Intersectoriality of food and nutrition initiatives: relationship with the prevalence of obesity in the State of Paraíba

ABSTRACT Objective: To identify the managerial profile and forms of intersectoral articulation in the framework of food and nutrition carried out in Primary Health Care and verify its association with the prevalence of obesity in the three health macro-regions of the State of Paraíba. Methods: Cross-sectional survey carried out in 151 municipalities in Paraíba, nested in a national population-based survey. Variables related to the manager, managerial profile, intersectoral forms of articulation, and obesity rates among adults were evaluated according to data from the Food and Nutrition Surveillance System. Results: All macro-regions presented a mean of adults obesity higher than the national reference for individual over 18 years of age described in the National Health Plan 2020-2023. The presence of the technician responsible for food and nutrition actions was associated with higher rates of obesity. The performance of food and nutrition education actions, and intersectoral practices related to the Food and Nutrition Security sector were associated with lower prevalence of obesity. Conclusion: The effectiveness of the actions cannot be guaranteed by the presence of a specific position for the actions. Food and Nutrition Education actions are recommended to reduce the prevalence of obesity.

摘要
研究目的：明确初级卫生保健（Primary Health Care）框架下开展食品与营养工作的管理特征及部门间协同模式，并验证其与帕拉伊巴州三个卫生宏观区域成人肥胖患病率的关联。
研究方法：本研究为横断面调查，在帕拉伊巴州151个市政辖区内开展，嵌套于一项全国人群抽样调查中。研究人员依据食品与营养监测系统（Food and Nutrition Surveillance System）的数据，对管理者相关信息、管理特征、部门间协同模式以及成人肥胖率等变量进行了评估。
研究结果：所有卫生宏观区域的成人肥胖平均水平均高于《2020-2023年国家卫生计划》中规定的18岁及以上人群全国参考标准。配备负责食品与营养工作的技术人员，与更高的成人肥胖率显著相关；而开展食品与营养教育活动，以及落实与粮食与营养安全领域相关的部门间协作实践，均与较低的肥胖患病率显著相关。
研究结论：仅设置专项工作岗位无法保障相关工作的实际成效，建议开展食品与营养教育活动以降低人群肥胖患病率。