Validação do Indicador de Qualidade para Cardápios da Alimentação Escolar

• Ano de defesa: 2016
• Autor(a) principal: Camargo, Rafaella Guimarães Moraes [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: School feeding; Quality index; Public policies; Food and nutrition programs; Food security policies; Alimentação escolar; Indicador de qualidade; Políticas públicas; Programas de alimentação e nutrição; Políticas de segurança alimentar
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=4015761; https://repositorio.unifesp.br/handle/11600/47761

The improvement quality of the school meals is a Food and Nutrition Security strategy seeing as the school is an environment that promotes healthy food habits. The Index of School Food Menu Quality - IQCAE was developed to help monitor the National School Food Program - PNAE. Menu planning must comply with the nutritional parameters and technical norms provided by PNAE's legislation. Compliance is necessary for promoting a healthy diet. However, valid instruments to assess menu quality have not yet been developed. Objective: To assess the reliability and validity of IQCAE. Methods: This methodological study used secondary data from the menu database created for the 2011 Prêmio Gestor Eficiente da Merenda Escolar (Brazilian Prize for School Meal Efficient Manager). The database consists of 2500 menus from 500 Brazilian municipalities. The following were assessed: (1) content validity by using the Delphi method to compare the IQCAE components with the result of a consensus of experts on healthy diet and quality index for school food menus; (2) construct validity by analyzing the association and agreement between the experts? opinions on menu quality and the scores generated by the index; (3) IQCAE reliability by inter-examiner assessment; and (4) analysis of the internal consistency of the items by calculating Pearson?s correlation coefficient between IQCAE's components and the final score. Results: Content analysis verified that the result of the experts' consensus on healthy eating in the school context agreed with the IQCAE components. The study of association (Pearson?s linear correlation coefficient below 0.82 in only two cases) and agreement (Kappa below 0.7 in only three cases) between expert assessment and IQCAE score index showed that the instrument has construct validity. Reliability was ratified by an inter-examiner agreement study (r= 0.94 ? 0,98). IQCAE components and the final score showed weak to strong correlations. The component meats and eggs correlated the most (r= 0.74), followed by vegetables, grains, and tubers (r= 0.73; r= 0.68; and r= 0.59; respectively). Four components presented an inverse correlation: dairy products (r= -0.34), meal compatible with time (r= 0.12), sausages and cured meats (r= 0.19), and sweets as dessert (r= 0.20). Conclusion: The Index of School Food Menu Quality showed characteristics of structural validity and reliability when used for assessing and monitoring the quality of Brazilian school feeding menus.