Impact of Video-Based Nutritional Education on Dietary Habits of Elderly Duringthe COVID-19 Pandemic

Authors

DOI:

https://doi.org/10.62827/nb.v23i5.3044

Keywords:

Food and nutrition education; COVID-19; feeding behavior.

Abstract

Introduction: In March 2020, COVID-19 was declared a pandemic by the World Health Organization (WHO). Public health measures were adopted to curb the spread of the virus, that included guidelines for social isolation, with a particular emphasis on protecting vulnerable groups, such as the elderly. Throughout the pandemic, digital tools and internet browsing have served as powerful resources for overcoming social isolation, particularly among the elderly. Objective: To evaluate changes in the dietary habits of older individuals after receiving nutritional education via educational videos. Methods: A prospective, experimental community trial was conducted with women aged ≥60 years, who participated in a social project. In-person interviews, conducted at the project’s commencement and conclusion while adhering to safety protocols, were utilized for collecting clinical and anthropometric data. Additionally, a food frequency questionnaire, Mini Nutritional Assessment, and clinical frailty scale were administered. Monthly video lessons featuring educational content on nutrition, each not exceeding 10 minutes, were disseminated to the participants. Following the video lessons, an online forum was held, where a nutritionist addressed any questions regarding the content. Results: Twenty elderly women participated in the project, with a mean age (± standard deviation) of 68.6±6.9 years. Of the total, 45% (9) were obese, with a mean BMI of 35.7 kg/m2. Following the educational intervention, a significant improvement was observed in the consumption of vegetables and greens in soups (p=0.026). Furthermore, a significant reduction in the mean waist circumference was found (p=0.025). Conclusion: The initiative of promoting healthy eating through video lessons led to positive changes in the body composition and food consumption patterns of the elderly participants.

Author Biographies

  • Juliana Bonfleur Carvalho, Hospital Sírio Libanês

    Nutricionista Graduada pelo Centro Universitário São Camilo. Pós-Graduada em Nutrição Aplicada à Terceira Idade pela Universidade Municipal de São Caetano do Sul (USCS), Pós Graduada em Nutrição Humana Aplicada e Terapia Nutricional pelo Instituto de Metabolismo e Nutrição (IMeN) e Antropometrista Nível 1 pela The International Society for the Advancement of Kinanthropometry (ISAK), São Paulo, SP, Brasil

  • Jessica Madeira, Hospital Sírio Libanês

    Nutricionista Graduada pela Universidade Paulista Júlio de Mesquita Filho (UNESP). Especialização pela Residência Multiprofissional em Saúde do Adulto e Idoso pela Faculdade de Medicina de Botucatu (UNESP - FMB). Pós-graduada em saúde do Idoso: uma abordagem Interdisciplinar pela Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil

  • Carolina Ribeiro Correa, Hospital Sírio Libanês

    Nutricionista graduada pela Universidade Nove de Julho (UNINOVE), Pós Graduada em Nutrição Materno Infantil pelo Insira Educacional. Especialização em Nutrição Clínica pelo GANEP, São Paulo, SP, Brasil

  • Luis Rogerio Ferro Otaga, Hospital Sírio Libanês

    Nutricionista Graduado pelo Centro Universitário São Camilo, Especialista em Cuidado ao Paciente Crítico pelo Hospital Sírio Libanês. São Paulo, SP, Brasil

  • Silmara Rodrigues Machado, Hospital Sírio Libanês

    Nutricionista de Desenvolvimento do Serviço de Alimentação do Hospital Sírio-Libanês, Mestre em Ciências da Saúde pela Universidade Federal de São Paulo, Escola Paulista de Medicina (UNIFESP), São Paulo, SP, Brasil 

  • Natalia Golin, Hospital Sírio Libanês

    Nutricionista Graduada pela Universidade Cruzeiro do Sul, Pós-graduada em Nutrição Hospitalar pelo Instituto de Infectologia Emílio Ribas (IIER) e Antropometrista nível 1 pela The International Society for the Advancement of Kinanthropometry (ISAK), São Paulo, SP, Brasil

  • Karina Kroth , Nestlé Health Science

    Nutricionista Graduada pela Universidade do Estado da Bahia (UNEB), Especialista em Cuidado ao Paciente Crítico pelo Hospital Sírio Libanês e MBA em Gestão, Inovação e Serviços em Saúde pela Pontifícia Universidade Católica do Rio Grande do Sul (PUC), Porto Alegre, RS, Brasil

  • Erika Suiter, Hospital Sírio Libanês

    Nutricionista Graduada pelo Centro Universitário São Camilo, Especialização em Gestão de Atenção à Saúde pelo Instituto Sírio Libanês de Ensino e Pesquisa, Especialização em Educação na saúde para preceptores do SUS pelo Instituto Sírio Libanês de Ensino e Pesquisa, Especialista em Nutrição Clínica pela Associação Brasileira de Nutrição (ASBRAN), Especialização em Medicina Ortomolecular pela Faculdade de Ciências da Saúde de São Paulo (FACIS) e pelo Centro de Ensino Superior de Homeopatia IBEHE. Coordenadora de Nutrição Clínica do Hospital Sírio Libanês, São Paulo, SP, Brasil 

References

Bautmans I, Knoop V, Thiyagarajan JA, et al. WHO working definition of vitality capacity for healthy longevity monitoring. Lancet Healthy Longev. 2022;3:e789-e796. doi:10.1016/S2666-7568(22)00200-8.

Daniela MS, Dewelyn DA, Estefânia FSP. Food and nutrition education actions with the elderly in times of pandemic: Impacts and challenges. Braz J Health Rev. 2021;4:13961-72. Available from: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/31826.

Allan M, Lièvre M, Laurenson-Schafer H, et al. The World Health Organization COVID-19 surveillance database. Int J Equity Health. 2022;21 Suppl 3:167. doi:10.1186/s12939-022-01767-5.

Sepúlveda-Loyola W, Rodríguez-Sánchez I, Pérez-Rodríguez P, et al. Impact of social isolation due to COVID-19 on health in older people: Mental and physical effects and recommendations. J Nutr Health Aging. 2020;24:938-47. doi:10.1007/s12603-020-1469-2.

Cilli E, Ranieri J, Guerra F, Colicchia S, Di Giacomo D. Digital affinity and cognitive reserve: Salience for resilient aging in pandemic. Gerontol Geriatr Med. 2023;9:23337214231162773. doi:10.1177/23337214231162773.

Banskota S, Healy M, Goldberg EM. 15 smartphone apps for older adults to use while in isolation during the COVID-19 pandemic. West J Emerg Med. 2020;21:514-25. doi:10.5811/westjem.2020.4.47372.

De Santis KK, Mergenthal L, Christianson L, et al. Digital technologies for health promotion and disease prevention in older people: Scoping review. J Med Internet Res. 2023;25:e43542. doi:10.2196/43542.

Krishnaswami A, Beavers C, Dorsch MP, et al. Gerotechnology for older adults with cardiovascular diseases: JACC state-of-the-art review. J Am Coll Cardiol. 2020;76:2650-70. doi:10.1016/j.jacc.2020.09.606.

Rodrigues MK, Nunes Rodrigues I, Vasconcelos Gomes da Silva DJ, de S Pinto JM, Oliveira MF. Clinical frailty scale: Translation and cultural adaptation into the Brazilian Portuguese language. J Frailty Aging. 2021;10:38-43. doi:10.14283/jfa.2020.7.

Brasil. Ministério da Saúde. Vigitel Brasil 2014 Saúde Suplementar: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília: Ministério da Saúde; 2015. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_2014.pdf.

Organización Panamericana de la Salud. Encuesta Multicentrica salud bienestar & envejecimiento (SABE) en América Latina y el Caribe: Informe Preliminar. Washington, DC: OPS; 2001. Available from: http://www.opas.org/program/sabe.html.

Blackburn GL, Thornton PA. Nutritional assessment of the hospitalized patients. Med Clin North Am. 1979;63:1103-11. Available from: https://pubmed.ncbi.nlm.nih.gov/116095/.

Frisancho AR. Anthropometric standards for the assessment of growth and nutritional status. Ann Arbor: University of Michigan Press; 1990. Available from: https://press.umich.edu/Books/A/Anthropometric-Standards-for-the-Assessment-of-Growth-and-Nutritional-Status.

World Health Organization (WHO). Physical status: The use and interpretation of anthropometry. Geneva: WHO; 1998. Available from: http://apps.who.int/iris/bitstream/10665/37003/1/WHO_TRS_854.pdf.

Barbosa-Silva TG, Bielemann RM, Gonzalez MC, Menezes AM. Prevalence of sarcopenia among community-dwelling elderly of a medium-sized South American city: Results of the COMO VAI? study. J Cachexia Sarcopenia Muscle. 2016;7:136-43. doi:10.1002/jcsm.12049.

Bussab WO, Morettin PA. Estatística básica. 5ª ed. São Paulo: Saraiva; 2006.

Siegel S. Estatística não-paramétrica para ciências do comportamento. 2ª ed. Porto Alegre: Artmed; 2006.

Agresti A. Categorical data analysis. New York: Wiley Interscience; 1990.

R Core Team. R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing; 2016. Available from: http://www.R-project.org/.

Capicio M, Panesar S, Keller H, et al. Nutrition risk, resilience and effects of a brief education intervention among community-dwelling older adults during the COVID-19 pandemic in Alberta, Canada. Nutrients. 2022;14:1110. doi:10.3390/nu14051110.

Ko SH, Jung Y. Energy metabolism changes and dysregulated lipid metabolism in postmenopausal women. Nutrients. 2021;13:4556. doi:10.3390/nu13124556.

Paranhos Amorim DN, Nascimento DDC, Stone W, Alves VP, Coelho Vilaça E Silva KH. Body composition and functional performance of older adults. Osteoporos Sarcopenia. 2022;8:86-91. doi:10.1016/j.afos.2022.04.002.

Ellis A, Jung SE, Palmer F, Shahan M. Individual and interpersonal factors affecting dietary intake of community-dwelling older adults during the COVID-19 pandemic. Public Health Nutr. 2022;25:1-29. doi:10.1017/S1368980022000696.

Teggart K, Ganann R, Sihota D, et al. Group-based nutrition interventions to promote healthy eating and mobility in community-dwelling older adults: A systematic review. Public Health Nutr. 2022;25:2920-51. doi:10.1017/S136898002200115X.

Silveira EA, Kliemann N, Noll M, Sarrafzadegan N, de Oliveira C. Visceral obesity and incident cancer and cardiovascular disease: An integrative review of the epidemiological evidence. Obes Rev. 2021;22:e13088. doi:10.1111/obr.13088.

Putra C, Konow N, Gage M, York CG, Mangano KM. Protein source and muscle health in older adults: A literature review. Nutrients. 2021;13:743. doi:10.3390/nu13030743.

Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: Evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56:M146-M156. doi:10.1093/gerona/56.3.m146.

Downloads

Published

2025-02-21

Issue

Section

Artigos originais

How to Cite

Impact of Video-Based Nutritional Education on Dietary Habits of Elderly Duringthe COVID-19 Pandemic. (2025). Nutrição Brasil, 23(5), 1142-1153. https://doi.org/10.62827/nb.v23i5.3044