Prevalence of excess weight and obesity in pregnant women

Authors

DOI:

https://doi.org/10.33448/rsd-v9i8.5835

Keywords:

Obesity; Overweight; Pregnancy.

Abstract

The goals of the present study were i) to estimate the prevalence of excess weight and obesity in pregnant women who were admitted at a highly complex public hospital in 2017, and ii) to examine the profile of these participants. This is a cross-sectional, descriptive study. Complete medical records were available from 289 out of 421 participants and were included in analysis. The prevalence of excessive weight during pregnancy was 26% (95% CI: 20.8 – 30.9) and 41% met the criteria for obesity (95%CI: 35.1 – 46.5). Regression analyses indicated that body mass index (BMI) before pregnancy (β = 20.106, p < .001) and newborn’s weight (β = 2.277, p = .024) were significant in predicting excess weight in pregnancy, in a model explaining 70.2% of gestational BMI. The work contributes to the understanding of excess weight and obesity in pregnant women and might be useful in planning actions with the purpose of reducing complications in gestational and perinatal phases. Moreover, data could support strategies aiming to improve the outcomes of pregnancies, especially in the studied service.

References

Brunner, S., Stecher, L., Ziebarth, S., Nehring, I., Rifas–Shiman, S. L., Sommer, C., ... & von Kries, R. (2015). Excessive gestational weight gain prior to glucose screening and the risk of gestational diabetes: a meta–analysis. Diabetologia, 58, 2229–2237.

Dean, A. G., Sullivan, K. M., & Soe, M. M. (2013). OpenEpi: Open Source Epidemiologic Statistics for Public Health. Available from: http://www.openepi.com/Menu/OE_Menu.htm

Delavari, M., Sønderlund, A. L., Swinburn, B., Mellor, D., & Renzaho, A. (2013). Acculturation and obesity among migrant populations in high income countries–a systematic review. BMC Public Health, 13(1), 458.

Denison, F. C., Norwood, P., Bhattacharya, S., Duffy, A., Mahmood, T., Morris, C., ... & Scotland, G. (2014). Association between maternal body mass index during pregnancy, short‐term morbidity, and increased health service costs: a population‐based study. BJOG: An International Journal of Obstetrics & Gynaecology, 121(1), 72–82.

Gomes, E., Soares, A. L., & Campos, R. (2013). Obesidade e gravidez: conhecer para atuar precocemente? A realidade numa unidade de saúde familiar. Revista Portuguesa de Endocrinologia, Diabetes e Metabolismo, 8(1), 16–20.

Gonçalves, C. V., Mendoza–Sassi, R. A., Cesar, J. A., Castro, N. B. D., & Bortolomedi, A. P. (2012). Índice de massa corporal e ganho de peso gestacional como fatores preditores de complicações e do desfecho da gravidez. Revista Brasileira de Ginecologia e Obstetrícia, 34(7), 304–309.

Instituto Brasileiro de Geografia e Estatística (2010). Censo demográfico 2010. Retrieved from https://censo2010.ibge.gov.br.

Malta, D. C., Andrade, S. C., Claro, R. M., Bernal, R. T. I., & Monteiro, C. A. (2014). Evolução anual da prevalência de excesso de peso e obesidade em adultos nas capitais dos 26 estados brasileiros e no Distrito Federal entre 2006 e 2012. Revista Brasileira de Epidemiologia, 17, 267–276.

Marchi, J., Berg, M., Dencker, A., Olander, E. K., & Begley, C. (2015). Risks associated with obesity in pregnancy, for the mother and baby: a systematic review of reviews. Obesity Reviews, 16(8), 621–638.

McIntyre, H. D., Dekker, M., Barrett, H. L., & Callaway, L. K. (2020). Obesity in pregnancy: epidemiology, mechanisms, nutritional and metabolic management. In Gestational Diabetes (pp. 21–34). Basiléia: Karger Publishers.

Moreira, L. N., Barros, D. C. D., Baião, M. R., & Cunha, M. B. (2019). “Quando tem como comer, a gente come”: fontes de informações sobre alimentação na gestação e as escolhas alimentares. Physis: Revista de Saúde Coletiva, 28, e280321.

Nelson, S. M., Matthews, P., & Poston, L. (2010). Maternal metabolism and obesity: modifiable determinants of pregnancy outcome. Human Reproduction Update, 16(3), 255–275.

Nogueira, A. I., & Carreiro, M. P. (2013). Obesidade e gravidez. Revista Médica de Minas Gerais, 23(1), 88–98.

Nucci, L. B., Schmidt, M. I., Duncan, B. B., Fuchs, S. C., Fleck, E. T., & Britto, M. M. S. (2001). Nutritional status of pregnant women: prevalence and associated pregnancy outcomes. Revista de Saúde Pública, 35(6), 502–507.

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria: Ed. UAB/NTE/UFSM. Retrieved from https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

Poston, L., Caleyachetty, R., Cnattingius, S., Corvalán, C., Uauy, R., Herring, S., & Gillman, M. W. (2016). Preconceptional and maternal obesity: epidemiology and health consequences. The Lancet Diabetes & Endocrinology, 4(12), 1025–1036.

Ramakrishnan, U., Grant, F., Goldenberg, T., Zongrone, A., & Martorell, R. (2012). Effect of women's nutrition before and during early pregnancy on maternal and infant outcomes: a systematic review. Paediatric and Perinatal Epidemiology, 26, 285–301.

Seabra, G., Padilha, P. D. C., & Saunders, C. (2011). Sobrepeso e obesidade pré–gestacionais: prevalência e desfechos associados à gestação. Revista Brasileira de Ginecologia e Obstetrícia, 33(11), 348–353.

Torloni, M. R., Betran, A. P., Horta, B. L., Nakamura, M. U., Atallah, A. N., Moron, A. F., & Valente, O. (2009). Prepregnancy BMI and the risk of gestational diabetes: a systematic review of the literature with meta‐analysis. Obesity Reviews, 10(2), 194–203.

Venturini, C. D., Engroff, P., Gomes, I., & De Carli, G. A. (2013). Prevalência de obesidade associada à ingestão calórica, glicemia e perfil lipídico em uma amostra populacional de idosos do Sul do Brasil. Revista Brasileira de Geriatria e Gerontologia, 16(3), 591–601.

Vitner, D., Harris, K., Maxwell, C., & Farine, D. (2019). Obesity in pregnancy: a comparison of four national guidelines. The Journal of Maternal–Fetal & Neonatal Medicine, 32(15), 2580–2590.

Published

19/07/2020

How to Cite

CARRELI, G. Z.; MARTINS, G. K. F.; GOIS, J. G.; FOLLADOR, F. A. C.; LUCIO, L. C.; WENDT, G. W.; FERRETO, L. E. D. Prevalence of excess weight and obesity in pregnant women. Research, Society and Development, [S. l.], v. 9, n. 8, p. e587985835, 2020. DOI: 10.33448/rsd-v9i8.5835. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/5835. Acesso em: 5 nov. 2024.

Issue

Section

Health Sciences