Verônica Cortez Ginani

Purpose: To identify challenges faced by people with celiac disease (CD) in religious practices and discuss implications for gluten-free diet (GFD) management and religious inclusion following the question: What evidence is available regarding the challenges faced by CD people during religious practices involving potential gluten exposure across different religious traditions?. Methods: A scoping review complemented by documentary research was conducted across major electronic databases, official documents, doctrinal statements, liturgical guidelines, and information from recognized religious organizations to characterize food-related religious practices and potential gluten exposure. Results: Among the 20 religions with the largest number of practitioners, two involve ingesting gluten-containing products. Together, these religions have more than 2.4 billion followers, indicating that many CD individuals may face challenges during religious rites with potential gluten exposure. Twelve studies published between 1982 and 2024 described religion-related challenges CD people experience. Religious practices may affect GFD adherence, leading some CD individuals to modify or avoid rituals involving gluten. Conclusion: Religious practices may represent an underrecognized source of gluten exposure and an important psychosocial challenge for CD people. Greater awareness among healthcare professionals and religious communities, with safe and inclusive alternatives, may improve treatment adherence and participation in religious life while respecting religious traditions.

Objective: This study aimed to assess food literacy (FL) among early childhood education teachers in the Federal District/Brazil. Methods: This cross-sectional study used the Short Food Literacy Questionnaire (SFLQ-Br) and sociodemographic and professional questions administered to 203 teachers via online dissemination. Results: Participants were predominantly women (98%), aged 40–49 years (39.4%), with higher education in Pedagogy (76.4%) and postgraduate qualifications (67.5%). Over half (53.2%) had not attended courses in Food and Nutrition (F&N), although 75.9% reported familiarity with the Brazilian Dietary Guidelines. The mean FL score was 36.46 ± 7.74. Higher FL was associated with employment by Civil Society Organisations rather than by government, higher academic qualifications, and participation in more than 6 health or F&N courses ( p < 0.001). Conclusion: These variables associated with food literacy scores indicate stronger functional and relational FL dimensions, while revealing gaps in initial and continuing teacher education.

The relationship between food and sustainability has gained increasing visibility, particularly considering environmental management, the scarcity of natural resources, and the persistence of global undernourishment

To assess food safety conditions among family farmers supplying the National School Feeding Program (PNAE) in the Federal District, Brazil. This exploratory mixed-methods study was subdivided into two main phases: (i) samples of fruits, vegetables, water, soil, and farmers’ feces were analyzed microbiologically and/or parasitologically across nine properties; (ii) sociodemographic and Good Agricultural Practices (GAP) questionnaires were administered, followed by semi-structured interviews to evaluate their perceptions of food safety. Participants were males (100%), of mixed race (88.9%), aged 41–50 years (44.4%), with secondary education (33.3%), and an income between USD 1000 and USD 2000 (33.3%). Samples from food (n = 162), water (n = 18), soil (n = 90), and feces (n = 6) were analyzed. All fruit and vegetable samples, and 83.3% of water samples exceeded acceptable limits for at least one of the microorganisms analyzed. 86.7% of the soil samples showed high levels of contamination. Parasitic contamination was detected in 50.6% of the fruit and vegetable samples, in 63.3% of the soil samples, and in none of the water samples. Most farms used deep or artesian wells (77.7%) and non-connected septic pits (77.7%). Organic fertilization predominated (88.8%), with chemical fertilizers occasionally used (11.2%). Farmers demonstrated strong environmental awareness but limited technical knowledge of food safety. Results indicate persistent vulnerability despite ethical and ecological commitment. Continuous training and stronger public policies are essential to enhance GAP adherence, ensure food microbiological safety, and sustain PNAE objectives.

Recent studies have revealed a specific relationship between gut bacteria and inflammatory skin profiles. We aimed to perform a species-level comparative metagenomic analysis of the gut microbiome in patients with psoriasis, hidradenitis suppurativa (HS), and pemphigus foliaceus (PF). We included omnivorous nonsmokers and nondrinkers with psoriasis (n = 24), HS (n = 10), and PF (n = 11), as well as healthy controls (n = 10). We collected faecal samples from all patients for classic parasitological analysis. Gut microbiome analysis was conducted using shotgun next-generation sequencing. We used the Deseq2, Limma_voom, LinDA, and MaAMaAsLin 2 bioinformatics tools to evaluate concordance and differential abundance between patients. Thirteen patients (23.64%) were diagnosed with active intestinal parasitosis. The presence of intestinal parasitosis was significantly related to immunosuppression (p = 0.009). The most abundant microorganism species found in the faeces of the patients evaluated was Escherichia coli. Psoriasis patients presented a greater abundance of bacteria from the Veillonellaceae family, whereas PF patients presented a greater abundance of Firmicutes bacteria. Patients with PF showed increased E. coli virulence and antibiotic resistance functional markers. Immunosuppression significantly influenced the presence of intestinal parasitosis as well as increased the virulence of functional markers in patients with PF receiving systemic corticosteroid therapy.

The One Health framework highlights the interconnectedness of human, animal, and environmental health, requiring interdisciplinary and multisectoral collaboration to address complex global health challenges. This scoping review protocol aims to guide the systematic mapping on how studies and policy initiatives have incorporated socioecological interconnections within the One Health paradigm, following the Joanna Briggs Institute guidance and the PRISMA Scr checklist. The experimental design includes searches in PubMed, Scopus, Web of Science, LILACS, Health Systems Evidence, Social Systems Evidence, and Google Scholar for the period from 2004 to 2025. The strategy, developed with librarian support and peer reviewed, includes terms in English, Portuguese, and Spanish. Pilot searches retrieved 5333 PubMed and 470 LILACS records. Eligible documents must explicitly present two or more of the six One Health dimensions: policies to strengthen health systems; antimicrobial resistance; food safety; environmental health; emerging and re-emerging zoonotic epidemics and pandemics; endemic zoonotic, neglected tropical and vector-borne diseases. A standardized tool was developed for data extraction, synthesizing in narrative, tabular, and graphical formats. The protocol’s utilization will provide comprehensive mapping of practices and policies, identifying achievements, barriers, and knowledge gaps to inform future strategies and strengthen global health governance.

Background: Digital technologies are increasingly being used to promote effective health interventions in the older adult population. This study aimed to develop and validate instant messages with educational content related to glycemic control, delivered via an instant messaging application, as a type 2 DM control strategy for older adults. Methods: This was a methodological study that developed instant messages containing text and images. The validation process was conducted by a panel of experts composed of nursing, nutrition, and physical education professionals. SPSS version 25.0 was used for the statistical analysis. A CVI was used to measure the experts’ agreement regarding the validity of the content of the educational messages. An exact test of binomial distribution with p > 0.05, indicating statistical significance, and a 0.95 proportion of agreement was used to estimate the statistical reliability of the CVI. Results: Sixty-one text messages were prepared with illustrations as support, and were divided into three themes. The educational messages were validated by experts, with an average CVI score above 0.80 for all indicators. Conclusions: The educational messages developed in this study were considered relevant and clear for older adults and could be applied in the digital environment, with the objective of helping older adults manage type 2 DM.

The District Food and Nutrition Policy was approved in 2021 with the aim of improving the food, nutrition and health of the population of the Federal District (Brazil’s capital). This study evaluates the perception of the health professionals of the Working Group (WG) involved in the formulation of the policy on the actions necessary for its implementation. This is an exploratory, qualitative study which analyzed the responses of 11 nutritionists from the WG to a questionnaire. The textual corpus was submitted to content analysis using the IRAMUTEQ software. Results highlighted the need for management support, financial and human resources, as well as intersectoral action. Social control was pointed out as a limiting factor in the efficient implementation of the policy. Thus, the WG's vision made it possible to identify priorities that will serve as a basis for supporting the implementation of concrete improvements in food and nutrition policy.