Associated factors for post-partum weight retention in adolescent mothers: a prospective study
DOI:
https://doi.org/10.33448/rsd-v11i9.31675Keywords:
Pregnancy in Adolescence; Postpartum Period; Nutritional Status; Gestational weight gain.Abstract
Objective: To assess weight retention in adolescent mothers at the fourth postpartum month and its association with sociodemographic, reproductive, anthropometric and behavioral factors. Methods: Prospective longitudinal study. The survey was conducted in all public and private maternity hospitals in a city in the east of Minas Gerais State. All adolescent mothers (age <20 years) with childbirth at gestational age ≥37 weeks, without chronic disease, living in the municipality, whose delivery occurred between October/2018 and October/2019 participated. The first one took place 48-hours postpartum and the second, four months later. Four months postpartum the interview took place at the home of the mothers. Associations between variables were verified using Simple and Multiple Linear Regression. Results: Of the 367 interviewed adolescent mothers at the maternity hospitals, the predominant characteristics were age between 18-19 years, non-white skin color and education above nine years of study. Four months postpartum, 317 mothers were evaluated and the incidence of weight retention was 79.4% (n=247) with an average of 6.86 kg ±5.34. Higher means of weight retention were observed in mothers with less school years, greater number of children, higher daily consumption of ultra-processed food during pregnancy, without nutritional guidance during pregnancy, higher pre-gestational Body Mass Index and greater gestational weight gain (p<0.05). Conclusions: The incidence of weight retention was considered high, a fact that highlights the importance of prenatal care quality, including nutritional education strategies, especially for this age group, highly vulnerable.
References
Bogaerts, A., De Baetselier, E., Ameye, L., Dilles, T., Van Rompaey, B., & Devlieger, R. (2017). Postpartum weight trajectories in overweight and lean women. Midwifery, 49, 134–141. https://doi.org/10.1016/j.midw.2016.08.010
Campos, A. B. F., Pereira, R. A., Queiroz, J., & Saunders, C. (2013). Ingestão de energia e de nutrientes e baixo peso ao nascer: Estudo de coorte com gestantes adolescentes1. Revista de Nutricao, 26(5), 551–561. https://doi.org/10.1590/S1415-52732013000500006
Celik, N., & Atan, S. U. (2018). Investigation of factors affecting postpartum maternal weight retention: A cross-sectional study. Journal of the Pakistan Medical Association, 68(11), 1578–1583.
Constancio, N. S., Ferraz, M. L. G., Martins, C. T. B., Kraychete, A. C., Bitencourt, P. L., & Nascimento, M. M. do. (2019). Hepatitis C in Hemodialysis Units: diagnosis and therapeutic approach. Jornal Brasileiro de Nefrologia : ’orgao Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia, 41(4), 539–549. https://doi.org/10.1590/2175-8239-JBN-2018-0177
Danilack, V. A., Brousseau, E. C., & Phipps, M. G. (2018). The effect of gestational weight gain on persistent increase in body mass index in adolescents: A longitudinal study. Journal of Women’s Health, 27(12), 1456–1458. https://doi.org/10.1089/jwh.2017.6635
das Chagas, D. C., da Silva, A. A. M., Ribeiro, C. C. C., Batista, R. F. L., & de Britto E Alves, M. T. S. S. (2017). Effects of gestational weight gain and breastfeeding on postpartum weight retention among women in the BRISA cohort. Cadernos de Saude Publica, 33(5), 1–15. https://doi.org/10.1590/0102-311X00007916
de Azeredo, V. B., Pereira, K. B., da Silveira, C. B., dos Santos, A. M. C., & Pedruzzi, L. M. (2011). Estado nutricional de nutrizes adolescentes em diferentes semanas pós-parto. Revista Brasileira de Ginecologia e Obstetricia, 33(4), 176–181.
Endres, L. K., Straub, H., McKinney, C., Plunkett, B., Minkovitz, C. S., Schetter, C. D., … Shalowitz, M. U. (2015). Postpartumweight retention risk factors and relationship to obesity at 1 year. Obstetrics and Gynecology, 125(1), 144–152. https://doi.org/10.1097/AOG.0000000000000565
Fadzil, F., Shamsuddin, K., Wan Puteh, S. E., Mohd Tamil, A., Ahmad, S., Abdul Hayi, N. S., … Ahmad Shauki, N. I. (2018). Predictors of postpartum weight retention among urban Malaysian mothers: A prospective cohort study. Obesity Research and Clinical Practice, 12(6), 493–499. https://doi.org/10.1016/j.orcp.2018.06.003
Forte, C. C., Bernardi, J. R., Goldani, M. Z., & Bosa, V. L. (2015). Relação entre a retenção de peso nos primeiros três meses pós-parto com ganho de peso e ingestão alimentar durante a gestação. Revista Brasileira de Saúde Materno Infantil, 15(3), 279–287. https://doi.org/10.1590/s1519-38292015000300003
Gigante, D. P., Rasmussen, K. M., & Victora, C. G. (2005). Community and International Nutrition Pregnancy Increases BMI in Adolescents of a Population-Based Birth Cohort 1. J. Nutr, 135(August 2004), 74–80. Retrieved from http://jn.nutrition.org/content/135/1/74.full.pdf
Goonewardene, I. M. R., & Deeyagaha Waduge, R. P. K. (2005). Adverse effects of teenage pregnancy. Ceylon Medical Journal, 50(3), 116–120. https://doi.org/10.4038/cmj.v50i3.1428
Groth, S. W., Holland, M. L., Kitzman, H., & Meng, Y. (2013). Gestational weight gain of pregnant african american adolescents affects body mass index 18 years later. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 42(5), 541–550. https://doi.org/10.1111/1552-6909.12230
Guimarães, A. K. R. C., Silva, M. dos S., Gomes, R. P., Pereira, É. J., Arcanjo, M. C. N., Leão, L. L., … Soares, P. D. de F. (2018). Obesidade na gestante adolescente: uma revisão bibliográfica. Revista Eletrônica Acervo Saúde, (18), e131. https://doi.org/10.25248/reas.e131.2019
Haeri, S., Masouem, S., Baker, A. M., Saddlemire, S., & Boggess, K. A. (2010). The effect of excess weight gain in teenage pregnancies. American Journal of Perinatology, 27(1), 15–18. https://doi.org/10.1055/s-0029-1224866
Herrera-Suárez, C. C., Vásquez-Garibay, E. M., Romero-Velarde, E., Romo-Huerta, H. P., García De Alba García, J. E., & Troyo-Sanromán, R. (2008). Hábitos de alimentación y factores culturales en adolescentes embarazadas. Archivos Latinoamericanos de Nutrición, 58(1), 19–26. Retrieved from http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S0004-06222008000100003&lng=es&nrm=iso&tlng=
Joseph, N. P., Hunkali, K. B., Wilson, B., Morgan, E., Cross, M., & Freund, K. M. (2008). Pre-Pregnancy Body Mass Index among Pregnant Adolescents: Gestational Weight Gain and Long-Term Post Partum Weight Retention. Journal of Pediatric and Adolescent Gynecology, 21(4), 195–200. https://doi.org/10.1016/j.jpag.2007.08.006
Kac, G., Benicio, M. H., Velásquez-Meléndez, G., & Valente, J. G. (2004). Nine months postpartum weight retention predictors for Brazilian women. Public Health Nutrition, 7(5), 621–628. https://doi.org/10.1079/phn2003579
Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33(1), 159–174.
Lima, S. L. de, Battilani, C. S., & Gomes, C. F. (2011). Caracterização do estado nutricional de gestantes adolescentes e do peso de nascimento de seus bebês TT - Nutritional features of pregant teenagers and their babies´ birth weight. Temas Desenvolv, 18(101), 54–59. https://doi.org/10.13140/RG.2.1.4533.6808
Nartea, R., Mitoiu, B. I., & Nica, A. S. (2019). Correlation between Pregnancy Related Weight Gain, Postpartum Weight loss and Obesity: a Prospective Study. Journal of Medicine and Life, 12(2), 178–183. https://doi.org/10.25122/jml-2019-0015
Nast, M., De Oliveira, A., Rauber, F., & Vitolo, M. R. (2013). Ganho de peso excessivo na gestação é fator de risco para o excesso de peso em mulheres. Revista Brasileira de Ginecologia e Obstetricia, 35(12), 536–540. https://doi.org/10.1590/S0100-72032013001200002
Nogueira, J. L., Saunders, C., & Do Carmo Leal, M. (2015). Métodos antropométricos utilizados na avaliação da retenção do peso no período pós-parto: Uma revisão sistemática. Ciencia e Saude Coletiva, 20(2), 407–420. https://doi.org/10.1590/1413-81232015202.08112013
Rasmussen, K. M., Yaktine, A. L., & I. of M. (US) and N. R. C. (US) C. to R. I. P. W. G. (2009). Weight Gain During Pregnancy: Reexamining the Guidelines. In National Academies Press (US). (Vol. 15). https://doi.org/10.1111/j.1552-6909.1986.tb01420.x
Sámano, R., Martínez-Rojano, H., Martínez, E. G., Jiménez, B. S., Rodríguez, G. P. V., Zamora, J. P., & Casanueva, E. (2013). Effects of breastfeeding on weight loss and recovery of pregestational weight in adolescent and adult mothers. Food and Nutrition Bulletin, 34(2), 123–130. https://doi.org/10.1177/156482651303400201
Severi T, M. C., Alonso, R., & Atalah S, E. (2009). [BMI changes in adolescents and adults women between pregnancy and pospartum]. Archivos latinoamericanos de nutricion, 59(3), 227–234.
Siega-Riz, A. M., Herring, A. H., Carrier, K., Evenson, K. R., Dole, N., & Deierlein, A. (2010). Sociodemographic, perinatal, behavioral, and psychosocial predictors of weight retention at 3 and 12 months postpartum. Obesity, 18(10), 1996–2003. https://doi.org/10.1038/oby.2009.458
World Health Organization. (2021). BMI-for-age (5-19 years). Retrieved June 10, 2022, from https://www.who.int/tools/growth-reference-data-for-5to19-years/indicators/bmi-for-age
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Copyright (c) 2022 Milena de Oliveira Simões; Vanusa Belarmino; Bruna Celestino Schneider; Fernanda Milagres Resende Chitarra; Natália Oliveira Izidoro; Karolina Bortolini Magevski; Livia Santos Reis; Waneska Alexandra Alves; Carla Vitola Gonçalves
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