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Universidade De São Paulo Faculdade De Saúde Pública Manual de Avaliação do Consumo Alimentar em estudos populacionais: a experiência do inquérito de saúde em São Paulo (ISA) Organizadoras: Regina Mara Fisberg Dirce Maria Lobo Marchioni Universidade de São Paulo Faculdade de Saúde Pública Manual de Avaliação do Consumo Alimentar em estudos populacionais: a experiência do inquérito de saúde em São Paulo (ISA) Organizadoras: Regina Mara Fisberg Dirce Maria Lobo Marchioni São Paulo Universidade de São Paulo Faculdade de Saúde Pública 2012 2012 EDITORA DA FACULDADE DE SAÚDE PÚBLICA UNIVERSIDADE DE SÃO PAULO Faculdade de Saúde Pública da Universidade de São Paulo Apoio técnico: Equipe da Biblioteca da Faculdade de Saúde Pública da USP Av. Dr. Arnaldo, 715 01246‐904 – Cerqueira César – São Paulo – SP http://www.biblioteca.fsp.usp.br [email protected] Catalogação na Publicação Universidade de São Paulo. Faculdade de Saúde Pública Manual de avaliação do consumo alimentar em estudos populacionais: a experiência do inquérito de saúde em São Paulo (ISA) / Universidade de São Paulo. Faculdade de Saúde Pública. Grupo de Pesquisa de Avaliação do Consumo Alimentar; organizadoras Regina Mara Fisberg, Dirce Maria Lobo Marchioni. ‐‐ São Paulo : Faculdade de Saúde Pública da USP, 2012. 197 p. : il. Inclui bibliografia Contém 20 anexos ISBN: 978‐85‐88848‐10‐8 1. Inquéritos Epidemiológicos. 2. Inquéritos sobre Dietas. 3. Consumo de Alimentos. 4. Estilo de Vida. 5. Questionários – utilização. 6. São Paulo, SP. I. Universidade de São Paulo. Faculdade de Saúde Pública. Grupo de Pesquisa de Avaliação do Consumo Alimentar. II., org. II. Fisberg, Regina Mara III. Marchioni, Dirce Maria Lobo, org. IV. Título. CDD‐613.2 Sobre os autores Organizadoras: Dirce Maria Lobo Marchioni Nutricionista. Professora Associada e pesquisadora do Departamento de Nutrição da Faculdade de Saúde Pública da USP Regina Mara Fisberg Nutricionista. Professora Associada e pesquisadora do Departamento de Nutrição da Faculdade de Saúde Pública da USP Colaboradores: Agatha Nogueira Previdelli Nutricionista. Doutoranda pelo Programa de Pós Graduação em Nutrição em Saúde Pública da Faculdade de Saúde Pública da USP. Aline Martins de Carvalho Nutricionista. Mestre e doutoranda pelo Programa de Pós Graduação em Nutrição em Saúde Pública da Faculdade de Saúde Pública da USP. Aline Mendes Nutricionista. Mestranda pelo Programa de Pós Graduação em Nutrição em Saúde Pública da Faculdade de Saúde Pública da USP. Anelise de Souza Timm Nutricionista. Bartira Mendes Gorgulho Nutricionista. Mestranda pelo Programa de Pós Graduação em Nutrição em Saúde Pública da Faculdade de Saúde Pública da USP. Eliseu Verly Junior Nutricionista. Professor do Departamento de Epidemiologia do Instituto de Medicina Social da UERJ. Josiane Steluti Nutricionista. Mestre e doutoranda pelo Programa de Pós Graduação em Nutrição em Saúde Pública da Faculdade de Saúde Pública da USP. Karoline Honorato Brunacio Graduanda em nutrição pela Faculdade de Saúde Pública da USP Lívia Gonçalves Piovezan Graduanda em nutrição pela Faculdade de Saúde Pública da USP Michelle Alessandra de Castro Nutricionista. Mestre e doutoranda pelo Programa de Pós Graduação em Nutrição em Saúde Pública da Faculdade de Saúde Pública da USP. Roberta Schein Bigio Nutricionista. Mestre pelo Programa de Pós-Graduação em Nutrição em Saúde Pública da Faculdade de Saúde Pública da USP. Soraya Sant'Ana de Castro Selem Nutricionista. Mestre pelo Programa de Pós-Graduação em Nutrição em Saúde Pública da Faculdade de Saúde Pública da USP. Valéria Troncoso Baltar Estatístico. Mestre em Estatística, doutora em Epidemiologia e pós-doutoranda pelo Programa de Pós-Graduação em Nutrição em Saúde Pública da Faculdade de Saúde Pública da USP. Conteúdo 1. Inquérito de Saúde de São Paulo (ISA)......................................................................................... 7 2. ISA ‐ Capital 2008 – Consumo Alimentar ...................................................................................... 8 2.1 Amostragem ............................................................................................................................ 8 2.2 Fluxograma das etapas ........................................................................................................... 9 3. Coleta de dados .......................................................................................................................... 12 3.1 Cadastro dos participantes ................................................................................................... 12 3.2 Convite e agendamento dos participantes (ligação de 1º contato) ..................................... 13 3.3 Recordatório de 24 horas (R24h) .......................................................................................... 14 3.3.1 R24h ‐ 1ª medida ........................................................................................................... 15 3.3.2 R24h ‐ 2ª medida ........................................................................................................... 16 3.3.3 Críticas no R24h ............................................................................................................. 17 3.3.4 Digitação dos R24h no NDS ............................................................................................ 18 3.4 Questionário de Frequência Alimentar (QFA) ...................................................................... 20 3.5 Coleta de sangue, dados antropométricos e pressão arterial .............................................. 20 3.6 Processamento e análises laboratoriais ............................................................................... 22 4. Processamento e análise de dados ......................................................................................... 24 4.1 Consistência dos dados dietéticos ........................................................................................ 24 4.1.1 R24h ............................................................................................................................... 24 4.1.2 QFA ................................................................................................................................. 25 4.2 Consistência dos dados bioquímicos e antropométricos ..................................................... 26 5. Bibliografia .................................................................................................................................. 28 ANEXOS ........................................................................................................................................... 31 Anexo 1 – Questionário estruturado do ISA ................................................................................... 32 Anexo 2 – Roteiros de Convite e Agendamento ............................................................................. 71 Grupo de Pesquisa de Avaliação do Consumo Alimentar Faculdade de Saúde Pública da Universidade de São Paulo Anexo 3 – Modelo de Ficha de R24h .............................................................................................. 73 Anexo 4 – Manual para treinamento e padronização do preenchimento do Recordatório de 24 horas (R24h) .................................................................................................................................... 75 Anexo 5 – Manual para a aplicação de R24h pelo telefone utilizando o método Multiple‐Pass do NDS‐R .............................................................................................................................................. 94 Anexo 6 – Manual de críticas de Inquéritos Alimentares ............................................................. 108 Anexo 7 – Padrão de digitação – Lista de alimentos .................................................................... 135 Anexo 8 – Modelo de QFA ............................................................................................................ 163 Anexo 9 ‐ Termo de Consentimento Livre e Esclarecido (TCLE) ................................................... 167 Anexo 10 – Procedimentos para a coleta de sangue .................................................................... 169 Anexo 11 – Ficha de controle da coleta domiciliar ....................................................................... 172 Anexo 12 – Procedimento para antropometria e aferição de pressão arterial ............................ 173 Anexo 13 ‐ Protocolo de Recebimento e Processamento das Amostras de Sangue no Laboratório ...................................................................................................................................................... 178 Anexo 14 – Carta com os resultados dos exames ......................................................................... 182 Anexo 15 – Carta de agradecimento à participação ..................................................................... 183 Anexo 16 – Supervisão do R24h ................................................................................................... 184 Anexo 17 – Supervisão da coleta de QFA ..................................................................................... 192 Anexo 18 – Supervisão dos dados bioquímicos ............................................................................ 193 Anexo 19 – Relatório de supervisão de dados bioquímicos ......................................................... 196 Anexo 20 – Relatório de supervisão de dados antropométricos .................................................. 197 Grupo de Pesquisa
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