Impact of an intervention aimed to promote walking during leisure time and healthy eating in pregnant women attending the Family Health Strategy: a controlled cohort study

• Grant number: 11/18579-0
• Support Opportunities: Regular Research Grants
• Start date: March 01, 2012
• End date: February 28, 2015
• Field of knowledge: Health Sciences - Collective Health - Epidemiology
• Principal Investigator: Maria Helena D'Aquino Benicio
• Grantee: Maria Helena D'Aquino Benicio
• Host Institution: Faculdade de Saúde Pública (FSP). Universidade de São Paulo (USP). São Paulo , SP, Brazil
• Associated researchers: Aluisio Jardim Dornellas de Barros ; Cristina Maria Garcia de Lima Parada ; Isabel Cristina Franco Salem Llanos ; Maíra Barreto Malta ; Maria Antonieta de Barros Leite Carvalhaes ; Monica Yuri Takito ; Vera Lucia Pamplona Tonete

Abstract

Objective: To evaluate the impact of an intervention aimed to promote walking and healthy eating in pregnant women attending the Family Health Strategy (FHS). Methods: A controlled nonrandomized cohort study will be conducted with pregnant women, age> = 18 years, attended in the public low-risk prenatal care, in Botucatu-SP, since the first trimester. Intervention cohort (IC): 140 pregnant women attended by eight FHS units; Control cohort (CC): 140 pregnant women assisted by eight primary care units (PCU). A previous study found no statistically significant differences between the FHS group and the PCU group regarding the practice of walking, healthy eating and guidance received. All professional workers in the prenatal care will be studied: 16 general physicians, 14 nurses and 67 community health agents from the FHS and 10 obstetricians from the PCU. After training, the professionals of the FHS will guide the pregnant women from the IC monthly based on the Transtheoretical Model of Behavior Change. The PCU professionals will give the CC group routine guidance. The "process evaluation" will focus on the acquisition of knowledge and the adequacy of practices. The "impact assessment" will use information from household interviews conducted in the three trimesters of pregnancy regarding the women's characteristics (covariates) and the outcomes. The outcomes are: the practice of walking during leisure time (yes or no), weekly walking period > = 150 minutes (yes or no) and diet score (healthy or unhealthy); and from medical records: excessive weight gain, prematurity and macrosomia. Statistical analysis will be conducted by multilevel logistic regressions models. (AU)

Scientific publications

(5)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

GOMES, CAROLINE DE BARROS; MALTA, MAIRA BARRETO; FERREIRA ANTUNES, JOSE LEOPOLDO; GALLO, CAROLINE DE OLIVEIRA; D'AQUINO BENICIO, MARIA HELENA; DE BARROS LEITE CARVALHAES, MARIA ANTONIETA. The association of dietary glycaemic index and glycaemic load with gestational weight gain and newborn birth weight. BRITISH JOURNAL OF NUTRITION, v. 123, n. 7, p. 818-825, APR 14 2020. (11/18579-0)

VASCONCELOS, LETICIA GARCIA; GOMES, CAROLINE DE BARROS; MALTA, MAIRA BARRETO; DICHI, ISAIAS; BENICIO, MARIA HELENA D'AQUINO; DE BARROS LEITE CARVALHAES, MARIA ANTONIETA. Ingestão insuficiente de ácido graxo alfa-linolênico (18:3n-3) durante a gestação e fatores associados. REVISTA DE NUTRICAO-BRAZILIAN JOURNAL OF NUTRITION, v. 30, n. 4, p. 443-453, JUL-AUG 2017. (11/18579-0)

MALTA, BARRETO MAIRA; CARVALHAES, MARIA ANTONIETA; BARROS, ALUISIO J. D.; BARALDI, LARISSA GALASTRI; TAKITO, MONICA YURI; BENICIO, MARIA HELENA D'AQUINO. EFFECTIVENESS OF AN INTERVENTION TO INCREASE HEALTHY EATING AND LEISURE-TIME WALKING AMONG PREGNANT WOMEN IN ANTENATAL CARE. ANNALS OF NUTRITION AND METABOLISM, v. 71, p. 2-pg., 2017-01-01. (11/18579-0)

GOMES, CAROLINE DE BARROS; MALTA, MAIRA BARRETO; BENICIO, MARIA HELENA D'AQUINO; CARVALHAES, MARIA ANTONIETA DE BARROS LEITE. Consumption of ultra-processed foods in the third gestational trimester and increased weight gain: a Brazilian cohort study. PUBLIC HEALTH NUTRITION, v. 24, n. 11, p. 3304-3312, AUG 2021. (11/18579-0)

GOMES, CAROLINE DE BARROS; MALTA, MAIRA BARRETO; DA COSTA LOUZADA, MARIA LAURA; D'AQUINO BENICIO, MARIA HELENA; BARROS, ALUISIO J. D.; DE BARROS LEITE CARVALHAES, MARIA ANTONIETA. Ultra-processed Food Consumption by Pregnant Women: The Effect of an Educational Intervention with Health Professionals. MATERNAL AND CHILD HEALTH JOURNAL, v. 23, n. 5, p. 692-703, MAY 2019. (14/06865-6, 11/18579-0)