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[Comparison of a community-based nutritional intervention and a conventional nutritional intervention in Mayan communities in Mexico].
- Source :
-
Cadernos de saude publica [Cad Saude Publica] 2022 May 16; Vol. 38 (5), pp. ES026121. Date of Electronic Publication: 2022 May 16 (Print Publication: 2022). - Publication Year :
- 2022
-
Abstract
- Poor nutritional conditions persist in many Mayan communities in Yucatán, Mexico, even though various programs have been implemented. The study aimed to compare the effects of a community-based nutritional intervention with an intercultural focus versus a conventional nutritional intervention on body mass index (BMI) and diet in women in Mayan communities in Yucatán. The sample included adult women with BMI ≥ 25kg/m2 from neighboring rural Mayan villages. Both interventions lasted three months with 11 sessions and followed the prevailing guidelines. The community-based intervention used an intercultural tool called Good Mayan Food [Plato del Bien Comer Maya], besides strategies designed according to information obtained from a prior qualitative study phase using interviews. The group that received the community-based intervention (n = 7), compared to the conventional intervention group (n = 9), showed larger decreases in BMI (-0.58 ± 0.70 kg/m2 and +0.27 ± 0.64kg/m2; p = 0.042), waist circumference (-2.15 ± 2.60 cm and -0.50 ± 0.75 cm; p = 0.042), and consumption of fats (-53.23 ± 21.92 grams and -7.34 ± 25.77 grams; p = 0.004), as well as higher increases in weekly consumption of some local foods such as nance fruit (p = 0.012), tamarind (p = 0.001), and chili peppers (p = 0.004). The community-based intervention was the only one to show a significant decrease in daily calorie intake (baseline: 2,067 ± 91 kcal/day, at three months: 1,474 ± 31 kcal/day; p = 0.018), and both groups showed decreases in the consumption of ultra-processed foods, but without significant differences between the two groups. The community-based intervention group showed better results than the conventional intervention group.
Details
- Language :
- Spanish; Castilian
- ISSN :
- 1678-4464
- Volume :
- 38
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Cadernos de saude publica
- Publication Type :
- Academic Journal
- Accession number :
- 35584429
- Full Text :
- https://doi.org/10.1590/0102-311XES026121