Building training capacity for addressing the obesity epidemic in the Americas June 6th 2013
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Transcript of Building training capacity for addressing the obesity epidemic in the Americas June 6th 2013
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Building training capacity for addressing the obesity epidemic
in the Americas
June 6th 2013
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Presentation outline
1. Obesity and overweight profile in Brazil
2. The role of CAPES and CNPq agencies
3. Important indicators of the Brazilian science
4. Building training capacity in nutrition/obesity
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Part I
Obesity and overweight profile in Brazil
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Brazilian Nutritional Scenario
National surveys since (1970, 1980, 1990, 2003, 2006 & 2009)
ENDEF 1974-75; PNSN 1989; PNDS 1996 e 2006; POF 2008-2009; VIGITEL 2006 a 2009.
Overweight
Undernutrition
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Déficit de altura para a idade
Excesso de peso Déficit de peso para a idade
0
2
4
6
8
10
12
14
16
13.4
7.3
2.5
6.8 7.4
1.6
19962006
Stunting wasting overweight
Nutritional status – children under 5 years Demographic Health Survey (DHS, 1996-
2006)
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Trends of overweight – children and adolescents
(1974 – 2009)Children 5 to 9 years Adolescents
Stunting ObesityOverweight
boys girls boys girls boys girls
Overweight ObesityUndernutritionboys girls boys girls boys girls
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Trends of overweight and obesity among adults (1974 – 2009)
Undernutrition Overweight Obesity
Male Female Male Female Male Female
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masculino feminino total masculino feminino totalexcesso de peso obesidade
47.2
38.542.7
11.4 11.4 11.4
52.144.3
48.1
14.4 15.5 15
2006 2007 2008 2009 2010
Obesity and excessive weight (>= 18years) Vigitel 2006-2010.
Excessive weight: average population increase 1.08%/yrObesity: average population increase 0.72%/yr
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Prevalence of overweight and obesity – beneficiaries from “Bolsa Família” Brazilian cash transfer program
(Brasil - SISVAN, 2010)
Meninas Meninos Meninas Meninos Feminino FemininoMenores de 5 anos 5 a 9 anos Adolescentes Adultos
16.2 18.1
23.527.2
17.3
45.0
8.1 9.5 9.913.0
4.0
15.7
Excesso de peso Obesidade
girls boys girls boys female femaleUnder 5 years 5 – 9 years adolescents adults
overweight obesity
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Part II
The role of CAPES and CNPq agencies
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Capes
is a foundation linked to the Ministry of Education whose mission is to build capacity in higher education and support the training and development of teachers of Basic Education
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Main actions/mission
• Evaluation of the Brazilian Post Graduate system
• Fostering human resources qualification of high level in Brazil and abroad
• Initial and continuing training of Basic Education Teachers
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Main actions/mission
• Promotion of international scientific cooperation/internationalization
• Access and dissemination of scientific information: Journals Portal
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CNPq – National Council of scientific and technology development
Mission: Focused on research and scientists funding
• To promote the development of scientific and technologic research on all knowledge areas
• To promote and foment technologic innovation
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CNPq – National Council of scientific and technology development
• To promote agreements, protocols, programs and interchange projects of technology among public and private, national and international institutions
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Part III
Important indicators of the Brazilian science
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CAPES – Brazilian Coordination Body for the Training of University Level
Personnel
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Capes Geo system
1. Provides information on selected indicators year by year
2. http://geocapes.capes.gov.br/geocapesds/
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Coordination of personnel for graduate studies – CAPES indicators
1. Number of post graduate scholarships (master and doctoral)
2. Number of post graduate programs
3. Number of professors of post graduate programs
4. Number of post graduate students
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Concepts
• A program includes both a master and a doctoral
• A course includes only a master
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CNPq – National Council of scientific and technology development
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Brazil’s scientific trends
Dados ISI Web of Science cu=Brazil AND Document Type=(Article)
0,6% da prod. global
2% da prod. global
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Scientific Production 2010All areas
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Medicine 2010All categories
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34
Scientific Production 2010
6
Parasitology Dentistry
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Beauchesne scientific collaboration map
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11,4 mil doutores titulados em 2009
38,8 mil mestres* titulados em 2009
Masters and PhD degrees granted by Brazilian institutions
38,800 masters in 2009
11,4 mil Phd’s in 2009
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Investigators per million inhabitants
Baseado em dados do UNESCO Report, 2010
20022007
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A low researcher per labor force ratio
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Scientific specialization, 2008
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Phd frequency and and HDI. Brazilian states
Dados de 2005
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Part IV
Building training capacity in nutrition
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How to evaluate capacity building
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Indicators and sources
1. Number of post graduate programs in nutrition in Brazil
1.1 how many we are (map)1.2 how we are distributed across the country
2.1 CAPES thesis database
2.1.1 Number of thesis on obesity (1987-2012)
2.1.2 Number of thesis on childhood obesity (1987-2012)
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Indicators/sources
2.1 CAPES thesis database
2.1.3 Number of dissertations on obesity (1987-2012)
2.1.4 Number of dissertations on childhood obesity (1987-2012)
3. Disciplines on obesity or correlated areas
4. Research lines and projects on obesity or correlated areas
5. Publications
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Number of graduate programs in nutrition, how many we are and
how we are distributed
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Decade 70 – 1 Program
UFPE (1971)
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Decade 80 – 2 Programs
UFPE (1971)
UFRJ (1985)
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Decade 90 – 5 programs
UFPE (1971)
UFRJ (1985)
UFPB (1995)
USP (1991)
UNIFESP (1991)
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Decade 2000 (until 2006) – 11 Programs
UFPE (1971)
UFRJ (1985)
UFPB (1995)
USP (1991)UNIFESP (1991)
UNB (2000)UFV (2001)
UFSC (2002)
UFRN (2001)
UFBA (2005)
UFAL (2005)
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Decade 2000 (until 2008) – 15 Programs
UFG (2008)
UFPE (2008)(Campus Avançado)
UERJ (2007)
UFMT (2008)
UFPE (1971)
UFRJ (1985)
UFPB (1995)
USP (1991)UNIFESP (1991)
UNB (2000)UFV (2001)
UFSC (2002)
UFRN (2001)
UFBA (2005)
UFAL (2005)
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Decade 2000 (until 2009) – 17 Programs
UFPEL
UFOPUFG
UFPE(Campus Avançado)
UERJ
UFMT
UFPE (1971)
UFRJ (1985)
UFPB (1995)
USP (1991)UNIFESP (1991)
UNB (2000)UFV (2001)
UFSC (2002)
UFRN (2001)
UFBA (2005)
UFAL (2005)
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23 graduate programs (2013)
UFMG
UFPR
UFRN
UFPEL
UFOPUFG
UFPE(Campus Avançado)
UERJ
UFMT
UFPE (1971)
UFRJ (1985)
UFPB (1995)
USP (1991)UNIFESP (1991)
UNB (2000)UFV (2001)
UFSC (2002)
UFRN (2001)
UFBA (2005)
UFAL (2005)
UECE
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Comments
1. History of graduate programs in Brazil1. First master course was inaugurated only in 19712. Second course opened only in 1985 (14 years apart)
2. Recent increase on the number of programs (from 2000 on)
3. Network among coordinators
4. New area in CAPES. Very important issue
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Number of professors, thesis, dissertations and papers according
programs
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Total number of professors
181
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Total number of thesis
154
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Total number of dissertations
670
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CAPES thesis database
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Masters dissertations
• Nutrition
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Masters dissertations
• Obesity
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CAPES thesis database (examples of master’s dissertations on
obesity)
1. Evaluation of markers of inflammation and vitamin in obese patients with and without bariatric surgery indication.
2. The influence of obesity and body fat location in cardiovascular risk factors among adolescents in the central region in Juiz de Fora.
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Masters dissertations
• Childhood obesity
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CAPES thesis database (examples)
1. The exclusive breastfeeding until 6 months, as a protective factor in the development of childhood obesity;
2. Childhood Obesity: Prevalence, Environmental Influences, Metabolic Alterations and Quality of Life in School from Pontal do Araguaia
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Doctorate thesis
• Nutrition
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Doctorate thesis
• Obesity
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CAPES thesis database (examples)
1. Relationship between physical activity and nutritional status and biochemical markers in adolescents from public schools in Piracicaba, São Paulo;
2. Overweight and Metabolic Syndrome in teens: prevalence and associated factors
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Doctorate thesis
• Childhood obesity
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CAPES thesis database (examples)
1. Study of body image, stress and food preferences in adolescents and their caregivers;
2. Effect of nutrition education based on the adequacy of the portioning of food, change in body composition in obese adolescents treated in an outpatient clinic.
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Disciplines tought
1. Nutritional epidemiology
2. Nutrition and health in different life cycles
3. Genetics of obesity
4. Obesity across the life-course
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Research lines
1. Epidemiology of nutritional problems
2. Descriptive epidemiology of health, food and nutritional problems
3. Nutrition epidemiology
4. Epidemiology of the nutritional problems
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Projetcs
1. Metabolic Syndrome and Childhood Obesity
2. Eating and Nutritional Disorders: the Polarization Between the New and the Old Evils in the Context of the Epidemiological Transition
3. Fatty acid concentrations during pregnancy and excessive weight gain
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Programs - Bibliographic production
• Ten-year increase in the prevalence of obesity and reduction of fat intake in brazilian women 35 years and older. Journal of Epidemiology and Community Health (1979), V. 64, 3, 252-254
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Programs - Bibliographic production
• Short stature of mothers from an area endemic for undernutrition is associated with obesity, hypertension and stunted children: a population-based study in the semi-arid region of Alagoas, Northeast Brazil. British Journal of Nutrition. 12-18.
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Programs - Bibliographic production
• Perinatal undernutrition-induced obesity is independent of the developmental programming of feeding. Physiology & Behavior. 96:481-492
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Developing leadership programs
• A comprehensive approach to capacity building is required.
– This needs to recognise the importance of workforce development,
– Leadership development – Academic institutional strengthening– Organisational development and partnerships
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Developing leadership programs
• There is merit in developing international competency standards specific to public health nutrition workforce development that recognise different workforce tiers (frontline, manager, specialist) and different practice contexts (under- and overnutrition).
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Developing leadership programs
• There is considerable overlap in the competencies needed by a public health nutritionist in dealing with over- or under nutrition. A core set of competencies are equally valid in either setting, with different emphases depending on the context.
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Profile of potential lidearships
• Broad vision of nutrition (there is no need to be a specialist on all aspects on nutrition, but know well the complex determination)
• Sense of opportunity,
• Capacity of dialogue with several fields of kwnoledge (scientific, popular and traditional)
• Ability to connect the different stakeholders
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Conclusions1. Overweight and obesity are important epidemiologic
problems in Brazil
2. Brazilian agencies such as Capes and Cnpq play a very important role on the recent positive trends of indicators such as number of masters and phds granted, scientific papers published, grants and others
3. There is a lack of a program of leadership on capacity building either on nutrition or obesity
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Gilberto Kac Professor Titular
Observatório de Epidemiologia Nutricional
Universidade Federal do Rio de Janeiro