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Effect of dietary and lifestyle intervention in pregnant women: randomized clinical trial

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Autor(es):
Lima, Maria Carolina De ; Carreira, Natalia Posses ; Sartorelli, Daniela Saes
Número total de Autores: 3
Tipo de documento: Artigo Científico
Fonte: Revista de Saúde Pública; v. 59, p. 13-pg., 2025-01-01.
Resumo

OBJECTIVE: To evaluate the intra-and between-group (control and intervention) effect of counseling during pregnancy on pregnant women's food consumption and physical activity. METHODS: This randomized, parallel, two-arm clinical trial was carried out in primary health care in a Brazilian municipality from 2018 to 2021. Adult pregnant women with pre-gestational overweight (n = 350) were randomly assigned to the control or intervention groups. The intervention consisted of three counseling sessions based on the NOVA food classification system and encouragement toward physical activity. Then, 24-hour dietary records were obtained, and physical activity was assessed using a structured questionnaire. The Wilcoxon test was used for intra-group differences between assessments and the Mann-Whitney test, for differences between groups. RESULTS: Women in the control group consumed less minimally and unprocessed foods (%E) (0 = -4.08;-13.58 to 4.34; p = 0.006) and more ultra-processed foods (%E) (0 = 3.74; -5.86 to 12.86; p = 0.009), with no difference between groups. The intervention group showed an increase in commuting-related physical activity (min/week) between assessments (0 = 9.00; -30.00 to 70.00; p = 0.02), with no difference between groups. The other parameters showed no differences. CONCLUSIONS: The intervention failed to affect outcomes. However, intragroup changes showed that the control consumed less minimally and unprocessed foods and more ultra-processed foods and the intervention group increased their commuting-related physical activities. (AU)

Processo FAPESP: 21/06468-0 - Efeito de uma intervenção nutricional na alteração do consumo alimentar, prática de atividade física e perfil bioquímico de gestantes com sobrepeso: um ensaio clínico aleatorizado controlado
Beneficiário:Maria Carolina de Lima
Modalidade de apoio: Bolsas no Brasil - Doutorado
Processo FAPESP: 17/15386-2 - Estudo de intervenção nutricional em gestantes com sobrepeso atendidas em Unidades Básicas de Saúde: um ensaio clínico aleatorizado controlado.
Beneficiário:Daniela Saes Sartorelli
Modalidade de apoio: Auxílio à Pesquisa - Regular
Processo FAPESP: 17/18980-2 - Adesão às metas de uma intervenção no estilo de vida entre gestantes com sobrepeso e seu efeito em desfechos perinatais
Beneficiário:Lívia Castro Crivellenti
Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado