Browsing by Author "Costa, A."
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- Developing a Training Programme in Health Impact Assessment (HIA) in PortugalPublication . Costa, A.; Costa, L.; Gulis, G.; Nowacki, J.; Caldas de Almeida, T.Objectives: To build technical expertise and capacity to assessand evaluate policies, plans, programs and projects using HIA methodology; To develop a HIA toolkit,validated for usein Portuguese contexto based on national case studies.
- earlyMYCO – a mother & child cohort in PortugalPublication . Assunção, Ricardo; Martins, Carla; Costa, A.; Serrano, D.; De Boevre, Marthe; Vidal, A.; De Saeger, Sarah; Alvito, Paula; Vidigal, C.; Almeida, E.; Nunes, C.Background: Early-life exposure occurs during gestation through transfer of toxic substances present in the maternal diet to the fetus and later on, during lactation, through the breast milk. Food chemical contaminants as mycotoxins are well known carcinogenic, nephrotoxic, hepatotoxic and immunosuppressive compounds. Recent human biomonitoring data revealed that Portuguese population is exposed to mycotoxins. These results emphasized the need for assessing the prenatal and lactation exposure to mycotoxins in a critical and vulnerable period of life. This study aims for the first time in Portugal to assess the early-life exposure to mycotoxins through a mother & child cohort, thus contributing to the knowledge of the exposome of Portuguese population. Methods: Participants are recruited in primary health care units in Lisbon (Portugal) during pregnancy (1st trimester). Four moments of observation are expected within this study: 2nd trimester of pregnancy (mother), and 1st week of life, 1st month of life, 6th month (mother & child). Each moment includes the collection of biological samples (blood, urine, breast milk) and the application of sociodemographic and food consumption questionnaires. Biological samples will be analyzed by liquid chromatography with detection by mass spectrometry for the detection and quantification of 45 mycotoxins’ biomarkers. Results: Data presented include results of mycotoxins’ biomarkers from 12 participants for blood and urine samples. Results obtained will be used to estimate the probable daily intake of each mycotoxin, to perform risk characterization and estimate the burden associated with this exposure. Conclusions: It is expected that results obtained within earlyMYCO will contribute to have a deeper knowledge on exposure of vulnerable population groups (pregnant women and infants) and to understand the impact of early-life exposure to mycotoxins. The biobank will be available for further research and future studies will be developed in order to have a broader knowledge on the exposome of Portuguese population.
- earlyMYCO – a mother & child pilot study to assess early-life exposure to mycotoxins in PortugalPublication . Martins, C.; Assunção, R.; Costa, A.; Serrano, D.; Namorado, S.; Vidigal, C.; Almeida, E.; Alvito, P.; Nunes, C.Early-life exposure occurs during gestation through transfer of toxic substances present in the maternal diet to the fetus and later during lactation, through the breast milk. Mycotoxins are well known carcinogenic, nephrotoxic, hepatotoxic, and immunosuppressive food chemical contaminants. Recently, human biomonitoring data revealed that Portuguese population is exposed to mycotoxins. These results emphasized the need for assessing the prenatal and lactation exposure to mycotoxins in a vulnerable period of life. The earlyMYCO project (PTDC/MED-TOX/28762/2017) aimed, for the first time, to develop and implement a pilot study to assess the early-life exposure to mycotoxins through a mother & child cohort, and to identify the associated challenges, thus contributing to the development of future studies and to the knowledge of the exposome of Portuguese population. Participants were recruited in primary health care units in Lisbon (Portugal) during pregnancy (1st trimester) and followed-up in three moments of observation: 2nd trimester of pregnancy (mother), and 1st and 6th months of the child’s life (mother & child), with the collection of biological samples (blood, urine, breast milk) and the application of sociodemographic and food consumption questionnaires (food frequency and 24h dietary recall). All the participants of the earlyMYCO pilot study (n = 19) reported more than nine years of education, with 37% reporting 10- 12 years and 63% reporting more than 12 years. Regarding the household monthly income, 42% reported a monthly income above 1941€, with most of participants (95%) being workers for remuneration or profit. Dairy products, bread, tea, and coffee were reported as the food items with higher frequency of consumption. The 24h dietary recall questionnaires confirmed these results. Detailed analysis of the data gathered allowed also to highlight the high consumption of meat, fish and vegetables. Regarding infants, 22% were fed with infant formula and 78% were exclusively breastfed. It is expected that results obtained within earlyMYCO pilot study will contribute to a deeper knowledge on exposure of vulnerable population groups (pregnant women and infants) and to the understanding of the impact of early-life exposure to mycotoxins.
- Estudo-piloto de Health Impact Assessment sobre os possíveis efeitos da redução do sal no pão na doença cardiovascularPublication . Costa, L.; Costa, A.; Braz, P.; Santos, J.; Santos, M.; Brazão, R.; Guerreiro, A.; Lopes, I.; Alves, J.; Caldas de Almeida, T.As doenças cardiovasculares (DCV) representam atualmente uma das principais causas de morte em Portugal, sendo o consumo excessivo de sal um dos fatores de risco. A redução do consumo de sal é considerada uma das melhores abordagens (best buys) para a prevenção destas doenças. Considerando que o pão é um dos principais alimentos que contribuem para a ingestão de sal pela população portuguesa, foi assinado em outubro de 2017, um protocolo entre a Direção-Geral da Saúde, o Instituto Nacional de Saúde Doutor Ricardo Jorge e as Associações dos Industriais da Panificação, Pastelaria e Similares, com o objetivo de reduzir o teor de sal no pão. Este protocolo foi escolhido para a realização de um estudo piloto utilizando a metodologia de Health Impact Assessment (HIA). O HIA combina procedimentos e métodos que permitem analisar os potenciais impactes de projetos, programas ou políticas, na saúde da população e sua distribuição. Objetivo: Desenvolver um estudo piloto de HIA para avaliar o possível impacte nas DCV da população portuguesa resultante da redução do sal adicionado ao pão, de acordo com as metas estabelecidas no referido protocolo.
- Health Impact Assessment: Uma Ferramenta de Apoio à Adoção de Políticas Saudáveis na Área da AlimentaçãoPublication . Costa, L.; Costa, A.; Braz, P.; Santos, J.; Santos, M.; Assunção, R.; Brazão, R.; Guerreiro, A.; Lopes, I.; Alves, J .; Caldas Almeida, T .Introdução: O Health Impact Assessment (HIA) combina procedimentos e métodos que avaliam potenciais impactes de projetos, programas ou politicas na saúde e a sua distribuição nas populações. Visa informar e melhorar o processo de tomada de decisão baseada na melhor evidência disponível. Devidamente integrado nos processos de planeamento estratégico, o HIA pode contribuir para a implementação de “Políticas Saudáveis”, tal como definido num dos quatro eixos do Plano Nacional de Saúde. É, assim, um instrumento importante para a concretização de uma abordagem integrada da Saúde em todas as políticas. Objetivo: Desenvolver competências técnicas na área do HIA numa perspetiva de learning by doing, através da capacitação de profissionais de saúde e de outros setores.
- Health literacy: a tool for health promotionPublication . Costa, A.; Saboga-Nunes, L.; Costa, L.Objective: Assess the HL level of a Portuguese sample using the HLS-EU methodology, and compare it with the results published by the HLS-EU Consortium.
- Knowledge and attitude towards the gradual reduction of salt in bread – an online surveyPublication . Costa, A.; Costa, L.; Santos, J.; Braz, P.; Santos, M.; Brazão, R.; Lopes, I.; Guerreiro, A.; Alves, J.; Caldas Almeida, T.Aim: Assess knowledge and attitude towards the gradual reduction of salt in bread and the potential impact on eating habits of children (6-18 years) and their families, as part as a Health Impact Assessment pilot study.
- Learning by doing: a HIA study on bread salt reduction and its effects on cardiovascular diseasePublication . Costa, L.; Coelho, M.; Assunção, R.; Braz, P.; Costa, A.; Santos, J.; Brazão, R.; Guerreiro, A.; Lopes, I.; Caldas Almeida, T.Pilot study objectives: To evaluate the impact of salt reduction in bread on cardiovascular diseases in the Portuguese population, according to the goals established in the protocol signed between the Directorate-General for Health (DGS), the National Institute of Health Doutor Ricardo Jorge (INSA) and bakeries associations.
- Meeting in Vienna 30 years after Ottawa: QuoVadis health promotion?Publication . Saboga-Nunes, L.A.; Costa, A.; de Pádua, F.; von Amann, G.; Figueiras, M.J.; Carvalho, G.S.; Martins, R.; Caldas-Almeida, T.; Stock, C.; Milczarski, A.; Assis, N.; Ferreira, M.; Santos, B.; Cabral, M.; Pinho, M.; Costa, L .Objetives: - To explore the opinions of health promotion researchers and practitioners on the current relevance of health promotion principles: - To study how the Ottawa Charter and Health Promotion concepts and practices have been applied; - To answer the questions: Is the Charter known and still relevant in today’s context? ; Where does Health Promotion stand?
- Roadmap for implementation of genomics in healthcare: towards equity in access to genomicsPublication . Lopes, M.F.; Costa, A.; Cardoso, M.L.; Custers, I.; Merchant, A.; Konopko, M.; Scollen, S.; Vicente, A. M.As atividades do WP5 do projeto B1MG resultaram num documento intitulado "A Roadmap for genomics in healthcare", que se constitui como um guia e suporte para os sistemas de saúde que pretendam implementar a genómica nos cuidados de saúde, facilitando a utilização do Maturity Level Model e providenciando acesso a guidelines e documentos desenvolvidos no âmbito de outras iniciativas de medicina personalisada. Este poster apresenta o contexto, as atividades e os pontos essenciais que constituem o roadmap.