Nutrición Hospitalaria 02508 / http://dx.doi.org/10.20960/nh.02508

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A pilot intervention to reduce postpartum weight retention at primary health care in Brazil

Karina dos Santos, Paulla Tavares Patrício, Thaíssa Santana Vieira Lima, Denise Cavalcante de Barros, Cláudia Saunders

Prepublicado: 2019-06-24

Publicado: 2019-08-02

VOLUMEN 36, NÚM. 4, julio-agosto (2019), PAG. 854-861

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Compártelo:

Background: postpartum weight retention (PWR) strongly predicts obesity, the major nutritional concern of this century; however, there is a gap in nutritional care for postpartum women in Brazil. Objective: to evaluate the effect of nutritional counselling provided at primary health care on the reduction of PWR. Method: pilot study carried out in a low-income community in southeastern Brazil, involving postpartum women with PWR, who were provided with individual monthly appointments with a nutritionist over three months of follow-up. Nutritional counselling was based on the Dietary Approach to Stop Hypertension (DASH diet) aiming at healthy and gradual weight loss. Anthropometric evaluation included measurement of weight, height, waist circumference and percentage of body fat. Dietary intake was assessed using a food frequency questionnaire and adherence to diet was evaluated using a DASH score. Results: women who participated in the study (n = 26) showed a reduction in PWR (median -1.80 kg, p = 0.004), body mass index (-0.57 kg/m², p = 0.004), and waist circumference (-2.50 cm, p = 0.024), as well as 91.67% of them presented good adherence to diet. Conclusion: nutritional counselling provided to low-income postpartum women at primary health care contributed to the reduction of PWR, body mass index and waist circumference, as the study participants presented good adherence to a healthy dietary pattern.

Palabras Clave: Postpartum period. Maternal nutrition. Women’s health. Primary health care. Public health.

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Dewidar, Omar, John, Jessica, Baqar, Aqeel, Madani, Mohamad Tarek, Saad, Ammar, Riddle, Alison, Ota, Erika, Kung'u, Jacqueline K., Arabi, Mandana, Raut, Manoj Kumar, Klobodu, Seth S., Rowe, Sarah, Hatchard, Jennifer, Busch‐Hallen, Jennifer, Jalal, Chowdhury, Wuehler, Sara, Welch, Vivian (2023) Effectiveness of nutrition counseling for pregnant women in low‐ and middle‐income countries to improve maternal and infant behavioral, nutritional, and health outcomes: A systematic review. Campbell Systematic Reviews

Ministry of Health of Brazil. Vigitel Brasil 2016. Brasília: Ministry of Health; 2017.

Howell KR, Powell TL. Effects of maternal obesity on placental function and fetal development. Reproduction 2017; 153(3): R97-R108.

Bogaerts A, De Baetselier E, Ameye L, Dilles T, Van Rompaey B, Devlieger R. Postpartum weight trajectories in overweight and lean women. Midwifery 2017; 49: 134-141.
DOI: 10.1016/j.midw.2016.08.010

Widen EM, Whyatt RM, Hoepner LA, Ramirez-Carvey J, Oberfield SE, Hassoun A et al. Excessive gestational weight gain is associated with long-term body fat and weight retention at 7 y postpartum in African American and Dominican mothers with underweight, normal, and overweight prepregnancy BMI. Am J Clin Nutr 2015; 102(6): 1460-1467.
DOI: 10.3945/ajcn.115.116939

Linné Y, Dye L, Barkeling B, Rössner S. Long-Term Weight Development in Women: A 15-Year Follow-up of the Effects of Pregnancy. Obes Res 2004; 12(7): 1166-1178.
DOI: 10.1038/oby.2004.146

Stang J, Huffman LG. Position of the Academy of Nutrition and Dietetics: Obesity, Reproduction, and Pregnancy Outcomes. J Acad Nutr Diet 2016; 116(4): 677-691.
DOI: 10.1016/j.jand.2016.01.008

Huang TT, Yeh CY, Tsai YC. A diet and physical activity intervention for preventing weight retention among Taiwanese childbearing women: A randomised controlled trial. Midwifery 2011; 27(2): 257-264.
DOI: 10.1016/j.midw.2009.06.009

Jaakkola J, Isolauri E, Poussa T, Laitinen K. Benefits of repeated individual dietary counselling in long-term weight control in women after delivery. Matern Child Nutr 2015; 11(4): 1041-1048.
DOI: 10.1111/mcn.12115

Huseinovic E, Bertz F, Leu Agelii M, Hellebö Johansson E, Winkvist A, Brekke HK. Effectiveness of a weight loss intervention in postpartum women : results from a randomized controlled trial in primary health care. Am J Clin Nutr 2016; 104(2): 362-370.
DOI: 10.3945/ajcn.116.135673

Herring SJ, Cruice JF, Bennett GG, Darden N, Wallen JJ, Rose MZ et al. Intervening during and after pregnancy to prevent weight retention among African American women. Prev Med Rep 2017; 7: 119-123.
DOI: 10.1016/j.pmedr.2017.05.015

Cornell A, McCoy C, Stampfel C, Bonzon E, Verbiest S. Creating New Strategies to Enhance Postpartum Health and Wellness. Matern Child Health J 2016; 20(Suppl 1): 39-42.
DOI: 10.1007/s10995-016-2182-y

Graham M, Uesugi K, Olson C. Barriers to weight-related health behaviours: A qualitative comparison of the socioecological conditions between pregnant and post-partum low-income women. Matern Child Nutr 2016; 12(2): 349–361.
DOI: 10.1111/mcn.12135

Windhauser MM, Ernst DB, Karanja NM, Crawford SW, Redican SE, Swain JF et al. Translating the Dietary Approaches to Stop Hypertension diet from research to practice: dietary and behavior change techniques. J Am Diet Assoc 1999; 99(Suppl 8): S90-S95.
DOI: 10.1016/S0002-8223(99)00422-8

Tabibian S, Daneshzad E, Bellissimo N, Brett NR, Dorosty-Motlagh AR, Azadbakht L. Association between adherence to the Dietary Approaches to Stop Hypertension diet with food security and weight status in adult women. Nutr Diet 2018; 75(5): 481-487.
DOI: 10.1111/1747-0080.12440

dos Santos K, Moreira TM, Belfort GP, da Silva CFM, Padilha PC, Barros DC, Saunders C. Adaptation of DASH diet (Dietary Approach to Stop Hypertension) for postpartum nutritional care at primary healthcare. Rev bras epidemiol 2019. [in press]

Ministry of Health of Brazil. Guia Alimentar Para a População Brasileira (Food Guide for the Brazilian Population). 2nd ed. Brasília: Ministry of Health; 2014.

Kolasa KM, Firnhaber G, Haven K. Diet for a Healthy Lactating Woman. Clin Obstet Gynecol 2015; 58(4): 893-901.
DOI: 10.1097/GRF.0000000000000144

Whitt-Glover MC, Hunter JC, Foy CG, Quandt SA, Vitolins MZ, Leng I et al. Translating the Dietary Approaches to Stop Hypertension (DASH) Diet for Use in Underresourced, Urban African American Communities, 2010. Prev Chronic Dis 2013; 10: 120088.
DOI: 10.5888/pcd10.120088

Mackenbach JD, Burgoine T, Lakerveld J, Forouhi NG, Griffin SJ, Wareham NJ et al. Accessibility and Affordability of Supermarkets: Associations With the DASH Diet. Am J Prev Med 2017; 53(1): 55-62.
DOI: 10.1016/j.amepre.2017.01.044

Matsudo SM, Araújo TL, Matsudo VKR, Andrade DR, Andrade EL, Oliveira LC, et al. Questionário Internacional de Atividade Física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ Saude 2001; 6(2): 5-18.

van der Pligt P, Ball K, Hesketh KD, Teychenne M, Crawford D, Morgan PJ et al. A pilot intervention to reduce postpartum weight retention and central adiposity in first-time mothers: results from the mums OnLiNE (Online, Lifestyle, Nutrition & Exercise) study. J Hum Nutr Diet 2018; 31(3): 314-328.
DOI: 10.1111/jhn.12521

Phelan S, Hagobian T, Brannen A, Hatley KE, Schaffner A, Muñoz-Christian K et al. Effect of an Internet-Based Program on Weight Loss for Low-Income Postpartum Women. JAMA 2017; 317(23): 2381-2391.
DOI: 10.1001/jama.2017.7119

Molina Mdel C, Benseñor IM, Cardoso Lde O, Velasquez-Melendez G, Drehmer M, Pereira TS et al. Reproducibility and relative validity of the Food Frequency Questionnaire used in the ELSA-Brasil. Cad Saude Publica 2013; 29(2): 379-389.

Costa Louzada ML, Martins AP, Canella DS, Baraldi LG, Levy RB, Claro RM et al. Ultra-processed foods and the nutritional dietary profile in Brazil. Rev Saude Publica 2015; 49: 38.

Brazilian Institute of Geography and Statistics. Pesquisa de orçamentos familiares 2008-2009: tabelas de composição nutricional dos alimentos consumidos no Brasil (Family budget research 2008-2009: tables of nutritional composition of food consumed in Brazil). Rio de Janeiro: Brazilian Institute of Geography and Statistics; 2011.

de Paula TP, Steemburgo T, de Almeida JC, Dall'Alba V, Gross JL, de Azevedo MJ. The role of Dietary Approaches to Stop Hypertension (DASH) diet food groups in blood pressure in type 2 diabetes. Br J Nutr 2012; 108(1), 155-162.
DOI: 10.1017/S0007114511005381

Ministry of Health of Brazil. Orientações para a coleta e análise de dados antropométricos em serviços de saúde: norma técnica do sistema de vigilância alimentar e nutricional – SISVAN (Guidelines for the collection and analysis of anthropometric data in health services: technical standard of the food and nutritional surveillance system – SISVAN). Brasília: Ministry of Health; 2011.

Stendell-Hollis NR, Thompson PA, West JL, Wertheim BC, Thomson CA. A Comparison of Mediterranean-Style and MyPyramid Diets on Weight Loss and Inflammatory Biomarkers in Postpartum Breastfeeding Women. J Womens Health (Larchmt) 2013; 22(1): 48-57.
DOI: 10.1089/jwh.2012.3707

Althuizen E, van Poppel MNM, de Vries JH, Seidell JC, van Mechelen W. Postpartum behaviour as predictor of weight change from before pregnancy to one year postpartum. BMC Public Health 2011; 11: 165.
DOI: 10.1186/1471-2458-11-165

Martins APB, Benicio MHDA. Influence of dietary intake during gestation on postpartum

weight retention. Rev Saude Publica 2011; 45(5): 870-877.
DOI: 10.1590/S0034-89102011005000056

Drehmer M, Camey SA, Nunes MA, Duncan BB, Lacerda M, Pinheiro AP et al. Fibre intake and evolution of BMI: from pre-pregnancy to postpartum. Public Health Nutr 2013; 16(8), 1403-1413.
DOI: 10.1017/S1368980012003849

Oliveira TC, Czeresnia D, Vargas EP, Barros DC. Concepções sobre práticas alimentares em mulheres de camadas populares no Rio de Janeiro, RJ, Brasil: transformações e ressignificações. Interface (Botucatu) 2018; 22(65): 435-446.
DOI: 10.1590/1807-57622016.0807

Baião MR, Deslandes SF. Práticas alimentares na gravidez: um estudo com gestantes e puérperas de um complexo de favelas do Rio de Janeiro (RJ, Brasil). Ciênc. Saúde Colet 2010; 15(Supl.2): 3199-3206.
DOI: 10.1590/S1413-81232010000800025

Baião MR, Santos MMA de S, Líbera B Della, Machado RCM. Puerperium and its sociocultural dimension from the perspective of women living in Manguinhos – Rio de Janeiro, RJ, Brazil. Demetra 2013; 8(Suppl. 1): 309-320.

Christenson A, Johansson E, Reynisdottir S, Torgerson J, Hemmingsson E. Women’s perceived reasons for their excessive postpartum weight retention: A qualitative interview study. PLoS One 2016; 11(12): e0167731.
DOI: 10.1371/journal.pone.0167731

Schmitt NM, Nicholson WK, Schmitt J. The association of pregnancy and the development of obesity – results of a systematic review and meta-analysis on the natural history of postpartum weight retention. Int J Obes 2007; 31: 1642-1651.
DOI: 10.1038/sj.ijo.0803655

Boghossian NS, Yeung EH, Lipsky LM, Poon AK, Albert PS. Dietary patterns in association with postpartum weight retention. Am J Clin Nutr 2013; 97(6): 1338-1345.
DOI: 10.3945/ajcn.112.048702

Kavle JA, Landry M. Addressing barriers to maternal nutrition in low- and middle-income countries: A review of the evidence and programme implications. Matern Child Nutr 2018;14 (1): e12508.
DOI: 10.1111/mcn.12508

Zive MM, Rhee KE. Call to action: continuum of care for females of reproductive age to prevent obesity and ensure better health outcomes of offspring through nutrition. Clin Obstet Gynecol 2014; 57(3): 446-455.
DOI: 10.1097/GRF.0000000000000046

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Trabajo Original

A pilot intervention to reduce postpartum weight retention at primary health care in Brazil

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