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Funding: this research was financed by the Instituto de la Mujer, Spanish Ministerio de Igualdad (PAC22- 20/2ACT/22) and a grant for the promotion of research in master studies 2021 by Universidad Autonoma de Madrid, Spain. In addition, the authors would like to thank the research subjects for their willingness to participate in this study.

Analysis of institutional authors

Arribas, Silvia MAuthorLopez-Gimenez, Maria RAuthorRamiro-Cortijo, DavidCorresponding Author
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Article

Online pilot intervention to improve nutritional and lifestyle in Spanish breast-feeding women

Publicated to:Nutricion Hospitalaria. 41 (3): 619-627 - 2024-05-01 41(3), DOI: 10.20960/nh.04846

Authors: Witte Castro, Ariadna; Zozaya Nieto, Carlos; Ruvira Hernando, Santiago; Arribas, Silvia M; López Giménez, María Rosario; Ramiro Cortijo, David

Affiliations

Hosp Univ La Paz, Dept Neonatol, Madrid, Spain - Author
Univ Autonoma Madrid, Fac Med, Dept Physiol, Despacho C21-C,C Arzobispo Morcillo 2, Madrid 28029, Spain - Author
Univ Autonoma Madrid, Fac Med, Dept Prevent Med Publ Hlth & Microbiol, Madrid, Spain - Author
Univ Autonoma Madrid, Food Oxidat Stress & Cardiovasc Hlth FOSCH Multidi, Ciudad Univ Cantoblanco, Madrid, Spain - Author
Univ Autonoma Madrid, Inst Univ Estudios Mujer IUEM, Madrid, Spain - Author
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Abstract

Introduction: breastfeeding women often cannot adequately follow dietary and healthy habits recommendations. In addition, after delivery, their care is usually focused on the newborn and the mothers health may be neglected. The Mediterranean Diet is the standard of healthy eating, with the Healthy Food Pyramid (HFP) being its graphic representation. Objective: the aim of this study was to determine whether a nutritional and lifestyle online intervention may improve HFP adherence in breastfeeding women. Methods: a total of 181 breastfeeding women in the first sixth months postpartum were enrolled in a non-randomized interventional pilot study. These women answered three questionnaires: sociodemographic and for adherence to Healthy Food Pyramid (APQ), before and after an online intervention for 13 weeks, providing information about nutrition and healthy habits. The APQ ranges from 0 to 10, with higher scores corresponding to greater adherence to HFP. The intervention consisted of lifestyle and nutritional information, which was provided through e-mail. Results: a low adherence to HFP was found, which was improved after 13 weeks of intervention. The online intervention significantly increased the scores for physical activity, grain, seeds and legumes consumption, olive oil use, dairy products, and ani-mal proteins, as well as the HFP adherence global score. The adjusted models showed that the online intervention was associated with adherence to the HFP and physical activity. Conclusion: we conclude that an online intervention for breastfeeding women had an impact on their lifestyle, improving nutritional and healthy habits, and can be a useful tool to monitor their health status. Given the importance of this stage for women and their newborns, this is an aspect postnatal healthcare professionals should consider.

Keywords
AdherenceBreastfeedinBreastfeedingBreastfeeding.DieExerciseHealthy dietary patternsHealthy food pyramidHealthy food pyramid.LifestyleLifestyle.Mediterranean dietMilkNutritional patterNutritional patternOnline interventionOutcomePhysical-activityPostpartumSupplementationVitamin-d

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Nutricion Hospitalaria, and although the journal is classified in the quartile Q4 (Agencia WoS (JCR)), its regional focus and specialization in Nutrition & Dietetics, give it significant recognition in a specific niche of scientific knowledge at an international level.

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-05-24:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 11.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 10 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 2.
  • The number of mentions on the social network X (formerly Twitter): 2 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Castro, Ariadna Witte) and Last Author (RAMIRO CORTIJO, DAVID).

the author responsible for correspondence tasks has been RAMIRO CORTIJO, DAVID.