Intervention for promoting intake of fruits and vegetables in Brazilians: a randomised controlled trial
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.1017/S1368980021004341 http://hdl.handle.net/1843/62752 https://orcid.org/0000-0001-9782-2606 |
Resumo: | Objective: To evaluate the effectiveness of a nutritional intervention to promote fruit and vegetable (FV) intake. Design: A randomised controlled community trial was conducted to evaluate the effectiveness of a 7-month nutritional intervention and to promote FV intake, separately and together. All participants attended physical exercise sessions. The intervention was based on the transtheoretical model and Paulo Freire’s pedagogy. The interventions included group educational sessions, motivational cards and informational materials. The primary outcome was a change in FV intake (g/d), and secondary outcomes included stages of change, self-efficacy, decisional balance and knowledge on FV. All data were collected face-to-face; and FV intake was assessed using a validated brief questionnaire. Setting: Health promotion services of Brazilian Primary Health Care. Participants: 3414 users of Brazilian Primary Health Care (1931 in the control group and 1483 in the intervention group (IG)). Results: At baseline, the average daily FV intake was 370·4 g/d (95 % CI 364·2, 376·6). The increase in FV intake (23·4 g/d; 95 % CI 6·7, 40·0) and fruit intake (þ17·3 g/d; 95 % CI 5·1, 29·4; P = 0·01) was greater in the IG among participants in the lowest baseline intake. Participants in the IG also showed progression in the stages of change (P < 0·001), increased self-efficacy (P < 0·001) and improved knowledge of FV crops (P < 0·001). Conclusions: The nutritional intervention was effective in increasing FV intake and fruits intake among individuals with a lower intake at baseline and in maintaining FV intake among those who reported consuming FV as recommended (400 g/d). |
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2024-01-12T20:47:08Z2024-01-12T20:47:08Z2021-11-12253781793https://doi.org/10.1017/S13689800210043411475-2727http://hdl.handle.net/1843/62752https://orcid.org/0000-0001-9782-2606Objective: To evaluate the effectiveness of a nutritional intervention to promote fruit and vegetable (FV) intake. Design: A randomised controlled community trial was conducted to evaluate the effectiveness of a 7-month nutritional intervention and to promote FV intake, separately and together. All participants attended physical exercise sessions. The intervention was based on the transtheoretical model and Paulo Freire’s pedagogy. The interventions included group educational sessions, motivational cards and informational materials. The primary outcome was a change in FV intake (g/d), and secondary outcomes included stages of change, self-efficacy, decisional balance and knowledge on FV. All data were collected face-to-face; and FV intake was assessed using a validated brief questionnaire. Setting: Health promotion services of Brazilian Primary Health Care. Participants: 3414 users of Brazilian Primary Health Care (1931 in the control group and 1483 in the intervention group (IG)). Results: At baseline, the average daily FV intake was 370·4 g/d (95 % CI 364·2, 376·6). The increase in FV intake (23·4 g/d; 95 % CI 6·7, 40·0) and fruit intake (þ17·3 g/d; 95 % CI 5·1, 29·4; P = 0·01) was greater in the IG among participants in the lowest baseline intake. Participants in the IG also showed progression in the stages of change (P < 0·001), increased self-efficacy (P < 0·001) and improved knowledge of FV crops (P < 0·001). Conclusions: The nutritional intervention was effective in increasing FV intake and fruits intake among individuals with a lower intake at baseline and in maintaining FV intake among those who reported consuming FV as recommended (400 g/d).Objetivo: Avaliar a eficácia de uma intervenção nutricional para promover ingestão de frutas e vegetais (FV). Projeto: Um ensaio comunitário randomizado e controlado foi conduzido para avaliar a eficácia de uma intervenção nutricional de 7 meses e para promover a ingestão de FV, separadamente e juntos. Todos os participantes frequentaram sessões de exercício físico. O a intervenção baseou-se no modelo transteórico e na pedagogia de Paulo Freire. As intervenções incluíram sessões educativas em grupo, cartões motivacionais e materiais informativos. O desfecho primário foi uma mudança na ingestão de FV (g/d), e os resultados secundários incluíram estágios de mudança, autoeficácia, decisão equilíbrio e conhecimento sobre FV. Todos os dados foram coletados presencialmente; e ingestão de FV foi avaliada por meio de um breve questionário validado. Local: Serviços de promoção da saúde da Atenção Primária à Saúde brasileira. Participantes: 3.414 usuários da Atenção Primária à Saúde brasileira (1.931 no controle grupo e 1.483 no grupo intervenção (GI)). Resultados: No início do estudo, a ingestão média diária de FV era de 370,4 g/d (IC 95% 364,2, 376·6). O aumento na ingestão de FV (23,4 g/d; IC 95% 6,7, 40,0) e na ingestão de frutas (þ17,3 g/d; IC 95% 5,1, 29,4; P = 0,01) foi maior no GI entre os participantes na ingestão basal mais baixa. Os participantes do GI também apresentaram progressão no estágios de mudança (P < 0,001), aumento da autoeficácia (P < 0,001) e melhoria conhecimento das culturas FV (P < 0,001). Conclusões: A intervenção nutricional foi eficaz no aumento da ingestão de FLV e consumo de frutas entre indivíduos com menor consumo no início do estudo e na manutenção Consumo de FLV entre aqueles que relataram consumir FLV conforme recomendado (400 g/d).CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorengUniversidade Federal de Minas GeraisUFMGBrasilENF - DEPARTAMENTO DE ENFERMAGEM APLICADAENF - DEPARTAMENTO DE NUTRIÇÃOPublic Health NutritionFrutasVerdurasComportamento alimentarEducação alimentar e nutricionalFruitVegetablesFeeding behaviourNutrition educationBrazilIntervention for promoting intake of fruits and vegetables in Brazilians: a randomised controlled trialIntervenção para promoção do consumo de frutas e hortaliças em brasileiros: um ensaio clínico randomizadoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.cambridge.org/core/journals/public-health-nutrition/article/intervention-for-promoting-intake-of-fruits-and-vegetables-in-brazilians-a-randomised-controlled-trial/06FC4D60A47165C39E4D331265289AF2Raquel de Deus MendonçaSueli Aparecida MingotiMaria Flávia Gazzinelli BethonyMiguel Ángel Martínez-GonzálezMaira Bes-RastrolloAline Cristine Souza Lopesapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/62752/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALIntervention for promoting intake of fruits and vegetables in brazilians a randomised controlled trial_PDF-A.pdfIntervention for promoting intake of fruits and vegetables in brazilians a randomised controlled trial_PDF-A.pdfapplication/pdf617404https://repositorio.ufmg.br/bitstream/1843/62752/2/Intervention%20for%20promoting%20intake%20of%20fruits%20and%20vegetables%20in%20brazilians%20a%20randomised%20controlled%20trial_PDF-A.pdf1a28a555f893e49a070ff0320d5ef386MD521843/627522024-01-12 17:57:37.804oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2024-01-12T20:57:37Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Intervention for promoting intake of fruits and vegetables in Brazilians: a randomised controlled trial |
dc.title.alternative.pt_BR.fl_str_mv |
Intervenção para promoção do consumo de frutas e hortaliças em brasileiros: um ensaio clínico randomizado |
title |
Intervention for promoting intake of fruits and vegetables in Brazilians: a randomised controlled trial |
spellingShingle |
Intervention for promoting intake of fruits and vegetables in Brazilians: a randomised controlled trial Raquel de Deus Mendonça Fruit Vegetables Feeding behaviour Nutrition education Brazil Frutas Verduras Comportamento alimentar Educação alimentar e nutricional |
title_short |
Intervention for promoting intake of fruits and vegetables in Brazilians: a randomised controlled trial |
title_full |
Intervention for promoting intake of fruits and vegetables in Brazilians: a randomised controlled trial |
title_fullStr |
Intervention for promoting intake of fruits and vegetables in Brazilians: a randomised controlled trial |
title_full_unstemmed |
Intervention for promoting intake of fruits and vegetables in Brazilians: a randomised controlled trial |
title_sort |
Intervention for promoting intake of fruits and vegetables in Brazilians: a randomised controlled trial |
author |
Raquel de Deus Mendonça |
author_facet |
Raquel de Deus Mendonça Sueli Aparecida Mingoti Maria Flávia Gazzinelli Bethony Miguel Ángel Martínez-González Maira Bes-Rastrollo Aline Cristine Souza Lopes |
author_role |
author |
author2 |
Sueli Aparecida Mingoti Maria Flávia Gazzinelli Bethony Miguel Ángel Martínez-González Maira Bes-Rastrollo Aline Cristine Souza Lopes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Raquel de Deus Mendonça Sueli Aparecida Mingoti Maria Flávia Gazzinelli Bethony Miguel Ángel Martínez-González Maira Bes-Rastrollo Aline Cristine Souza Lopes |
dc.subject.por.fl_str_mv |
Fruit Vegetables Feeding behaviour Nutrition education Brazil |
topic |
Fruit Vegetables Feeding behaviour Nutrition education Brazil Frutas Verduras Comportamento alimentar Educação alimentar e nutricional |
dc.subject.other.pt_BR.fl_str_mv |
Frutas Verduras Comportamento alimentar Educação alimentar e nutricional |
description |
Objective: To evaluate the effectiveness of a nutritional intervention to promote fruit and vegetable (FV) intake. Design: A randomised controlled community trial was conducted to evaluate the effectiveness of a 7-month nutritional intervention and to promote FV intake, separately and together. All participants attended physical exercise sessions. The intervention was based on the transtheoretical model and Paulo Freire’s pedagogy. The interventions included group educational sessions, motivational cards and informational materials. The primary outcome was a change in FV intake (g/d), and secondary outcomes included stages of change, self-efficacy, decisional balance and knowledge on FV. All data were collected face-to-face; and FV intake was assessed using a validated brief questionnaire. Setting: Health promotion services of Brazilian Primary Health Care. Participants: 3414 users of Brazilian Primary Health Care (1931 in the control group and 1483 in the intervention group (IG)). Results: At baseline, the average daily FV intake was 370·4 g/d (95 % CI 364·2, 376·6). The increase in FV intake (23·4 g/d; 95 % CI 6·7, 40·0) and fruit intake (þ17·3 g/d; 95 % CI 5·1, 29·4; P = 0·01) was greater in the IG among participants in the lowest baseline intake. Participants in the IG also showed progression in the stages of change (P < 0·001), increased self-efficacy (P < 0·001) and improved knowledge of FV crops (P < 0·001). Conclusions: The nutritional intervention was effective in increasing FV intake and fruits intake among individuals with a lower intake at baseline and in maintaining FV intake among those who reported consuming FV as recommended (400 g/d). |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021-11-12 |
dc.date.accessioned.fl_str_mv |
2024-01-12T20:47:08Z |
dc.date.available.fl_str_mv |
2024-01-12T20:47:08Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/62752 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.1017/S1368980021004341 |
dc.identifier.issn.pt_BR.fl_str_mv |
1475-2727 |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0001-9782-2606 |
url |
https://doi.org/10.1017/S1368980021004341 http://hdl.handle.net/1843/62752 https://orcid.org/0000-0001-9782-2606 |
identifier_str_mv |
1475-2727 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
Public Health Nutrition |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.publisher.initials.fl_str_mv |
UFMG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
ENF - DEPARTAMENTO DE ENFERMAGEM APLICADA ENF - DEPARTAMENTO DE NUTRIÇÃO |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
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UFMG |
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