Aleitamento materno, perspectivas e uso das mídias sociais como estratégia de promoção / Breastfeeding, perspectives and use of social media as a promotion strategy

Promover o aleitamento materno por meio de mídias sociais, ofertando informação de qualidade acerca de benefícios, dificuldades e o manejo correto durante a amamentação. Trata-se de um estudo epidemiológico de caráter intervencionista, mediante revisão integrativa da literatura. O público-alvo é o de gestantes e nutrizes que possuem acesso a mídias sociais. A base bibliográfica utilizada é a da Biblioteca Eletrônica Científica Online (SciElo) a partir do descritor breastfeeding. Com o produto da revisão bibliográfica, criou-se um e-book educativo que aborda de forma objetiva os benefícios e medidas adequadas para a amamentação. O ebook foi hospedado no site de registro www.projetoamamentar.com.br e os dados de acesso foram colhidos pela ferramenta Bit.ly e Instagram, durante o período de um mês. Durante a divulgação do e-book, foram feitos 259 downloads, o perfil criado no Instagram somou 503 seguidores (78,3% mulheres), as publicações totalizaram 360 curtidas (79,17% mulheres), foram obtidas 7.419 visualizações com stories de divulgação nos perfis dos autores, com média de 247 visualizações por story. A intervenção educativa focada em gestantes e nutrizes, mesmo que breve, por meio das as redes socias, foi capaz de romper as dificuldades do acesso à informação, possibilitando debates, diálogos e informação a grande diversidade de grupos

Implementation of a Brazilian Cardioprotective Nutritional (BALANCE) Program for improvement on quality of diet and secondary prevention of cardiovascular events: A randomized, multicenter trial

Background: Appropriate dietary recommendations represent a key part of secondary prevention in cardiovascular disease (CVD). We evaluated the effectiveness of the implementation of a nutritional program on quality of diet, cardiovascular events, and death in patients with established CVD. Methods: In this open-label, multicenter trial conducted in 35 sites in Brazil, we randomly assigned (1:1) patients aged 45 years or older to receive either the BALANCE Program (experimental group) or conventional nutrition advice (control group). The BALANCE Program included a unique nutritional education strategy to implement recommendations from guidelines, adapted to the use of affordable and regional foods. Adherence to diet was evaluated by the modified Alternative Healthy Eating Index. The primary end point was a composite of all-cause mortality, cardiovascular death, cardiac arrest, myocardial infarction, stroke, myocardial revascularization, amputation, or hospitalization for unstable angina. Secondary end points included biochemical and anthropometric data, and blood pressure levels. Results: From March 5, 2013, to Abril 7, 2015, a total of 2534 eligible patients were randomly assigned to either the BALANCE Program group (n = 1,266) or the control group (n = 1,268) and were followed up for a median of 3.5 years. In total, 235 (9.3%) participants had been lost to follow-up. After 3 years of follow-up, mean modified Alternative Healthy Eating Index (scale 0-70) was only slightly higher in the BALANCE group versus the control group (26.2 ± 8.4 vs 24.7 ± 8.6, P <.01), mainly due to a 0.5-serving/d greater intake of fruits and of vegetables in the BALANCE group. Primary end point events occurred in 236 participants (18.8%) in the BALANCE group and in 207 participants (16.4%) in the control group (hazard ratio, 1.15; 95% CI 0.95-1.38; P =.15). Secondary end points did not differ between groups after follow-up. Conclusions: The BALANCE Program only slightly improved adherence to a healthy diet in patients with established CVD and had no significant effect on the incidence of cardiovascular events or death. © 2019 The Author

Núcleos de Ensino da Unesp: artigos 2007

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq