Excess weight in high-risk pregnant women and factors associated with excessive weight gain
DOI:
https://doi.org/10.33448/rsd-v11i11.33814Keywords:
High-risk pregnancy; Weight gain; Obesity; Overweight; Nutritional status.Abstract
Objective: To evaluate the factors associated with excessive weight gain in high-risk pregnant women with excess weight. Methodology: Descriptive, quantitative study, carried out from August to December 2019, being evaluated pregnant women with excess weight, admitted to the obstetric center / rooming-in of a university hospital in Recife-PE. The previous and current nutritional status was determined through the Body Mass Index, being classified according to the adult population and the gestational age, respectively. Maternal weight gain was also investigated, using the ranges recommended by the Institute of Medicine. Fisher's exact and Pearson's chi-square tests were used in the statistical analysis. The significance level for the tests was 5%. Results: 107 high-risk pregnant women with a mean age of 28.22±6.12 years were included in the study. This research found that factors such as income, nulliparity, gestational hypertension and pre-gestational BMI are associated with the development of excessive weight gain and gestational obesity. Conclusion: Excessive weight gain was associated with lower family income, last gestational trimesters and gestational hypertension. We emphasize the importance of monitoring weight gain, with special attention to low-income women with pre-gestational excess weight.
References
Aciolly, E., Saunders, C., & Lacerda, E. M. A. (2009). Nutrição em obstetrícia e pediatria. (2a ed.): Cultura médica.
Atalah, E., Castilho, C., Castro, R., & Aldea, A. (1997). Propuesta de um nuevo estandar de evaluación nutricional en embarazadas. Rev Med Chil.125: 1429-1436.
Bianchi, C., Gennaro, G., Romano, M., Aragona, M., & Battini, L. (2018). Del Prato S. Pre-pregnancy obesity, gestational diabetes or gestational weight gain: Which is the strongest predictor of pregnancy outcomes. 144: 286-293.
Brasil. Ministério da Saúde. (2012). Secretaria de Atenção à Saúde. Departamento de Ações. Programáticas. Estratégicas. Gestação de alto risco: manual técnico. (5ª ed.): Editora do Ministério da Saúde.
Camassar, J. de S., Martins, M. C. O., Santos, A. M. S., Delgado, A. M., Maio, R., & Burgos, M. G. P. A. (2022). Fatores associados ao peso do recém-nascido em gestação de baixo e alto risco. Pesquisa, Sociedade e Desenvolvimento.
Cysneiros, G. F., Nascimento, E., Araújo, E. C., Escoteiro, F. K. R. S., Paes, S., R. P., Barbosa, L. M. de A., Burgos, M. G. P. de A., & Lemos, M. C. C. (2020). Estado nutricional e consumo alimentar de gestantes diabéticas atendidas em hospital de referência em Recife- PE. Revista Brasileira de Desenvolvimento.
Huet, J., Beucher, G., Rod, A., Remy, M., & Dreyfus, M. (2018). Joint impact of gestational diabetes and obesity on perinatal outcomes. J Gynecol Obstet Hum Reprod.
Institute of Medicine. (2009). Weight gain during pregnancy: Reexamining the guidilines. Washigton: National Academy Press.
Kapinos, K. A., Yakusheva, O., & Weiss, M. (2017). Cesarean deliveries and maternal weight retention. BMC Pregnancy and Childbirth.17 (1): 1.
Kominiarek, M. A., Saade, G., Mele, L., Bailit, J., Reddy, U. M., & Wapner, R. J. (2018). Association between gestational weight gain and perinatal outcomes. Obstet Gynecol.132 (4): 875-881
Li, C., Liu, Y., & Zhang, W. (2015). Joint and Independent Associations of Gestational Weight Gain and Pre-Pregnancy Body Mass Index with Outcomes of Pregnancy in Chinese Women: A Retrospective Cohort Study. PLoS One.10 (8): e0136850.
Magalhães, E. I. S., Maia, D. S., Bonfim, C. F. A., Netto, M. P., Lamounier, J. A., & Rochaii, D. S. (2015). Prevalência e fatores associados ao ganho de peso gestacional excessivo em unidades de saúde do sudoeste da Bahia. Rev BrasEpidemiol. 18 (4): 858 869.
Néris, V. A., Silva, T. V. N da., Albuquerque, M. N. de L., Augusto, F. D. R., Gomes, A. C. B., Silva, S. A. da, Maio, R., & Burgos, M. G. P de A. (2022). Ganho de peso e estado nutricional de mulheres com diabetes mellitus gestacional. Pesquisa, Sociedade e Desenvolvimento.
Oliveira, A. M. (2018). Metodologia de Pesquisa em Nutrição: Embasamento Para a Condução de Estudos e Para a Prática Clínica. Editora: Rúbio, Rio de janeiro.
Paulino, D. S. M., Surita, F. G., Peres, G. B., Nascimento, S. L., & Morais, S. S. (2016). Association between parity, pre-pregnancy body mass index and gestational weight gain. J Matern Fetal Neonatal Med. 6 (29): 880-884.
Queiroz, P. M. A., Souza, N. M. M. de., & Burgos., M. G. P. de A. (2016). Nutritional profile and associated factors in women with gestational diabetes. Nutr. Clín. diet. hosp.
Ramoniene, G., Maleckiene, L., Nadisauskiene, R. J., Bartuseviciene, E., Railaite, D. R., & Maciuleviciene, R. (2017). Maternal obesity and obstetric out comes in a tertiary referral center. Medicina. 53 (2): 109-113.
Shin, D., & Song, W. O. (2015). Prepregnancy body mass index is an independent risk factor for gestational hypertension, gestational diabetes, preterm labor, and small- and large-for-gestational-age infants. J Matern Fetal Neonatal Med. 28 (14): 1679-86.
Tebbani, F., Oulamara, H., & Agli, A. (2019). Facteurs associés au gain pondéral insuffisant au cours de la grossesse. Factors associated with low maternal weight gain during pregnancy. Rev Epidemiol Sante Publique. Jul;67(4):253-260
World Health Organization. (2000). Obesity: preventing and managing the global epidemic: Report of a World Health Organization consultation. Genebra.
Vernini, J. M., Moreli, J. B., Magalhães, C. G., Costa, R. A. A., Rudge, M. V.C., & Calderon, I. M. P. (2016). Reprod Health. 13: 100.
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Copyright (c) 2022 Fernanda Dayana da Silva Dias ; Julianne Cibele Rodrigues da Silva; Mayhanne Cockles de Oliveira Martins; Regiane Maio; Thalita Chistina da Costa Lima; Maria Goretti Pessoa de Araújo Burgos
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