Effectiveness of an intervention focusing on diet and walking during pregnancy in the primary health care service

Datos Bibliográficos

ID5223262
AutoresMaíra Barreto Malta (0000-0003-4993-1589, Universidade de São Paulo, Brazil; Universidade Católica de Santos, Brazil), Caroline De Barros Gomes (0000-0002-9576-4251, Universidade Estadual Paulista (Unesp)), Aluísio J D Barros (0000-0002-2022-8729, Universidade Federal de Pelotas), Larissa Galastri Baraldi (0000-0002-6793-7899, Universidade Estadual de Campinas (UNICAMP)), Monica Yuri Takito (0000-0003-0257-8765, Universidade de São Paulo), Maria Helena D’aquino Benicio (0000-0003-1851-1178, Universidade de São Paulo), Maria Antonieta De Barros Leite Carvalhaes (0000-0002-6695-0792, Universidade Estadual Paulista (Unesp))
Año2021
Volumen37
Número5
Páginase00010320-e00010320
Fecha de publicación2021-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCadernos de Saude Publica (JOURNAL)
Identificadores de la revistaISSN: 0102-311X • E-ISSN: 1678-4464
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00010320
PMID34037070
OpenAlexW3165639576
SCIELO_PIDS0102-311X2021000505005
IdiomaEN
Citas recibidas2
Referencias citadas40

Interventions during prenatal care can mitigate negative outcomes of a sedentary lifestyle and unhealthy diet during pregnancy. We aimed to evaluate the effectiveness of an intervention that promoted healthy diet and leisure-time walking during antenatal care in a pragmatic, controlled, non-randomized intervention study. Physicians and nurses from all health care units of the Family Health Strategy model of health assistance participated in educational training to promote leisure-time walking and healthy diet during antenatal care visits. Pregnant women who received health care from these professionals constituted the intervention group (n = 181). The control group (n = 172) included pregnant women who received routine antenatal care, in health care units of the traditional model of health assistance. Data were collected in each trimester of pregnancy. Diet was investigated using a food frequency questionnaire adapted from Risk and Protective Factors Surveillance System for Chronic Non-Comunicable Diseases Through Telephone Interview (Vigitel). Leisure-time walking in a typical week was assessed using questions from the Physical Activity in Pregnancy Questionnaire. There were positive effects on leisure-time walking during the second trimester and the third trimester of pregnancy and on the women who achieved 150 minutes per week of walking during the third trimester. The intervention reduced the risk of pregnant women consuming soft drinks and/or commercially prepared cookies in the third trimester. This lifestyle intervention was partially effective, tripling the proportion of pregnant women who achieved the recommended walking time and reducing by half the proportion of women who had a high weekly consumption of soft drinks and industrially processed cookies

Business · Family medicine · Intervention (counseling) · Physical therapy · Pregnancy · Primary care · Service (business) · Gestational Diabetes Research and Management · Marketing · Medicine · Nursing · Obesity, Physical Activity, Diet · Pregnancy-related medical research · Psychology