Adaptação de receitas culinárias de um programa de intervenção em habilidades culinárias para indivíduos com diabetes tipo 2: um estudo de viabilidade
DOI:
https://doi.org/10.12957/demetra.2023.74398Palavras-chave:
Habilidades culinárias. Receita culinária. Pesquisa qualitativa. Desenvolvimento de receitas. Diabetes.Resumo
Introdução: Hábitos alimentares saudáveis e habilidades culinárias podem contribuir no tratamento de diabetes mellitus tipo 2. Objetivo: Este estudo visou adaptar nutricionalmente, testar e avaliar qualitativamente as características sensoriais de receitas culinárias para sua aplicação em um programa de intervenção culinária para indivíduos com diabetes tipo 2, denominado Nutrição e Culinária na Cozinha. Método: O programa Nutrição e Culinária na Cozinha é uma intervenção com oficinas culinárias práticas focadas na promoção das habilidades culinárias. As modificações das receitas foram baseadas no índice glicêmico dos ingredientes, depois testadas e discutidas por especialistas em nutrição por meio de oficinas de consenso. Realizaram-se grupos focais com indivíduos com diabetes tipo 2 para avaliar e discutir as características sensoriais das receitas culinárias. Resultados: As adaptações das receitas para atender à população com diabetes tipo 2 incluíram a substituição de arroz por couve-flor e macarrão por abobrinha, além do uso de frutas e especiarias em receitas doces em substituição a ingredientes com açúcares de adição e/ou edulcorantes Essas mudanças foram aprovadas pelos indivíduos com diabetes tipo 2. Conclusão: As receitas culinárias adaptadas poderão ser utilizadas em orientações dietéticas e em intervenções culinárias para promover hábitos alimentares que contribuam para o controle glicêmico.
Downloads
Referências
Pan American Health Organization. NCDs at a Glance: NCD Mortality and Risk Factor Prevalence in the Americas. Washington, D.C.: PAHO; 2019 [cited 2022 nov 20].:https://iris.paho.org/handle/10665.2/51696
International Diabetes Federation. IDF Diabetes Atlas: Tenth Edition [online]; 2021 [cited 2022 nov 18]. Disponível em:https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf.
Brazil. Brazilian Ministry of Health. Health Surveillance Secretariat. Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey (Vigitel), 2010 [acesso 2022 nov 18]. Disponível em:https://bvsms.saude.gov.br/bvs/publicacoes/vigitel_2010.pdf. Portuguese.
Brazil. Brazilian Ministry of Health. Health Surveillance Secretariat. Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey (Vigitel); 2020 [acesso 2022 nov 18]. Disponível em:https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/publicacoes-svs/vigitel/relatorio-vigitel-2020-original.pdf/@@download/file/vigitel_brasil_2020.pdf. Portuguese.
American Diabetes Association. Standards of Medical Care in Diabetes 2020. Diabetes Care, v.45, s. 1, 2022 [cited 2022 nov 18]. Disponível em: https://diabetesjournals.org/care/issue/45/Supplement_1
Brazilian Diabetes Society. Guidelines of the Brazilian Diabetes Society, 2019-2020 [acesso 2022 nov 18]. Disponível em: https://diretriz.diabetes.org.br/. Portuguese.
Sievenpiper J, Chan CB, Dworatzek PD, Freeze C, Williams SL. Nutrition Therapy. Canadian Journal of Diabetes. 2018; 42,S64-S79. https://doi.org/10.1016/j.jcjd.2017.10.009
Dyson PA, Twenefour D, Breen C, Duncan A, Elvin E, Goff L. et al. Diabetes UK evidence-based nutrition guidelines for the prevention and management of diabetes. Diabetic Medicine. 2018;35(5),541-47. https://doi.org/10.1111/dme.13603
Ojo O, Ojo OO, Adebowale F, Wang X. The Effect of Dietary Glycaemic Index on Glycaemia in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients. 2018;10(3), 373. https://doi.org/10.3390/nu10030373
Zafar MI, Mills KE, Zheng J, Regmi A, Hu S, Gou L, Chen L. Low-glycemic index diets as an intervention for diabetes: a systematic review and meta-analysis. The American Journal of Clinical Nutrition. 2019;110(4),891-902. https://doi.org/10.1093/ajcn/nqz149
Bolla AM, Caretto A, Laurenzi A, Scavini M, Piemonti L. Low-Carb and Ketogenic Diets in Type 1 and Type 2 Diabetes. Nutrients. 2019;11(5),962. https://doi.org/10.3390/nu11050962
Ludwig DS. The Ketogenic Diet: Evidence for Optimism but High-Quality Research Needed. The Journal of Nutrition. 2019. https://doi.org/10.1093/jn/nxz308
Jaworski M, Panczyk M, Cedro M, Kucharska A. Adherence to dietary recommendations in diabetes mellitus: disease acceptance as a potential mediator. Patient Preference and Adherence. 2018; Volume 12,163-174. https://doi.org/10.2147/ppa.s147233
Ewers B, Trolle E, Jacobsen SS, Vististen D, Almdal TP, Vilsbøll T, et al.. Dietary habits and adherence to dietary recommendations in patients with type 1 and type 2 diabetes compared with the general population in Denmark. Nutrition. 2019;61,49-55. https://doi.org/10.1016/j.nut.2018.10.021
Burch E, Ball L, Somerville M, Williams LT. Dietary intake by food group of individuals with type 2 diabetes mellitus: A systematic review. Diabetes Research and Clinical Practice. 2018;137,160-172. https://doi.org/10.1016/j.diabres.2017.12.016
Brazil. Brazilian Ministry of Social Development and the Fight against Hunger. National Secretariat of Food and Nutrition Security. Food and Nutrition Education Framework for Public Policies; 2012 [acesso 2022 nov 4]. Disponível em:http://www.mds.gov.br/webarquivos/arquivo/seguranca_alimentar/caisan/Publicacao/Educacao_Alimentar_Nutricional/1_marcoEAN.pdf. Portuguese
Polak R, Tirosh A, Livingston B, Pober D, Eubanks J, Silver JK et al. Preventing Type 2 Diabetes with Home Cooking: Current Evidence and Future Potential. Current Diabetes Reports. 2018;18(10). https://doi.org/10.1007/s11892-018-1061-x
Flego A, Herbert J, Waters E, Gibbs L, Swinburn B, Reynolds J, et al. Jamie's Ministry of Food: Quasi-Experimental Evaluation of Immediate and Sustained Impacts of a Cooking Skills Program in Australia. Plos ONE. 2014;9(12), e114673. https://doi.org/10.1371/journal.pone.0114673
Hutchinson J, Watt JF, Strachan EK, Cade JE. Evaluation of the effectiveness of the Ministry of Food cooking programme on self-reported food consumption and confidence with cooking. Public Health Nutrition. 2016;19(18)3417-27. https://doi.org/10.1017/S1368980016001476
Orr J, McCamley A. Evaluating the effectiveness of a community-based dietary intervention in Nottingham. British Food Journal. 2017;119(5),1091-1101. https://doi.org/10.1108/bfj-09-2016-0444
Dasgupta K, Hajna S, Joseph L, Da Costa D, Christopoulos S, Gougeon R. Effects of meal preparation training on body weight, glycemia, and blood pressure: results of a phase 2 trial in type 2 diabetes. International Journal of Behavioral Nutrition And Physical Activity. 2012;9(1),125. https://doi.org/10.1186/1479-5868-9-125
Archuleta M, VanLeeuwen D, Halderson K, Jackson K, Bock MA, Eastman W. et al. Cooking Schools Improve Nutrient Intake Patterns of People with Type 2 Diabetes. Journal of Nutrition Education and Behavior. 2012;44(4),319-325. https://doi.org/10.1016/j.jneb.2011.10.006
Bielamowicz M, Pope P, Rice C. Sustaining a Creative Community-Based Diabetes Education Program. The Diabetes Educator. 2012;39(1),119-127. https://doi.org/10.1177/0145721712470605
Monlezun D, Kasprowicz E, Tosh K, Nix J, Urday P, Tice D. et al. Medical school-based teaching kitchen improves HbA1c, blood pressure, and cholesterol for patients with type 2 diabetes: Results from a novel randomized controlled trial. Diabetes Research and Clinical Practice. 2015;109(2),420-26. https://doi.org/10.1016/j.diabres.2015.05.007
Byrne C, Kurmas N, Burant CJ, Utech A, Steiber A, Julius M. Cooking Classes: A Diabetes Self-Management Support Intervention Enhancing Clinical Values. The Diabetes Educator. 2017;43(6),600-7. https://doi.org/10.1177/0145721717737741
Bernardo GL, Jomori MM, Fernandes AC, Condrasky MD, Proença RPC. Nutrition and culinary in the kitchen program: a randomized controlled intervention to promote cooking skills and healthy eating in university students: study protocol. Nutr J. 2017;16:83. https://doi.org/10.1186/s12937-017-0305-y
Bernardo GL, Jomori MM, Fernandes AC, Colussi CF, Condrasky MD, Proença RPC. Positive impact of a cooking skills intervention among Brazilian university students: Six months follow-up of a randomized controlled trial. Appetite, 2018;130,247-55. https://doi: 10.1016/j.appet.2018.08.014
Warmin A, Sharp J, Condrasky MD. Cooking with a Chef. Topics in Clinical Nutrition, 2018;27(2),164-73. https://doi: 10.1097/tin.0b013e3182542417
Rita HAK, Bernardo GL, Jomori MM, Fernandes AC, Proença RPC. Desenvolvimento de receitas culinárias em um programa de intervenção com universitários brasileiros. Rev Nutr. 2018;31(4):397-411. https://doi.org/10.1590/1678-98652018000400005
Arain M, Campbell MJ, Cooper L, Lancaster GA.What is a pilot or feasibility study? A review of current practice and editorial policy. BMC Medical Research Methodology. 2010; [S.L.],10(1),1-7. https://dx.doi.org/10.1186/1471-2288-10-67.
Condrasky MD, Williams JE, Catalano PM, Griffin SF. Development of psychosocial scales for evaluation the impact of a culinary nutrition education program on cooking and healthful eating. Journal of Nutrition Education and Behavior. 2011;43(6): 511-16.
Brazilian Table of Food Composition. Complementary Tables - Glycemic Response. University of Sao Paulo (USP). Food Research Center (FoRC). version 6.0. São Paulo, 2017; (acesso 2022 nov 3). Disponível em: http://www.tbca.net.br/arquivosestaticos/Tabelas_Complementares_Resposta_Glicemica_n.pdf. Portuguese.
Foster-Powell K, Holt S, Brand-Miller J. International table of glycemic index and glycemic load values: 2002. The American Journal of Clinical Nutrition. 2002;76(1):5-56. https://doi.org/10.1093/ajcn/76.1.5
Atkinson F, Foster-Powell K, Brand-Miller J. International Tables of Glycemic Index and Glycemic Load Values: 2008. Diabetes Care. 2008;31(12):2281-3. https://doi.org/10.2337/dc08-1239
Brazil. Brazilian Ministry of Health. Secretariat of Health Care. Primary Health Care Department. Dietary Guidelines for the Brazilian population; 2014 [acesso 2022 nov 4].Disponívelem:http://189.28.128.100/dab/docs/portaldab/publicacoes/guia_alimentar_populacao_ingles.pdf.
Fink A, Kosecoff J, Chassin M, Brook R. Consensus methods: characteristics and guidelines for use. American Journal of Public Health. 1984;74(9):979-83. https://doi.org/10.2105/ajph.74.9.979
Sofaer S. Qualitative research methods. International Journal for Quality in Health Care. 2002;14(4):329-36. https://doi.org/10.1093/intqhc/14.4.329
Krueger RA, Casey MA. Focus groups: a practical guide for applied research. Sage Publications. 2015; Thousand Oaks, CA.
Fontanelli MM, Teixeira JA, Sales CH, Castro MA, Cesar CLG, Alves MCGP. et al. Validationof self-reported diabetes in a representative sample of São Paulo city. Revista de Saúde Pública. 2017;51(0). https://doi.org/10.1590/S1518-8787.2017051006378
Moradinazar M, Pasdar Y, Najafi F, Shakiba E, Hamzeh B. et al. Validity of self-reported diabetes varies with sociodemographic characteristics: Example from Iran. Clinical Epidemiology and Global Health. 2020;8(1),70-5. https://doi.org/10.1016/j.cegh.2019.04.010
Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2),77-101. https://doi.org/10.1191/1478088706qp063oa
World Health Organization. Food and Agriculture Organization of the United Nations. Carbohydrates in Human Nutrition. Report of a Joint FAO/WHO Expert Consultation. Geneva: Organization; 1998. [cited 2022 nov 17]. Disponívelem: http://www.fao.org/docrep/w8079e/w8079e00.htm
Institute of Medicine. Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. Washington, DC: National Academies Press, 2006. [cited 2022 nov 17]. Disponível em: https://www.nal.usda.gov/sites/default/files/fnic_uploads//DRIEssentialGuideNutReq.pdf.
Liu Y, Wang X, Ren T, Ma Z, Liu L, Li X. et al. Effect of oatmeal on texture, water mobility, and starch retrogradation properties of Chinese steamed bread. Cereal Chemistry. 2019;96(2),349-57. https://doi.org/10.1002/cche.10133
Gombi-Vaca MF, Horta PM, Hassan BK, Rocha TF, Skov LR, Verly-Jr E. Perception of food consumed at home and dietary intake: A nationwide study from Brazil. Appetite. 2017;116:487-92. https://doi.org/10.1016/j.appet.2017.05.036
Andrade GC, da Costa Louzada ML, Azeredo CM, Ricardo CZ, Martins APB, Levy RB. Out-of-Home Food Consumers in Brazil: What do they eat? Nutrients. 2018;10(2):218. https://doi.org/10.3390/nu10020218
Marques-Vidal P, Vollenweider P, Grange M, Guessous I, Waeber G. Dietary intake of subjects with diabetes is inadequate in Switzerland: the CoLaus study. European Journal of Nutrition. 2016;56(3):981-9. https://doi.org/10.1007/s00394-015-1146-0
Arrais PSD, Vianna MPN, Zaccolo AV, Moreira LIM, Thé PMP, Quidute ARP. et al. Use of artificial sweeteners in Brazil: A household survey approach. Cadernos De SaúdePública. 2019;35(11). https://doi.org/10.1590/0102-311x00010719
Pepino MY. Metabolic effects of non-nutritive sweeteners. Physiology & Behavior. 2015;152:450-5. https://doi.org/10.1016/j.physbeh.2015.06.024
Pearlman M, Obert J, Casey L. The Association Between Artificial Sweeteners and Obesity. Current Gastroenterology Reports. 2017;19(12). https://doi.org/10.1007/s11894-017-0602-9
Use of non-sugar sweeteners: WHO guideline. Geneva: World Health Organization; 2023. [cited 2022 nov 17].Disponível emhttps://www.ncbi.nlm.nih.gov/books/NBK592258/
Gondivkar SM, Indurkar A, Degwekar S, Bhowate R. Evaluation of gustatory function in patients with diabetes mellitus type 2. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, And Endodontology. 2009; 108(6):876-80. https://doi.org/10.1016/j.tripleo.2009.08.015
Saigal A, Khera S. Assessment and evaluation of gustatory functions in patients with diabetes mellitus Type II: A study. Indian Journal of Endocrinology and Metabolism. 2018;22(2):204. https://doi.org/10.4103/ijem.ijem_555_17
Anderson CAM, Cobb LK, Miller ER, Woodward M, Hottenstein A, Chang AR. et al. Effects of a behavioral intervention that emphasizes spices and herbs on adherence to recommended sodium intake: results of the SPICE randomized clinical trial. The American Journal of Clinical Nutrition. 2015;102(3):671-9. https://doi.org/10.3945/ajcn.114.100750
Peters JC, Marker R, Pan Z, Breen JA, Hill JO. The Influence of Adding Spices to Reduced Sugar Foods on Overall Liking. Journal of Food Science. 2018;83(3),814-21. https://doi.org/10.1111/1750-3841.14069
Dougkas A, Vannereux M, Giboreau A. The Impact of Herbs and Spices on Increasing the Appreciation and Intake of Low-Salt Legume-Based Meals. Nutrients. 2019;11(12):2901. https://doi.org/10.3390/nu11122901
De Oliveira AP, Maia EG, Silva FM, Martins AP, Claro RM. Needed Improvements in Diabetes Prevention and Management in Brazil. Preventing Chronic Disease. 2018;15. https://doi.org/10.5888/pcd15.180269
United States Department of Agriculture. Department of Health and Human Services and U.S. Department of Agriculture. 2015 – 2020 Dietary Guidelines for Americans. 8th Edition. Washington, DC; 2019 [cited 2022 nov 4]. Retrieved from: https://health.gov/sites/default/files/2019-09/2015-2020_Dietary_Guidelines.pdf
World Health Organization. Healthy diet, Fact sheet; 2018 [cited 2019 oct 20]. Available from: <https://www.who.int/news-room/fact-sheets/detail/healthy-diet>. World Health Organization, 2018.
Forouhi NF, Misra A, Mohan V, Taylor R, Yancy W. Dietary and nutritional approaches for prevention and management of type 2 diabetes. BMJ. 2018; k2234. https://doi.org/10.1136/bmj.k2234
Halali F, Mahdavi R, Mobasseri M, Asghari Jafarabadi M, Karimi Avval S. Perceived barriers to recommended dietary adherence in patients with type 2 diabetes in Iran. Eating Behaviors. 2016;21:205-10. https://doi.org/10.1016/j.eatbeh.2016.03.001
Grammatikopoulou MG, Losifidou P, Maraki MI, Baltzis D, Mitsos D, Tsigga M. Nutritional surveillance and diabetes knowledge among patients with type 2 diabetes. Obesity Medicine. 2017;5:44-9. https://doi.org/10.1016/j.obmed.2017.01.005
Landa-Anell MV, Melgarejo-Hernández MA, García-Ulloa AC, Del Razo-Olvera FM, Velázquez-Jurado HR, Hernández-Jiménez S. Barriers to adherence to a nutritional plan and strategies to overcome them in patients with type 2 diabetes mellitus; results after two years of follow-up. Endocrinología, Diabetes Y Nutrición. 2020;67(1):4-12. https://doi.org/10.1016/j.endinu.2019.05.007
Reicks M, Trofholz A C, Stang JS, Laska MN. et al. Impact of Cooking and Home Food Preparation Interventions Among Adults: Outcomes and Implications for Future Programs. (2014). Journal of Nutrition Education and Behavior. 2014;46(4):259-76. https://doi.org/10.1016/j.jneb.2014.02.001
Reicks M, Kocher M, Reeder J. Impact of Cooking and Home Food Preparation Interventions Among Adults: A Systematic Review (2011–2016). Journal of Nutrition Education and Behavior. 2018;50(2):148-72. https://doi.org/10.1016/j.jneb.2017.08.004
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2023 Camila Vieira Tiecher, Tailane Scapin, Greyce Luci Bernardo, Ana Paula Gines Geraldo, Ana Carolina Fernandes, Fharlley Lohann Medeiros Rodrigues Silva, Vanessa Mello Rodrigues, Débora Kurrle Rieger, Paula Lazzarin Uggioni, Rossana Pacheco da Costa Proença
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
DECLARAÇÃO DE RESPONSABILIDADE
Título do manuscrito: __________________________________________________________________
1. Declaração de responsabilidade
Certifico minha participação no trabalho acima intitulado e torno pública minha responsabilidade pelo seu conteúdo.
Certifico que o manuscrito representa um trabalho original e que nem este ou quaisquer outros trabalhos de minha autoria, em parte ou na integra, com conteúdo substancialmente similar, foi publicado ou foi enviado a outra revista.
Em caso de aceitação deste texto por parte de Demetra: Alimentação, Nutrição & Saúde, declaro estar de acordo com a política de acesso público e de direitos autorais adotadas por Demetra, que estabelece o seguinte: (a) os autores mantêm os direitos autorais e concedem à revista o direito de primeira publicação, sendo o trabalho simultaneamente licenciado sob a Creative Commons Attribution License, que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial neste periódico; (b) os autores têm autorização para assumir contratos adicionais separadamente, para distribuição não exclusiva da versão do trabalho publicada nesta revista (p.ex., publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista; e (c) os autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (p.ex., em repositórios institucionais ou em sua página pessoal) a qualquer ponto antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado.
2. Conflito de interesses
Declaro não ter conflito de interesses em relação ao presente artigo.
Data, assinatura e endereço completo de todos os autores.