Atención Primaria. I st World Congress of Children and Youth Health Behaviors / 4 th National Congress on Health Education PARALLEL SESSIONS: POSTERS

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1 Publicción Oficil de l Sociedd Espñol de Medicin de Fmili y Comunitri Sociedd Espñol de Medicin de Fmili y Comunitri Document downloded from dy 13/05/2018. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited. Aten Primri. 2013;45(Espec Cong 1): Atención Primri Myo 2013 Vol. 45. Especil Congreso 1 ISSN: Incluid en MEDLINE, EMBASE, SCOPUS y SCIENCE CITATION INDEX EXPANDED PARALLEL SESSIONS: POSTERS I st World Congress of Children nd Youth Helth Behviors / 4 th Ntionl Congress on Helth Eduction Viseu-Portugl, My CHILD AND ADOLESCENT HEALTH THE NURSE S ROLE IN FAMILY PROTECTION, PROMOTION AND SUPPORT OF BREASTFEEDING Jon Vils-Bos, Clr Oliveir b USF Vitodos/ACES Cávdo III Brcelos Esposende, Brcelos. Brg; b Instituto de Educção. Cmpus de Gultr. Universidde do Minho. Brg. Portugl. Contct detils: jonpintrol@gmil.com Introduction: Action of helth professionls in the community must enroll in n tmosphere of co-prticiption with the ptient-fmily/ community group, s well s mutul respect in seeking solutions to their needs. While it is undenible the importnce of brestfeeding nd its beneits, erly wening is still quite frequent. Community nurses s eductors hve key role in encourging, teching nd clriiction bout brestfeeding, especilly in young women nd those who re irst time mothers. Methods: We opted for prticiptory-ction reserch -on the grounds tht this methodology is best suited to the scope of the project, since it becomes dificult to know the trget udience without intercting with it nd consequently led to behvior chnge. Results: Europen guidelines set out the dvntges of brestfeeding idelly up to 6 months nd thus it ppers tht 51% of the infnts were brestfed. According to the report of the register of brestfeeding, 2011, it ws found tht the prevlence of brestfeeding stnds t 48.4%, which comes ginst the dt. Conclusions: Even without finl ssessment, it is cler tht the ongoing ction contributes to n increse in the number of children brestfed. THE REDUCTION OF HEALTH INEQUALITIES DURING PREGNANCY: A CHALLENGE FOR HEALTH PROMOTION Fátim Mrtins Universidde do Minho. Escol Superior de Enfermgem. Portugl. Contct detils: fmrtins@ese.uminho.pt The helth promotion is the process of enbling people to better mster the determinnts of helth nd thereby improve their helth. The World Helth Orgniztion sttes tht in order to promote equity on helth mong popultions, it is necessry tht ll individuls hve n equl opportunity to be helthy, with fir nd equitble ccess to helth resources. How cn we implement ctions cpble of tking into ccount the dimensions of prevention nd eduction when it comes to promoting the helth of pregnnt women in firly mnner? This context is the strting point of our study, bsed on the nlysis of eductionl prctices developed by midwives in prentl cre in Primry Helth Cre in the District of Brg, in northern Portugl. We conducted cse study where we focused on semi-structured interviews, direct observtion nd documentry reserch. Pregnnt women interviewed vlued the work of the midwife in prentl cre in regrd to helth eduction. However, we found tht the mjority of pregnnt women hve not hd the opportunity to be followed by midwives nd prticipte in the preprtion sessions for childbirth nd prenthood. The eductionl prctices used were bsed on stndrd pttern for ll women requiring the knowledge of professionls. We conclude tht the eductionl ctivities re n integrl prt of two models tht we cll trditionl nd dilogicl. SOCIAL REPRESENTATIONS OF THE NEW AND OLD DRUGS AND ITS CONSUMERS Mrcos Ribeiro Estbelecimento Prisionl de Pços de Ferreir. Portugl. Contct detils: mrcos.ribeiro@iol.pt Introduction: This study conveys the reltionship between the psychologicl nd socil dimension. Objectives: Through it we im to contribute to the understnding of the chnging of drug consume ptterns registered in the present time. This investigtion consists in the comprison of signiicnt differences in the socil representtions, bout the old nd new drugs nd their consumers, from two ge groups (12-15 nd 22-25), coming from disquliied environments. A prt of the presupposition of the modiiction of consume ptterns cn ind its explntions, mong others, in the different conjunct of socil representtions mong the distinct ge groups, representtive of development periods, which re lso divergent. Methods: We opted by methodology of mixed chrcter - qulittive in irst moment nd quntittive in second one nd /$ - see front mtter 2013 Elsevier Espñ, S.L. Todos los derechos reservdos.

2 Document downloded from dy 13/05/2018. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited. I st World Congress of Children nd Youth Helth Behviors / 4 th Ntionl Congress on Helth Eduction 133 by the observtion instruments: Interview (mong 20) nd ttitu de nd opinion test (in totl of 300), nd by correspondent techniques of nlysis of contents nd nlysis of dt sttistic (fctoril nlysis nd test of verges differences). Results: We conclude tht the theoretic hypothesis conveyed is conirmed, now tht the ge group of yers old revels dominions of socil representtions of more negtive tendency, regrding the consume nd consumer of new drugs, nd the group ge of yers old demonstrtes the socil representtions of more negtive tendency, regrding the consume nd consumers of old drugs. Conclusions: From here result different ttitude tendencies, concerning the different consume ptterns. PREVALENCE AND TRENDS OF METABOLIC SYNDROME IN SIBERIAN ADOLESCENT POPULATION ( ) Lris Zvylov, Din Denisov, Yuli Rgino Institute of Internl Medicine. SB RAMS. Novosibirsk. Russi. Contct detils: zvylovlris@gmil.com Introduction: Metbolic syndrome (MS) nd its components re erly dignostic precursors of crdiovsculr disese nd type 2 dibetes. Number of dolescents with impired glucose metbolism hs incresed signiicntly in the lst decde. Purpose: Estimtion of trends in the prevlence of MS nd its components (high triglycerides, low HDL cholesterol, high blood pressure, bdominl obesity nd hyperglycemi) mong dolescents ged yers in Novosibirsk. Methods: Representtive smples of dolescent popultion ged were investigted in Novosibirsk. The survey ws conducted in 2003 (663) nd in 2009 (742 dolescents). The prevlence of MS components ws ssessed by IDF criteri (2007): bdominl obesity ( 90 percentile wist circumference) nd the presence of two or more other components of the syndrome (triglycerides 150 mg/ dl, HDL cholesterol < 40 mg/dl, blood pressure 130/85 mm Hg, plsm glucose 5.6 mmol/l). Results: In the period the prevlence of bdominl obesity mong dolescents ws on the rise. The prevlence of low HDL cholesterol levels in 2009 doubled in comprison with 2003 yer (12.1% vs. 6.0%, p < 0.001), similr dynmics observed in study of high blood pressure (in %, in %, p < 0.001). The incidence of hyperglycemi signiicntly incresed (4,0% in 2003 nd 1.3% in 2009, p < 0.001). The frequency of hypertriglyceridemi decresed (1.5% in 2009 to in 2003, p < 0.003). The prevlence of MS by IDF criteri (2007) mong dolescents in 2009 slightly incresed (0.3% nd 0.5%, respectively). Conclusions: For the period the prevlence of MS in Siberin dolescents were not signiicntly chnged, but there ws tendency to incresing. However rising of prevlence of most of MS components ws registered. PERCEIVED PARENTING PRACTICES AND ADOLESCENTS ALCOHOL USE An Rit Bcoco, Cristin Nunes b, Brbr Lorence c, Lr Nunes d, Id Lemos b University of Algrve. Portugl. b Reserch Centre for Sptil nd Orgniztionl Dynmics, University of Algrve. Portugl. c University of Huelv. Spin. d University of Seville. Spin. & Reserch Centre for Sptil nd Orgniztionl Dynmics. University of Algrve. Portugl. Contct detils: 37149@ulg.pt Introduction: Alcohol use mong dolescents is mjor public helth problem nd hs lrge short- nd long-term consequences on their helth nd psychosocil djustment. Studies suggest tht positive prent-child reltionships, ge-pproprite monitoring of children s ctivities, nd wrm nd supportive disciplinry strtegies re importnt predictors of dolescent psychosocil djustment nd helthy behviors. Objectives: Our study exmined the ssocitions between lcohol use mong dolescents nd prenting prctices. Methods: A totl of 239 dolescents ged yers old living in Algrve (Portugl) filled in questionnires bout mternl nd pternl prenting styles (ESPA29), lcohol use (HBSC), nd socio-demogrphic informtion. Results: Contrst nlysis performed (MANOVA nd ANOVA) showed different prentl sociliztion profile for the dolescents who never hd consumed lcohol from those who hd one time or more. In generl, these differences occurred in prentl cceptnce/involvement, with the irst group showing greter scores thn the second one, but not for coercion/ imposition. There re differences between both groups of dolescents regrding dolescents gender, but not ccording to ge. Therefore, girls who hd never consumed lcohol reported greter scores in cceptnce/involvement nd lower in coercion/ imposition for the fther nd the mother; boys who never did it differed from those who hd consumed lcohol in perceived prentl sociliztion for their fthers, reporting higher scores in cceptnce/involvement. Conclusions: These results show the importnce of considering the inclusion of prents in lcohol use prevention progrms. AUDITORY HEALTH IN SECONDARY SCHOOL STUDENTS Rute Mdleno, Rit Jorge, Crl Mtos Silv, Pedro Brzão Sntos b, Mrgrid Serrno Audiology Student t College of Helth Technology of Coimbr. IPC. Portugl. b ENT Doctor t Don Estefâne Hospitl. Portugl. Contct detils: mserrno@estescoimbr.pt Introduction: Hering loss hs become ever more common mong young people. This is due to the fct tht high intensity sounds hve become dily prt of life. The MP3 plyer which llows individuls to listen to music for hours on end virtully nywhere, nd night clubs re exmples of this. Objectives: This study ws crried out to exmine udiologicl helth hbits in secondry school students nd relte them to hering bility nd skills. Methods: A questionnire ws dministered nd hering test to thirty-one young people entering high school. Results: It ws found tht: 26 (83.9%) of these youths hd norml hering nd tht the frequency most ffected by hering loss ws 6000 Hz. However, 83.9% (26) of subjects used hedphones in both ers; 19 subjects (61.3%) listened t intensities of more thn hlf of the level on the sound dil; nd 20 of these youths(64,5%) regulrly went to plces with loud music. Among the young people ttending music venues with loud music: 6 (30%) tended to sty close to the spekers; 17 (85%) left these plces with worse sense of hering, nd 18 (90%) left with ringing in the ers. Also noteworthy is tht, from ll subjects, 12 (38.7%) felt uncomfortble with loud sounds nd 48.4% (15 students) hd dificulty understnding the techer when there ws noise while one of them hd difficulty understnding the techer in silence. Conclusions: Although this study did not revel the presence of hering loss mong young people, it revels some precursor symptoms nd/or centrl uditory processing disorders, such s tinnitus, sensitivity to loud sounds nd the dificulty of perceiving with noise present. Thus, the implementtion of udiologicl helth progrms in our high schools becomes quite importnt nd urgent.

3 Document downloded from dy 13/05/2018. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited. 134 I st World Congress of Children nd Youth Helth Behviors / 4 th Ntionl Congress on Helth Eduction STUDENT S KNOWLEDGE ABOUT LOVE AND VIOLENCE N DATING: THE EFFECTIVENESS OF AN EDUCATION SESSION Helen Ctrino, Mri dos Anjos Dixe, Márci Lopes, Susn Pires Escol Superior de Súde. Instituto Politécnico de Leiri. Portugl. Contct detils: helen.ctrino@ipleiri.pt Introduction: Violence integrtes our dily lives under vried forms. A considerble number of young people hve lredy been victim of violence in dting reltionships, nd peer eduction cn be strtegy of helth eduction. Objectives: To evlute the effectiveness of helth eduction session on dting violence, mong students of the 3rd cycle of bsic eduction. Methods: A quntittive qusi-experimentl, pre-test nd post-test study ws designed without control group. A totl of 141 students selected by convenience smpling prticipted in the study. We pplied questionnire comprising socio-demogrphic nd dting questions; long with the scles of Knowledge nd Prctice Behviours, Violence in Dting Reltionships (Dixe et l, 2010) nd Myths Relted to Love (Ctrino et l, 2011). Results: Among the respondents, 19.9% of the students were dting, 1.4% experienced dting violence nd 21.3% were wre of dting violence situtions. The dt reveled tht 25.5% of students don t know who/how to sk for help, which is lower rtio thn the 38% identiied by the Netwoks Knowledge (2011). After the eductionl session, the proctive ttitudes nd the number of students ble to identify wys of help incresed (from 73.8% to 95.0%), indicting tht the peer eduction hd positive results. On verge, the students knowledge bout violence in dting reltionships incresed fter the eduction session (M1 = 37.5; M2 = 39.9), with differences being sttisticlly relevnt (Z = 5.146; p 0.05), nd consistent with Mtos et l (2006) nd Ribeiro (2008). Conclusions: The eduction session hd positive impct on the student s knowledge bout dting violence. The involvement of nurses in school project will hve mjor role in promoting helthy behviours. UNHEALTHY FOOD BEHAVIORS IN YOUTH AND ADULTS: AN EXPLORATORY STUDY Rosin Fernndes, Emíli Mrtins, Susn Fonsec, Frncisco Mendes, Li Arújo, Mri Amnte ESEV/IPV. Portugl. Contct detils: rosin@esev.ipv.pt Introduction: Fst food consumption increses weight gin during trnsition from dolescence to dulthood (Niemeier, Rynor, Lloyd- Richrdson, Rogers, & Wing, 2006). Additionlly, the recommendtion of moderte intke of sweeteners is due to the negtive impct in orl helth nd in the nutritionl vlue of the diet (Guthrie & Morton, 2000). These unhelthy behviors hve consequences in weight gin nd relted problems. Objectives: Explore youth nd dults unhelthy food behviors (sweeteners nd fst food). Methods: The present study ws explortory with convenience smple of 129 prticipnts (57% youngsters nd 43% dults). Only some subscles of the selected instrument (Food Frequency Questionnire) were used for evlution of food frequency consumption considering p vlue.05 for inferentil nlyses. Results: Sttisticl significtive difference using Mnn-Whitney (p =.020) in ge group nlysis (10-21 vs yers) with higher results for yougsters in sweeteners sub-scle when compred with dults (19.98 ± 4.76 vs ± 6.23). A negtive nd signiicnt (p.05) correltion (Spermn) between ge nd sweets frequency consumption ws found. Sttisticlly significnt ge group differences were found with higher fst food scores (eg.: pizz nd hmburgers) for youngsters compred to dults (p =.004 nd p =.000). Conclusions: Despite the investment in informtion nd wreness cmpigns, the present results show us the persistence of these behviors in young people, whose importnt consequences require relection nd evlution of the strtegies tht hve been dopted. It s lso importnt to show people who need to cope with everydy demnds tht it s possible to mke helthier fst food choices. MENTAL HEALTH LITERACY IN ADOLESCENTS: FROM RECOGNITION TO LOOKING FOR HELP. SYSTEMATIC REVIEW OF THE LITERATURE Amorim Ros Escol Superior de Enfermgem de Coimbr. Portugl. Contct detils: morim@esenfc.pt Bckground: Mentl disorders often rise in dolescence nd hve deep impct on dolescents nd fmilies. However, in the most frequent situtions, dolescents do not receive pproprite help, while for the more severe psychotic disorders, help is received with much dely. The low level of Mentl Helth Litercy is crucil to the lck of help-seeking behviors during dolescence, ffecting the development nd incresing the risk of recurrence of the disorders. Aim: This review ims to systemtize the current knowledge on Mentl Helth Litercy in dolescents, focusing on the recognition of the disorder nd help seeking behvior for the most common mentl helth problems: depression; nxiety nd emotionl stress, nd substnce buse. Methods: Eleven published studies of recognition of mentl disorders nd help seeking in dolescents were identiied through serches of CINAHL, Medline, B-on nd RCAAP. A themtic nlysis ws undertken on the results reported in the quntittive nd qulittive literture. Results: Adolescents showed difficulties in the recognition nd identiiction of the key symptoms of mentl disorders. Levels of recognition re higher in depression, especilly in the presence of severe symptoms. Stigm, resilience nd preference for informl help re the min brriers to ccessing professionl help. Insecurity nd lck of conidence on individul cpcities conditioned the irst id. Conclusions: New technologies (e.g. Internet nd SMS) nd school progrms re importnt sources of support nd promotion of mentl helth litercy. Strtegies for improving recognition nd help-seeking by dolescents should focus on improving mentl helth litercy, reducing stigm, nd tking into ccount the desire of dolescents for resilience nd self-relince. AGE-FRIENDLY COMMUNITY SUPPORT AND HEALTH SERVICES IN THE CITY OF VISEU Li Arújo, Mri Amnte, Susn Fonsec, Rosin Fernndes, Frncisco Mendes, Emíli Mrtins ESEV/IPV. Portugl. Contct detils: lijrujo@esev.ipv.pt Introduction: Helth nd support services re vitl to mintining helth nd independence in the community, being one of the eight

4 Document downloded from dy 13/05/2018. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited. I st World Congress of Children nd Youth Helth Behviors / 4 th Ntionl Congress on Helth Eduction 135 dimensions considered in n ge-friendly city (WHO, 2007). Viseu is city with n elderly popultion of nd n ging indez of (INE, 2011). These geing indictors point out to the need of n pproprite nd ccessible helth nd socil cre tht contribute to the life qulity in dvncing ge. Objectives: Anlyze the stisfction with the community support nd helth services of Viseu in community-dwelling dults. Methods: A smple of 49 citizens ged 55 (73.79, ± 9.62 yers) resident in the city of Viseu completed the 22 items bout the community support nd helth services from the WHO checklist on Age-friendly Cities nd sociodemogrphic questionnire. Results: The higher stisfctory perceptions in the community support nd helth services re the existence of personl cre nd the fcility to use public trnsport to ccess these services (73.8% ech) nd the lowest perceptions re in the existence of cler informtion bout the services nd ese of inding informtion (2.4% ech). The differences between the results of Viseu nd the ntionl ones (Assocition VIDA, 2012) re the existence of clening services nd the fcility to rech services using public trnsports, with better results for Viseu. Conclusions: Older dults of Viseu hve globl stisfctory perception bout the community support nd helth services, but the low pprecition of the informtion prmeters should be vlued nd explored. Greter knowledge of the wy citizens evlute the dequcy, ccessibility nd qulity of community resources must be n initil step for setting gols nd ction plns, providing guidnce for future interventions. CHARACTERIZATION OF THE LIFESTYLES OF STUDENTS IN A VOCATIONAL SCHOOL IN PORTUGAL Teres Brroso, Nuno Oliveir b, Dulce Vrel b Escol Superior de Enfermgem de Coimbr (ESEnfC). Portugl. b Mestrndo no Mestrdo de Enfermgem de Súde Mentl ESEnfC. Portugl. Contct detils: tbrroso@esenfc.pt Introduction: Lifestyle-relted behviors (physicl ctivity, diet, use of psychoctive substnces) re mjor helth determinnts of non-communicble chronic diseses (WHO, 2002). On the other hnd, dolescence is criticl period of behviorl development whic Objectives: To chrcterize the lifestyles of students in voctionl school. Methods: A quntittive descriptive study ws conducted with convenience smple of 64 students ttending voctionl school in Portugl. After the permissions nd informed consent were obtined, both questionnire on the socil-demogrphic chrcteristics nd lifestyles nd the AUDIT nd ASSIST tests were pplied. Dt were nlyzed using IBM-SPSS, v.19. Results: Most prticipnts re femle (57.8%), ged between 15 nd 23 yers (M = 17.8, SD = 1.6). In this smple, 54.7% of students engge in no regulr physicl ctivity. As for BMI, 79.7% of the students hd norml scores, 6.2% were below the recommended rnge (18.5 nd 24.9), nd 14.1% hd BMI > As for the use of psychoctive substnces, 26.6% mentioned tht they hd lredy used illicit substnces (cnnbis); 78.1% of students hd lredy smoked cigrettes, nd 32.0% of these didn t smoke in the pst three months. Regrding lcohol consumption, only one student in this smple hd not tried lcoholic beverges. After n nlysis of the risk levels, the scores indicte tht 84.4% of the students hve low consumption risk, while 15.6% re t risk for lcohol consumption. Conclusions: These indings suggest the need to develop trgeted prevention interventions ccording to the identiied levels of risk. CHILD PARTICIPATION IN SPORTING, CULTURAL AND COMMUNITY ACTIVITIES AND THEIR PSYCHOSOCIAL OUTCOMES Bryn Coughln, Edel Doherty, Hulie Dowd, Cirn O Neill, Siobhn O Higgins, Brin McGuire NUI Glwy. Portugl. Contct detils: b.coughln7@nuiglwy.ie Objectives: To exmine the reltionship between children s prticiption in sporting, culturl nd community ctivities nd their psychosocil outcomes. Dt Sources: The dt is tken from the Growing Up in Irelnd survey. This is ntionlly representtive survey of over 8,000 nine-yer olds. Methods: The nlysis for this pper is undertken in two stges. In the irst stge fctors tht determine child prticiption in sporting, culturl nd community ctivities re exmined. These fctors include the ethnic nd religious sttus of the child s fmily, their fmily s socil welfre sttus, mternl eduction, fmily income, loclity nd child s helth. In the second stge we exmine the ssocition between child s prticiption in these ctivities nd their psychosocil outcomes s reported by the child, their primry cregiver nd their techer. A rnge of other socio-economic fctors re lso controlled for in the nlysis. Results: A fmily s minority sttus hs signiicnt negtive impct on the probbility of tht child orgnised ctivities (P = 0.00). We lso ind strong positive ssocition between mternl eduction, income nd whether the child s prents undertke voluntry ctivities nd the child s prticiption in these ctivities (P = 0.00). In terms of the child s psychosocil outcomes we ind positive ssocition with prticiption in sporting nd culturl ctivities (P = 0.01), other socio-economic fctors such s socil welfre hve role to ply. Conclusions: Prticiption in these ctivities is lower for minority groups nd impcts the child s psychosocil djustment. It is importnt tht policymkers endevour to encourge involvement for ll children, but especilly those from minority groupings. ATTITUDES REGARDING HOMOSEXUALS AMONG PRE-SERVICE BIOLOGY TEACHER TRAINING FOR SECONDARY SCHOOLS IN MOZAMBIQUE Juvêncio Not, Teres Vilç b, Crl Mbote Pedgogicl University. Mputo. Mozmbique. b University of Minho. Portugl. Contct detils: tvilc@ie.uminho.pt Introduction: Hostility towrds non-heterosexul individuls is n evident phenomenon in vrious societies nd cultures, whether Western or Africn, nd in Mozmbicn schools it is highly visible. Objectives: To nlyze the ttitudes of students of the Bchelor s Degree in the Teching of Biology in Mozmbique towrd gy men nd lesbins. Methods: A purposeful smple (N = 127) consisting of college students enrolled from the first to lst yers in the Bchelor s Degree in the Teching of Biology in the Fculty of Nturl Sciences nd Mthemtics of the Pedgogicl University in Mputo ws selected. An ttitudinl scle for gy men nd lesbins tht included four fctors (condemntion to homosexul behvior, morlity nd contct with homosexuls nd stereotypes) ws used s dt collection instrument. Results: Dt showed tht the globl ttitudes towrd homosexuls reflected the negtive extremes of the ttitudes towrd gy men nd lesbin women. The verge of homo-negtivity of mle students in reltion to gys is reltively higher thn tht

5 Document downloded from dy 13/05/2018. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited. 136 I st World Congress of Children nd Youth Helth Behviors / 4 th Ntionl Congress on Helth Eduction of femle students. Overll, mle students hd higher verge of homo-negtivity thn the femle students, whose differences in verges were not sttisticlly signiicnt. Although men presented higher verges to homo-negtivity on both subscles, the differences were not sttisticlly signiicnt, both in the subscle regrding gys nd lesbins. Conclusions: The results of this study show how urgent it is to work on pre-service techer trining regrding sexul diversity nd, more speciiclly, homo negtivity. HYPPOTHERAPY PROGRAM FOR REHABILITATION OF CEREBRAL PALSY CHILD Michelle Silv, Fernnd d Silv b, Ligi Brccilli b Deprtmento de Fisioterpi. Universidde Julio de Mesquit Filho. b Deprtmento de Educção Especil. Universidde Julio de Mesquit Filho. UNESP. Brsil. Contct detils: michelle.isio.unesp@gmil.com Bckground: The Equotherpy is therpeutic nd eductionl method which pursuits the biopsycosocil development of people with deficiency or specil needs. Structured in three bsics progrms for ANDE-Brsil: hippotherpy, rehbilittion or eductionl nd pre-sporting hs been showed s n dvntgeous therpy once it fvors the development of psychomotor, posturl nd socil functions. Objectives: Propose to the childs with Cerebrl Plsy opportunities of interdisciplinry tretment nd speciic of hippotherpy. Methods: In hole of 270 sessions performed once week for thirty minutes, the therpy is directed through the tretment results nd the discuss reunions of conduct nd plnning for the tem. Results: Were ttended five children with CP dignostic in the yer of 2012 of both gentles, ged between 3 nd 9. The GMFCS rnked s level IV nd V prticipted of the hyppotherpy where the horse ct like n kinesiotherpeuthic instrument nd developed ctivities of fortiiction nd motor correction; those in level II nd III prticipted of n eduction-reeduction progrm where the horse is the pedgogic instrument, nd the clssiied s level I which presented pproprited conditions to conduct the horse ttended the pre-sporting progrm. The dt nlysis through the comprison with the initil evlutions indictes in the motor spect the following results: ) improvement in body equilibrium; b) improvement in posture; c) improvement in functionl bilities with superior members; d) improvement in lengthening of hip dductors; e) improvement of tonus. Conclusions: Concludes tht the hyppotherpy progrm in the therpeuthic nd eductionl context is codjutnt in the biopsycosocil development of CP child fvoring the globl development. ANALYSIS OF MOTOR ACTIVITY IN EARLY CHILDHOOD DURING EXPOSURE TO MUSICAL STYLES: CLASSIC AND ROCK Michelle Silv, Bruno Glvão b, Anne Gomes b, Vitor Vlente c Deprtmento de Fisioterpi. Universidde Julio de Mesquit Filho. UNESP. Brsil. b Deprtmento de Medicin. Universidde Anhembi Morumbi. Brsil. c Deprtmento de Fonoudiologi Universidde Julio de Mesquit Filho. UNESP. Brsil. Contct detils: michelle.isio.unesp@gmil.com Bckground: Studies show tht music s uditory stimulus is therpeutic resource in which the ptient develops bodily expression, communiction resources nd mturtion. Even young children cn understnd nd retin musicl structures nd cn process them better thn dults. However, it is not cler in the literture the behvior of this system to the uditory stimulus of certin musicl styles. Objectives: To ssess the child through motor ctivity during exposure to musicl styles: clssicl nd rock. Methods: Prticipnts were 11 children of both sexes between 2 nd 6 yers of ge in which 8 persisted until the end. Through cmer enrolled behviors during songs in clssicl style nd style rock, plyed t constnt volume. Dt collection occurred in the child s room, in the supine position with the slightest movement possible. In the session we used the sequence: silence, clssic, silence, rock nd silence. Dt nlysis were trnscribed durtions: generl ctivity, ctivity of legs, ctivity of rms nd ctivity of the hed. For the presenttion of dt, we clculted the durtion in seconds of the session for ech ctegory. Results: We did not observe signiicnt chnges in the ctivity of the upper limbs (Silence: vs Vs. Clssicl: vs. Hevy metl: , p = 0.72), lower limbs (Silence: vs. Clssicl: vs Hevy metl: , p = 0.51) nd hed (Silence: vs. Clssicl: vs Hevy metl: , p = 0.81) when compring the three situtions. Conclusions: There ws no signiicnt effect of musicl uditory stimulion on motor ctivity in children. HOW MUCH DO OUR CHILDREN WEIGH AND MEASURE? PREVALENCE OF OVERWEIGHT AMONG PORTUGUESE PRESCHOOLERS Grç Aprício, João Durte, Adrin Mcedo b, An Rodrigues b, An Pereir b, Ctrin Fontes b, Jon Jneiro b, José Lopes b, Sr Jneiro b, Crlos Albuquerque Helth School. Polytechnic Institute of Viseu. Portugl. MISIJ project funded by FCT reference PTDC/CPE CED/103313/2008 nd CI&DETS FCT PEstOE/CED/UI4016/2011. b Students of Nursing Degree from Helth School. Polytechnic Institute of Viseu. Portugl. Contct detils: nilip.rodrigues@hotmil.com Introduction: Overweight in childhood hs been considered worldwide problem, prticulrly in Mediterrnen Countries where Portugl is included. The prticulrities of the preschool period highlight the importnce of evluting growth nd development t this stge of life. Objectives: To describe the prevlence of overweight in preschool children nd relte to fmily socio-demogrphic vribles. Methods: Cross-sectionl nd descriptive study with 1424 pre-school children, verge ge 4.58 (SD = 0.99), residing in vrious regions of Portugl. Anthropometric mesurements of the children were evluted nd grding ccording to the NCHS reference dt (CDC, 2000). Demogrphic dt were collected from questionnires completed by prents. Results: In generl, 49.5% of children lived with their prents nd siblings (verge number of siblings = 1.33; SD = 0683). The verge BMI ws ( ; SD = 1.83). Overll, 60.2% of children hd norml weight, 5.5% were underweight, 34.3% overweight (including obesity 17.4%), being tht signiicntly higher in mles (36.8%) (X2 = 31.22; p = 0.000) nd in 5 yers old children (39.5%) nd low weight in 4 yers old (14.0%) (X2 = 101,301, p = 0.000). Nutritionl sttus proved to be dependent on fmily income (X2 = ; p = 0.007), with children from low-income fmilies the ones tht exhibit more overweight nd independ from the number of siblings, ge, residence nd prents eduction. Conclusions: The results suggest positive reltionship between overweight children nd low fmilir income. Thus it is considered relevnt to strengthen surveillnce nd eduction of feeding behvior in low-income fmilies in order to prevent excessive weight with consequences for child s helth nd future helth.

6 Document downloded from dy 13/05/2018. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited. I st World Congress of Children nd Youth Helth Behviors / 4 th Ntionl Congress on Helth Eduction 137 HEALTH HABITS OF CHILDREN AGED BETWEEN 10 AND 12 YEARS OLD João Serrno, Pedro Mendes b, João Petric, António Fustino b, Rui Pulo b Polytechnic Institute of Cstelo Brnco. FCT nd CI&DETS (PEst OE/CED/UI4016/2011). b Polytechnic Institute of Cstelo Brnco. Portugl. Contct detils: j.serrno@ipcb.ptl Introduction: Helthy life styles during childhood hve positive impct in dult ge; therefore this is fvorble period for the development of helthy hbits such s physicl ctivity, posturl wreness nd hygiene. Objectives: The min purpose of this study is to chrcterize the helth hbits of children ged between 10 nd 12 yers old nd to ssess wht re the differences regrding gender. Methods: This is descriptive study, bsed on percentge nlysis. The smple ws 200 children ged between 10 nd 12 yers old. A questionnire (dpted from Csimiro, 1999) ws improved bsed on experts opinion nd eventully used to collect the dt. Results: The mjority of the children in the study showed to hve good cre for their diet, posture nd hygiene hbits, however their physicl exercise level ws low. Comprisons between genders revel higher percentge of boys showing less helthy diet behviors (they tend to et higher quntity of sweets, fried foods nd burgers); better posturl wreness (better body posture, more creful trnsport of objects) nd more ctive lifestyle (do more physicl ctivities which re lso more diverse nd intense). Girls hve greter cre with personl hygiene, including during physicl ctivity (brushing their teeth, chnging clothes dily, using lip lops in the swimming pool). Conclusions: The results show tht the mjority of the children in the study demonstrte to hve helthy lifestyles. Nevertheless there re still behviors tht need to be encourged. For tht reson, it is importnt to shre these indings in order to positively inluence the generl popultion. REFERRAL BY PRIMARY HEALTH CARE TO THE PEDIATRIC EMERGENCY DEPARTMENT: A DESCRIPTIVE STUDY An Silv, An Cndeis b, Lúci Gomes c, Mri Monteiro c, Miguel Cost c, Mónic Lopes d Unidde de Súde Fmilir L Slette. Portugl. b Unidde de Súde Fmilir Sudoeste. Portugl. c Centro Hospitlr Entre Douro e Voug. Portugl. d Unidde de Súde Fmilir Fiães. Portugl. Contct detils:.rit.e.silv@gmil.com Introduction: The generl nd fmily prctitioner (GP) is the ptient s irst contct with the Ntionl Helth System (NHS). In order to provide dequte cre in cute conditions, they my need to refer to the Peditrics Emergency Deprtment (PED) Objectives: To chrcterize the GP s peditric popultion referrls to PED nd their follow-up t the PED. Check the ppropriteness of referrl to PED. Methods: This is n observtionl, descriptive study of children referred by Primry cre to Centro Hospitlr Entre Douro e Voug (CHEDV) PED in Jnury, April, August nd November Dt ws collected through PED s clinicl process nd CHEDV s computer system. The resons for dmission were grouped into fever, bdominl, respirtory nd other complints. It ws decided tht n pproprite referrl would hve t lest one of the following criteri: therpeutic, testing, inptient or collbortion request. Results: There were 343 referrls to PED (4% dmissions). The highest referrls were in Jnury (36%). Boys were the most referenced (55%). The verge ge ws 5,4 yers nd the most referenced ge group ws from 3 to 11 yers (45%). Ptients with bdominl complints were mostly dmitted from the PED, corresponding to 32% referrls. 42% of the children underwent testing, 44% did some therpy nd for 9% collbortion from nother specilty ws requested. 37% did not meet criteri for pproprite referrl. Conclusions: These results corroborte other similr studies, requiring greter stndrdiztion of cre for optiml coordintion between primry cre provider nd PED. Further study of biosocil fctors nd brriers implicted in the PED overcrowding is required. PROMOTING HEALTHY SLEEP HABITS IN ADOLESCENTS Sndr Pimentel, An Amrl b Mestrnd em Educção pr Súde. Instituto Politécnico de Coimbr. b ESTeSC. Instituto Politécnico de Coimbr. Portugl. Contct detils: smrgridpimentel@gmil.com Introduction: Sleep is complex physiologicl process inluenced by biologicl, socil, culturl nd environmentl fctors. Sleep qulity is n importnt indictor of helth nd well-being of dolescents. Lck of sleep nd sleep disturbnce re ssocited with low cdemic performnce, to the extent tht enhnce ttention dificulties, lck of concentrtion, dytime sleepiness nd bstinence school. A set of rules nd prctices of helthy sleep develop the empowerment of dolescents, helping to promote their helth. Objectives: This project ims to develop n intervention progrm imed t promoting helthy sleep hbits in dolescents, trying to reduce the cuses of sleep deprivtion. Methods: The trget udience is teengers, students of the 10th yer of Secondry School Ourém. Were divided into two groups, control group nd n intervention group, the smple of 30 students per group. In the ssessment of sleep hbits of dolescents used questionnire dpted from the Questionnire on Stndrds of Sleep nd Wkefulness in higher eduction students (Gomes, 2005) nd Survey of Knowledge nd Conceptions bout Sleep (Gomes, tril,2006). After pplying the survey, ws implemented the intervention progrm. The progrm consists of ive sessions orgnized by subject, lsting fifty minutes, stremlined in the intervention group, between the months of Jnury nd Februry. After the implementtion of the progrm, students from both groups gin nswer to the questionnire in order to ssess possible chnges. Expected results: With this project we hope to chnge the sleep hbits of dolescents in the smple nd the increse of knowledge on this subject. SPORT MOTIVATION: A COMPARISON BETWEEN YOUNG FOOTBALL PLAYERS COMPETING AT DIFFERENT LEVELS Hugo Srmento, Adilson Mrques b, João Mrtins b, Rui Resende Mi High Institute. b Interdisciplinry Centre for the Study of Humn Performnce. Fculty of Humn Kinetics. Technicl University of Lisbon. Portugl. Contct detils: hg.srmento@mil.com Introduction: Competitive environments re likely to promote focus on winning, promote ego involvement nd subsequently decrese in intrinsic motivtion through its dverse effect on self-determintion (Vllernd et l, 1987) nd in the commitment to the prctice of physicl ctivity.

7 Document downloded from dy 13/05/2018. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited. 138 I st World Congress of Children nd Youth Helth Behviors / 4 th Ntionl Congress on Helth Eduction Objectives: Compre the chievement gol, self-determintion nd beliefs bout the sport competence in function of the competitive level. Methods: The prticipnts were 140 mle footbll plyers tht competed in Ntionl Legue (n = 78) nd in Regionl Legues (n = 62). Ages rnged from 15 to 16 yers (M = 15.73, SD =.62). Prticipnts completed the following tools: Tsk nd Ego Orienttion in Sports Questionnire, Self-Regultion Questionnire, nd Questionnire reltive to Beliefs nd Determinnts of Sports Competency. Student t-test for independent smples ws used (p < 0.05). Results: Footbll plyers competing in the Ntionl Legue hd significntly higher scores for ego orienttion (2.85 ±.97 nd 2.47 ±.87; respectively, p =.02), introjected regultion (3.28 ±.96 nd 2.96 ±.86, p =.04), identified regultion (4.44 ±.51 nd 4.12 ±.65, p =.00), intrinsic regultion (4.18 ±.63 nd 3.90 ±.70, p =.02), beliefs tht the sport competence result to lerning (4.50 ±.46 nd 4.26 ±.64, p =.01), is subject to improvement (4.34 ±.48 nd 4.10 ±.64, p =.02) nd it s gift (3.28 ±.79 nd 2.96 ±.87, p =.03), thn did plyers who competed in Regionl Legues. Conclusions: The results suggest tht high-level footbll plyers were more intrinsiclly motivted, were more likely to choose to commit to the demnds of competitive sport nd hd higher perception of control on the development of their competence. BE TEENAGE MOTHER: SOCIAL REPRESENTATIONS OF ADOLESCENTS IN PREGNANCY-PUERPERIUM CYCLE Frncisco Rodrigues, Mônic Ferreir b, Mri Pereir c, José Mrtins d University of Porto. Portugl. b Federl University of Cerá. c Stte University of Cerá. Portugl. d Higher Helth School of Sntrém. Portugl. Contct detils: rfelrodrigues.rl@gmil.com Introduction: Erly motherhood cuses interference in dolescent process. In ddition to biologicl chnges, nteciptes the formtion of socil roles tht could impct on the consolidtion of life projects of young (RODRIGUES et l, 2010). Objectives: To understnd the socil representtions of dolescents in pregnncy-puerperium cycle bout being n dolescent mother. Methods: It ws field study bsed on the theory of socil representtions in ccordnce with Moscovici (1978) nd Jodelet (2001). It ws conducted in public Hospitl in Brzil test of free ssocition of words on the stimulus: dolescence, pregnncy, teenge pregnncy, motherhood nd being n dolescent mother. The ethicl principles were respected. the n = 121 dolescents in pregnncy-puerperium cycle hs been ssumed by smpling of the non probbilistic convenience. The = words evoked ws processed in softwre Tri-Deux-Mots nd interpreted by fctoril correspondence nlysis. Results: The vribles of opinion opposes up the ixed vribles (ge, mritl sttus nd pregnncy-puerperium cycle), in fctoril spce (F1 nd F2), with 73.4% significnce. For the mothers, even with the responsibilities nd dificulties in fulilling this role, being n dolescent mother is stereotyped by the smile. For the pregnnts, this moment is described s norml event nd becomes nchored in serch of living with new socil reltionships nd the loss of freedom. Conclusions: Motherhood t this stge of life is n unexpected event nd with contrdictory opinions tht induce dpttion of socil life nd chnging roles. The socil representtions build up in the psycho-ffective nd socio-reltionl scope of young, signiicnt in shping the future dult. PREDICTORS OF LIFESTYLE IN ADOLESCENTS Silvi Pucci, Mri Grç Pereir Escol de Psicologi. Universidde do Minho. Portugl. Contct detils: shmpucci@gmil.com Introduction: Adolescence is period mrked by chnges in physicl, psychosocil nd emotionl spects. Lifestyle, given the strong impct on one s helth, is quite importnt since dolescents re knowm for risky behviours tht my compromise their overll development, school performnce nd sleep. Objectives: To ind the best predictors of lifestyle in dolescents nd nlyse differences on sleepiness, socil competence, lifestyle, qulity of sleep, sleep hbits, fmily sleep behviour nd psychologicl morbidity, ccording to ge. Methods: The study ws conducted with 271 dolescents, ged between 12 nd 18 yers old; 58% were girls. The instruments used were: sociodemogrphic questionnire, Modiied Epworth Sleepiness Scle (Billings & Berg-Cross, 2010), Socil Skills (Pereir & Melo, 2010), Lifestyle Questionnire (Pereir & Pedrs, 2008), Hospitl Anxiety nd Depression Scle (Zigmond & Snith, 1983), Sleep Hbits Questionnire (Billings & Berg-Cross, 2010), Pittsburgh Sleep Qulity Index (Buysse et l, 1989), Howrd Fmily Sleep Questionnire (Billings & Berg-Cross, 2010). Results: The best predictors of lifestyle were: energy-drinks intke, socil competencies, qulity of sleep nd prents knowledge regrding drugs, mother smoking nd fther consuming lchool. Older dolescents (15-18 yers old) showed better lifestyle (more helth behviors) nd worst qulity of sleep; younger dolescents (12-14 yers old) presented worst fmily sleep behviour when compred to older dolescents. Conclusions: The results show the need for helth promotion with respect to lifestyle, in young people, bit ccording to results intervention progrms with dolescent need to include fmily members. OBESITY AND OVERWEIGHT IN YOUNG PEOPLE OF THE ALTAI REGION, DEPENDING OF PLACE OF RESIDENCE Andrey Osipov, Vsily Dekhr, Elen Popov b, Irin Osipov Alti Stte Medicl University. Portugl. b Hospitl 6. Brnul. Portugl. Contct detils: gosipov@gmil.com Purpose: To study the incidence of overweight nd obesity mong young people living in urbn nd rurl res. Methods: We exmined 1420 people ged yers (21,1 ± 0,01): 61% -women (21,5 ± 0,1), 39% -men (20,8 ± 0,1), 73% -students, 11% of workers, urbn nd rurl popultion (62.7 nd 37.3%, respectively) nd estimted the body mss index (BMI) nd wist circumference (WC), totl cholesterol (TC) nd glucose, nkle-rm index. All respondents were divided by ge into 2 groups: yers (56%) nd yers (44%). Results: The frequency of individuls with overweight ws 10%, obesity- 3.4%t, 7.3%-bdominl obesity (AO), 13.5%- hypercholesterolemi, hyperglycemi- 15%, pre-clinicl sign of therosclerosis- 2.3%. The incidence of overweight, hypercholesterolemi, AO, obesity ws higher mong residents of the city in 2, 2.7, 3.8, nd 5.4 times, compred to rurl residents (69 nd 31%, 73 nd 27%, 79 nd 21%, 84 nd 16%, respectively (p < 0.05)). The frequency of AO, hypercholesterolemi mong women living in the city ws greter of 2.6 nd 3.2 times thn in the villge. In 3 nd 6 times more often the AO nd hypercholesterolemi were dignosed in women thn in men (p < 0.05). Gender differences in erly mrker of therosclerosis were not identiied. In the group of yers BMI of urbn men ws in 1.76 (kg/m 2 ) higher thn in rurl res (p = 0.002). In men the men vlues of

8 Document downloded from dy 13/05/2018. This copy is for personl use. Any trnsmission of this document by ny medi or formt is strictly prohibited. I st World Congress of Children nd Youth Helth Behviors / 4 th Ntionl Congress on Helth Eduction 139 BMI in the city in the group of yers were higher in 0.76 kg/ m 2 (p = 0.034)) compred with the group of yers, nd less for rurl men (1.24 kg/m 2 (p = 0.013)). In the group of yer old urbn women hypercholesterolemi, obesity, nd AO were greter in 3.4, 3.7 nd 4.4 times (p < 0.05)), compred to rurl. Employed persons hd BMI, WC nd glucose levels higher thn students (1.74 kg/m 2, 6.42 cm nd 0.95 mmol/l, respectively (p = 0.000)). Conclusions: Among young workers living in the city, regrdless of gender, obesity nd overweight nd ssocited risk fctors such s hyperglycemi nd hypercholesterolemi is more common. Overweight mong urbn men hve formed in the erly ge group. IT S NOT JUST TIREDNESS... Ctrin Resende, Ricrdo Arújo, Alzir Ferrão Peditric Service. Centro Hospitlr Tondel. Viseu. Portugl. Contct detils: resende_ct@hotmil.com Introduction: Autoimmune heptitis (AIH) is liver disese of unknown etiology chrcterized by hypergmmglobulinemi, circulting utontibodies nd inflmmtory chnges in liver histology. It hs heterogeneous clinicl expression. Clinicl report: Femle with 16 yers old, previously helthy. In routine nlyzes it ws detected elevted trnsminses nd she ws sent to the emergency deprtment. She reported ftigue nd stheni lsting for 6 months. She denies drugs consumption. At dmission, she hd pllor nd slight heptosplenomegly. Anlyticl studies showed microcytic nemi (9.4 g/dl) nd incresed trnsminses (ALT 254 U/L, AST 155 U/L). The bdominl ultrsound reported signs of liver disese with diffuse micronodulr pttern; hypertrophy of the cudte nd left lobe; comptible with mrked ibrotic. The clinicl hypothesis of liver disese ws rised nd she ws referred to the dolescent ofice for investigtion. The study performed reveled: hyperglobulinemi nd ws positive for ntinucler ntibodies, nti-nucleosome, nti-ctin nd nti-ro. Given the hypothesis of utoimmune heptitis type 1 she ws dmitted to perform liver biopsy. The histopthology confirmed the dignosis of utoimmune heptitis with severe ibrosis. As tretment, she strted prednisolone nd zthioprine with nlyticl improvement. Discussion: Dignosis of AIH is bsed on clinicl nd biochemicl dt, positive ntibodies nd typicl histologicl findings with exclusion of other cuses of liver disese. In our cse report, due to the subtlety of clinicl mnifesttions, the dignosis ws clinicl discovery. It is importnt to emphsize tht nonspeciic complints in dolescents re not lwys psychosomtic, it is crucil the exclusion of orgnic pthology. EFFECTS OF DANCE PRACTICE IN STUDENTS OF THE NAPRJ PROJECT, RIO DE JANEIRO, BRASIL Vléri Assumpção, An Mcr b, Fátim Wchovicz c Prefeitur do Rio de Jneiro. Brzil. b Fculdde de Motricidde Humn. INET MD. Portugl. c Universidde Federl d Bhi. Brzil. Contct detils: mcr@fmh.utl.pt Introduction: Severl studies indicte the benefits of dnce prctice in the development of children nd dolescents. These beneits cn be felt in physicl, socil nd psychologicl levels. In this pilot study we were interested in understnding the relity of speciic rts project offered by the municiplity of Rio de Jneiro, in wht concerns the dnce progrm nd its effects in the young popultion tht follows it. Methods: This is qulittive study bsed on phenomenologicl pproch, used s pilot study for future, lrger reserch on the re. The study ddressed the NAPRJ project in the re of dnce, directed to economiclly deprived school children. A number of 20 dolescents prticipting in the progrm were interviewed concerning the mening of dnce prctice in their lives, nd their perception of the effects of its prctice in their helth, psycologicl well being nd socil integrtion. A deep nlysis of ech prticipnt ws mde, to comprehend the relity of ech individul. Also, number of specific ctegories of nswer ws found nd ddressed in the nlisis to ind better understnding of the vlue of this project of dnce in schools. Results: In generl, we found tht this progrm brings specific feelings of physicl nd psychologicl well-being nd trnsformtion, positive socil integrtion, relted to sense of identity, nd belonging. Also, in some cses, risk behviours seems to diminuish becuse of the new interests developed through the helthy occuption of leisure time. DIABETES AT SCHOOL Anbel Ribeiro, Isild Rodrigues b, Mri Rodrigues c Student of the Mster degree in Helth Mngement nd Services. UTAD. Vil Rel. b Socil Security Institute. I.P. Vil Rel. Portugl. c Eduction nd Psychology Deprtment from Trás os Montes e Alto Douro University (UTAD). CEHFC. Portugl. Contct detils: isild@utd.pt Introduction: The type 1 dibetes hs been concern of mny Portuguese nd foreign reserchers, due to their progression in recent yers in Portuguese children. This problem points to the need for more monitoring by the School, Fmily nd Helth Services. Strting from the ssumption tht children spend most of their dy in school due to the demnds of urbn nd industril societies nd even the trditionl mission - eductionl function; it is up to the techer to tke n ctive role in school. Aims: The min objectives of this study were to identify knowledge nd behviors relted to illness nd the food cre nd nlyze the students perception relted to helth promotion in schools. Methods: The methodology dopted ws qulittive reserch with content nlysis. The smple ws deliberte, consisting of 7 children with Type 1 Dibetes Mellitus who ttended the primry school, in 2009, in Vil Rel. Dt collection ws conducted through questionnire. Results nd conclusions: We noted, s positive spect, tht children selected for the study reported tht they coped well with the disese, nd on the other side, we emphsize, in negtive terms, the need for trining of the school community, which includes knowledge of the disese nd dibetics nutrition. We found the lck of protocols nd procedures to be implemented in schools in hypoglycemi or hyperglycemi situtions, nd eductionl interventions within the Type 1 Dibetes Mellitus. Tking into ccount tht school is plce of eductionl instruction, it seems tht one should tke on this issue, since it ws perceived by dibetic children, thus contributing to the successful integrtion of the child in school nd in society. HUMOR: A HOLISTIC CARE AND A PROMOTING CHILDREN S HEALTH Helen José, Elisbete Nunes b, Mrgrid Lourenço c Instituto de Ciêncis d Súde. Universidde Ctólic Portugues. Portugl. Contct detils: mrgridlourenco@ics.lisbo.ucp.pt Objectives: To discuss the importnce of humor in children s lives. Methods: It uses reflective nd nlyticl method, bsed on literture nd strting with the following questions: Is there