science
Science
Nutritional Status
Public Policy
03 medical and health sciences
Environmental health
Humans
Occupational Health
Nutrition
030505 public health
business.industry
Food Consumption
Biology and Life Sciences
Physical Activity
South America
Diet
Labor Economics
People and places
Physiological Processes
business
Body mass index
Zdroj: PLoS ONE, Vol 15, Iss 4, p e0231216 (2020)
PLoS ONE
ISSN: 1932-6203
Popis: Background The Brazilian Workers Food Program (WFP) is a public policy program of nutritional assistance to workers, with the main objective of improving nutritional conditions, which was implemented 40 years ago and serves over 21.4 million workers. Objectives To compare the long-term change in anthropometric indicators of the nutritional status and dietary intake between workers of manufacturing industries adherent to and non-adherent to the WFP. Methods A prospective cohort study, based on a combined stratified and multistage probability sampling, was carried out, with two waves with a 4-year interval. The change in body mass index (BMI), waist circumference (WC) and dietary intake at lunch by the 24-hour recall method were compared between groups with analysis of covariance. Results A total of 273 workers in 16 industries from an initial cohort of 1069 workers in 26 industries of the State of Rio Grande do Norte in Brazil were evaluated in the two waves. The mean age was 37±10 years and 53.1% were male, with no differences between groups in age and sex distribution. BMI increased in both groups (0.44 kg/m2 in non-WFP, p = 0.003, and 0.56 kg/m2 in WFP, p = 0.0006) and WC increased in the WFP group (1.50 cm, p = 0.0006). BMI change over time did not show statistical differences between groups (p = 0.54) but WC had a greater increase in the WFP group (difference 1.37 cm, p = 0.047). There were no differences between groups in the change over time of the dietary intake. Conclusion BMI and WC increased over time in manufacturing workers of industries both adherent and non-adherent to the WFP, but with a greater increase of WC in the WFP group. In order to achieve the objectives of the WFP, there will be a need for periodic evaluation and monitoring of nutritional indicators in these workers and implementation of monitoring and enforcement actions of the WFP.
Databáze: OpenAIRE
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