{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:11:32Z","timestamp":1760058692776,"version":"build-2065373602"},"reference-count":32,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T00:00:00Z","timestamp":1745452800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"FCT\u2014Foundation for Science and Technology, I.P."}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Cardiovascular disease (CVD) is the leading cause of death worldwide and is exacerbated by poor dietary habits, particularly in settings such as women\u2019s prisons. Incarcerated women are often exposed to ultra-processed foods, limited nutritional education, and restricted living conditions that increase their risk of CVD. Objectives: This study aimed to explore the challenges perceived by professionals in a Portuguese women\u2019s prison regarding the prevention of CVD, particularly through dietary interventions. Methods: A qualitative, exploratory and descriptive study was conducted using a focus group with six professionals. Data were collected in July 2024 and analysed using thematic content analysis. Results: Three thematic categories emerged: (1) contextual challenges of the prison system (e.g., sedentary lifestyle, limited food options); (2) socio-cultural resistance to behavioural change (e.g., low adherence to health programmes, use of food as a coping mechanism); and (3) the need for sustainable and interdisciplinary intervention strategies. Conclusions: The findings highlight the complexity of promoting cardiovascular health in female prisoners. Interventions need to take into account mental health support, prisoner autonomy and institutional constraints. Future research should develop and test targeted, context-specific nutrition programmes in similar settings.<\/jats:p>","DOI":"10.3390\/nu17091428","type":"journal-article","created":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T09:26:58Z","timestamp":1745486818000},"page":"1428","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cardiovascular Disease in Women\u2019s Prisons: A Qualitative Study of Dietary Habits from the Perspective of Professionals"],"prefix":"10.3390","volume":"17","author":[{"given":"Ana","family":"Machado","sequence":"first","affiliation":[{"name":"Health Sciences Research Unit: Nursing (UICISA: E), Coimbra School of Nursing, 3046-851 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3179-3799","authenticated-orcid":false,"given":"Iara","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing (UICISA: E), Coimbra School of Nursing, 3046-851 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8968-3623","authenticated-orcid":false,"given":"Mariana","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Postgraduate Programme in Nursing (PPGENF), Federal University of Pernambuco (UFPE), Recife 50670-901, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6807-5119","authenticated-orcid":false,"given":"Adriana","family":"Taveira","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing (UICISA: E), Coimbra School of Nursing, 3046-851 Coimbra, Portugal"},{"name":"Higher School of Health, University of Tr\u00e1s-os-Montes and Alto Douro (UTAD), 5000-801 Vila Real, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9778-5024","authenticated-orcid":false,"given":"Francisca","family":"Linhares","sequence":"additional","affiliation":[{"name":"Postgraduate Programme in Nursing (PPGENF), Federal University of Pernambuco (UFPE), Recife 50670-901, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1064-3523","authenticated-orcid":false,"given":"Ana","family":"Macedo","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit: Nursing (UICISA: E), Coimbra School of Nursing, 3046-851 Coimbra, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,24]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2025, January 27). World Health Statistics 2024: Monitoring Health for the SDGs, Sustainable Development Goals. Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO Licence, Editor. Available online: https:\/\/www.who.int\/data\/gho\/publications\/world-health-statistics."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2529","DOI":"10.1016\/j.jacc.2019.10.009","article-title":"The Global Burden of Cardiovascular Diseases and Risk Factors: 2020 and Beyond","volume":"74","author":"Mensah","year":"2019","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_3","unstructured":"(2025, January 27). OECD State of Health in the EU-Portugal: Perfil de Sa\u00fade do Pa\u00eds 2023. Paris\/European Obs Heal Syst Policies, Brussels. Available online: https:\/\/www.oecd.org\/pt\/publications\/portugal-perfil-de-saude-do-pais-2023_6be7d83c-pt.html."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e20190357","DOI":"10.1590\/1983-1447.2020.20190357","article-title":"Fatores de risco cardiovascular em pessoas privadas de liberdade: Revis\u00e3o integrativa","volume":"41","author":"Silva","year":"2020","journal-title":"Rev. Ga\u00facha Enferm."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1016\/S0140-6736(10)61053-7","article-title":"The health of prisoners","volume":"377","author":"Fazel","year":"2011","journal-title":"Lancet"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Jusic, A., Salgado-Somoza, A., Paes, A.B., Stefanizzi, F.M., Mart\u00ednez-Alarc\u00f3n, N., Pinet, F., Martelli, F., Devaux, Y., Robinson, E.L., and Novella, S. (2020). Approaching sex differences in cardiovascular non-coding rna research. Int. J. Mol. Sci., 21.","DOI":"10.3390\/ijms21144890"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Nguyen, A.H., Hurwitz, M., Sullivan, S.A., Saad, A., Kennedy, J.L.W., and Sharma, G. (2024). Update on sex specific risk factors in cardiovascular disease. Front. Cardiovasc. Med., 11.","DOI":"10.3389\/fcvm.2024.1352675"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1975","DOI":"10.1016\/S0140-6736(12)60319-5","article-title":"Prevalence of risk factors for non-communicable diseases in prison populations worldwide: A systematic review","volume":"379","author":"Herbert","year":"2012","journal-title":"Lancet"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"666","DOI":"10.2105\/AJPH.2008.144279","article-title":"The health and health care of US prisoners: Results of a nationwide survey","volume":"99","author":"Wilper","year":"2009","journal-title":"Am. J. Public Health"},{"key":"ref_10","first-page":"37","article-title":"Hypertension in female prisoners in Brazil: Far beyond the biological aspects","volume":"28","author":"Kendall","year":"2023","journal-title":"Ci\u00eancia Sa\u00fade Coletiva"},{"key":"ref_11","unstructured":"Bardin, L. (2016). An\u00e1lise de Conte\u00fado, Edi\u00e7\u00f5es 70; Amazon."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1136\/jech.2009.090662","article-title":"Prevalence of chronic medical conditions among jail and prison inmates in the USA compared with the general population","volume":"63","author":"Binswanger","year":"2009","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1007\/s10995-023-03884-1","article-title":"How are the Dietary Needs of Pregnant Incarcerated Women Being Met? A Scoping Review and Thematic Analysis","volume":"28","author":"Capper","year":"2024","journal-title":"Matern. Child Health J."},{"key":"ref_14","unstructured":"Krueger, R.A., and Casey, M.A. (2009). Focus Groups: A Practical Guide for Applied Research, Sage. [4th ed.]."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Morgan, D.L. (1997). Focus Groups as Qualitative Research, Sage. [2nd ed.].","DOI":"10.4135\/9781412984287"},{"key":"ref_16","first-page":"e3460","article-title":"Conceptions of Health Professionals About the Practice of Physical Exercise in Individuals Deprived of Liberty","volume":"34","author":"Costa","year":"2024","journal-title":"J. Phys. Educ."},{"key":"ref_17","unstructured":"Plugge, E., Douglas, N., and Fitzpatrick, R. (2006). The Health of Women in Prison Study Findings, University of Oxford. Available online: https:\/\/www.researchgate.net\/publication\/238730815."},{"key":"ref_18","first-page":"4475","article-title":"Prevalence of chronic noncommunicable diseases in the prison system: A public health challenge","volume":"27","author":"Serra","year":"2022","journal-title":"Ci\u00eancia Sa\u00fade Coletiva"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e126973980","DOI":"10.33448\/rsd-v9i7.3980","article-title":"An\u00e1lise de card\u00e1pio e das condi\u00e7\u00f5es f\u00edsico-estruturais de Unidades de Alimenta\u00e7\u00e3o e Nutri\u00e7\u00e3o de penitenci\u00e1rias","volume":"9","author":"Cavalcante","year":"2020","journal-title":"Res. Soc. Dev."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s40352-023-00222-z","article-title":"Food and the prison environment: A meta-ethnography of global first-hand experiences of food, meals and eating in custody","volume":"11","author":"Hunt","year":"2023","journal-title":"Health Justice"},{"key":"ref_21","unstructured":"Pedro, A.F. (2022). Avalia\u00e7\u00e3o da Literacia em Sa\u00fade e Sa\u00fade Oral dos Reclusos em Portugal. [Ph.D. Thesis, Universidade de Lisboa]."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1159\/000481967","article-title":"Self-Reports of Health before and during Imprisonment in Female Inmates","volume":"35","author":"Alves","year":"2017","journal-title":"Port. J. Public Health"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1057\/jphp.2010.47","article-title":"Smoking in prisons: The need for effective and acceptable interventions","volume":"32","author":"Ritter","year":"2011","journal-title":"J. Public Health Policy"},{"key":"ref_24","first-page":"2008","article-title":"Atitudes e h\u00e1bitos alimentares de mulheres privadas de liberdade: Uma an\u00e1lise da garantia ao direito humano a alimenta\u00e7\u00e3o adequada","volume":"8363","author":"Kirsten","year":"2008","journal-title":"Rev. APS"},{"key":"ref_25","first-page":"88","article-title":"A Influ\u00eancia do Estresse no Desenvolvimento e Manuten\u00e7\u00e3o de Transtornos Alimentares: Um Estudo Sobre Anorexia, Bulimia e Transtorno de Compuls\u00e3o Alimentar the Influence of Stress on the Development and Maintenance of Eating Disorders: A Study on Anorexia","volume":"1","author":"Costa","year":"2024","journal-title":"A R Int. Health Beac. J."},{"key":"ref_26","unstructured":"Miguel Correia Sampaio, F., and Borges Carlos, D. (2011). 8. A Sa\u00fade Mental E Os Estabelecimentos Prisionais: Implementa\u00e7\u00e3o De Programas De Promo\u00e7\u00e3o Da Sa\u00fade Mental, Silver."},{"key":"ref_27","unstructured":"Ramos, J. (2025, January 27). Mudan\u00e7a Cl\u00ednica em Vari\u00e1veis Cognitivas e Emocionais Subjacentes ao Comportamento Anti-Social: Os Efeitos do GPS em Contexto Prisional. Available online: https:\/\/hdl.handle.net\/10316\/25900."},{"key":"ref_28","first-page":"102","article-title":"Revista Direito das Pol\u00edticas P\u00fablicas","volume":"5","author":"Francischetto","year":"2023","journal-title":"Law Public Policy Rev."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Testoni, I., Nencioni, I., Arbien, M., Iacona, E., Marrella, F., Gorzegno, V., Selmi, C., Vianello, F., Nava, A., and Zamperini, A. (2021). Mental health in prison: Integrating the perspectives of prison staff. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182111254"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1017\/S0007114524000849","article-title":"A Systematic Review of the effect of Dietary and Nutritional Interventions on the Behaviours and Mental Health of Prisoners","volume":"132","author":"Poulter","year":"2024","journal-title":"Br. J. Nutr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"100556","DOI":"10.1016\/j.ijlcj.2022.100556","article-title":"The effects of reward systems in prison: A systematic review","volume":"71","author":"Elbers","year":"2022","journal-title":"Int. J. Law Crime Justice"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Bonato, P.d.P.Q., Ventura, C.A.A., Maulide Cane, R., and Craveiro, I. (2024). Health Education Initiatives for People Who Have Experienced Prison: A Narrative Review. Healthcare, 12.","DOI":"10.3390\/healthcare12020274"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/9\/1428\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:20:53Z","timestamp":1760030453000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/9\/1428"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,24]]},"references-count":32,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025,5]]}},"alternative-id":["nu17091428"],"URL":"https:\/\/doi.org\/10.3390\/nu17091428","relation":{},"ISSN":["2072-6643"],"issn-type":[{"type":"electronic","value":"2072-6643"}],"subject":[],"published":{"date-parts":[[2025,4,24]]}}}