Variabilidade dietética e intervenção educomunicativa em escolares com obesidade e sobrepeso: um estudo não randomizado
DOI:
https://doi.org/10.35454/rncm.v6n1.447Palavras-chave:
Obesidade, Sobrepeso, Diversidade dietética, Educação alimentarResumo
Antecedentes: a prevalência global de sobrepeso e obesidade em escolares tem aumentado drasticamente.
Objetivo: avaliar o impacto de uma intervenção educativa na variabilidade dietética dos cuidadores de crianças com obesidade e sobrepeso utilizando a ferramenta “Meu Prato”.
Métodos: estudo descritivo, longitudinal, com 60 cuidadores de crianças com obesidade e sobrepeso. Compreendeu três etapas: 1. Determinação da variabilidade dietética basal; 2. Intervenção educativa baseada na ferramenta “Meu Prato”; 3. Avaliação da variabilidade dietética pós-intervenção. Na análise das variáveis quantitativas, foram aplicadas a média, a mediana e o desvio padrão. A distribuição dos dados foi avaliada pelo teste de Shapiro-Wilk e para a homogeneidade de variância foi utilizado o teste de Levene. Na análise da diferença de médias foi utilizado o teste T de Student, considerando significância estatística ≤ 0,05. O programa estatístico utilizado foi o SPSS. v15.00.
Resultados: a variabilidade dietética aumentou após a intervenção educacional p < 0,001. A variabilidade dietética global média pré-intervenção de 8,2 foi menor do que a pós-intervenção de 9,8 com 95 % de confiança (valor de p < 0,001).
Conclusões: verificou-se que a intervenção educativa com a ferramenta “Meu Prato” nos cuidadores de crianças em condição de obesidade e sobrepeso melhora a variabilidade dietética.
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Referências
Organización Mundial de la Salud. Malnutrición [Internet]. OMS. 2020. Consultado el 27 de junio de 2020. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/malnutrition
Becker PJ, Nieman Carney L, Corkins MR, Monczka J, Smith E, Smith SE, et al. Consensus statement of the academy of nutrition and dietetics/American Society for Parenteral and Enteral Nutrition: Indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition). J Acad Nutr Diet. 2014;114(12):1988-2000. doi: 10.1016/j.jand.2014.08.026
Kaur H. A corelational study on nutritional status of children and feeding practices of mothers in selected hospitals of Jammu, 2015. Int J Nur Edu Research. 2017;5(1):51-4. doi: 10.5958/2454-2660.2017.00011.4
Organización Mundial de la Salud. Obesidad y sobrepeso [Internet]. 2020. [Consultado el 20 de octubre de 2020]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight
Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity among adults and youth: United States, 2015-2016 . Natl Cent Heal Stat. 2015;288(1):1-7.
Freire WB, Silva-Jaramillo KM, Ramírez-Luzuriaga MJ, Belmont P, Waters WF. The double burden of undernutrition and excess body weight in Ecuador. Am J Clin Nutr. 2014;100(6):1636S-43S. doi: 10.3945/ajcn.114.083766
Díaz Olmedo CM, Briones Urbano M, Matos Batista Y. Prevalencia de sobrepeso y obesidad infantil. Instituto Ecuatoriano de Seguridad Social, Quevedo, 2015. Rev Hallazgos21. 2018;3(2):136-43.
Yaguachi Alarcón RA, Poveda Loor CL, Tipantuña Mera GM. Caracterización del estado nutricional de niños y adolescentes de zonas urbano-marginales de la ciudad de Guayaquil-Ecuador. Rev Esp Nutr Comunitaria. 2020;26(4):204-12. doi: 10.14642/RENC.2020.26.4.5338
Vélez Cevallos MA. Estudio del estado nutricional e identificación de factores de riesgo de la población escolar de la provincia de Loja en el año 2010. Rev Fac Cult Física Univ Granma. 2018;15(48):160-72.
Cambizaca Mora G del P, Abascal Ramos IC, Sanabria G, Morocho Yaguana LA. Factores que predisponen al sobrepeso y obesidad en estudiantes de colegios fiscales del Cantón Loja-Ecuador. Rev Haban Cienc Méd. 2016;15(2):163-76.
Müller MJ, Asbeck I, Mast M, Langnäse K, Grund A. Prevention of obesity--more than an intention. Concept and first results of the Kiel Obesity Prevention Study (KOPS). Int J Obes Relat Metab Disord. 2001;25(1):S66-74. doi: 10.1038/sj.ijo.0801703
Melgar-Quiñónez H, Zubieta AC, Valdez E, Whitelaw B. Validación de un instrumento para vigilar la inseguridad alimentaria en la Sierra de Manantlán, Jalisco. Salud Publica Mex. 2005;47:413-22.
Hernández de Ponce S. Alianzas para mejorar la situación de la infancia, la seguridad alimentaria y la nutrición. Estudio para determinar el puntaje de diversidad de la dieta en el hogar [Internet]. Guatemala. 2012. [Consultado el 4 de noviembre de 2020]. Disponible en: http://www.mdgfund.org/sites/default/files/ISAN_%20ESTUDIO_Guate_%20Informe%20Diversidad%20de%20la%20Dieta%20en%20Totonicapan.pdf
Pardos-Mainer E, Pardos-Mainer E, Gou-Forcada B, Sagarra-Romero L, Morales SC, Concepción RRF. Obesidad, intervención escolar, actividad física y estilos de vida saludable en niños españoles. Rev Cuba Salud Pública. 2021;47(2):e1096.
Varagiannis P, Magriplis E, Risvas G, Vamvouka K, Nisianaki A, Papageorgiou A, et al. Effects of three different family-based interventions in overweight and obese children: the “4 your family” randomized controlled trial. Nutrients. 2021;13(2):341. doi: 10.3390/nu13020341
Hoddinott J, Yohannes Y. Dietary diversity as a household food security indicator. Washington, D.C.: Food and Nutrition Technical Assistance Project, FHI 360; 2002.
Pate RR, O’Neill JR, Liese AD, Janz KF, Granberg EM, Colabianchi N, et al. Factors associated with development of excessive fatness in children and adolescents: A review of prospective studies. Obes Rev. 2013;14(8):645-58. doi: 10.1111/obr.12035
Gans KM, Tovar A, Kang A, Ward DS, Stowers KC, von Ash T, et al. A multi-component tailored intervention in family childcare homes improves diet quality and sedentary behavior of preschool children compared to an attention control: results from the Healthy Start-Comienzos Sanos cluster randomized trial. Int J Behav Nutr Phys Act. 2022;19(1):45. doi: 10.1186/s12966-022-01272-6
Jarman M, Edwards K, Blissett J. Influences on the dietary intakes of preschool children: A systematic scoping review. Int J Behav Nutr Phys Act. 2022;19(1):20. doi: 10.1186/s12966-022-01254-8
Muthini D, Nzuma J, Nyikal R. Farm production diversity and its association with dietary diversity in Kenya. Food Secur. 2020;12(5):1107-20. doi: 10.1007/s12571-020-01030-1
Magaji, BD, Oladimeji YU, Sunday H, Abdulkarim AG. Dietary diversity score and its determinants among rural households in Panshekara, Kano State, Nigeria. JAEESS. 2021;6(2):44.
Ecker O. Agricultural transformation and food and nutrition security in Ghana: Does farm production diversity (still) matter for household dietary diversity? Food Policy. 2018;79(2018):271-82. doi: 10.1016/j.foodpol.2018.08.002
Zhong T, Si Z, Crush J, Xu Z, Huang X, Scott S, et al. The impact of proximity to wet markets and supermarkets on household dietary diversity in Nanjing City, China. Sustainability. 2018;10(5):1465. doi: 10.3390/su10051465
Huluka AT, Wondimagegnhu BA. Determinants of household dietary diversity in the Yayo biosphere reserve of Ethiopia: An empirical analysis using sustainable livelihood framework. Cogent Food Agric. 2019;5(1):1690829. doi: 10.1080/23311932.2019.1690829
Cordero-Ahiman OV, Vanegas JL, Franco-Crespo C, Beltrán-Romero P, Quinde-Lituma ME. Factors that determine the dietary diversity score in rural households: The case of the paute river basin of Azuay Province, Ecuador. Int J Environ Res Public Health. 2021;18(4):2059. doi: 10.3390/ijerph18042059
Levine E, Abbatangelo-Gray J, Mobley AR, McLaughlin GR, Herzog J. Evaluating MyPlate: An expanded framework using traditional and nontraditional metrics for assessing health communication campaigns. J Nutr Educ Behav. 2012;44(4):S2-12. doi: 10.1016/j.jneb.2012.05.011
Paramashanti BA, Huda TM, Alam A, Dibley MJ. Trends and determinants of minimum dietary diversity among children aged 6-23 months: A pooled analysis of Indonesia Demographic and Health Surveys from 2007 to 2017. Public Health Nutr. 2021:1-12. doi: 10.1017/S1368980021004559
Tao C, Zhao Q, Glauben T, Ren Y. Does dietary diversity reduce the risk of obesity? Empirical evidence from rural school children in China. Int J Environ Res Public Health. 2020;17(21):8122. doi: 10.3390/ijerph17218122
Jahns L, Conrad Z, Johnson LK, Raatz SK, Kranz S. Recognition of federal dietary guidance icons is associated with greater diet quality. J Acad Nutr Diet. 2018;118(11):2120-7. doi: 10.1016/j.jand.2018.05.026
Sanders H, Ickes S. Participation in a nutrition education and demonstration program in rural Senegal is associated with higher household dietary diversity. Curr Dev Nutr. 2020;4(2):900. doi: 10.1093/cdn/nzaa053_105
Amaro H, Cortés DE, Garcia S, Duan L, Black DS. Video-based grocery shopping intervention effect on purchasing behaviors among Latina shoppers. Am J Public Health. 2017;107(5):800-6. doi: 10.2105/AJPH.2017.303725
Schwartz J, Vernarelli JA. Assessing the public’s comprehension of dietary guidelines: use of MyPlate/MyPyramid tools is associated with higher diet quality, findings from the NHANES. FASEB J. 2018;31(2018):lb462-lb462. doi: 10.1096/fasebj.31.1_supplement
Ellsworth D, Ernst J, Snelling A. A mobile farmers’ market brings nutrition education to low-income students. Health Educ. 2015;115(2):171-7. doi: 10.1108/he-03-2014-0031
Ruggiero L, Seltzer ED, Dufelmeier D, McGee Montoya A, Chebli P. MyPlate picks: Development and initial evaluation of feasibility, acceptability, and impact of an educational exergame to help promote healthy eating and physical activity in children. Games Health J. 2020;9(3):197-207. doi: 10.1089/g4h.2019.0056
Vernarelli J, DiSarro R. Forget the fad diets: Use of the USDA’s MyPlate plan is associated with better dietary intake in adults over age 50 (OR14-06-19). Curr Dev Nutr. 2019;3(1):nzz039.OR14-06-19. doi: 10.1093/cdn/nzz039.OR14-06-19
Mead E, Brown T, Rees K, Azevedo LB, Whittaker V, Jones D, et al. Diet, physical activity and behavioral interventions for the treatment of overweight or obese children from the age of 6 to 11 years. Cochrane Database Syst Rev. 2017;6(6):CD012651. doi: 10.1002/14651858.CD012651
Altman M, Wilfley DE. Evidence update on the treatment of overweight and obesity in children and adolescents. J Clin Child Adolesc Psychol. 2015;44(4):521-37. doi: 10.1080/15374416.2014.963854
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