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

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


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.

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Scientific publications
(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)
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. Web of Science Citations: 1.
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. Web of Science Citations: 0.

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