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RESEARCH ARTICLE

Evaluation of the nutritional status of workers of transformation industries adherent to the Brazilian Workers’ Food Program. A comparative study Ingrid W. Leal Bezerra1*, Anto´nio Gouveia Oliveira2, Liana G. B. Pinheiro1☯, Ce´lia M. M. Morais1☯, Luciano M. B. Sampaio3 1 Department of Nutrition, Centro de Ciências da Sau´de, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil, 2 Department of Pharmacy, Centro de Ciências da Sau´de, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil, 3 Department of Administration Sciences, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil

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OPEN ACCESS Citation: Bezerra IWL, Oliveira AG, Pinheiro LGB, Morais CMM, Sampaio LMB (2017) Evaluation of the nutritional status of workers of transformation industries adherent to the Brazilian Workers’ Food Program. A comparative study. PLoS ONE 12(2): e0171821. doi:10.1371/journal.pone.0171821 Editor: Frank Wieringa, Institut de recherche pour le developpement, FRANCE Received: September 9, 2016 Accepted: January 26, 2017 Published: February 9, 2017 Copyright: © 2017 Bezerra et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: All relevant data are within the paper and its Supporting Information files.

☯ These authors contributed equally to this work. * [email protected]

Abstract The objective of this study was to assess whether the Brazilian Workers’ Food Program (WFP) is associated with changes in the nutritional status of workers in the transformation industry. We conducted a cross-sectional, observational, comparative study, based on prospectively collected data from a combined stratified and two-stage probability sample of workers from 26 small and medium size companies, 13 adherent and 13 non-adherent to the WFP, in the food, mining and textile sectors. Study variables were body mass index (BMI), waist circumference (WC), and dietary intake at lunch obtained by 24-hour dietary recall. Data were analyzed with nested mixed effects linear regression with adjustment by subject variables. Sampling weights were applied in computing population parameters. The final sample consisted of 1069 workers, 541 from WFP-adherent and 528 from WFP nonadherent companies. The groups were different only in education level, income and inhouse training. Workers in WFP-adherent companies have greater BMI (27.0 kg/m2 vs. 26.0 kg/m2, p = 0.002) and WC (87.9 cm vs. 86.5, p = 0.04), higher prevalence of excessive weight (62.6% vs. 55.5%, p