Objetivos: analisar os fatores que influenciam a gestão municipal do Programa Nacional de Alimentação Escolar (PNAE) em municípios goianos. Métodos: Estudo transversal realizado em 33 municípios do estado de Goiás em 2018. Os dados foram coletados por pesquisadores treinados através da aplicação de um questionário semiestruturado in loco com os gestores municipais do PNAE. Foi utilizada uma matriz avaliativa validada, composta por duas dimensões (político organizacional e técnico operacional), com três subdimensões em cada uma e um total de 22 indicadores. As associações foram testadas utilizando a correlação de Spearman (rs), com um nível de significância de p<0.05. Resultados: Em 69,7% dos municípios, a gestão do PNAE foi avaliada como “ruim”. Destaca-se que a subdimensão “recursos” apresentou uma correlação positiva com a atuação intersetorial (rs= 0,669; p < 0,01), monitoramento alimentar e nutricional (rs=0,509; p<0,05) e atuação pedagógica (rs=0,539; p < 0,01). Além disso, a “atuação intersetorial” mostrou-se associada ao controle social (rs=0,427; p<0,05), monitoramento alimentar e nutricional (rs=0,502; p<0,01) e atuação pedagógica (rs=0,539; p<0,01). Conclusão: A maioria dos municípios avaliados enfrenta desafios na gestão do PNAE, principalmente no que diz respeito aos recursos humanos, financeiros, atuação intersetorial e pedagógica. Ressalta-se a necessidade de melhorias desses fatores para o aprimoramento deste Programa importante na alimentação e saúde dos escolares.

To evaluate differences in dietary habits among women with breast cancer versus healthy controls. We conducted a case-control study with 160 women with and without cancer, pairing 1:1. Socio-demographic variables and food consumption were investigated through three food recalls, which was corrected for energy variation using the residual method. Data analysis was performed using Kolmogorov- Smirnov, Student's t, Mann-Whitney/Wilcoxon Two-Sample tests and calculating odds ratios with level of significance of p<0.05. The majority (87.5%) of women with breast cancer did not follow dietary recommendations. Women with breast cancer (cases) had higher odds of not following dietary recommendations compared to controls (OR= 3.37, 95%CI= 1.50-7.58, p= 0.004). Regarding consumption of micro and macronutrients, breast cancer patients had increased odds of insufficient vitamin A intake compared to controls (OR= 2.46, 95%CI= 1.19-5.05, p<0.01). The results suggest the women with breast cancer are more likely to not follow dietary recommendation and have insufficient consumption of vitamin A compared to women without breast cancer.

Hemoglobin levels play an important role in oxygen delivery to skeletal muscle, and reduced levels may impair muscle function and contribute to sarcopenia, particularly in patients with cancer. The aim of the present study was to evaluate the influence of hemoglobin levels on muscle mass and function in patients with digestive tract cancer. Methods: Patients of both sexes aged up to seventy years with cancers of the digestive system undergoing surgical and clinical treatment at an oncology referral center were included. Hemoglobin levels were assessed using a blood count, and the risk of sarcopenia was estimated using the Mini Sarcopenia Risk Assessment (MSRA). A total of 82 patients were evaluated, with a mean age of 55.4 years. Colon cancer was the most prevalent (41.6%), followed by rectal (18.3%) and stomach (14.6%) cancers. The risk of sarcopenia was estimated at 85.4%, and the prevalence of low hemoglobin levels was 71.9%; 35.4% of patients presented moderate hemoglobin depletion. Hemoglobin levels showed a moderate correlation with gait speed and a slight correlation with calf circumference, handgrip strength, and MSRA score. In conclusion, the risk of sarcopenia and low hemoglobin levels are present in patients with digestive tract cancer. Additionally, hemoglobin levels positively correlate with indicators of muscle function and the risk of sarcopenia.