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BEPA. Boletim Epidemiológico Paulista (Online)

On-line version ISSN 1806-4272

BEPA, Bol. epidemiol. paul. (Online) vol.10 no.110 São Paulo Feb. 2013



Children nutritional status, microbiological conditions of food, handler and water of kids educational center in São Paulo municipality


Sula de Camargo; Maria de Fátima Costa Pires (Orientadora)

Programa de Pós-Graduação em Ciências da Coordenadoria de Controle de Doenças – Secretaria de Estado da Saúde de São Paulo – Brasil – 2011

RESUME: Meal sites of the Children’s Education Centers (CEI) must assure balanced meals, from the nutritional point of view and also offer meals that are safe from the hygienic aspects. Concern is greater since in the first years of life there is greater vulnerability to infectious and nutritional hazards. The objective of this study was to evaluate the conditions of the kitchens and similar areas as well as analyzing microbiological conditions of the hands of personnel in charge of handling food items and water of the CEIS and also to assess the nutritional state of children up to two years of age attending the CEI as study sites. In order to analyze the kitchen was performed according to a check list made in compliance to the law. Methodologies employed for the microbiological analysis were adopted in compliance to the Codex Alimentarius: International Commission on Microbiological Specifications for Foods; Compendium of Methods for the Microbiological Examination of Foods; Standard Methods for the Examination of Dairy Products/APHA; Bacteriological Analytical Manual of the FDA/AOAC and internationally adopted methodologies, according to the Resolution – RDC n.12, dated January, 2nd, 2001. Evaluation of the nutritional state was performed in 122 children, employing the analysis of score z of anthropometric indexes, employing population references of WHO (2006). Kitchen inadequacies were at least 40% for all CEI. All of them presented at least one contaminated food; the hands of all employees in charge of handling the food were contaminated, except for one. Regarding nutritional state of the children, 1,8% of deficit P/I was registered; 2,7% P/A and 5,4% A/I. Regarding overweight, 6,3% p/A (>+2) were registered. It was possible to see risk factors for food contamination, shedding light to the dubious nature of the safety of items offered to children up to two years of age attending these CEI. There are still children with nutritional deficits and the risk for obesity is not null.

KEYWORDS: Day care centers. Nutritional Evaluation. Food contamination. Food handling. Water microbiology.