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Development and Validation of Protocol Based on Brazilian Dietary Guidelines for Adults with Diabetes Mellitus Who Attended Primary Health Care

Author

Listed:
  • Maísa Miranda Araújo

    (Graduate Program in Human Nutrition, Department of Nutrition, University of Brasilia, Campus Darcy Ribeiro, Brasília 70910-900, Brazil)

  • Nathalia Pizato

    (Graduate Program in Human Nutrition, Department of Nutrition, University of Brasilia, Campus Darcy Ribeiro, Brasília 70910-900, Brazil)

  • Lorrany Santos Rodrigues

    (Graduate Program in Public Health, Department of Nutrition, University of Brasilia, Campus Darcy Ribeiro, Brasília 70910-900, Brazil)

  • Laila Santos de Andrade

    (Nutrition and Health Research Group–PENSA, Department of Nutrition, University of Brasilia, Campus Darcy Ribeiro, Brasília 70910-900, Brazil)

  • Verena Duarte de Moraes

    (Oswaldo Cruz Foundation, Laboratory of Regional Endemic Situations, Rio de Janeiro 21045-900, Brazil)

  • Kênia Mara Baiocchi de Carvalho

    (Graduate Program in Human Nutrition, Department of Nutrition, University of Brasilia, Campus Darcy Ribeiro, Brasília 70910-900, Brazil
    Graduate Program in Public Health, Department of Nutrition, University of Brasilia, Campus Darcy Ribeiro, Brasília 70910-900, Brazil)

  • Eliane Said Dutra

    (Graduate Program in Human Nutrition, Department of Nutrition, University of Brasilia, Campus Darcy Ribeiro, Brasília 70910-900, Brazil)

  • Patrícia Borges Botelho

    (Graduate Program in Human Nutrition, Department of Nutrition, University of Brasilia, Campus Darcy Ribeiro, Brasília 70910-900, Brazil)

  • Vivian Siqueira Santos Gonçalves

    (Graduate Program in Public Health, Department of Nutrition, University of Brasilia, Campus Darcy Ribeiro, Brasília 70910-900, Brazil)

Abstract

Background: To date, there is no protocol providing dietary guidelines to assist health care professionals in counseling Brazilian individuals with Diabetes Mellitus (DM) assisted in primary health care (PHC) according to the Dietary Guidelines for the Brazilian Population (DGBP). Therefore, this study aimed to develop and validate a protocol based on the DGBP for health care, non-nutritionist professionals in counseling adults with DM in PHC. Methods: We systematized the recommendations published in the DGBP, the Diabetes Brazilian Society guidelines, and the scientific literature regarding food and nutrition needs of adults with DM. The clarity and relevance were validated by an expert panel ( n = 19) and the understanding and applicability were validated by PHC professionals ( n = 12). The degree of agreement of the experts was assessed using a Content Validity Index (CVI). Items receiving CVI > 0.8 were considered appropriate. Results: The protocol consisted of six dietary recommendations that encouraged the daily consumption of beans, vegetables, and fruits, advised the avoidance of sugar-sweetened beverages and ultra-processed foods, stimulated eating in appropriate environments, and gave additional guidance addressed to the particularities of DM. The protocol clarity, relevance, and applicability were successfully validated. Conclusion: The protocol supports health care, non-nutritionist professionals in the guidance of dietary recommendations and promoting adequate and healthy eating habits for adults with DM in PHC.

Suggested Citation

  • Maísa Miranda Araújo & Nathalia Pizato & Lorrany Santos Rodrigues & Laila Santos de Andrade & Verena Duarte de Moraes & Kênia Mara Baiocchi de Carvalho & Eliane Said Dutra & Patrícia Borges Botelho & , 2023. "Development and Validation of Protocol Based on Brazilian Dietary Guidelines for Adults with Diabetes Mellitus Who Attended Primary Health Care," IJERPH, MDPI, vol. 20(10), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:10:p:5784-:d:1143873
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    References listed on IDEAS

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    1. Jasmin Schabert & Jessica Browne & Kylie Mosely & Jane Speight, 2013. "Social Stigma in Diabetes," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 6(1), pages 1-10, March.
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