Perception of pregnant women in Primary Health Care about healthy eating
10.15343/0104-7809.202246539550I
Keywords:
Maternal nutrition. Prenatal nutrition. Basic Health Unit.Abstract
Pregnancy promotes several transformations in the female organism, leading to a greater energetic and nutritional demand. If the demand is not met, there will be a competition between the fetus and the mother, which can cause harm to fetal development. Although widely discussed, it is not very clear how pregnant women see healthy eating and whether they can follow it during their daily life. Therefore, it is important to know how pregnant women understand this theme, whether they are receiving guidance, what they do with the acquired knowledge, and what factors are influencing their dietary choices. The aim of this study was to verify the knowledge of pregnant women assisted in primary health care in Belém, PA concerning healthy eating, such as characterizing the socioeconomic and demographic profile and nutritional status of the participants. This is a quantitative-qualitative study conducted with 27 pregnant women enrolled at MHC Guamá using a questionnaire with socioeconomic and demographic data and a semi-structured form with questions about their perception of healthy eating and self-declared weight, height, and gestational age. Qualitative data were analyzed using the Similitude Analysis and Word Cloud methods. The study pointed out that most pregnant women are young, have a high school education, are single, have one minimum wage income, and know how to achieve a healthy diet. However, several factors influence their food choices such as the conditions of their food, nutrition, and health, and the access and consumption of healthy foods on a daily basis. Regarding nutritional status, the same percentage of eutrophic and overweight pregnant women was observed, which may be related to the various factors that influence their dietary choices.
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References
2. El Beitune P, Jiménez MF, Salcedo MM, Ayub AC, Cavalli RC. Nutrição durante a gravidez. Femina. 2020; acesso em 13 de outubro de 2022; 48(4): 245-56. https://docs.bvsalud.org/biblioref/2020/05/1096087/femina-2019-484-245-256.pdf
3. França AKS, Peixoto MI, Macêdo EMC, Santos EMC, Dourado KF, Santos CM, et al. Qualidade da dieta e fatores relacionados ao desenvolvimento de Diabetes mellitus gestacional em gestantes de alto risco de um hospital público do Nordeste brasileiro. Nutr Clín Diet Hosp. 2017; acesso 12 de janeiro de 2022; 37(3): 111-116.
https://dialnet.unirioja.es/servlet/articulo?codigo=6189245
4. Freitas DR. Avaliação do estado nutricional e seus determinantes em gestantes atendidas em uma maternidade pública da cidade de Manaus/AM - 2011. Dissertação. Manaus: Universidade Federal do Amazonas. 2013; acesso 12 de janeiro de 2022.
https://tede.ufam.edu.br/handle/tede/4269
5. Organização Mundial da Saúde. Recomendações da OMS sobre cuidados pré-natais para uma experiência positiva na gravidez . Genebra: OMS; 2016. Acesso 19 de janeiro de 2022. https://apps.who.int/iris/bitstream/handle/10665/250800/ WHO-RHR-16.12-por.pdf?sequence=2
6. Shapiro ALB, Kaar JL, Crume TL, Starling AP, Siega-Riz, AM, Ringham BM. Maternal diet quality in pregnancy and neonatal adiposity: the Healthy Start Study. Int J Obes. 2016; ; 40(7): 1056-1062. http://dx.doi.org/10.1038/ijo.2016.79
7. Young MF, Nguyen PH, Addo OY, Pham H, Nguyen S, Martorell R.Timing of gestational weight gain on fetal growth and infant size at birth in Vietnam. PLoS One. 2017; ; 12(1): e0170192.
http://dx.doi.org/10.1371/journal.pone.0170192
8. Institute of Medicine. Food and Nutrition Board. Dietary reference intakes: Applications in Dietary Assessment. Washington DC: National Academy Press; 2000.
9. Moreira LN, Barros DC, Baião MR, Cunha MB. “Quando tem como comer, a gente come”: fontes de informações sobre alimentação na gestação e as escolhas alimentares. Physis.2018; 28(3): e280321.
http://dx.doi.org/10.1590/s0103-73312018280321
10. Chapman KM, Ham JO, Liesen P, Winter L. Applying behavioral models to dietary education of elderly diabetic patients. J Nutr Educ.1995; 27(2): 75-79. http://dx.doi.org/10.1016/s0022-3182(12)80345-1
11. Gomes CB, Malta MB, Martiniano ACA, Di Bonifácio LP, Carvalhaes MABL. Eating habits of pregnant and non-pregnant women: are there differences? Rev Bras Ginecol Obstet. 2015; 37(7): 325-332. http://dx.doi.org/10.1590/S0100- 720320150005367
12. Brasil. Ministério da Saúde. Guia Alimentar para a População Brasileira.. Brasília: MS; 2014. Acesso 19 de janeiro de 2022; em: https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_brasileira_2ed.pdf
13. Camargo BV, Justo AM. IRAMUTEQ: Um software gratuito para análise de dados textuais. Temas Psicol. 2013; 21(2): 513-518. http://dx.doi.org/10.9788/tp2013.2-16
14. Instituto Brasileiro de Geografia e Estatística [página na Internet]. Instituto Brasileiro de Geografia e Estatística - CENSO 2010.acesso em 12 de janeiro de 2022. https://censo2010.ibge.gov.br/apps/areaponderacao/
15. Ramos HAC, Cuman RKN. Fatores de risco para prematuridade: pesquisa documental. Esc. Anna Nery. 2009; 13(2): 297- 304. http://dx.doi.org/10.1590/s1414-81452009000200009
16. Fernandes RC, Manera F, Boing L, Höfelmann DA. Socioeconomic, demographic, and obstetric inequalities in food insecurity in pregnant women. Rev Bras Saúde Mater Infant. 2018; 18(4): 815-824.
http://dx.doi.org/10.1590/1806-93042018000400008
17. Rufino MPR, Prado LS, Dias LT, Sousa JO, Frota MCQA, Carneiro JKR.Oliveira MAS. Avaliação do estado nutricional e do ganho de peso das gestantes atendidas em um Centro de Saúde da Família do interior norte do estado do Ceará/Brasil. Rev Interd.2018; acesso 12 de janeiro de 2022; 11(4): 11-20. https://dialnet.unirioja.es/servlet/articulo?codigo=6779899
18. Gomes RNS, Gomes VTS, Caldas DRC, Lago EC, Campos FKL, Gomes MS. Avaliação do estado nutricional de gestantes atendidas em unidades básicas de saúde de Caxias/MA. Rev Interd. 2015; acesso 12 de janeiro de 2022; 7(4): 81-90. https:// silo.tips/download/issn-avaliaao-do-estado-nutricional-de-gestantes-atendidas-em-unidades-gomes-r-n
19. Gonçalves CV, Mendoza-Sassi RA, Cesar JA, Castro NB, Bortolomedi AP. Índice de massa corporal e ganho de peso gestacional como fatores preditores de complicações e do desfecho da gravidez. Rev Bras Ginecol Obstet. 2015; 34(7): 304- 309. http://dx.doi.org/10.1590/s0100-72032012000700003
20. Araújo ES, Santana JM, Brito SM, Santos DB. Consumo alimentar de gestantes atendidas em Unidades de Saúde. Mundo Saúde.2016; ; 40(1): 28-37. http://dx.doi.org/10.15343/0104-7809.201640012837
21. Zuccolotto DCC, Crivellenti LC, Franco LJ, Sartorelli DS. Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes. Rev Saúde Públ. 2019; 530:52. http://dx.doi.org/10.11606/S1518-8787.2019053000909
22. Leite T, Carolina A, Port R. Fatores associados ao ganho ponderal de gestantes atendidas na Unidade básica de saúde da mulher “Maria de Lourdes Campos Silva” em Monte Azul Paulista – SP. Rev Cien Nutr Online. 2018; acesso 12 de janeiro de 2022; 2(2): 26-31. https://www.unifafibe.com.br/revistasonline/arquivos/cienciasnutricionaisonline/sumario/62/13042018205635. pdf
23. Teixeira CSS, Cabral ACV. Avaliação nutricional de gestantes sob acompanhamento em serviços de pré-natal distintos: a região metropolitana e o ambiente rural. Rev Bras Ginecol Obstet. 2015; 38(1): 27-34. http://dx.doi.org/10.1055/s-0035-1570111
24. Da Matta, R. Sobre o simbolismo da comida no Brasil. Correio da Unesco. 1978; 15(7): 21-23.