Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health Professionals
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1007/s10995-018-2690-z http://hdl.handle.net/11449/188587 |
Resumo: | Objectives Nutrition during pregnancy is related with many maternal and child outcomes. To investigate the consumption of ultra-processed foods is one of the newest methods to evaluate food consumption, but these studies in pregnant women are rare. Methods We conducted a non-randomized controlled educational intervention on healthy eating and physical activity during pregnancy in primary health care units of Botucatu, São Paulo, Brazil. The sample comprised two groups of pregnant women with low obstetric risk, an intervention group (n = 181) and a control group (n = 172). The health professionals that assisted the pregnant women from the intervention group were trained to promote five healthy food practices during the prenatal care appointments: consumption of three fruits; two portions of vegetables; two portions of beans, at least 5 days per week; and restriction of soft drinks and industrially processed cookies. All pregnant women answered two 24-h dietary recalls per trimester, one face-to-face, another by telephone. The foods consumed by pregnant women were classified according Nova. The impact of the intervention on the ultra-processed food consumption was evaluated by multilevel linear regression analysis. Results A quarter of the energy consumed by the pregnant women provided from ultra-processed foods. The intervention reduced these percentage of energy between the first and second trimester of pregnancy by 4.6 points (p = 0.015). This effect was not observed in the third trimester of pregnancy. Conclusions for Practice Training health care professionals to promote healthy food practices is a viable and sustainable alternative to reduce ultra-processed foods during pregnancy. |
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Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health ProfessionalsDietary modificationsEducational interventionPregnancyPregnant womenUltra-processed foodsObjectives Nutrition during pregnancy is related with many maternal and child outcomes. To investigate the consumption of ultra-processed foods is one of the newest methods to evaluate food consumption, but these studies in pregnant women are rare. Methods We conducted a non-randomized controlled educational intervention on healthy eating and physical activity during pregnancy in primary health care units of Botucatu, São Paulo, Brazil. The sample comprised two groups of pregnant women with low obstetric risk, an intervention group (n = 181) and a control group (n = 172). The health professionals that assisted the pregnant women from the intervention group were trained to promote five healthy food practices during the prenatal care appointments: consumption of three fruits; two portions of vegetables; two portions of beans, at least 5 days per week; and restriction of soft drinks and industrially processed cookies. All pregnant women answered two 24-h dietary recalls per trimester, one face-to-face, another by telephone. The foods consumed by pregnant women were classified according Nova. The impact of the intervention on the ultra-processed food consumption was evaluated by multilevel linear regression analysis. Results A quarter of the energy consumed by the pregnant women provided from ultra-processed foods. The intervention reduced these percentage of energy between the first and second trimester of pregnancy by 4.6 points (p = 0.015). This effect was not observed in the third trimester of pregnancy. Conclusions for Practice Training health care professionals to promote healthy food practices is a viable and sustainable alternative to reduce ultra-processed foods during pregnancy.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Departamento de Saúde Pública Botucatu Medical School – São Paulo State University (UNESP), Avenida Professor Montenegro, Distrito de Rubião Júnior, s/n.Departamento de Nutrição School of Public Health – University of São Paulo, Avenida Dr. Arnaldo, 715Federal University of São Paulo, Campus Baixada Santista, Rua Silva Jardim, no. 136. Curso de NutriçãoPostgraduate Program in Epidemiology – Federal University of Pelotas, R. Mal. Deodoro, 1160Departamento de Saúde Pública Botucatu Medical School – São Paulo State University (UNESP), Avenida Professor Montenegro, Distrito de Rubião Júnior, s/n.FAPESP: FAPESP 2011/18579-0FAPESP: FAPESP 2014/06865-6Universidade Estadual Paulista (Unesp)Universidade de São Paulo (USP)Postgraduate Program in Epidemiology – Federal University of PelotasGomes, Caroline de Barros [UNESP]Malta, Maíra BarretoLouzada, Maria Laura da CostaBenício, Maria Helena D’AquinoBarros, Aluísio J. D.Carvalhaes, Maria Antonieta de Barros Leite [UNESP]2019-10-06T16:12:55Z2019-10-06T16:12:55Z2019-05-15info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article692-703http://dx.doi.org/10.1007/s10995-018-2690-zMaternal and Child Health Journal, v. 23, n. 5, p. 692-703, 2019.1573-66281092-7875http://hdl.handle.net/11449/18858710.1007/s10995-018-2690-z2-s2.0-850596868485421002546545582Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengMaternal and Child Health Journalinfo:eu-repo/semantics/openAccess2021-10-23T14:26:58Zoai:repositorio.unesp.br:11449/188587Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-23T14:26:58Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health Professionals |
title |
Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health Professionals |
spellingShingle |
Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health Professionals Gomes, Caroline de Barros [UNESP] Dietary modifications Educational intervention Pregnancy Pregnant women Ultra-processed foods |
title_short |
Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health Professionals |
title_full |
Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health Professionals |
title_fullStr |
Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health Professionals |
title_full_unstemmed |
Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health Professionals |
title_sort |
Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health Professionals |
author |
Gomes, Caroline de Barros [UNESP] |
author_facet |
Gomes, Caroline de Barros [UNESP] Malta, Maíra Barreto Louzada, Maria Laura da Costa Benício, Maria Helena D’Aquino Barros, Aluísio J. D. Carvalhaes, Maria Antonieta de Barros Leite [UNESP] |
author_role |
author |
author2 |
Malta, Maíra Barreto Louzada, Maria Laura da Costa Benício, Maria Helena D’Aquino Barros, Aluísio J. D. Carvalhaes, Maria Antonieta de Barros Leite [UNESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Universidade de São Paulo (USP) Postgraduate Program in Epidemiology – Federal University of Pelotas |
dc.contributor.author.fl_str_mv |
Gomes, Caroline de Barros [UNESP] Malta, Maíra Barreto Louzada, Maria Laura da Costa Benício, Maria Helena D’Aquino Barros, Aluísio J. D. Carvalhaes, Maria Antonieta de Barros Leite [UNESP] |
dc.subject.por.fl_str_mv |
Dietary modifications Educational intervention Pregnancy Pregnant women Ultra-processed foods |
topic |
Dietary modifications Educational intervention Pregnancy Pregnant women Ultra-processed foods |
description |
Objectives Nutrition during pregnancy is related with many maternal and child outcomes. To investigate the consumption of ultra-processed foods is one of the newest methods to evaluate food consumption, but these studies in pregnant women are rare. Methods We conducted a non-randomized controlled educational intervention on healthy eating and physical activity during pregnancy in primary health care units of Botucatu, São Paulo, Brazil. The sample comprised two groups of pregnant women with low obstetric risk, an intervention group (n = 181) and a control group (n = 172). The health professionals that assisted the pregnant women from the intervention group were trained to promote five healthy food practices during the prenatal care appointments: consumption of three fruits; two portions of vegetables; two portions of beans, at least 5 days per week; and restriction of soft drinks and industrially processed cookies. All pregnant women answered two 24-h dietary recalls per trimester, one face-to-face, another by telephone. The foods consumed by pregnant women were classified according Nova. The impact of the intervention on the ultra-processed food consumption was evaluated by multilevel linear regression analysis. Results A quarter of the energy consumed by the pregnant women provided from ultra-processed foods. The intervention reduced these percentage of energy between the first and second trimester of pregnancy by 4.6 points (p = 0.015). This effect was not observed in the third trimester of pregnancy. Conclusions for Practice Training health care professionals to promote healthy food practices is a viable and sustainable alternative to reduce ultra-processed foods during pregnancy. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-06T16:12:55Z 2019-10-06T16:12:55Z 2019-05-15 |
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://dx.doi.org/10.1007/s10995-018-2690-z Maternal and Child Health Journal, v. 23, n. 5, p. 692-703, 2019. 1573-6628 1092-7875 http://hdl.handle.net/11449/188587 10.1007/s10995-018-2690-z 2-s2.0-85059686848 5421002546545582 |
url |
http://dx.doi.org/10.1007/s10995-018-2690-z http://hdl.handle.net/11449/188587 |
identifier_str_mv |
Maternal and Child Health Journal, v. 23, n. 5, p. 692-703, 2019. 1573-6628 1092-7875 10.1007/s10995-018-2690-z 2-s2.0-85059686848 5421002546545582 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Maternal and Child Health Journal |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
692-703 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1799965424989765632 |