title: [The positive deviance approach to change nutrition behavior: a systematic review].
abstract: OBJECTIVE
  To conduct a systematic review of the literature describing the use of the positive deviance approach to change nutrition behavior in order to identify the potentials of this method for health and nutrition education.
  
  
  METHODS
  Cochrane Library, LILACS, MEDLINE, SciELO, PubMed, and Scopus were searched. The following search terms were used: positive deviance, desvio positivo, positive deviance inquiry and positive deviants. Inclusion criteria were: reporting primary data, clearly defined methods, and availability of full text. The main results of the studies selected for inclusion were described and examined based on psychosocial (socioeconomic and health status, hygiene and nutrition habits), anthropometric (weight, height), and biochemical and clinical (presence of morbidity and biochemical tests) criteria to determine the potential and limitations of the positive deviance approach to change nutrition behavior.
  
  
  RESULTS
  Of the 47 studies identified, nine met the inclusion criteria. The positive deviance method was used for prevention and rehabilitation of child and maternal malnutrition in areas of socioeconomic vulnerability and for the treatment of overweight and obesity in adults. An improvement in maternal and child nutrition and the maintenance of beneficial behaviors over time were underscored as positive impacts of the method.
  
  
  CONCLUSIONS
  The positive deviance approach may help change nutrition behaviors with the aim of reversing child malnutrition and overweight and obesity in adults. This approach seems effective to promote health education in areas of socioeconomic vulnerability.
authors.affiliation: Departamento de Nutrição e Saúde, Universidade Federal de Viçosa, Viçosa, MG, Brasil.
authors.forename: Juliana Costa
authors.initials: JC
authors.lastname: Machado
authors.affiliation: Departamento de Nutrição e Saúde, Universidade Federal de Viçosa, Viçosa, MG, Brasil.
authors.forename: Rosângela Minardi Mitre
authors.initials: RM
authors.lastname: Cotta
authors.affiliation: Departamento de Nutrição e Saúde, Universidade Federal de Viçosa, Viçosa, MG, Brasil.
authors.forename: Luciana Saraiva da
authors.initials: LS
authors.lastname: Silva
mesh_terms: D005247:Feeding Behavior; D015438:Health Behavior; D006801:Humans; D009747:Nutritional Physiological Phenomena