Adherence to the goals of a lifestyle intervention among overweight pregnant women and its effect on perinatal outcomes

• Grant number: 17/18980-2
• Support Opportunities: Scholarships in Brazil - Post-Doctoral
• Start date: November 01, 2018
• End date: January 31, 2022
• Field of knowledge: Health Sciences - Nutrition - Nutritional Analysis of Population
• Principal Investigator: Daniela Saes Sartorelli
• Grantee: Lívia Castro Crivellenti
• Host Institution: Faculdade de Medicina de Ribeirão Preto (FMRP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil

Abstract

Studies that evaluate the adherence of lifestyle program in overweight pregnant women and its effect on maternal and neonatal outcomes are scarce. The objective of the present study will be to evaluate the adherence of the goals of a lifestyle intervention in pregnancy and investigate their effect on perinatal health outcomes. The present study is a randomized controlled clinical trial that will be conducted among overweight adult pregnant women attended at basic health units in Ribeirão Preto, SP. Participants will be allocated randomly to control (who will receive usual prenatal care) and intervention (who will receive three individualized sessions of dietary counseling and physical activity). The achievement of at least four of the five goals established by the study will be considered: greater frequency of consumption of "home-made food", vegetables and fruits and less frequency of consumption of soft drinks, "package food", as well as the regular practice of physical activity. Anthropometric, biochemical and lifestyle data will be obtained in the first (up to the 16th gestational week) and second (between the 34th and 36th gestational week) evaluations. The effect of adherence to goals on adequacy of the gestational weight gain rate (insufficient/adequate/excessive), variation of the maternal biochemical profile, type of delivery (vaginal/cesarean/forceps), premature birth (yes/no) and adequacy of birth weight (small for gestational age/adequate for gestational age/large for gestational age) will be investigated using linear regression, logistic or multinomial logistic models adjusted for confounding factors, depending on the characteristics of the variables.

Scientific publications

(9)

(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)

SARTORELLI, DANIELA SAES; CRIVELLENTI, LIVIA CASTRO; MANOCHIO-PINA, MARINA GARCIA; BARONI, NAIARA FRANCO; CARVALHO, MARIANA RINALDI; DIEZ-GARCIA, ROSA WANDA; FRANCO, LAERCIO JOEL. Study Protocol effectiveness of a nutritional intervention based on encouraging the consumption of unprocessed and minimally processed foods and the practice of physical activities for appropriate weight gain in overweight, adult, pregnant women: a randomized controlled trial. BMC PREGNANCY AND CHILDBIRTH, v. 20, n. 1, JAN 7 2020. (17/18980-2, 17/15386-2)

BARONI, NAIARA F.; BALDONI, NAYARA R.; ALVES, GEISA C. S.; CRIVELLENTI, LIVIA C.; BRAGA, GIORDANA C.; SARTORELLI, DANIELA S.. Do Lifestyle Interventions in Pregnant Women with Overweight or Obesity Have an Effect on Neonatal Adiposity? A Systematic Review with Meta-Analysis. NUTRIENTS, v. 13, n. 6, JUN 2021. (17/18980-2)

DE LIMA, MARIA CAROLINA; SANTOS, IZABELA DA SILVA; CRIVELLENTI, LIVIA CASTRO; SARTORELLI, DANIELA SAES. A better quality of maternal dietary fat reduces the chance of large-for-gestational-age infants: A prospective cohort study. NUTRITION, v. 91-92, NOV-DEC 2021. (18/06746-8, 17/18980-2)

CARVALHO, MARIANA RINALDI; CRIVELLENTI, LIVIA CASTRO; SARTORELLI, DANIELA SAES. Estimate of Dietary Total Antioxidant Capacity of Pregnant Women and Associated Factors. Revista Brasileira de Ginecologia e Obstetrícia, v. 44, n. 02, p. 9-pg., 2022-02-01. (17/18980-2)

MARINA GARCIA MANOCHIO-PINA; LÍVIA CASTRO CRIVELLENTI; DANIELA SAES SARTORELLI; ROSA WANDA DIEZ-GARCIA. Instrumento educativo de intervenção no estilo de vida para gestantes com sobrepeso. Revista Brasileira de Saúde Materno Infantil, v. 22, n. 2, p. 385-398, 2022-08-05. (17/15386-2, 17/18980-2)

DE ANDRADE MIRANDA, DANIELA ELIAS GOULART; SANTOS, IZABELA DA SILVA; SILVA, CAROLINA ASSIS; CARVALHO, MARIANA RINALDI; SHIVAPPA, NITIN; HEBERT, JAMES R.; CRIVELLENTI, LIVIA CASTRO; SARTORELLI, DANIELA SAES. Pro-inflammatory diet during pregnancy is associated with large-for-gestational-age infants. Nutrition Research, v. 100, p. 11-pg., 2022-02-24. (17/18980-2, 18/06746-8)

SARTORELLI, DANIELA SAES; DIEZ-GARCIA, ROSA WANDA; FRANCO, LAERCIO JOEL. Reply to "Undisclosed outcome switching, undisclosed analysis switching, inappropriate rounding, and selective reporting render paper 'Effectiveness of a minimally processed food based nutritional counselling intervention on weight gain in overweight pregnant women: a randomized controlled trial' unreliable". EUROPEAN JOURNAL OF NUTRITION, v. 62, n. 5, p. 3-pg., 2023-05-04. (21/06486-9, 17/15386-2, 21/06586-3, 17/18980-2)

SARTORELLI, DANIELA SAES; CRIVELLENTI, LIVIA CASTRO; BARONI, NAIARA FRANCO; GOULART DE ANDRADE MIRANDA, DANIELA ELIAS; SANTOS, IZABELA DA SILVA; CARVALHO, MARIANA RINALDI; DE LIMA, MARIA CAROLINA; CARREIRA, NATALIA POSSES; LANZONI CHAVES, ANA VITORIA; MANOCHIO-PINA, MARINA GARCIA; et al. Effectiveness of a minimally processed food-based nutritional counselling intervention on weight gain in overweight pregnant women: a randomized controlled trial. EUROPEAN JOURNAL OF NUTRITION, v. 62, n. 1, p. 12-pg., 2022-09-10. (17/18980-2, 17/15386-2, 21/06586-3, 21/06486-9)

CARREIRA, NATALIA POSSES; DE LIMA, MARIA CAROLINA; SARTORELLI, DANIELA SAES; CRIVELLENTI, LIVIA CASTRO. Relationship between diet quality and biochemical profile in Brazilian overweight pregnant women. NUTRITION, v. 113, p. 6-pg., 2023-09-01. (21/06486-9, 17/15386-2, 21/06586-3, 17/18980-2)