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inserido o Programa Bolsa Fam&#237;lia &#40;PBF&#41;&#44; que&#44; al&#233;m da transfer&#234;ncia de renda&#44; visa &#224; garantia de acesso aos direitos sociais b&#225;sicos&#46; Esse programa foi institu&#237;do pela Lei n&#176; 10&#46;836 em 2004<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">3</span></a> e consiste no repasse mensal de benef&#237;cios em dinheiro &#224;s fam&#237;lias cadastradas e tem o objetivo de beneficiar aquelas em situa&#231;&#227;o de fome e extrema pobreza&#46; O PBF integra o Plano Brasil Sem Mis&#233;ria e beneficia aproximadamente 14 milh&#245;es de fam&#237;lias em todos os munic&#237;pios brasileiros&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Nesse programa&#44; o acompanhamento das condicionalidades&#44; que s&#227;o os compromissos assumidos pelas fam&#237;lias e pelo poder p&#250;blico&#44; se d&#225; em tr&#234;s &#225;reas&#58; educa&#231;&#227;o&#44; assist&#234;ncia social e sa&#250;de&#46; Considerando essa &#250;ltima&#44; est&#227;o inclu&#237;dos o acompanhamento do calend&#225;rio vacinal e o monitoramento do estado nutricional das crian&#231;as&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">5</span></a> Para atingir os objetivos propostos pelo programa&#44; &#233; necess&#225;rio que ele esteja articulado com outros tipos de interven&#231;&#227;o pol&#237;tica e que seja executado intersetorialmente&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">2</span></a> Essas pr&#225;ticas visam &#224; capacita&#231;&#227;o das fam&#237;lias no uso do dinheiro recebido&#44; acesso aos alimentos de maneira segura e saud&#225;vel e esse acesso dever ser sanit&#225;rio&#44; nutricional&#44; cultural e sustent&#225;vel&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Apesar de os programas de transfer&#234;ncia de renda abrangerem controv&#233;rsias sob a forma pela qual as fam&#237;lias usam os recursos&#44; h&#225; evid&#234;ncias de que os aux&#237;lios transferidos s&#227;o usados prioritariamente para a aquisi&#231;&#227;o de alimentos&#44;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">6</span></a> nem sempre adequados Um estudo conduzido com benefici&#225;rios do PBF de Macei&#243; &#40;AL&#41; revelou que a maior parte dos alimentos adquiridos era processada&#44; em detrimento de frutas&#44; hortali&#231;as e produtos l&#225;cteos&#44; o que poderia impactar de forma negativa o consumo alimentar e o estado nutricional das crian&#231;as&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">6</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Nesse sentido&#44; torna&#8208;se importante avaliar a influ&#234;ncia da participa&#231;&#227;o nesse programa no consumo alimentar e estado nutricional de escolares&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">7</span></a> Ainda s&#227;o poucos os estudos feitos no Brasil sobre esse tema&#46; Muitos deles n&#227;o foram conduzidos com amostra representativa e as an&#225;lises n&#227;o foram ajustadas por fatores de confus&#227;o&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">7</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Diante do exposto&#44; o presente trabalho tem como objetivo avaliar a frequ&#234;ncia alimentar e o estado nutricional entre escolares segundo a participa&#231;&#227;o em programa assistencial governamental&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Delineamento do estudo</span><p id="par0035" class="elsevierStylePara elsevierViewall">Trata&#8208;se de um estudo de delineamento transversal conduzido com alunos do quarto ano do ensino fundamental de unidades municipais de ensino de Belo Horizonte&#47;MG&#46; A investiga&#231;&#227;o usa os dados obtidos de um projeto maior intitulado &#8220;A&#231;&#245;es integradas de educa&#231;&#227;o alimentar e nutricional em unidades educacionais municipais&#58; promo&#231;&#227;o de sa&#250;de e da seguran&#231;a alimentar e nutricional&#8221;&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">No presente estudo&#44; para o c&#225;lculo amostral foram adotados os crit&#233;rios propostos por Hulley et al&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">8</span></a> para estudo descritivo de uma vari&#225;vel dicot&#244;mica&#44; foram considerados o valor de 35&#37; como propor&#231;&#227;o esperada para benefici&#225;rios do PBF&#44; conforme identificado em um trabalho feito entre crian&#231;as de Belo Horizonte&#47;MG<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">9</span></a> e com a popula&#231;&#227;o de Vi&#231;osa&#47;MG&#44;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">10</span></a> uma amplitude de 10&#37;&#44; um n&#237;vel de signific&#226;ncia de 5&#37; e um poder de teste de 80&#37;&#46; Al&#233;m disso&#44; considerou&#8208;se o peso amostral&#44; igual a 1&#44;48&#44; calculado com base nos dados do n&#250;mero de turmas e escolas&#44; devido ao desenho amostral usado&#46; Desse modo&#44; o tamanho amostral foi estimado em 230 escolares&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Foi usada amostragem por conglomerado em dois est&#225;gios&#46; No primeiro houve estratifica&#231;&#227;o segundo as regionais do munic&#237;pio&#46; Desse modo&#44; com o aux&#237;lio de uma lista de todas as escolas municipais de Belo Horizonte com turmas de quarto ano oferecidas pela Secretaria de Educa&#231;&#227;o da Prefeitura de Belo Horizonte&#44; foi sorteada uma escola de cada uma das nove regionais&#46; Destaca&#8208;se que as escolas selecionadas localizavam&#8208;se em &#225;reas com diferentes classifica&#231;&#245;es do &#205;ndice de Qualidade de Vida Urbana&#58; muito baixo&#44; baixo&#44; m&#233;dio&#44; alto e muito alto&#46;<a class="elsevierStyleCrossRefs" href="#bib0185"><span class="elsevierStyleSup">11&#44;12</span></a> No segundo est&#225;gio&#44; em cada escola as turmas foram sorteadas com probabilidade proporcional ao n&#250;mero de alunos do quarto matriculados pertencentes em cada regional&#46; Desse modo&#44; foram convidados a participar do estudo todos os alunos &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>724&#41; das turmas sorteadas&#46; Desses&#44; foram exclu&#237;dos aqueles que faltaram no dia da avalia&#231;&#227;o &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>101&#41; ou apresentaram sa&#250;de mental comprometida segundo relato dos professores &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>12&#41;&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">No decorrer da pesquisa ocorreram 47&#44;7&#37; de perda&#44; decorrentes da recusa do aluno em participar do estudo &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#41; e a n&#227;o aplica&#231;&#227;o do question&#225;rio socioecon&#244;mico via liga&#231;&#227;o telef&#244;nica com a m&#227;e ou respons&#225;vel &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>291&#41;&#46; Essas &#250;ltimas perdas foram motivadas por n&#250;mero de telefone errado ou inexistente ou celular desligado ou aus&#234;ncia do respondente no momento da liga&#231;&#227;o como principais motivos da n&#227;o feitura da entrevista &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>261&#41;&#44; recusa em participar da pesquisa &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>16&#41; e sem contato telef&#244;nico &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>14&#41;&#46; Destaca&#8208;se que foram feitas no m&#237;nimo tr&#234;s tentativas de contato telef&#244;nico com os respons&#225;veis&#44; incluindo os tr&#234;s turnos do dia&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Desse modo&#44; a amostra final foi composta por 319 alunos&#46; As crian&#231;as que tiveram suas avalia&#231;&#245;es exclu&#237;das do estudo n&#227;o apresentaram diferen&#231;as estatisticamente significantes daqueles que permaneceram no que diz respeito ao sexo&#44; idade e estado nutricional &#40;p<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Coleta de dados</span><p id="par0060" class="elsevierStylePara elsevierViewall">Foi aplicado um formul&#225;rio presencial com os escolares nas pr&#243;prias unidades de ensino e outro com suas respectivas m&#227;es ou respons&#225;vel pelo cuidado por meio de contato telef&#244;nico&#46; Ressalta&#8208;se que tais instrumentos de avalia&#231;&#227;o foram elaborados para o estudo&#44; previamente testados e codificados&#46; A coleta de dados foi feita por estudantes de nutri&#231;&#227;o da Universidade Federal de Minas Gerais &#40;UFMG&#41; e nutricionistas previamente treinados e supervisionados pela pesquisadora principal&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">As informa&#231;&#245;es tais como data de nascimento&#44; sexo e contato telef&#244;nico do aluno foram fornecidas mediante documenta&#231;&#227;o escolar&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">No formul&#225;rio aplicado com a m&#227;e ou respons&#225;vel foram investigados os dados sociodemogr&#225;ficos e econ&#244;micos&#46; Esses &#250;ltimos contemplaram a idade&#44; a escolaridade&#44; o estado civil e a situa&#231;&#227;o de emprego da m&#227;e e&#47;ou respons&#225;vel&#44; a participa&#231;&#227;o no PBF&#44; a renda familiar e o n&#250;mero de moradores na casa&#46; A partir da renda familiar e do n&#250;mero de moradores&#44; foi calculada a renda <span class="elsevierStyleItalic">per capita</span>&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Avaliou&#8208;se o consumo alimentar dos escolares por meio do Question&#225;rio de Frequ&#234;ncia Alimentar &#40;QFA&#41; e efetuou&#8208;se antropometria&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">No que diz respeito ao QFA&#44; esse foi simplificado do tipo qualitativo&#44; referente ao consumo de nove alimentos nos &#250;ltimos seis meses &#40;refrigerantes&#44; suco artificial&#44; salgadinho industrializado&#44; bolacha recheada&#44; guloseimas&#44; frutas&#44; hortali&#231;as&#44; leite e feij&#227;o&#41;&#46; O QFA usado foi adaptado de um instrumento proposto para indiv&#237;duos adultos de Belo Horizonte&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">13</span></a> A frequ&#234;ncia de consumo desses alimentos foi classificada em regular &#40;&#8805; 5 vezes na semana&#41; e irregular &#40;&#60; 5 vezes na semana&#41; conforme a categoriza&#231;&#227;o adotada pela Pesquisa Nacional de Sa&#250;de do Escolar &#40;PeNSE&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">14</span></a></p><p id="par0085" class="elsevierStylePara elsevierViewall">A avalia&#231;&#227;o antropom&#233;trica dos alunos consistiu na aferi&#231;&#227;o do peso e da estatura&#44; que possibilitou o c&#225;lculo do &#237;ndice estatura por idade e do &#237;ndice de massa corporal &#91;IMC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>peso&#40;kg&#41;&#47;estatura&#40;metros&#41;<span class="elsevierStyleSup">2</span>&#93; por idade&#44; ambos classificados segundo os crit&#233;rios propostos pelo Sistema de Vigil&#226;ncia Alimentar e Nutricional<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">15</span></a> a partir das curvas de crescimento da Organiza&#231;&#227;o Mundial de Sa&#250;de &#40;OMS&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">16</span></a></p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">An&#225;lise dos dados</span><p id="par0090" class="elsevierStylePara elsevierViewall">Fez&#8208;se an&#225;lise descritiva dos dados a partir do c&#225;lculo das distribui&#231;&#245;es de frequ&#234;ncias e das medidas de tend&#234;ncia central e dispers&#227;o&#46; Aplicou&#8208;se o teste de normalidade Kolmogorov&#8208;Smirnov e como todas as vari&#225;veis quantitativas n&#227;o aderiram &#224; distribui&#231;&#227;o normal&#44; optou&#8208;se por apresent&#225;&#8208;las em mediana &#40;valor m&#237;nimo&#8208;valor m&#225;ximo&#41;&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Na an&#225;lise bivariada&#44; para a compara&#231;&#227;o das vari&#225;veis sociodemogr&#225;ficas&#44; do estado nutricional e do consumo alimentar entre os participantes e n&#227;o participantes do Programa Bolsa Fam&#237;lia&#44; aplicaram&#8208;se os testes de Mann&#8208;Whitney e do qui&#8208;quadrado&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Para as vari&#225;veis do estado nutricional&#47;consumo alimentar que apresentaram signific&#226;ncia na an&#225;lise bivariada&#44; fizeram&#8208;se modelos de regress&#227;o Poisson de vari&#226;ncia robusta&#46; Foi usada como vari&#225;vel explicativa a participa&#231;&#227;o no PBF e foram ajustadas por indicadores sociodemogr&#225;ficos e econ&#244;micos que apresentaram valores de p iguais ou inferiores a 0&#44;20 nas an&#225;lises bivariadas&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Os dados foram processados no programa Epi Info vers&#227;o 3&#46;4&#46;5 &#40;Centers for Disease Control and Prevention&#44; EUA&#41; e analisados com aux&#237;lio do <span class="elsevierStyleItalic">software</span> Stata vers&#227;o 11&#46;0 &#40;StataCorp&#46; 2009&#44;&#160;Stata Statistical Software&#44; College Station&#44; EUA&#41;&#46; Para todas as an&#225;lises&#44; adotou&#8208;se o valor de signific&#226;ncia de 5&#37;&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Aspectos &#233;ticos</span><p id="par0110" class="elsevierStylePara elsevierViewall">Em respeito &#224; integridade e dignidade dos sujeitos do estudo&#44; todas as m&#227;es ou respons&#225;veis pelo cuidado das crian&#231;as deste estudo receberam e assinaram um termo de consentimento livre e esclarecido para a participa&#231;&#227;o desses e de seus filhos no projeto&#46; Esta pesquisa foi aprovada pelo Comit&#234; de &#201;tica em Pesquisa da UFMG &#40;CAAE 00734412&#46;0&#46;0000&#46;5149&#41;&#46;</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Resultados</span><p id="par0115" class="elsevierStylePara elsevierViewall">Foram avaliadas 319 crian&#231;as&#44; 56&#44;4&#37; do sexo masculino&#44; com mediana de 9&#44;4 anos &#40;8&#44;6&#8208;11&#44;9&#41;&#44; e 37&#37; benefici&#225;rios do PBF &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46; Em rela&#231;&#227;o ao respondente pela crian&#231;a&#44; 88&#44;5&#37; eram representados pela m&#227;e&#44; 2&#44;7&#37; pelo pai e 8&#44;8&#37; por outras pessoas &#40;av&#243;s&#44; madrasta&#44; tia ou bisav&#243;&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0120" class="elsevierStylePara elsevierViewall">No que diz respeito aos dados sociodemogr&#225;ficos e econ&#244;micos&#44; a propor&#231;&#227;o de indiv&#237;duos com renda <span class="elsevierStyleItalic">per capita</span> inferior a meio sal&#225;rio m&#237;nimo &#40;85&#44;2&#37; <span class="elsevierStyleItalic">vs&#46;</span> 33&#44;7&#37; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; e com escolaridade da m&#227;e&#47;respons&#225;vel menor do que nove anos de estudo &#40;68&#44;4&#37; <span class="elsevierStyleItalic">vs&#46;</span> 43&#44;7&#37; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; foi maior entre aqueles que eram benefici&#225;rios do PBF&#46; Ainda entre essas fam&#237;lias&#44; verificou&#8208;se maior preval&#234;ncia de estado civil solteiro&#47;divorciado&#47;vi&#250;vo &#40;50&#44;0&#37; <span class="elsevierStyleItalic">vs&#46;</span> 31&#44;5&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; e desemprego &#40;43&#44;0&#37; <span class="elsevierStyleItalic">vs&#46;</span> 31&#44;8&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;048&#41; entre as m&#227;es ou respons&#225;veis &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Quanto ao estado nutricional&#44; foi elevada a preval&#234;ncia de excesso de peso entre crian&#231;as participantes &#40;30&#44;7&#37;&#41; e n&#227;o participantes &#40;36&#44;3&#37;&#41; do programa&#46; A propor&#231;&#227;o de escolares com baixa ou muito baixa altura por idade foi de 1&#44;8&#37; e 0&#44;5&#37; entre os benefici&#225;rios e n&#227;o benefici&#225;rios do PBF&#44; respectivamente&#46; N&#227;o houve diferen&#231;a estatisticamente significante nos par&#226;metros antropom&#233;tricos avaliados entre esses indiv&#237;duos &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46; No que diz respeito ao consumo alimentar&#44; observou&#8208;se&#44; tanto entre escolares benefici&#225;rios quanto entre os n&#227;o benefici&#225;rios do PBF&#44; elevada preval&#234;ncia de consumo regular de refrigerante &#40;34&#44;3&#37;&#41;&#44; suco artificial &#40;49&#44;5&#37;&#41; e guloseimas &#40;40&#44;3&#37;&#41;&#44; enquanto apenas 54&#44;3&#37; e 51&#44;7&#37; consumiram frutas e hortali&#231;as regularmente&#44; respectivamente &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0130" class="elsevierStylePara elsevierViewall">Na an&#225;lise bivariada&#44; observou&#8208;se maior frequ&#234;ncia de consumo regular de guloseimas &#40;49&#44;1&#37; <span class="elsevierStyleItalic">vs&#46;</span> 35&#44;3&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;016&#41; e refrigerantes &#40;42&#44;1&#37; <span class="elsevierStyleItalic">vs&#46;</span> 29&#44;9&#37;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;028&#41; entre os benefici&#225;rios do programa em rela&#231;&#227;o aos n&#227;o participantes &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#46; Os resultados dos modelos de regress&#227;o de Poisson&#44; ajustados pelos indicadores categ&#243;ricos de renda&#44; escolaridade&#44; situa&#231;&#227;o de emprego e estado civil&#44; tendo como vari&#225;veis dependentes indicadores bin&#225;rios de consumo de refrigerantes e guloseimas&#44; e como vari&#225;vel preditiva a participa&#231;&#227;o no PBF&#44; mostraram que crian&#231;as benefici&#225;rias do programa apresentam preval&#234;ncia de 1&#44;24 vez maior de consumo regular de refrigerantes &#40;IC95&#37;&#58; 1&#44;10&#8208;1&#44;39&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; J&#225; para o consumo de guloseimas&#44; n&#227;o foi encontrada diferen&#231;a no modelo ajustado segundo a participa&#231;&#227;o no PBF &#40;RP&#58; 1&#44;01&#44; IC 95&#37;&#58; 0&#44;83&#8208;1&#44;25&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;850&#41;&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Discuss&#227;o</span><p id="par0135" class="elsevierStylePara elsevierViewall">Os resultados deste estudo apontaram elevada preval&#234;ncia de excesso de peso e inadequa&#231;&#245;es no consumo alimentar&#44; bem como diferen&#231;as entre os alunos benefici&#225;rios e n&#227;o benefici&#225;rios do PBF quanto aos aspectos socioecon&#244;micos e ao consumo de refrigerantes&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Observou&#8208;se que as fam&#237;lias participantes do programa apresentaram menor condi&#231;&#227;o socioecon&#244;mica&#44; o que confirmou a alta vulnerabilidade social dos benefici&#225;rios do programa&#46; Os problemas vivenciados pelas fam&#237;lias em situa&#231;&#227;o de pobreza n&#227;o se resumem &#224; escassez de renda monet&#225;ria&#44; est&#227;o&#44; em sua grande maioria&#44; associados ao reduzido exerc&#237;cio dos seus direitos como cidad&#227;os e &#224;s poucas oportunidades a que t&#234;m acesso para melhoria de sua qualidade de vida&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">5</span></a> No Brasil&#44; mais de 80&#37; dos adultos &#40;acima de 25 anos&#41; que comp&#245;em as fam&#237;lias do PBF t&#234;m baixa escolaridade &#40;16&#44;7&#37; s&#227;o analfabetos e 65&#44;4&#37; n&#227;o conclu&#237;ram o Ensino Fundamental&#41;&#44; o que dificulta sobremaneira o acesso a melhores oportunidades de emprego ou gera&#231;&#227;o de renda&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">5</span></a></p><p id="par0145" class="elsevierStylePara elsevierViewall">Quanto ao estado nutricional&#44; os resultados do presente estudo revelam alta taxa de excesso de peso entre os escolares&#44; independentemente de serem ou n&#227;o benefici&#225;rios do programa&#44; o que corrobora os achados de outros estudos&#46;<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">6&#44;17</span></a> No Brasil&#44; segundo a Pesquisa de Or&#231;amentos Familiares 2008&#8208;2009&#44; houve nos &#250;ltimos 34 anos incremento significativo da taxa de excesso de peso entre crian&#231;as &#40;de 10&#44;9&#37; para 34&#44;8&#37; e de 8&#44;6&#37; para 32&#37; entre meninos e meninas de 5 a 9 anos&#44; respectivamente&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">17</span></a> O aumento na preval&#234;ncia de excesso de peso infantil &#233; tamb&#233;m uma realidade nas classes de baixa renda&#44; possivelmente devido ao maior consumo de alimentos ricos em gordura e carboidrato&#44; seja pela falta de conhecimento do que seria uma alimenta&#231;&#227;o saud&#225;vel&#44; seja pelo menor pre&#231;o desses alimentos&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">18</span></a></p><p id="par0150" class="elsevierStylePara elsevierViewall">N&#227;o foram observados d&#233;ficits de estatura importantes&#44; uma vez que apenas 1&#44;8&#37; dos benefici&#225;rios e 0&#44;5&#37; dos n&#227;o benefici&#225;rios do PBF apresentavam essa condi&#231;&#227;o&#46; Tais valores se encontram dentro da propor&#231;&#227;o esperada de crian&#231;as com esse d&#233;ficit quando s&#227;o &#243;timas as condi&#231;&#245;es de alimenta&#231;&#227;o&#44; sa&#250;de e nutri&#231;&#227;o da popula&#231;&#227;o<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">19</span></a> e est&#227;o de acordo com as propor&#231;&#245;es observadas na popula&#231;&#227;o brasileira se considerarmos essa faixa et&#225;ria&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">17</span></a></p><p id="par0155" class="elsevierStylePara elsevierViewall">A garantia da seguran&#231;a alimentar e nutricional exige programas que contemplem tanto o combate &#224; desnutri&#231;&#227;o quanto ao sobrepeso e &#224; obesidade&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">20</span></a> Programas de distribui&#231;&#227;o de renda como o Bolsa Fam&#237;lia podem contribuir mais efetivamente para o bem&#8208;estar nutricional dos benefici&#225;rios quando combinados com outros tipos de interven&#231;&#245;es&#44; como a&#231;&#245;es de promo&#231;&#227;o de alimenta&#231;&#227;o saud&#225;vel&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">20</span></a></p><p id="par0160" class="elsevierStylePara elsevierViewall">Quanto &#224; alimenta&#231;&#227;o&#44; o consumo excessivo&#44; identificado entre as crian&#231;as benefici&#225;rias e n&#227;o benefici&#225;rias do PBF&#44; de alimentos marcadores de uma dieta n&#227;o saud&#225;vel&#44; caracterizados por ser do grupo dos ultraprocessados&#44; bem como a ingest&#227;o insuficiente de alimentos minimamente processados&#44; corrobora os resultados de outros estudos feitos com crian&#231;as do Brasil e de outros pa&#237;ses em idade escolar&#46;<a class="elsevierStyleCrossRefs" href="#bib0235"><span class="elsevierStyleSup">21&#8211;23</span></a> Tais inadequa&#231;&#245;es podem contribuir para o aumento do risco de desenvolvimento de obesidade e outras doen&#231;as cr&#244;nicas e denota a necessidade de interven&#231;&#245;es nutricionais com esse p&#250;blico&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">As interven&#231;&#245;es ganham ainda mais destaque com os integrantes do PBF ao se considerar o maior consumo de refrigerantes&#44; comparados aos n&#227;o participantes do programa&#44; mesmo ap&#243;s ajustes pelos fatores sociodemogr&#225;ficos e econ&#244;micos&#46; Outros autores identificaram achados similares&#46;<a class="elsevierStyleCrossRefs" href="#bib0250"><span class="elsevierStyleSup">24&#44;25</span></a> Em pesquisa conduzida com crian&#231;as menores de cinco anos da regi&#227;o do semi&#225;rido nordestino notou&#8208;se que os participantes do PBF apresentavam um risco tr&#234;s vezes maior de consumir guloseimas &#40;OR&#58; 3&#44;06&#44; IC 95&#37;&#58; 1&#44;35&#8208;6&#44;95&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">24</span></a> O n&#237;vel de depend&#234;ncia da renda proveniente do benef&#237;cio do PBF e o aumento no consumo de a&#231;&#250;car tamb&#233;m j&#225; foram evidenciados&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">25</span></a></p><p id="par0170" class="elsevierStylePara elsevierViewall">O aumento da renda&#44; proporcionado pelo programa&#44; tem gerado maior acesso &#224; alimenta&#231;&#227;o para as fam&#237;lias benefici&#225;rias&#46; Por&#233;m&#44; essa transfer&#234;ncia monet&#225;ria n&#227;o garante que a alimenta&#231;&#227;o seja adequada em termos de qualidade&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">26</span></a> Segundo a pesquisa do Instituto Brasileiro de An&#225;lises Sociais e Econ&#244;micas &#40;Ibase&#41;&#44; que avaliou as modifica&#231;&#245;es no consumo alimentar de fam&#237;lias brasileiras benefici&#225;rias do Programa Bolsa Fam&#237;lia&#44; observou&#8208;se aumento no consumo de alimentos em quantidade e variedade a partir do recebimento do benef&#237;cio&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">26</span></a> Entretanto&#44; prevaleceu a op&#231;&#227;o de compra por alimentos de maior densidade cal&#243;rica e menor valor nutritivo&#46; Dentre os alimentos mais citados&#44; estavam os industrializados&#44; ricos em energia&#44; a&#231;&#250;car&#44; gordura saturada e s&#243;dio&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">26</span></a></p><p id="par0175" class="elsevierStylePara elsevierViewall">Apesar de interessantes&#44; os resultados obtidos no presente estudo n&#227;o permitem o estabelecimento de rela&#231;&#245;es causais&#44; por causa do seu delineamento transversal&#46; Assim&#44; estudos longitudinais e que levam em considera&#231;&#227;o o tempo em que as fam&#237;lias recebem o benef&#237;cio s&#227;o indicados&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">7</span></a> Cumpre destacar&#44; no entanto&#44; a potencialidade dessa obra por complementar os escassos estudos feitos no Brasil sobre essa tem&#225;tica&#44; com representatividade amostral e ajustes por poss&#237;veis fatores de confundimento&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">A alta taxa de excesso de peso&#44; bem como o consumo de bebidas de maior densidade cal&#243;rica e menor valor nutritivo entre as crian&#231;as participantes do PBF&#44; conforme evidenciado no presente estudo&#44; aponta para a necessidade de a&#231;&#245;es de promo&#231;&#227;o da alimenta&#231;&#227;o saud&#225;vel direcionadas a essas fam&#237;lias&#46; Escolhas alimentares saud&#225;veis devem ser incentivadas de modo a promover melhorias nas condi&#231;&#245;es nutricionais dessas crian&#231;as e prevenir doen&#231;as cr&#244;nicas ao longo da vida&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Financiamento</span><p id="par0185" class="elsevierStylePara elsevierViewall">Funda&#231;&#227;o de Amparo &#224; Pesquisa do estado de Minas Gerais &#40;Fapemig&#41; e Coordena&#231;&#227;o de Aperfei&#231;oamento de Pessoal de N&#237;vel Superior &#40;Capes&#41;&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflitos de interesse</span><p id="par0190" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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            1 => "Anthropometry"
            2 => "Children"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To evaluate the food frequency and nutritional status among students according to participation in the <span class="elsevierStyleItalic">Bolsa Fam&#237;lia</span> program funded by the government&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cross&#8208;sectional study carried out with students from the fourth grade of elementary school in the municipal capital of the southeastern region of Brazil&#46; Food consumption and anthropometry were investigated by a questionnaire administered in school&#44; while participation in the <span class="elsevierStyleItalic">Bolsa Fam&#237;lia</span> program and other socio&#8208;economic information was obtained through a protocol applied to mothers&#47;guardians&#46; Statistical analysis included the Mann&#8211;Whitney test&#44; the chi&#8208;squared test&#44; and Poisson regression with robust variance&#44; and the 5&#37; significance level was adopted&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">There were 319 children evaluated&#59; 56&#46;4&#37; were male&#44; with a median of 9&#46;4 &#40;8&#46;6&#8211;11&#46;9&#41; years&#44; and 37&#46;0&#37; were beneficiaries of <span class="elsevierStyleItalic">Bolsa Fam&#237;lia</span> program&#46; Between the two groups&#44; there was high prevalence of regular soda consumption &#40;34&#46;3&#37;&#41;&#44; artificial juice &#40;49&#46;5&#37;&#41;&#44; and sweets &#40;40&#46;3&#37;&#41;&#44; while only 54&#46;3&#37; and 51&#46;7&#37; consumed fruits and vegetables regularly&#44; respectively&#46; Among participants of <span class="elsevierStyleItalic">Bolsa Fam&#237;lia</span> program&#44; a prevalence 1&#46;24 times higher in the regular consumption of soft drinks &#40;95&#37; CI&#58; 1&#46;10&#8211;1&#46;39&#41; was identified compared to non&#8208;beneficiaries&#46; The prevalence of overweight was higher in the sample &#40;32&#46;9&#37;&#41;&#44; with no difference according to participation in the program&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The study found increased consumption of soft drinks among BFP participants&#46; The high rate of overweight and poor eating habits denote the need to develop actions to promote healthy eating&#44; especially for the beneficiaries of the <span class="elsevierStyleItalic">Bolsa Fam&#237;lia</span> program&#44; to promote improvements in nutritional status and prevent chronic diseases throughout life&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Avaliar a frequ&#234;ncia alimentar e estado nutricional entre escolares segundo a participa&#231;&#227;o no programa governamental Bolsa Fam&#237;lia &#40;PBF&#41;&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Metodologia</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudo de delineamento transversal realizado com alunos do 4&#176; ano do ensino fundamental da rede municipal de uma capital da regi&#227;o sudeste do Brasil&#46; O consumo alimentar e antropometria foram investigados mediante formul&#225;rio aplicado com os escolares&#44; enquanto a participa&#231;&#227;o no PBF e outras informa&#231;&#245;es socioecon&#244;micas foram obtidas por meio de protocolo aplicado &#224;s m&#227;es&#47;respons&#225;veis&#46; A an&#225;lise estat&#237;stica contemplou os testes Mann&#8211;Whitney&#44; Qui&#8208;quadrado e Regress&#227;o de Poisson com vari&#226;ncia robusta&#44; sendo adotado o valor de signific&#226;ncia de 5&#37;&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Foram avaliadas 319 crian&#231;as&#44; 56&#44;4&#37; do sexo masculino&#44; com mediana de 9&#44;4 &#40;8&#44;6&#8211;11&#44;9&#41; anos&#44; sendo 37&#44;0&#37; benefici&#225;rios do PBF&#46; Entre os dois grupos avaliados &#40;participantes e n&#227;o&#8208;participantes do PBF&#41;&#44; observou&#8208;se elevada preval&#234;ncia de consumo regular de refrigerante &#40;34&#44;3&#37;&#41;&#44; suco artificial &#40;49&#44;5&#37;&#41;&#44; e guloseimas &#40;40&#44;3&#37;&#41;&#44; enquanto apenas 54&#44;3&#37; e 51&#44;7&#37; consumiram frutas e hortali&#231;as regularmente&#44; respectivamente&#46; Entre os participantes do PBF&#44; identificou&#8208;se preval&#234;ncia de 1&#44;24 vezes maior no consumo regular de refrigerantes &#40;IC 95&#37;&#58; 1&#44;10&#8211;1&#44;39&#41;&#44; comparado aos n&#227;o benefici&#225;rios&#46; A preval&#234;ncia de excesso de peso foi elevada na amostra &#40;32&#44;9&#37;&#41;&#44; sem diferen&#231;a segundo a participa&#231;&#227;o no programa&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#227;o</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">O estudo revelou maior consumo de refrigerantes entre participantes do PBF&#46; A alta taxa de excesso de peso e h&#225;bitos alimentares inadequados denota a necessidade de desenvolver a&#231;&#245;es de promo&#231;&#227;o da alimenta&#231;&#227;o saud&#225;vel&#44; em especial com os benefici&#225;rios do PBF&#44; a fim de promover melhorias nas condi&#231;&#245;es nutricionais e prevenir doen&#231;as cr&#244;nicas ao longo da vida&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0025">Como citar este artigo&#58; Carmo AS&#44; Almeida LM&#44; Oliveira DR&#44; Santos LC&#46; Influence of the <span class="elsevierStyleItalic">Bolsa Fam&#237;lia</span> program on nutritional status and food frequency of schoolchildren&#46; J Pediatr &#40;Rio J&#41;&#46; 2016&#59;92&#58;381&#8211;7&#46;</p>"
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleBold">Caracter&#237;sticas do respons&#225;vel pelo cuidado&#47;ambiente familiar</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Idade do respons&#225;vel &#40;anos&#41; &#40;mediana&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36 &#40;24&#8208;83&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36 &#40;25&#8208;83&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">35 &#40;24&#8208;62&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;336&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Escolaridade respons&#225;vel pelo cuidado &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#60; 9 anos de estudo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">53&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">43&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">68&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8805; 9 anos de estudo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">47&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">56&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">31&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Renda per capita &#40;classifica&#231;&#227;o&#41; &#40;&#37;&#41;</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#8804; &#189; sal&#225;rio m&#237;nimo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">52&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">85&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>&#62; &#189; sal&#225;rio m&#237;nimo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">47&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">66&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Situa&#231;&#227;o de emprego &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Desempregado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">31&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">43&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;048&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Empregado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">63&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">68&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">57&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Estado civil &#40;&#37;&#41;</span></td><td class="td" title="table-entry  " align="char" valign="top">0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Casado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">62&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">68&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">50&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleHsp" style=""></span>Solteiro&#44; divorciado ou vi&#250;vo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">37&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">31&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">50&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Eutrofia&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">67&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">61&#44;9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Suco artificial</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Irregular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;899&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Regular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">49&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">49&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Salgadinho industrializado</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Irregular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">84&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">84&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">84&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;976&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Regular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Bolacha recheada</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Irregular&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;238&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Regular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">32&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">30&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">36&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Guloseimas</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Irregular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">59&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">64&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top"><span class="elsevierStyleBold">0&#44;016</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Regular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">40&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">35&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">49&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Frutas</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Irregular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">45&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">43&#44;8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">56&#44;2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Feij&#227;o</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Irregular&nbsp;\t\t\t\t\t\t\n
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          "pt" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Frequ&#234;ncia do consumo de alimentos pelas crian&#231;as benefici&#225;rias e n&#227;o benefici&#225;rias do Programa Bolsa Fam&#237;lia&#44; Belo Horizonte &#40;MG&#41;&#44; Brasil</p>"
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                  "referenciaCompleta" => "Constitui&#231;&#227;o &#40;1988&#41;&#46; Emenda Constitucional n&#176; 64&#44; de 4 de fevereiro de 2010&#46; Altera o art&#46; 6&#176; da Constitui&#231;&#227;o Federal&#44; para introduzir a alimenta&#231;&#227;o como direito social&#46; In&#58; Constitui&#231;&#227;o da Rep&#250;blica Federativa do Brasil&#46; Di&#225;rio Oficial&#44; Bras&#237;lia&#44; DF&#44; 05 Fev&#46; 2010&#46; Se&#231;&#227;o 1&#44; p&#46; 1&#46;"
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