Caroline de Barros Gomes
@fmb.unesp.br
Faculdade de Medicina de Botucatu - FMB
Universidade Estadual Paulista "Júlio de Mesquita Filho" - UNESP
EDUCATION
Dietitian, Ph.D in Public HealthProfessor at São Paulo State University
RESEARCH, TEACHING, or OTHER INTERESTS
Nutrition and Dietetics, Epidemiology
Scopus Publications
Scholar Citations
Scholar h-index
Scholar i10-index
Scopus Publications
Ana Paula Santos Costa Roberto, Ana Beatriz Henrique Parenti, Caroline de Barros Gomes, Maria Antonieta de Barros Leite Carvalhaes, and Cristina Maria Garcia de Lima Parada
Springer Science and Business Media LLC
Maiara Aparecida Mialich Almeida, José Eduardo Corrente, Edison Iglesias de Oliveira Vidal, Caroline de Barros Gomes, Ana Elisa Madalena Rinaldi, and Maria Antonieta de Barros Leite Carvalhaes
Springer Science and Business Media LLC
Vivian Lovison do Amaral, Giovana Canela Spadotto, and Caroline de Barros Gomes
FapUNIFESP (SciELO)
Abstract 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.
Thais Rangel Bousquet Carrilho, Jennifer A. Hutcheon, Kathleen M. Rasmussen, Michael E. Reichenheim, Dayana Rodrigues Farias, Nathalia Cristina Freitas-Costa, Gilberto Kac, Adauto Emmerich Oliveira, Ana Paula Esteves-Pereira, Ana Paula Sayuri Sato,et al.
Elsevier BV
Caroline de Barros Gomes, Lettícia Silva Mendonça, Ana Paula Costa Roberto, and Maria Antonieta de Barros Leite Carvalhaes
Elsevier BV
Larissa Ramos Araujo, Maria Antonieta de Barros Leite Carvalhaes, and Caroline de Barros Gomes
FapUNIFESP (SciELO)
Abstract 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.
Caroline de Barros Gomes, Maíra Barreto Malta, Maria Helena D’Aquino Benício, and Maria Antonieta de Barros Leite Carvalhaes
Public Health Nutrition Cambridge University Press (CUP)
AbstractObjective: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.
Caroline de Barros Gomes, Maíra Barreto Malta, José Leopoldo Ferreira Antunes, Caroline de Oliveira Gallo, Maria Helena D’Aquino Benício, and Maria Antonieta de Barros Leite Carvalhaes
Cambridge University Press (CUP)
AbstractDiet 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.
Michelly da Silva Alves, Maiara Aparecida Mialich Almeida, Caroline de Barros Gomes, Anna Paula Ferrari, Cristina Maria Garcia de Lima Parada, and Maria Antonieta de Barros Leite Carvalhaes
FapUNIFESP (SciELO)
Abstract Objectives: to evaluate the relation between breastfeeding and postpartum weight reten-tion. Methods: this prospective cohort study involved 641 newborns and their mothers, followed up to twelve months postpartum. Data were collected from June 2015 to February 2017. In the first interview, we investigated data regarding socioeconomic and demographic characteristics, obstetric history, weight, and gestational age of the infant at birth. Maternal weight and breastfeeding status were obtained at 3, 6, 9 and 12 months postpartum at the mother’s home. A descriptive analysis of maternal weight retention according to the lactation status was performed. Multiple linear regression models evaluated the effect on exclusive breastfeeding and total breastfeeding duration on maternal weight retention at 6 and 12 months postpartum, considering potential confounders. Results: 512 and 490 mothers were evaluated at six months and at twelve months post-partum, and the mean weight retention was 1.79 (SD=5.52) and 1.69 (SD=6.69) kg, respectively. Regardless of the confounders, the mean postpartum weight reduction for each day of exclusive breastfeeding was 11 (CI95%= -0.019 to -0.003) and 16 grams (CI95%= -0.026 to -0.007) for 6 and 12 months, respectively. The total maternal breastfeeding duration had the same effect. Conclusions: longer periods of exclusive breastfeeding and total breastfeeding are associated with lower postpartum weight retention.
Caroline Barros Gomes, Maíra Barreto Malta, Sílvia Justina Papini, Maria Helena D'Aquino Benício, José Eduardo Corrente, and Maria Antonieta Barros Leite Carvalhaes
Elsevier BV
Caroline de Barros Gomes, Maíra Barreto Malta, Maria Laura da Costa Louzada, Maria Helena D’Aquino Benício, Aluísio J. D. Barros, and Maria Antonieta de Barros Leite Carvalhaes
Springer Science and Business Media LLC
Letícia Garcia VASCONCELOS, Caroline de Barros GOMES, Maíra Barreto MALTA, Isaias DICHI, Maria Helena D’Aquino BENÍCIO, and Maria Antonieta de Barros Leite CARVALHAES
FapUNIFESP (SciELO)
ABSTRACT Objective: To analyze alpha-linolenic fatty acid intake in two cohorts of pregnant women, and to identify factors associated with alpha-linolenic acid intake. Methods: This is a cohort study involving pregnant women with low obstetric risk (N=353) in public health system from a municipality of São Paulo state, Brazil. In each trimester, two 24-hour food recalls were collected. Descriptive analyses of dietary lipid profiles were performed, followed by a multiple comparison test. According to the trimester of pregnancy, differences were assessed using the mean difference test. To evaluate the adequacy of linoleic fatty acid and alpha-linolenic acid intake, the adequate intake test was used. The association between alpha-linolenic acid intake adequacy and maternal characteristics was investigated using a binary logistic regression model. Results: Total lipids intake and the percentage contribution to dietary energy met recommended levels. One-third of the diets demonstrated a lower than daily recommended intake of alpha-linolenic acid. Overweight pregnant women were twice as likely to have inadequate alpha-linolenic acid intake. Pregnant women from a more disadvantaged socioeconomic situation had greater risks of inadequate intake. Conclusion: Over-intake of lipids is not problematic, but quality is an issue, with one third of the pregnant women and their fetuses exposed to adverse effects due to low intake of omega-3 fatty acids, indicating important nutritional vulnerability in this population.
Caroline de Barros Gomes, , Maíra Barreto Malta, José Eduardo Corrente, Maria Helena D'Aquino Benício, Maria Antonieta de Barros Leite Carvalhaes, , and
FapUNIFESP (SciELO)
Este estudo objetivou identificar a prevalência de inadequação da ingestão, por trimestre, de cálcio e vitamina D, em duas coortes de gestantes e fatores correlacionados a esta ingestão. Foram coletados dois recordatórios alimentares de 24 horas em cada trimestre, um relativo a final de semana. Variáveis com correlação significativa com a ingestão desses nutrientes foram incluídas em modelo de regressão linear multivariada, com ajuste por energia. A frequência de inadequação foi estimada pelo método do National Cancer Institute (Estados Unidos). Na coorte A, a inadequação da ingestão de vitamina D não diferiu entre os trimestres; na B, houve redução: 99,7% no 1º para 97,1% no 3º trimestre. Nas coortes A e B, a inadequação da ingestão de cálcio esteve acima de 70%, caindo discretamente do 1º (89,2% e 81,4%) para o 2º (79,7 e 69,1%) e 3º trimestres (82,7% e 72,6%). Não houve correlação entre as variáveis maternas e a ingestão desses micronutrientes. Conclui-se que há um quadro grave de inadequação da ingestão de vitamina D e cálcio, homogeneamente distribuído entre as gestantes assistidas na rede básica de saúde.
Cláudia Carolina Costa, Ana Paula Pinho Carvalheira, Caroline de Barros Gomes, Marli Teresinha Cassamassimo Duarte, Maria Helena Borgato, and Cristina Maria Garcia de Lima Parada
GN1 Genesis Network
Aim: To identify the profile of precocious (under 16 years of age) and late pregnant adolescents (17-19 years) by comparing neonatal results. Method: This is a unique cohort in which potential confounders of a biological and socio-demographic nature were identified (p<0.05), with subsequent analysis of adverse neonatal results in both studied groups, using the chi-square test. Results: We identified differences in the workplace, first pregnancy, income, labor in the Unified Health System, and cohabitation with a partner. Low Apgar scores and respiratory disorders were more frequent in early adolescents. The need for resuscitation and admission to an intensive care unit did not differ between groups. Discussion: The studied adolescents revealed that they live in social risk. A relationship was found between Apgar scores and respiratory disorders in the fetuses of early adolescents. Conclusion: We suggest the need for investment to prevent pregnancy in this age group, and for prenatal care and skilled birth support, especially for precocious adolescents.
Maria Antonieta de Barros Leite Carvalhaes, Caroline de Barros Gomes, Maíra Barreto Malta, Sílvia Justina Papini, and Cristina Maria Garcia de Lima Parada
FapUNIFESP (SciELO)
PURPOSE: To evaluate the adequacy of gestational weight gain and to determine its association with maternal socioeconomic, demographic and nutritional factors and health care, to estimate the prevalence of low birth weight, macrosomia, preterm birth and cesarean delivery and to identify the association of these outcomes with the adequacy of weight gain. METHODS: A cross-sectional study was performed in 2009/2010 to obtain socioeconomic, demographic, nutritional, dietary and physical activity data of pregnant women assisted by primary health care in a municipality of the state of Sao Paulo. Subsequently, data were collected from the medical records to evaluate gestational weight gain. Type of delivery, birth weight and gestational age at delivery were obtained from the Livebirths Information System. Gestational weight gain was evaluated according to the recommendations of the Institute of Medicine (2009). Associations were investigated by comparing the frequencies and by logistic regression, with excessive weight gain (yes, no) and insufficient gain (yes, no) being the dependent variables. RESULTS: A total of 212 pregnant women were studied: 50.5% had excessive gain and 19.8% insufficient weight gain. Only prepregnancy nutritional status was associated with adequacy of weight gain: compared with normal weight, prepregnancy overweight women had a four-fold higher chance to gain excessive weight (OR 4.66, 95%CI 2.19-9.4). Nearly a third of babies were born by caesarian section, 5.7% were premature, 7.1% were underweight and 4.7% were macrosomic. There was no association between adequacy of gestational weight gain and these outcomes. CONCLUSION: The proportion of inadequate gestational weight gain was high. Overweight pregnant women have a four-fold higher chance to gain excessive weight, and priority should be given to actions promoting adequate prenatal weight gain.