Evaluación de la educación nutricional y un suplemento para prevenir la anemia durante la gestación.

Parra, Beatriz E.; Manjarrés, Luz Mariela; Gómez, Alba Lucía; Alzate, Dora María; Jaramillo, María Clemencia

doi:10.7705/biomedica.v25i2.1344

Cited by 4 publications

(3 citation statements)

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“…Its absorption rates varies from 2 to 20% and is determined not only by organic reserves, but also by its solubility in the proximal portion of the small bowels, which depends on the influence of dietary components ingested at the same time. The bioavailability of non-heme iron is increased by the presence of heme-iron and vitamin C; its absorption inhibitors include polyphenols found in certain vegetables, tannin (found in tea and coffee), phytates found in cereals such as oats, and calcium (LACERDA, 2009;PARRA et al, 2005). This information should be considered when choosing a food composition table to evaluate diets in order to identify subjects which are at deficiency risk and to improve the association between the dietary indicator and other indicators used to identify and monitor nutritional deficiencies.…”

Section: Resultsmentioning

confidence: 99%

Comparative analysis of vitamin A and iron content in food according to different food composition tables and nutritional evaluation software programs

et al. 2013

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Section: Resultsmentioning

confidence: 99%

Comparative analysis of vitamin A and iron content in food according to different food composition tables and nutritional evaluation software programs

et al. 2013

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“…We excluded 95 studies in total (including nine duplicates); 31 were conducted in high income setting; 17 studies were excluded because they did not follow EPOC study design recommendations (Akter et al, 2012;Caut et al, 2019;Della Libera et al, 2011;Gila-Diaz et al, 2021;Jindal et al, 2021;Kamudoni et al, 2016;Nair et al, 2020;NCT04694235, 2021;Parra et al, 2005;Rifayanto et al, 2021;Santos et al, 2013;Selvakumar, 2015;Shimpuku et al, 2019;Thaver et al, 2020;Wijaya-Erhardt et al, 2014); 14 studies targeted participants that were not relevant to this review (dos Santos et al, 2019;Fayasari et al, 2019;Fernald et al, 2016;Kimani-Murage et al, 2013;Kimani-Murage et al, 2015;Lin et al, 2017;Mwangi et al, 2020;Nguyen et al, 2021;Nugraheni et al, 2020;Owais et al, 2017;Scherbaum et al, 2017;Stewart et al, 2020); 10 did not have a nutrition counseling intervention for pregnant women (Abrha et al, 2020;Diddana et al, 2018;Fan et al, 2010;Ferrari et al, 2020;Gomes et al, 2019;Hajian et al, 2020;Pawalia et al, 2020;RBR-5jy777, 2019;Sahran et al, 2021;Swaminathan, 2015;…”

Section: Excluded Studiesmentioning

confidence: 99%

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

Dewidar,

John,

Baqar

et al. 2023

Campbell Systematic Reviews

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BackgroundNutritional counseling, which includes two‐way interactive education, has been hypothesized to improve the health and nutritional status of pregnant women, but little is known about the impact such practice of care might have on maternal and infant health and behavioral outcomes of pregnant women living in low income, low‐middle income, and upper‐middle‐income countries (LMIC)s.ObjectivesWe conducted a systematic review to appraise the effectiveness and impact on health equity of two‐way nutritional counseling practices in LMICs on maternal and infant behavioral, nutritional, and health outcomes.Search MethodsWe conducted electronic searches for relevant studies on Medline, Embase, CINAHL, PsychInfo, and the Cochrane CENTRAL for randomized and non‐randomized trials on the effectiveness of two‐way interactive nutritional counseling among pregnant women from the date of database inception up to June 22, 2021. In addition, we searched references of included studies in systematic reviews, gray literature resources, and unpublished studies or reports that satisfied our eligibility criteria using a focused Google search.Selection CriteriaWe included randomized and non‐randomized controlled studies (NRS), controlled before and after, and interrupted time series that assessed the effectiveness of two‐way interactive nutrition counseling targeting pregnant women in LMICs.Data Collection and AnalysisData extraction and risk of bias were conducted in duplicate. The risk of bias (ROB) for randomized trials (RCT) was assessed according to the Cochrane Handbook of Systematic Reviews, and ROB for NRS was assessed using the Newcastle‐Ottawa scale (NOS). RCT and NRS were meta‐analyzed separately.Main ResultsOur search identified 6418 records and 52 studies met our inclusion criteria, but only 28 were used in the quantitative analysis. Twenty‐eight studies were conducted in Asia, the most in Iran. Eight studies were conducted in Africa. Two‐way interactive nutritional counseling during pregnancy may improve dietary caloric intake (mean difference [MD]: 81.65 calories, 95% confidence interval [CI], 15.37–147.93, three RCTs; I2 = 42%; moderate certainty of evidence using GRADE assessment), may reduce hemorrhage (relative risk [RR]: 0.63; 95% CI, 0.25–1.54, two RCTs; I2 = 40%; very low certainty of evidence using GRADE assessment), may improve protein (MD: 10.44 g, 95% CI, 1.83–19.05, two RCTs; I2 = 95%; high certainty of evidence using GRADE assessment), fat intake (MD: 3.42 g, 95% CI, −0.20 to 7.04, two RCTs; I2 = 0%; high certainty of evidence using GRADE assessment), and may improve gestational weight gain within recommendations (RR: 1.84; 95% CI, 1.10–3.09, three RCTs; I2 = 69%). Nutrition counseling probably leads to the initiation of breastfeeding immediately after birth (RR: 1.72; 95% CI, 1.42–2.09, one RCT). There was little to no effect on reducing anemia (RR: 0.77; 95% CI, 0.50–1.20, three RCTs; I2 = 67%; very low certainty of evidence using GRADE assessment) risk of stillbirths (RR: 0.81; 95% CI, 0.52–1.27, three RCTs; I2 = 0%; moderate certainty of evidence using GRADE assessment) and risk of cesarean section delivery (RR: 0.96; 95% CI, 0.76–1.20, four RCTs; I2 = 36%; moderate certainty of evidence using GRADE assessment).Authors’ ConclusionsOur review highlights improvements in maternal behavioral and health outcomes through interactive nutrition counseling during pregnancy. However, we are uncertain about the effects of nutrition counseling due to the low certainty of evidence and a low number of studies for some key outcomes. Moreover, the effects on health equity remain unknown. More methodologically rigorous trials that focus on a precise selection of outcomes driven by the theory of change of nutrition counseling to improve maternal and infant behavioral and health outcomes and consider equity are required.

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“…(22), sostienen que es una variable demográfica importante, dado, que tener una pareja permanente, se manifiesta en la gestante como un estímulo para su autocuidado. El IMC pregestacional, expresa el estado nutricional previo a la gestación e influye en gran parte en el adecuado desarrollo del embarazo (4,10); las madres que empezaron enflaquecidas tuvieron Hb más baja en el primer y tercer trimestre comparadas con las de peso normal; este hecho coincide con estudios que demuestran la relación entre un buen estado nutricional pregestacional con concentraciones de Hb adecuadas para afrontar la gestación (12,15,17); de ahí la importancia de garantizar una alimentación óptima en el ciclo reproductivo de la mujer y si es necesario, la utilización de suplementos nutricionales con miras a lograr que la madre alcance el peso y estado nutricional gestacional adecuado antes, durante y después de la gestación (5, 15,17,23).…”

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Factores Sociodemográficos Y Gestacionales Asociados a La Concentración De Hemoglobina en Embarazadas De La Red Hospitalaria Pública De Medellín

2011

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INTRODUCCIÓN El embarazo es una de las etapas del proceso vital humano con mayores demandas de hierro (Fe) y cambios hemodinámicos importantes, que hacen a la mujer más susceptible a variaciones en la concentración de hemoglobina (Hb), hasta alcanzar valores no fisiológicos que comprometen su salud, asociándose con mal resultado materno-fetal(1-4). La deficiencia de Fe que afecta la producción de Hb y desencadena anemia (Hb<11g/ dL), incide negativamente en el sistema inmune y dificulta el transporte de oxígeno a los tejidos, con graves consecuencias para el feto, aumento en el riesgo de prematuridad, bajo peso al nacer y morbimortalidad materno-infantil (5,6). Por otra parte, algunas patologías de importante prevalencia en la gestación, como el

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Evaluación de la educación nutricional y un suplemento para prevenir la anemia durante la gestación.

Cited by 4 publications

References 21 publications

Comparative analysis of vitamin A and iron content in food according to different food composition tables and nutritional evaluation software programs

Comparative analysis of vitamin A and iron content in food according to different food composition tables and nutritional evaluation software programs

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

Factores Sociodemográficos Y Gestacionales Asociados a La Concentración De Hemoglobina en Embarazadas De La Red Hospitalaria Pública De Medellín

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