Knowledge, attitudes and practices of primary care professionals about the food guide for children up to 2 years old: a cross-sectional study, Botucatu, São Paulo, Brazil, 2023 Vivian Lovison do Amaral, Giovana Canela Spadotto, Caroline de Barros Gomes Epidemiologia E Servicos De Saude, 2024 Objective: To investigate knowledge, attitudes and practices of primary health care professionals regarding breastfeeding and complementary feeding, in accordance with the recommendations of the food guide for Brazilian children up to 2 years old. Methods: This is a descriptive study undertaken from October to December 2023, with a self-administered online questionnaire, aimed at physicians, nurses and community health agents in primary health care in Botucatu, São Paulo, Brazil. We performed descriptive analysis and used Pearson’s chi-squared test to analyze association between professional categories and their knowledge, attitudes and practices in relation to the content of the food guide. Results: 74 professionals participated, including 37 community health agents, 19 nurses and 18 physician. Half the professionals had low knowledge about the content of the guide, getting less than half the answers right, in particular those related to complementary foods, for which 57 professionals got less than half of them right. Physicians and nurses were the professionals who believed they were more qualified to provide information related to the content of the guide, when compared to community health agents (p-value<0.001). Regarding practices, 18 professionals stated they sometimes provide guidance on breastfeeding, 24 reported never doing breastfeeding assessments during consultations and home visits and 22 provided guidance on introduction of complementary feeding. Conclusion: Knowledge of physician, nurses and community health workers was deficient regarding the content of the guide. Attitudes and practices regarding the content were also compromised.
Presence of a companion in the delivery room and breastfeeding in the first hour of life: is there an association? Larissa Ramos Araujo, Maria Antonieta de Barros Leite Carvalhaes, Caroline de Barros Gomes Revista Brasileira De Saude Materno Infantil, 2023 Objectives: to identify variables associated with the presence of a companion in the delivery room and its association with breastfeeding (BF) in the first hour of life. Methods: cross-sectional analysis of data from a cohort study (n=344). To investigate the factors associated with the presence of a companion during childbirth and breastfeeding in the first hour; we performed Poisson regression analyses, considering p<0.05 as the level of statistical significance. Results: 93.9% of the pregnant women had a companion in the delivery room, and no association was found between socioeconomic, obstetric and neonatal characteristics of the mother-child binomial and the presence of a companion. In a univariate analysis, the absence of a companion reduced the frequency of breastfeeding in the first hour (PR=0.64; CI95%=0.42-0.96), a result that was not confirmed in the adjusted analyses (PR=0.79; CI95%=0.54-1.15). Secondly, it was identified that the five minutes Apgar score was associated with first hour breastfeeding (PR=1.27; CI95%=1.14-1.40) regardless of the other factors. Conclusions: most women in the cohort had a companion in the delivery room, with no differences according to socioeconomic, obstetric and neonatal variables. The frequency of first hour breastfeeding was high; however, it was lower in the absence of a companion but this association was not independent of other factors.
Consumption of ultra-processed foods in the third gestational trimester and increased weight gain: A Brazilian cohort study Caroline de Barros Gomes, Maíra Barreto Malta, Maria Helena D’Aquino Benício, Maria Antonieta de Barros Leite Carvalhaes Public Health Nutrition, 2021 Objective:To investigate whether the consumption of ultra-processed foods (UPF) during pregnancy is associated with gestational weight gain (GWG).Design:Cohort study with collection of two 24-h dietary recalls during each gestational trimester obtained on non-consecutive days and differentiating weekday v. weekend/holiday. The foods were classified according to the NOVA system into fresh or minimally processed foods and their culinary preparations, processed and UPF and subsequently analysed as a percentage contribution to dietary energy. The outcome was average GWG in the second and in the third trimesters, expressed in g/week.Setting:Botucatu, a medium-sized Brazilian city.Participants:Pregnant women with regular obstetric risk (n 259) undergoing prenatal care in primary healthcare.Results:In a multiple linear regression model, it was found that an increase of 1 percentage point in energy consumption from UPF in the third gestational trimester led to an average increase of 4·17 (95 % CI 0·55; 7·79) g in weekly GWG in this period. There was no association between second-trimester UPF consumption and GWG.Conclusions:Consumption of UPF in the third gestational trimester is positively associated with average weekly GWG in this period.
The association of dietary glycaemic index and glycaemic load with gestational weight gain and newborn birth weight Caroline de Barros Gomes, Maíra Barreto Malta, José Leopoldo Ferreira Antunes, Caroline de Oliveira Gallo, Maria Helena D’Aquino Benício, et al. British Journal of Nutrition, 2020 Diet during pregnancy is related to several maternal and infant health outcomes; however, the relationship between maternal dietary glycaemic index (GI) and glycaemic load (GL) and gestational weight gain (GWG) or newborn birth weight is controversial. The purpose of the present study was to investigate the relationship between maternal dietary GI and GL and GWG and birth weight. A cohort of adult pregnant women with usual obstetric risk was followed in Botucatu, SP, Brazil. Two 24-h dietary recalls were collected in each gestational trimester (<14, 24–27, 31–34 weeks), one in person and the other by telephone. GI and GL were determined using the software Nutrition Data System for Research. GWG was obtained from medical records and evaluated as the weekly GWG between the second and third gestational trimesters. Newborn birth weight z-score in relation to gestational age was evaluated according to Intergrowth-21st Project recommendations. A multiple linear regression model, adjusted for potential confounders, showed a one-point increase in the GI resulted in a mean decrease of 12·9 (95 % CI –21·48, –4·24) g in weekly GWG; GL was not associated with this outcome. The birth weight z-score was not associated with GI (P = 0·763) or GL (P = 0·317). In conclusion, in a cohort of pregnant women considered at usual risk for obstetric complications, maternal dietary GI was negatively associated with weekly GWG in the second and third gestational trimesters. No association was observed between GL and GWG, and neither GI nor GL was associated with birth weight z-score.
Ganho de peso gestacional e comportamento infantil: Coorte de Lactentes de Botucatu (Estudo CLaB) CB Gomes, MABL Carvalhaes, CMGL Parada Universidade Estadual Paulista (UNESP) , 2025 2025
Conhecimento, atitudes e práticas de profissionais da atenção primária sobre o guia alimentar para crianças até 2 anos: estudo transversal, Botucatu, São Paulo, 2023 VL Amaral, GC Spadotto, CB Gomes Epidemiologia e Serviços de Saúde 33, e20240111 , 2024 2024 Citations: 3
Knowledge, attitudes and practices of primary care professionals about the food guide for children up to 2 years old: a cross-sectional study, Botucatu, São Paulo, Brazil, 2023 VL Amaral, GC Spadotto, CB Gomes Epidemiologia e Serviços de Saúde 33, e20240111 , 2024 2024
Habilidades culinárias de cuidadores e consumo alimentar em crianças de primeira infância: análise em um território de unidade de saúde da família CR dos Santos, MABL Carvalhaes, C de Barros Gomes Revista de APS 27 , 2024 2024
Association between sleep quality and weight gain in pregnancy: a cross-sectional study APSC Roberto, ABH Parenti, C de Barros Gomes, MABL Carvalhaes, ... BMC Pregnancy and Childbirth 24 (1), 779 , 2024 2024 Citations: 6
Patterns of complementary feeding introduction and associated factors in a cohort of Brazilian infants MAM Almeida, JE Corrente, EIO Vidal, CB Gomes, AEM Rinaldi, ... BMC pediatrics 24 (1), 629 , 2024 2024 Citations: 6
Habilidades culinárias de cuidadores e consumo alimentar de crianças na primeira infância: análise em território de uma Unidade de Saúde da Família. C Ramos dos Santos, MA de Barros Leite Carvalhaes, ... Revista de Atencao Primaria a Saude 27 , 2024 2024
Presence of a companion in the delivery room and breastfeeding in the first hour of life: is there an association? LR Araujo, MABL Carvalhaes, CB Gomes Revista Brasileira de Saúde Materno Infantil 23, e20220055 , 2023 2023 Citations: 4
Presença de acompanhante na sala de parto e aleitamento materno na primeira hora de vida: há associação? LR Araujo, MABL Carvalhaes, CB Gomes Revista Brasileira de Saúde Materno Infantil 23, e20220055 , 2023 2023
Conhecimento de mães e gestantes sobre o aleitamento materno AS Ferreira, BAS Leonel, C de Barros Gomes, APP Carvalheira Brazilian Journal of Development 9 (05), 16284-16301 , 2023 2023 Citations: 3
Depression during pregnancy and gestational weight gain: A study of Brazilian pregnant women C de Barros Gomes, LS Mendonça, APC Roberto, MABL Carvalhaes Nutrition 106, 111883 , 2023 2023 Citations: 12
Gestational weight gain according to the Brazilian charts and its association with maternal and infant adverse outcomes TRB Carrilho, JA Hutcheon, KM Rasmussen, ME Reichenheim, DR Farias, ... The American Journal of Clinical Nutrition 117 (2), 414-425 , 2023 2023 Citations: 14
Presence of a companion in the delivery room and breastfeeding in the first hour of life: is there an association? L Ramos Araujo, MA de Barros Leite Carvalhaes, C de Barros Gomes Brazilian Journal of Mother & Child Health (BJMCH)/Revista Brasileira de … , 2023 2023
Da cor da pele ao consumo de frutas, verduras e legumes: Insegurança Alimentar e suas associações. ML Rosa Zanardo, G Schemer da Fonseca Soares, C de Barros Gomes Segurança Alimentar e Nutricional 30 , 2023 2023
Da cor da pele ao consumo de frutas, verduras e legumes: insegurança Alimentar e suas associações MLR Zanardo, GS da Fonseca, C de Barros Gomes Segurança Alimentar e Nutricional 30, e023033-e023033 , 2023 2023 Citations: 1
The Determinants of Complementary Feeding Introduction Vary According to the Type of Food and Infants’ Ages: A Cohort Study—ClaB, Brazil MAM Almeida, SL Rossato, AP Ferrari, C de Barros Gomes, VLP Tonete, ... Maternal and Child Health Journal 26 (6), 1384-1400 , 2022 2022 Citations: 11
Ingestão insuficiente de colina durante a gestação: estudo de coorte CB GOMES, MABL CARVALHAES Revista de Nutrição 34, e200187 , 2021 2021
Insufficient choline intake during pregnancy: cohort study CB Gomes, MABL Carvalhaes Revista de Nutrição 34, e200187 , 2021 2021 Citations: 1
Consumption of ultra-processed foods in the third gestational trimester and increased weight gain: a Brazilian cohort study C de Barros Gomes, MB Malta, MHDA Benício, MABL Carvalhaes Public Health Nutrition 24 (11), 3304-3312 , 2021 2021 Citations: 51
Efectividad de una intervención centrada en la dieta y paseos durante la gestación en el servicio de atención primaria en salud MB Malta, CB Gomes, AJD Barros, LG Baraldi, MY Takito, MHDA Benício, ... Cadernos de Saúde Pública 37, e00010320 , 2021 2021
MOST CITED SCHOLAR PUBLICATIONS
Hábitos alimentares das gestantes brasileiras: revisão integrativa da literatura CB Gomes, LG Vasconcelos, RMGC Cintra, LCGD Dias, ... Ciência & Saúde Coletiva 24, 2293-2306 , 2019 2019 Citations: 85
Ultra-processed food consumption by pregnant women: the effect of an educational intervention with health professionals CB Gomes, MB Malta, MLC Louzada, MHDA Benício, AJD Barros, ... Maternal and Child Health Journal 23, 692-703 , 2019 2019 Citations: 68
Consumption of ultra-processed foods in the third gestational trimester and increased weight gain: a Brazilian cohort study C de Barros Gomes, MB Malta, MHDA Benício, MABL Carvalhaes Public Health Nutrition 24 (11), 3304-3312 , 2021 2021 Citations: 51
Sobrepeso pré-gestacional associa-se a ganho ponderal excessivo na gestação MABL Carvalhaes, CB Gomes, MB Malta, SJ Papini, CMGL Parada Revista Brasileira de Ginecologia e Obstetrícia 35, 523-529 , 2013 2013 Citations: 40
Práticas alimentares de gestantes e mulheres não grávidas: há diferenças? CB Gomes, MB Malta, ACA Martiniano, LPD Bonifácio, MABL Carvalhaes Revista Brasileira de Ginecologia e Obstetrícia 37 (7), 325-332 , 2015 2015 Citations: 36
Adherence to dietary patterns during pregnancy and association with maternal characteristics in pregnant Brazilian women CB Gomes, MB Malta, SJ Papini, MHDA Benício, JE Corrente, ... Nutrition 62, 85-92 , 2019 2019 Citations: 29
Alta prevalência de inadequação da ingestão dietética de cálcio e vitamina D em duas coortes de gestantes CB Gomes, MB Malta, JE Corrente, MHDA Benício, MABL Carvalhaes Cadernos de Saúde Pública 32, e00127815 , 2016 2016 Citations: 25
Effectiveness of an intervention focusing on diet and walking during pregnancy in the primary health care service MB Malta, CB Gomes, AJD Barros, LG Baraldi, MY Takito, MHDA Benício, ... Cadernos de Saúde Pública 37 , 2021 2021 Citations: 24
Relação entre circunferência abdominal e estado nutricional em pré-escolares de Botucatu, SP LCGD Dias, RMG de Campos Cintra, CM Arruda, CM Nunes, CB Gomes Revista Ciência em Extensão 9 (1), 95-104 , 2013 2013 Citations: 18
Gestational weight gain according to the Brazilian charts and its association with maternal and infant adverse outcomes TRB Carrilho, JA Hutcheon, KM Rasmussen, ME Reichenheim, DR Farias, ... The American Journal of Clinical Nutrition 117 (2), 414-425 , 2023 2023 Citations: 14
Longer duration of exclusive breastfeeding reduces maternal weight retention: results from the CLaB study MS Alves, MAM Almeida, CB Gomes, AP Ferrari, CMGL Parada, ... Revista Brasileira de Saúde Materno Infantil 20, 273-284 , 2020 2020 Citations: 13
Depression during pregnancy and gestational weight gain: A study of Brazilian pregnant women C de Barros Gomes, LS Mendonça, APC Roberto, MABL Carvalhaes Nutrition 106, 111883 , 2023 2023 Citations: 12
Eating habits of pregnant Brazilian women: an integrative review of the literature CB Gomes, LG Vasconcelos, RMGC Cintra, LCGD Dias, ... Ciência & saúde coletiva 24, 2293-2306 , 2019 2019 Citations: 12
Eating habits of pregnant and non-pregnant women: are there differences? CB Gomes, MB Malta, ACA Martiniano, LPD Bonifácio, MABL Carvalhaes Revista Brasileira de Ginecologia e Obstetrícia 37 (7), 325-332 , 2015 2015 Citations: 12
The Determinants of Complementary Feeding Introduction Vary According to the Type of Food and Infants’ Ages: A Cohort Study—ClaB, Brazil MAM Almeida, SL Rossato, AP Ferrari, C de Barros Gomes, VLP Tonete, ... Maternal and Child Health Journal 26 (6), 1384-1400 , 2022 2022 Citations: 11
Caracterização dos resíduos gerados na Ceasa paulistana sob a ótica da saúde ambiental e segurança alimentar FM da Câmara, C de Barros Gomes, TT Matuk, SC Szarfarc Segurança Alimentar e Nutricional 21 (1), 395-403 , 2014 2014 Citations: 10
Prepregnancy overweight is associated with excessive weight gain during pregnancy MABL Carvalhaes, CB Gomes, MB Malta, SJ Papini, CMGL Parada Revista Brasileira de Ginecologia e Obstetrícia 35, 523-529 , 2013 2013 Citations: 10
High prevalence of inadequate calcium and vitamin D dietary intake in two cohorts of pregnant women CB Gomes, MB Malta, JE Corrente, MH D'Aquino Benicio, ... Cadernos Saude Publica , 2016 2016 Citations: 8
Desigualdades sociodemográficas na idade de introdução de alimentos ultraprocessados no primeiro ano de vida. Estudo CLaB-Brasil MAM Almeida, CDB Gomes, MDS Alves, M Carvalhaes DEMETRA Aliment Nutr Saúde 14, e43615 , 2019 2019 Citations: 7
Association between sleep quality and weight gain in pregnancy: a cross-sectional study APSC Roberto, ABH Parenti, C de Barros Gomes, MABL Carvalhaes, ... BMC Pregnancy and Childbirth 24 (1), 779 , 2024 2024 Citations: 6