Change of eating habits in pregnant women with overweight and obesity through a nutritional educational intervention
DOI:
https://doi.org/10.56294/saludcyt20262376Keywords:
pregnancy, overweight, obesity, nutritional interventionAbstract
Introduction: Excess malnutrition is one of the main pandemics affecting women during the gestational stage, leading to adverse effects for both the mother and the fetus. Thus, the objective of the present study was to evaluate the effect of a nutritional educational intervention for changing dietary habits in pregnant women with overweight and obesity in the city of Ambato, Ecuador
Methods: The intervention followed a pre-experimental single-sample design, with 49 pregnant women participating. For the diagnosis, a nutritional screening was conducted using the forms MSP/DNEAIS/form.051/May/2016 and SNS – MSP/HCU- Form51A-2011/IESS, along with anthropometric measurements. Three educational sessions lasting 30 to 45 minutes were then held through workshops and counseling, addressing three topics: consumption of sugary foods during pregnancy, water intake, and a healthy diet based on fruits and vegetables.
Results: the 94,9 % of the participants were overweight or obese at any trimester of pregnancy. It was noted that the consumption of healthy foods among participants increased from 20 % to 49 % after the intervention, and knowledge about the risks of being overweight rose from 40,8 % to 81,6 %.
Conclusions: It is concluded that a nutritional intervention for women in the gestational stage fosters the acquisition of new knowledge and healthy eating habits, which can prevent the development of gestational diabetes and other serious diseases for both the mother and the fetus.
References
1. Mazariegos M, Sánchez BN, Ortigoza A, Moore K, Kroker‐Lobos MF, Ramírez‐Zea M, Sarmiento OL, Miranda JJ, Pérez‐Ferrer C. Double burden of malnutrition in 115 Latin American cities: An ecological analysis. Reproductive, female and child health. 2024 Sep;3(3):e103. Available in: https://doi.org/10.1002/rfc2.103 DOI: https://doi.org/10.1002/rfc2.103
2. Smith DL, Mitchell SE, Johnson MS, Gibbs VK, Dickinson S, Henschel B, Li R, Kaiser KA, Chusyd DE, Brown AW, Allison DB. Benefits of calorie restriction in mice are mediated via energy imbalance, not absolute energy or protein intake. GeroScience. 2024 Jun 8:1-8. Available in: https://link.springer.com/article/10.1007/s11357-024-01166-4
3. Shapiro I, Youssim I, Israel S, Friedlander Y, Hochner H. The Long-Term Associations of Perinatal Obesogenic Environment with Offspring Biological Aging. American Journal of Epidemiology. 2024 Sep 9:kwae344. Disponible en: https://doi.org/10.1093/aje/kwae344 DOI: https://doi.org/10.1093/aje/kwae344
4. De Lara FV, Fernández CT, Zurita-Campos J, Hernández JM. Obesidad y sobrepeso. Medicine-Programa de Formación Médica Continuada Acreditado. 2024 Sep 1;14(15):845-54. Disponible en: https://doi.org/10.1016/j.med.2024.08.001 DOI: https://doi.org/10.1016/j.med.2024.08.001
5. Olaya Noblecilla AI. Efecto de una intervención educativa en creencias alimentarias a gestantes atendidas en el Centro de Salud Zarumilla, Tumbes 2022.
6. Cruz JA, del Frade AB, García MM, Gutierrez MC, Reinaldo YR, Bellet NA, Vital JP. Factores de riesgo relacionados con sobrepeso y obesidad en los primeros 1000 días de vida. Revista Cubana de Medicina Militar. 2024 Feb 23;53(1):024019532.Disponible en: https://revmedmilitar.sld.cu/index.php/mil/article/view/19532
7. López Duré Jessica Mariela, López Ocampos María Isabel, González Cañete Natalia Elizabeth. Adherencia a un programa alimentario dirigido a niños menores de 5 años, que asisten a un Hospital Materno Infantil de Asunción, Paraguay. Rev. cient. cienc. salud. 2024 [cited 2024 Sep 30] ; 6: e6143. Available from: http://scielo.iics.una.py/scielo.php?script=sci_arttext&pid=S2664-28912024000100015&lng=en. Epub July 31, 2024. https://doi.org/10.53732/rccsalud/2024.e6143. DOI: https://doi.org/10.53732/rccsalud/2024.e6143
8. Ortiz-Félix RE, Cárdenas-Villarreal VM, Miranda-Félix PE, Guevara-Valtier MC. Impact of a prenatal education intervention in pregnant women to prevent overweight in infants. Gac. Med. Mex. 2021 Jan 1;157:3-9. DOI: https://doi.org/10.24875/GMM.19005610
9. Olaya Noblecilla AI. Efecto de una intervención educativa en creencias alimentarias a gestantes atendidas en el Centro de Salud Zarumilla, Tumbes 2022.
10. Sotalin Nivela E, Herrera Martínez A, Reyes Pérez MA. Asociación del bajo peso al nacer con factores maternos: edad, estado civil y embarazos previos. Rev Cubana Inv Bioméd. 2024 [citado 30 Sep 2024]; 43 . Disponible en: https://revibiomedica.sld.cu/index.php/ibi/article/view/3280
11. Vay-Demouy J, Fenech G, Kantor B, Cinaud A, Blacher J. Prescripción dietética en la hipertensión arterial. EMC-Tratado de Medicina. 2024 Sep 20. Disponible en: https://doi.org/10.1016/S1636-5410(24)49670-0 DOI: https://doi.org/10.1016/S1636-5410(24)49670-0
12. Barral T, Delcour C, Luton D. Nutrición y embarazo. EMC-Ginecología-Obstetricia. 2023 Jun 1;59(2):1-9. Disponible en: https://doi.org/10.1016/S1283-081X(23)47724-7 DOI: https://doi.org/10.1016/S1283-081X(23)47724-7
13. Gavilanes Holguín DE. Factores de riesgo asociados al sobrepeso en gestantes entre 20 y 34 semanas que acuden al centro de salud Las Piñas, Milagro, Guayas, 2019 (Master's thesis).
14. Nandi IG, Leão Ângelo AS, Coelho BB, Soares LL, Girardi NR. Hipertensão na gravidez como precedente para doenças cardiovasculares: mecanismos subjacentes, riscos a longo prazo e estratégias de prevenção. Braz. J. Hea. Rev. 2024 Sep. 4 [cited 2024 Sep. 30];7(5):e72530. Available from: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/72530 DOI: https://doi.org/10.34119/bjhrv7n5-057
15. Dikaiou P, Björck L, Adiels M, Lundberg CE, Mandalenakis Z, Manhem K, Rosengren A. Obesity, overweight and risk for cardiovascular disease and mortality in young women. Eur J Prev Cardiol. 2021;28(12):1351-1359. doi: 10.1177/2047487320908983. DOI: https://doi.org/10.1177/2047487320908983
16. Loaiza-Miranda S, Marrodán-Serrano M, González-Montero-De-Espinosa M. Sobrepeso y obesidad en gestantes controladas en la atención primaria de salud, Punta Arenas, Chile. Cienc. enferm. 2024; 30: 02. http://dx.doi.org/10.29393/ce30-2sosm30002 DOI: https://doi.org/10.29393/CE30-2SOSM30002
17. Sánchez Mondragón A, González Ortiz VV, Pérez Jaimes AK, Estrada Reyes CU. Factores sociodemográficos y su relación con la ganancia de peso en pacientes en estado gestacional. RILCO. 23 de mayo de 2024 [citado 27 de agosto de 2024];6(55):80-92. Disponible en: https://ojs.eumed.net/rev/index.php/rilcoDS/article/view/13364_sgpe DOI: https://doi.org/10.51896/rilcods.v6i55.526
18. Kusinski LC, Murphy HR, De Lucia Rolfe E, Rennie KL, Oude Griep LM, Hughes D, Taylor R, Meek CL. Dietary Intervention in Pregnant Women with Gestational Diabetes; Protocol for the DiGest Randomised Controlled Trial. Nutrients. 2020;12(4):1165. https://doi.org/10.3390/nu12041165. DOI: https://doi.org/10.3390/nu12041165
19. Saarikko, J., Niela-Vilén, H., Rahmani, A. M., & Axelin, A. (2021). Identifying target behaviors for weight management interventions for women who are overweight during pregnancy and the postpartum period: a qualitative study informed by the Behaviour Change Wheel. BMC pregnancy and childbirth, 21(1), 200. https://doi.org/10.1186/s12884-021-03689-6 DOI: https://doi.org/10.1186/s12884-021-03689-6
20. Cruz Hernández J, Medina Fernández A, Cabrera Rode E, Yanes Quesada M, González Calero TM. Resultados del embarazo en mujeres con diabetes gestacional en dependencia del momento del diagnóstico. Rev Cubana Endocrinol. 2024 [citado 30 Sep 2024]; 35 (1) . Disponible en: https://revendocrinologia.sld.cu/index.php/endocrinologia/article/view/434
21. Marshall, N. E., Abrams, B., Barbour, L. A., Catalano, P., Christian, P., Friedman, J. E., Hay, W. W., Jr, Hernandez, T. L., Krebs, N. F., Oken, E., Purnell, J. Q., Roberts, J. M., Soltani, H., Wallace, J., & Thornburg, K. L. (2022). The importance of nutrition in pregnancy and lactation: lifelong consequences. American journal of obstetrics and gynecology, 226(5), 607–632. https://doi.org/10.1016/j.ajog.2021.12.035 DOI: https://doi.org/10.1016/j.ajog.2021.12.035
22. Vargas-Linares AJ, Bazualdo-Fiorini ER, Pajares-Huaripata E, Bueno-Ordoñez S, Urquiaga-Melquiades T. Impact of the Covid 19 pandemic on pregnancy and its perinatal repercussions: a systematic review. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet]. 2024 Apr. 15 [cited 2024 Sep. 30];3:699. Available from: https://conferencias.ageditor.ar/index.php/sctconf/article/view/1031 DOI: https://doi.org/10.56294/sctconf2024699
23. Isla Labrada Y, Díaz Rojas PA, Toledo Hidalgo D, Alonso Trasobares M, Rodriguez Fortuny S. El volumen nuclear neuronal como indicador de madurez del tejido nervioso en modelo animal de diabetes pregestacional. Rev Cubana Inv Bioméd. 2024 [citado 30 Sep 2024]; 43 . Disponible en: https://revibiomedica.sld.cu/index.php/ibi/article/view/2655
24. Langley-Evans, S. C., Pearce, J., & Ellis, S. (2022). Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review. Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 35(2), 250–264. https://doi.org/10.1111/jhn.12999 DOI: https://doi.org/10.1111/jhn.12999
25. Gu, Z. J., Song, Q. J., Gu, W. Q., Zhang, G. P., Su, Y., Tang, Y., Wang, M. F., Guo, Y., Wu, W. M., & Chen, J. (2023). New approaches in the diagnosis and prognosis of gestational diabetes mellitus. European review for medical and pharmacological sciences, 27(21), 10583–10594. https://doi.org/10.26355/eurrev_202311_34338.
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Copyright (c) 2026 Mayra Elizabeth Caguano Galarza, Maria del Pilar Acosta Zambrano (Author)
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