Diet quality of individuals exposed or not to a nutrition education program

Authors

  • Flavia FELIPPE Assistente Social.
  • Liziana BALESTRIN Nutricionistas.
  • Flávia Moraes SILVA Hospital das Clínicas de Porto Alegre, Serviço de Endocrinologia.
  • Aline Petter SCHNEIDER 4 Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Curso de Nutrição, Departamento de Medicina Social.

Keywords:

Nutrition assessment, Feeding behavior, Food consumption, Diet, Food and nutrition education

Abstract

Objective
The present study compared the diet quality of individuals exposed or not to a nutrition education program.
Methods
This cross-sectional study compared the diets of 54 individuals exposed to a nutrition education program for 18 months (varied between 2 and 169 months) (group E) to those of 46 individuals who did not receive nutritional counseling in the last six months (group NE). All participants underwent anthropometric (weight, height, body mass index, waist circumference) and dietary assessments (two 24-hour recalls). Nutrient intakes were calculated by the Avanutri software® and diet quality was estimated by the Healthy Eating Index adapted for the Brazilian population (IASad).
Results
A total of 100 individuals with a mean age of 40.7, SD=12.4 years and mean body mass index of 27.4, SD=4.7kg/m² were studied. The two groups did not differ significantly in terms of age and BMI. Group E had a higher IASad score than group NE (97.0, SD=6.2 vs 84.2, SD=15.2, p<0.001). Regarding IASad classification categories, the percentages of individuals consuming a good-quality diet in the two groups differed significantly (29.6% in group E vs 17.4% in group NE) as did the percentages of those consuming a poor-quality diet (0% in group E versus 10.9% in group NE, p=0.014). Group E scored higher than group NE for vegetables, fruits, dairy, cholesterol and diet variety and lower than group NE for oils and sugars.
Conclusion
Individuals exposed to a nutrition education program had a better-quality diet than individuals not exposed to nutritional counseling. These findings reinforce the importance of nutrition education for the promotion of healthy food habits.

References

Kant AK. Indexes of overall diet quality: a review. J Am Diet Assoc. 1996; 96:785-91. doi: 10.1016/S0 002-8223(96)00217-9.

Cervato AM, Vieira Vl. Índices dietéticos na avaliação da qualidade global da dieta. Rev Nutr. 2003; 16(3):347-55. doi: 10.1590/S1415-5273 2003000300012.

Willett WC. Nutritional epidemiology. 2nd ed. New York: Oxford University Press; 1998.

Kennedy ET, Ohls J, Carlson S, Fleming K. The Healthy eating index: design and applications. J Am Diet Assoc. 1995; 95(10):103-8. doi: 10.1016/S 0002-8223(96)00217-9.

United States Departament of Agriculture. Center for Nutrition Policy and Promotion. Healthy Eating Index-2005: development and evaluation technical report [Internet]. Washington: USDA; 2005 [cited 2009 Mar 5]. Available from: .

Dietary guidelines for Americans [Internet]. Washington; 2005. [cited 2009 Mar 5]. Available from:

Mota JF, Rinaldi A, Pereira AF. Adaptação do índice de alimentação saudável ao guia alimentar da população brasileira Rev Nutr. 2008; 21(5):545-52. doi: 10.1590/S1415-52732008000500007

Brasil. Ministério da Saúde. Guia alimentar para a população brasileira: promovendo a alimentação saudável [Internet]. Brasília; 2006 [acesso 2009 jun 10]. Disponível em: <http://dtr2004.saude.gov.br/nutricao/guia_conheca.php>.

Philippi ST, Latterza AR, Cruz ATR, Ribeiro LC. Pirâmide alimentar adaptada: guia para escolha dos alimentos. Rev Nutr. 1999; 12(1):65-80. doi: 10.15 90/S1415-52731999000100006.

Santos CR, Gouveia LA, Portella E, Avila SS. Índice de alimentação saudável: avaliação do consumo alimentar de diabéticos tipo 2. Nutrire: Rev Soc Bras Aliment Nutr. 2009; 34(1):115-29

Fisberg RM, Slater B, Barros RR, Lima FD, Cesar CLG, Carandina L, et al. Índice de Qualidade da Dieta: avaliação da adaptação e aplicabilidade. Rev Nutr. 2004; 17(3):301-18. doi: 10.1590/S1415-5 2732004000300003.

Morimoto JM, Latorre MRDO, César CLG, Carandina L, Barros MBA, Goldbaum M, et al. Fatores associados à qualidade da dieta de adultos residentes na região metropolitana de São Paulo, Brasil, 2002. Cad Saúde Pública. 2008; 24(1): 169-78. doi: 10.1590/S0102-311X19950003000 15.

Drewnowski A, Hendersont SA, Shore AB, Fischler C, Preziosi P, Hercberg S. Diet quality and dietary diversity in France: implications for the French paradox. J Am Diet Assoc. 1996; 7(7):663-9. doi: 10.1016/S0002-8223(96)00217-9.

Drewnowski A, Driscoll A, Rolls BJ. The dietary variety score: assessing diet quality in healthy young and older adults. J Am Diet Assoc. 1997; 97(3): 266-71. doi: 10.1016/S0002-8223(96)00217-9.

Ramalho RA, Saunders C. O papel da educação nutricional no combate às carências nutricionais. Rev Nutr. 2000; 13(1):11-16. doi: 10.1590/S1415-5 2732000000100002.

Santos LAS. Educação alimentar e nutricional no contexto da promoção de práticas alimentares saudáveis. Rev Nutr. 2005; 18(5):681-92. doi: 10.15 90/S1415-52732005000500011.

Souza AC, Santos I, Costa L, Oliveira D. A educação em saúde com grupos na comunidade: uma estratégia facilitadora da promoção da saúde. Rev Gaúcha Enfermagem. 2005; 26(2):147-53. doi: 10.1590/S1983-14472010000200001.

World Health Organization. Diet, nutrition and the prevention of chronic diseases. Geneva: WHO: 2003.

World Health Organization. Obesity: preventing and managing the global epidemic. Geneva: WHO; 1998. Report of a WHO consultation on obesity.

Santana RI. Avanutri: software de avaliação nutricional, versão 4.0. Rio de Janeiro; 2009.

Jaime PC, Machado FMS, Westphal MF, Monteiro CA. Nutritional education and fruit and vegetable intake: a randomized community trial. Rev Saúde Pública. 2007; 41(1). doi: 10.1590/S0034-891020 09000900001.

Alvarez TS, Zanella MT. Impacto de dois programas de educação nutricional sobre o risco cardiovascular em pacientes hipertensos e com excesso de peso. Rev Nutr. 2009; 22(1):71-9. doi: 10.1590/S1415-5 2732009000100007.

American Diabetes Association. Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2008; 31(1):61-78. doi: 10.2337/dc10-S001.

Kant AK, Graubard BI. A comparison of three dietary pattern indexes for predicting biomarkers of diet and disease. J Am Coll Nutr. 2005; 24(4): 294-303.

Assis MA, Nahas M. Aspectos motivacionais em programas de mudança de comportamento alimentar. Rev Nutr. 1999; 12(1):33-41. doi: 10.1590/S 1415-52731999000100002.

Fisberg RM, Marchioni DML, Colucci ALA. Avaliação do consumo alimentar e da ingestão de nutrientes na prática clínica. Arq Bras Endocrinol Metab. 2009; 53(5):617-24. doi: 10.1590/S0004-27302004000 200014.

Published

2023-09-29

How to Cite

FELIPPE, F. ., BALESTRIN, L. ., SILVA, F. M. ., & SCHNEIDER, A. P. . (2023). Diet quality of individuals exposed or not to a nutrition education program. Brazilian Journal of Nutrition, 24(6). Retrieved from https://periodicos.puc-campinas.edu.br/nutricao/article/view/9873

Issue

Section

ORIGINAL ARTICLE