Izabela S. Santos , Mariana R. Carvalho , Naiara F. Baroni , Lívia C. Crivellenti , Daniela S. Sartorelli
{"title":"对超重孕妇进行营养咨询对六个月后儿童生长的影响:随机对照试验","authors":"Izabela S. Santos , Mariana R. Carvalho , Naiara F. Baroni , Lívia C. Crivellenti , Daniela S. Sartorelli","doi":"10.1016/j.nut.2024.112426","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>Studies that have investigated the effect of nutritional counseling during the prenatal period on the follow-up outcomes of children at 6 mo have produced inconclusive results. The present study aimed to investigate the effect of nutritional counseling, based on the NOVA food classification, encouraging the consumption of fresh and minimally processed foods, with overweight adult pregnant women on infant growth at 6 mo of age.</p></div><div><h3>Methods</h3><p>A randomized controlled trial with 195 pairs of pregnant overweight women and their infants at 6 mo of age was conducted in a Brazilian municipality. The pregnant women were allocated to the control group (CG) or intervention group (IG) at the beginning of the pregnancy. The IG received three sessions of nutrition counseling throughout the pregnancy. Linear regression models were used to investigate the effect of the nutritional counseling on infant growth.</p></div><div><h3>Results</h3><p>One hundred ninety-five mother–infant pairs with complete data were included (96 CG, and 99 IG). The mean ± SD infant weight (g) at 6 mo was 7856.1 ± 1.1, and length (cm) was 67.0 ± 2.9. There were no differences in maternal and newborn characteristics between the groups. In the linear regression models, the counseling had no effect on anthropometric parameters of the infants at 6 mo of age: weight-for-length <em>Z</em>-score (β 0.089 [95% CI −0.250; 0.427], <em>P</em> = 0.61); length-for-age <em>Z</em>-score (β 0.032 [95% CI −0.299; 0.363], <em>P</em> = 0.85); weight-for-age <em>Z</em>-score (β 0.070 [95% CI −0.260; 0.400], <em>P</em> = 0.68); BMI-age <em>Z</em>-score (β 0.072 [95% CI −0.270; 0.414], <em>P</em> = 0.68).</p></div><div><h3>Conclusions</h3><p>There was no effect on infant growth at 6 mo of age after the nutritional counseling during pregnancy. Future studies are needed to confirm this hypothesis.</p></div>","PeriodicalId":19482,"journal":{"name":"Nutrition","volume":"123 ","pages":"Article 112426"},"PeriodicalIF":3.2000,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of nutritional counseling with overweight pregnant women on child growth at 6 months: A randomized controlled trial\",\"authors\":\"Izabela S. Santos , Mariana R. Carvalho , Naiara F. Baroni , Lívia C. Crivellenti , Daniela S. Sartorelli\",\"doi\":\"10.1016/j.nut.2024.112426\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>Studies that have investigated the effect of nutritional counseling during the prenatal period on the follow-up outcomes of children at 6 mo have produced inconclusive results. The present study aimed to investigate the effect of nutritional counseling, based on the NOVA food classification, encouraging the consumption of fresh and minimally processed foods, with overweight adult pregnant women on infant growth at 6 mo of age.</p></div><div><h3>Methods</h3><p>A randomized controlled trial with 195 pairs of pregnant overweight women and their infants at 6 mo of age was conducted in a Brazilian municipality. The pregnant women were allocated to the control group (CG) or intervention group (IG) at the beginning of the pregnancy. The IG received three sessions of nutrition counseling throughout the pregnancy. Linear regression models were used to investigate the effect of the nutritional counseling on infant growth.</p></div><div><h3>Results</h3><p>One hundred ninety-five mother–infant pairs with complete data were included (96 CG, and 99 IG). The mean ± SD infant weight (g) at 6 mo was 7856.1 ± 1.1, and length (cm) was 67.0 ± 2.9. There were no differences in maternal and newborn characteristics between the groups. In the linear regression models, the counseling had no effect on anthropometric parameters of the infants at 6 mo of age: weight-for-length <em>Z</em>-score (β 0.089 [95% CI −0.250; 0.427], <em>P</em> = 0.61); length-for-age <em>Z</em>-score (β 0.032 [95% CI −0.299; 0.363], <em>P</em> = 0.85); weight-for-age <em>Z</em>-score (β 0.070 [95% CI −0.260; 0.400], <em>P</em> = 0.68); BMI-age <em>Z</em>-score (β 0.072 [95% CI −0.270; 0.414], <em>P</em> = 0.68).</p></div><div><h3>Conclusions</h3><p>There was no effect on infant growth at 6 mo of age after the nutritional counseling during pregnancy. Future studies are needed to confirm this hypothesis.</p></div>\",\"PeriodicalId\":19482,\"journal\":{\"name\":\"Nutrition\",\"volume\":\"123 \",\"pages\":\"Article 112426\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-03-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nutrition\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0899900724000765\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nutrition","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0899900724000765","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Effectiveness of nutritional counseling with overweight pregnant women on child growth at 6 months: A randomized controlled trial
Objective
Studies that have investigated the effect of nutritional counseling during the prenatal period on the follow-up outcomes of children at 6 mo have produced inconclusive results. The present study aimed to investigate the effect of nutritional counseling, based on the NOVA food classification, encouraging the consumption of fresh and minimally processed foods, with overweight adult pregnant women on infant growth at 6 mo of age.
Methods
A randomized controlled trial with 195 pairs of pregnant overweight women and their infants at 6 mo of age was conducted in a Brazilian municipality. The pregnant women were allocated to the control group (CG) or intervention group (IG) at the beginning of the pregnancy. The IG received three sessions of nutrition counseling throughout the pregnancy. Linear regression models were used to investigate the effect of the nutritional counseling on infant growth.
Results
One hundred ninety-five mother–infant pairs with complete data were included (96 CG, and 99 IG). The mean ± SD infant weight (g) at 6 mo was 7856.1 ± 1.1, and length (cm) was 67.0 ± 2.9. There were no differences in maternal and newborn characteristics between the groups. In the linear regression models, the counseling had no effect on anthropometric parameters of the infants at 6 mo of age: weight-for-length Z-score (β 0.089 [95% CI −0.250; 0.427], P = 0.61); length-for-age Z-score (β 0.032 [95% CI −0.299; 0.363], P = 0.85); weight-for-age Z-score (β 0.070 [95% CI −0.260; 0.400], P = 0.68); BMI-age Z-score (β 0.072 [95% CI −0.270; 0.414], P = 0.68).
Conclusions
There was no effect on infant growth at 6 mo of age after the nutritional counseling during pregnancy. Future studies are needed to confirm this hypothesis.
期刊介绍:
Nutrition has an open access mirror journal Nutrition: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
Founded by Michael M. Meguid in the early 1980''s, Nutrition presents advances in nutrition research and science, informs its readers on new and advancing technologies and data in clinical nutrition practice, encourages the application of outcomes research and meta-analyses to problems in patient-related nutrition; and seeks to help clarify and set the research, policy and practice agenda for nutrition science to enhance human well-being in the years ahead.