Joäo Breda
Dados Biográficos
| ID | 7550111 |
|---|---|
| NOME | Joäo Breda |
| PRENOMES | Joäo |
| SOBRENOME | Breda |
| ASSINATURA | BREDA J |
| AFILIAÇÕES | WHO Athens Quality of Care and Patient Safety Office, World Health Organization Regional Office for Europe |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 33 |
| TOTAL DE CITAÇÕES | 4 |
| TOTAL COMO AUTOR | 33 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2013 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
Building public health leadership
Objectives: To describe the pedagogical design and implementation of the WHO European Autumn School on Quality of Care and Patient Safety, characterize participant profiles, evaluate feedback and learning outcomes, and identify lessons for leadership capacity building for quality of care and patient safety. Methods: A descriptive analysis of the program's design was conducted across three annual editions. The 2023 edition described aims and found…
Strengthening medical education through health policy and management training
Background and objectives: Modern health systems require physicians to not only provide high-quality clinical care but also understand, navigate, and lead complex healthcare organizations. However, undergraduate medical education in Portugal remains predominantly focused on clinical skills, with minimal exposure to health policy and management (HPM). This study aimed to assess Portuguese medical students' exposure to, attitudes toward, and prefer…
From public healthcare centers to community pharmacies
The COVID-19 pandemic significantly altered how countries organize their vaccination strategies. The ongoing discussion now focuses on how these strategies can be integrated into routine vaccination programs. In this context, we illustrate how Portugal has incorporated influenza and COVID-19 vaccinations into community pharmacies in the aftermath of the pandemic. The Portuguese strategy for the 2023–2024 vaccination campaign was led by the Execut…
Patient-reported outcome measures in palliative care
Mental health and psychosocial support for asylum seekers and refugees in Greece
Over the past decade, Greece has received a high number of applications for international protection, creating an urgent need for comprehensive mental health and psychosocial support (MHPSS) systems for asylum seekers and refugees. Despite its central role in the European migration context, there is currently no synthesis of evidence on MHPSS for these populations, which limits the understanding of inequities in mental health outcomes and access …
Refocusing on the foundations
The World Health Organization (WHO) Regional Office for Europe and the United Nations Children's Fund (UNIICEF) Europe and Central Asia have jointly led the development process of a new strategy for children and adolescents in Europe - a healthy start for a healthy life - to guide evidence-based, future-oriented action across the Region. It was developed through a multi-step process, including a regional assessment, commissioned evidence reviews,…
Worldwide trends in underweight and obesity from 1990 to 2022
BACKGROUND: Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. METHODS: ). For school-aged children and adolescents, we report thinness (BMI 2 SD above the median). FINDINGS: From 1990 to 20…
Students' mental health during the pandemic
The current study reports that students are at high risk for depression during the COVID-19 pandemic and identified specific risk factors. It also suggested a role of believing in conspiracy theories. Further research is important, as it is targeted intervention in students' groups that are vulnerable both concerning mental health and conspiracism
Population-level salt intake in the WHO European Region in 2022
Objective: The WHO recommends that adults consume less than 5 g of salt per day to reduce the risk of CVD. This study aims to examine the average population daily salt intake in the fifty-three Member States of the WHO European Region. Design: A systematic review was conducted to examine the most up-to-date salt intake data for adults published between 2000 and 2022. Data were obtained from peer-reviewed and grey literature, WHO surveys and studi…
Exploring educational inequalities in hypertension control, salt knowledge and awareness, and patient advice
Objective: To inform strategies aimed at improving blood pressure (BP) control and reducing salt intake, we assessed educational inequalities in high blood pressure (HBP) awareness, treatment and control; physician’s advice on salt reduction; and salt knowledge, perceptions and consumption behaviours in Eastern Europe and Central Asia. Design: Data were collected in cross-sectional, population-based nationally representative surveys, using a mult…
Food, nutrition and diet in urban areas from low- and middle-income countries in the WHO European Region
An abstract is not available for this content. As you have access to this content, full HTML content is provided on this page. A PDF of this content is also available in through the ‘Save PDF’ action button
Projecting cardiovascular deaths averted due to trans fat policies in the Eurasian Economic Union
Objective: To demonstrate the potential impact on population health if policies designed to reduce population trans fatty acid (TFA) intake are successfully implemented in the Eurasian Economic Union (EAEU) in line with the WHO’s guidelines to lower intake of TFA as a percentage of total energy intake to less than 1 %. Design: A projection exercise was conducted to estimate reductions in CVD-related deaths in countries of the EAEU if TFA policies…
Nutritional Characterization of Street Food in Urban Turkmenistan, Central Asia
Objective Describing the availability and nutritional composition of the most commonly available street foods in Ashgabat , Turkmenistan. Methods One hundred sixty-one street food vending sites (six public markets) were assessed, through a collection of data on vending sites' characteristics and food availability, and samples of commonly available foods (21 homemade; 11 industrial), for chemical analysis. Results Fruit, beverages, and food other …
Consensus-building around the conceptualisation and implementation of sustainable healthy diets
The prioritised actions should be aimed at helping government policymakers promote sustainable healthy diets and make decisions on improving dietary patterns for citizens' health and wellbeing in line with the United Nations Sustainable Development Goals in the European Region
Barriers and Facilitators of Physical Activity Participation in Adolescent Girls
Background: Persistent low physical activity (PA) levels among adolescent girls constitute a public health concern that calls for immediate and evidence-based policy action. This systematic review (SR) aimed to summarize evidence from SRs examining the barriers and facilitators of PA participation in adolescent girls. The objectives were to provide a synthesis of the available evidence and identify key areas for fostering gender-responsive action…
Alcohol control policies in Former Soviet Union countries
Promoting health-enhancing physical activity in Europe
In the European Union (EU), the low levels of health-enhancing physical activity (HEPA) and high levels of sedentary behaviour are a concerning public health issue common to all Member States. In 2013, the Council of the EU recognized the need for more data related to HEPA to support policymaking across the region and proposed a monitoring framework that included 23 indicators covering different themes relevant to HEPA promotion in the EU context…
Degree of processing and nutritional value of children’s food products
Objective: This study aimed to characterise the availability, the nutritional composition and the processing degree of industrial foods for 0–36-month-old children according to the neighbourhoods affluence. Design: A cross-sectional exploratory study. Setting: All food products available in retail stores for children aged 0–36 months were analysed. Data collection took place in two neighbourhoods, comparing two different sociodemographic district…
Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories
BACKGROUND: Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. METHODS: For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease …
Prevalence of Physical Inactivity and Sedentary Behavior Among Adults in Armenia
Physical inactivity and sedentary behavior are risk factors for developing non-communicable diseases. This study analyzed current levels of physical inactivity and sedentary behaviors among the adult population of Armenia. Data were collected through a national STEPS survey of non-communicable diseases risk factors on a nationally-representative sample of 2,380 participants aged 18-69 years in Armenia in 2016. The Global Physical Activity Questio…
High sugar content of European commercial baby foods and proposed updates to existing recommendations
The aim was to determine whether commercial baby foods marketed within Europe (up to 36 months of age) have inappropriate formulation and high sugar content and to provide suggestions to update European regulations and recommendations as part of a nutrient profile model developed for this age group. The latter was produced following recommended World Health Organization (WHO) steps, including undertaking a rapid literature review. Packaging infor…
Towards better nutrition in Europe
This paper provides a snapshot of the implementation of the WHO European Food and Nutrition Action Plan 2015–2020 among Member States in the WHO European Region. The focus is on the level and degree of implementation of selected policies recommended in this regional framework to promote healthy nutrition and prevent diet related noncommunicable diseases including obesity. Data was gathered through online and off-line versions of the Global Nutrit…
Rising rural body-mass index is the main driver of the global obesity epidemic in adults
Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities 1,2 . This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity 3–6 . Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean B…
Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016
BACKGROUND: Underweight, overweight, and obesity in childhood and adolescence are associated with adverse health consequences throughout the life-course. Our aim was to estimate worldwide trends in mean body-mass index (BMI) and a comprehensive set of BMI categories that cover underweight to obesity in children and adolescents, and to compare trends with those of adults. METHODS: We pooled 2416 population-based studies with measurements of height…
Breastfeeding practices and policies in WHO European Region Member States
Objective To provide an update on current practices and policy development status concerning breastfeeding in the WHO European Region. Design National surveys and studies conducted by national health institutions were prioritized. Sub-national data were included where no national data or studies existed. Information on national breastfeeding policies was collected mainly from the WHO Seventh Meeting of Baby-Friendly Hospital Initiative Coordinato…
Towards better nutrition in Europe
This paper provides a snapshot of the implementation of the WHO European Food and Nutrition Action Plan 2015–2020 among Member States in the WHO European Region. The focus is on the level and degree of implementation of selected policies recommended in this regional framework to promote healthy nutrition and prevent diet related noncommunicable diseases including obesity. Data was gathered through online and off-line versions of the Global Nutrit…
Program Obesity Zero (POZ) – a community-based intervention to address overweight primary-school children from five Portuguese municipalities
Objective Results of the WHO European Childhood Obesity Surveillance Initiative indicated that on average one out of four primary-school children is overweight or obese. Portugal presented one of the highest prevalences of obesity. Childhood obesity prevention and treatment should be a top priority. The aim of the present study was to evaluate the effectiveness of Program Obesity Zero (POZ), a multi-component, community-, family- and school-based…
School food research
Objective Following an international workshop on developing the evidence base for policy relating to school food held in London, UK, in January 2012, the objectives of the present paper were (i) to outline a rationale for school food research, monitoring and evaluation in relation to policy and (ii) to identify ways forward for future working. Design The authors analysed presentations, summaries of evidence, and notes from discussions held at the…
School food and nutrition
School food and nutrition: developing the evidence base for policy Worldwide, governments develop policies to improve the welfare of their children, focusing especially on health, education and environmental and social security The basis for these policies is quite often influenced by ideology, but they are tempered partly by the previous experiences of decision makers and the context in which they work, partly
Overview of 71 European community-based initiatives against childhood obesity starting between 2005 and 2011
Despite diversity of included CBIs, common characteristics were the application of integrated actions at a local level, aimed at changing the environment and the children's behaviour directly. Evidence supporting effectiveness on weight indicators is available, although the design and conduct of most of these studies were suboptimal (i.e. no control group, a small sample size, not random)
WHO European Childhood Obesity Surveillance Initiative
Changes in BMI and prevalence of overweight over a two-year period varied significantly among European countries. It may be that countries with higher prevalence of overweight in COSI Round 1 have implemented interventions to try to remedy this situation
National physical activity recommendations
About half of the countries for which information was available and likely less than 40% of all 53 countries in the WHO European Region have developed national PA recommendations. Further investment is needed to address this important step towards a comprehensive PA promotion approach. Much remains to be done for the 2010 WHO recommendations to be fully reflected in national documents across all parts of the Region and all age groups. In addition…
WHO European Childhood Obesity Surveillance Initiative
The results suggest a potential relation between high screen time exposure and increased consumption frequencies of foods high in fat, free sugar or salt whereas long sleep duration may favourably be related to children's food choices. Both screen time and sleep duration are modifiable behaviours that may be tackled in childhood obesity prevention efforts
WHO European Childhood Obesity Surveillance Initiative
Objective To assess to what extent eight behavioural health risks related to breakfast and food consumption and five behavioural health risks related to physical activity, screen time and sleep duration are present among schoolchildren, and to examine whether health-risk behaviours are associated with obesity. Design Cross-sectional design as part of the WHO European Childhood Obesity Surveillance Initiative (school year 2007/2008). Children’s be…
Breastfeeding practices and policies in WHO European Region Member States
Objective To provide an update on current practices and policy development status concerning breastfeeding in the WHO European Region. Design National surveys and studies conducted by national health institutions were prioritized. Sub-national data were included where no national data or studies existed. Information on national breastfeeding policies was collected mainly from the WHO Seventh Meeting of Baby-Friendly Hospital Initiative Coordinato…
Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016
BACKGROUND: Underweight, overweight, and obesity in childhood and adolescence are associated with adverse health consequences throughout the life-course. Our aim was to estimate worldwide trends in mean body-mass index (BMI) and a comprehensive set of BMI categories that cover underweight to obesity in children and adolescents, and to compare trends with those of adults. METHODS: We pooled 2416 population-based studies with measurements of height…
Rising rural body-mass index is the main driver of the global obesity epidemic in adults
Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities 1,2 . This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity 3–6 . Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean B…
Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories
BACKGROUND: Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. METHODS: For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease …
Prevalence of Physical Inactivity and Sedentary Behavior Among Adults in Armenia
Physical inactivity and sedentary behavior are risk factors for developing non-communicable diseases. This study analyzed current levels of physical inactivity and sedentary behaviors among the adult population of Armenia. Data were collected through a national STEPS survey of non-communicable diseases risk factors on a nationally-representative sample of 2,380 participants aged 18-69 years in Armenia in 2016. The Global Physical Activity Questio…
High sugar content of European commercial baby foods and proposed updates to existing recommendations
The aim was to determine whether commercial baby foods marketed within Europe (up to 36 months of age) have inappropriate formulation and high sugar content and to provide suggestions to update European regulations and recommendations as part of a nutrient profile model developed for this age group. The latter was produced following recommended World Health Organization (WHO) steps, including undertaking a rapid literature review. Packaging infor…
Towards better nutrition in Europe
This paper provides a snapshot of the implementation of the WHO European Food and Nutrition Action Plan 2015–2020 among Member States in the WHO European Region. The focus is on the level and degree of implementation of selected policies recommended in this regional framework to promote healthy nutrition and prevent diet related noncommunicable diseases including obesity. Data was gathered through online and off-line versions of the Global Nutrit…
Barriers and Facilitators of Physical Activity Participation in Adolescent Girls
Background: Persistent low physical activity (PA) levels among adolescent girls constitute a public health concern that calls for immediate and evidence-based policy action. This systematic review (SR) aimed to summarize evidence from SRs examining the barriers and facilitators of PA participation in adolescent girls. The objectives were to provide a synthesis of the available evidence and identify key areas for fostering gender-responsive action…
Alcohol control policies in Former Soviet Union countries
Promoting health-enhancing physical activity in Europe
In the European Union (EU), the low levels of health-enhancing physical activity (HEPA) and high levels of sedentary behaviour are a concerning public health issue common to all Member States. In 2013, the Council of the EU recognized the need for more data related to HEPA to support policymaking across the region and proposed a monitoring framework that included 23 indicators covering different themes relevant to HEPA promotion in the EU context…
Degree of processing and nutritional value of children’s food products
Objective: This study aimed to characterise the availability, the nutritional composition and the processing degree of industrial foods for 0–36-month-old children according to the neighbourhoods affluence. Design: A cross-sectional exploratory study. Setting: All food products available in retail stores for children aged 0–36 months were analysed. Data collection took place in two neighbourhoods, comparing two different sociodemographic district…
Nutritional Characterization of Street Food in Urban Turkmenistan, Central Asia
Objective Describing the availability and nutritional composition of the most commonly available street foods in Ashgabat , Turkmenistan. Methods One hundred sixty-one street food vending sites (six public markets) were assessed, through a collection of data on vending sites' characteristics and food availability, and samples of commonly available foods (21 homemade; 11 industrial), for chemical analysis. Results Fruit, beverages, and food other …
Consensus-building around the conceptualisation and implementation of sustainable healthy diets
The prioritised actions should be aimed at helping government policymakers promote sustainable healthy diets and make decisions on improving dietary patterns for citizens' health and wellbeing in line with the United Nations Sustainable Development Goals in the European Region
Population-level salt intake in the WHO European Region in 2022
Objective: The WHO recommends that adults consume less than 5 g of salt per day to reduce the risk of CVD. This study aims to examine the average population daily salt intake in the fifty-three Member States of the WHO European Region. Design: A systematic review was conducted to examine the most up-to-date salt intake data for adults published between 2000 and 2022. Data were obtained from peer-reviewed and grey literature, WHO surveys and studi…
Exploring educational inequalities in hypertension control, salt knowledge and awareness, and patient advice
Objective: To inform strategies aimed at improving blood pressure (BP) control and reducing salt intake, we assessed educational inequalities in high blood pressure (HBP) awareness, treatment and control; physician’s advice on salt reduction; and salt knowledge, perceptions and consumption behaviours in Eastern Europe and Central Asia. Design: Data were collected in cross-sectional, population-based nationally representative surveys, using a mult…
Food, nutrition and diet in urban areas from low- and middle-income countries in the WHO European Region
An abstract is not available for this content. As you have access to this content, full HTML content is provided on this page. A PDF of this content is also available in through the ‘Save PDF’ action button
Projecting cardiovascular deaths averted due to trans fat policies in the Eurasian Economic Union
Objective: To demonstrate the potential impact on population health if policies designed to reduce population trans fatty acid (TFA) intake are successfully implemented in the Eurasian Economic Union (EAEU) in line with the WHO’s guidelines to lower intake of TFA as a percentage of total energy intake to less than 1 %. Design: A projection exercise was conducted to estimate reductions in CVD-related deaths in countries of the EAEU if TFA policies…
Medicine (20 obras) · Obesity, Physical Activity, Diet (19 obras) · Environmental health (16 obras) · Demography (10 obras) · Geography (9 obras) · Public health (9 obras) · Population (8 obras) · Business (7 obras) · Child Nutrition and Water Access (7 obras) · Obesity (7 obras)