Inadequacies of gestational weight gain: and association with sociodemographic characteristics and the living environment
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Nutrição |
Texto Completo: | https://periodicos.puc-campinas.edu.br/nutricao/article/view/8656 |
Resumo: | Objective To assess the association of gestational weight gain inadequacies with sociodemographic indicators and characteristics of the living environment. Methods Cross-sectional study conducted in 2019 with a probabilistic sample of 3580 postpartum women who gave birth in maternity hospitals of the Unified Health System in the State of Santa Catarina. Prevalence was calculated and, using logistic regression models, odd ratios of inadequate and adequate gestational weight gain were estimated according to sociodemographic and health indicators (Body Mass Index, age, marital status, race/skin color and education); and characteristics of the neighborhood (violence, social cohesion, encouragement to practice physical activity and access to healthy food). Results It was observed that 29.6% of the mothers had adequate gestational weight gain, 29.3% insufficient and 41.1% excessive gestational weight gain. Lower chances of adequate weight gain were found in women with pre-pregnancy body mass index classified as overweight (43.0%) and obesity (58.0%) and who lived in an environment with social cohesion (25.0%). In contrast, the chances of adequate weight gain were 43.0% higher among women with 12 years of schooling or more when compared to those with 8 years or less. Conclusion Inadequate gestational weight gain is associated with high pre-pregnancy body mass index, with social cohesion in the living environment and with a low level of education of the pregnant woman, requiring public policies that go beyond prenatal care |
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Inadequacies of gestational weight gain: and association with sociodemographic characteristics and the living environmentInadequações do ganho de peso gestacional: prevalência e associação com características sociodemográficas e do ambiente de moradiaBuilt environmentGestational weight gainHealth status disparitiesSocioeconomic factorsUnified Health SystemAmbiente construídoGanho de peso na gestaçãoDisparidades nos níveis de saúdeFatores socioeconômicosSistema Único de Saúde Objective To assess the association of gestational weight gain inadequacies with sociodemographic indicators and characteristics of the living environment. Methods Cross-sectional study conducted in 2019 with a probabilistic sample of 3580 postpartum women who gave birth in maternity hospitals of the Unified Health System in the State of Santa Catarina. Prevalence was calculated and, using logistic regression models, odd ratios of inadequate and adequate gestational weight gain were estimated according to sociodemographic and health indicators (Body Mass Index, age, marital status, race/skin color and education); and characteristics of the neighborhood (violence, social cohesion, encouragement to practice physical activity and access to healthy food). Results It was observed that 29.6% of the mothers had adequate gestational weight gain, 29.3% insufficient and 41.1% excessive gestational weight gain. Lower chances of adequate weight gain were found in women with pre-pregnancy body mass index classified as overweight (43.0%) and obesity (58.0%) and who lived in an environment with social cohesion (25.0%). In contrast, the chances of adequate weight gain were 43.0% higher among women with 12 years of schooling or more when compared to those with 8 years or less. Conclusion Inadequate gestational weight gain is associated with high pre-pregnancy body mass index, with social cohesion in the living environment and with a low level of education of the pregnant woman, requiring public policies that go beyond prenatal careObjetivo Analisar a associação do ganho de inadequações do peso gestacional com indicadores sociodemográficos e características do ambiente de residência. Métodos Estudo transversal realizado em 2019, com amostra probabilística de 3.580 puérperas que realizaram o parto no Sistema Único de Saúde em maternidades do Estado de Santa Catarina. Foram calculadas as prevalências e, por meio de modelos de regressão logística, foram estimadas razões de chance de ganho de peso gestacional inadequado e adequado, segundo indicadores sociodemográficos e de saúde (Índice de Massa Corporal, idade, estado civil, raça/ cor da pele e escolaridade) e características da vizinhança de residência (violência, coesão social, estímulo à prática de atividade física e acesso à alimentação saudável). Resultados Observou-se que 29,6% das puérperas tiveram ganho de peso gestacional adequado, 29,3% insuficiente e 41,1% excessivo. Menores chances de ganho de peso adequado foram encontradas em mulheres com índice de massa corporal pré-gestacional de sobrepeso (43,0%) e obesidade (58,0%) e que viviam em ambiente com coesão social (25,0%). Já as chances de ganho de peso adequado foram 43,0% maiores entre as mulheres com 12 anos ou mais de estudo quando comparadas àquelas com 8 anos ou menos. Conclusão O ganho de peso gestacional inadequado está associado com o índice de massa corporal pré-gestacional elevado, com a coesão social no ambiente de moradia e com a baixa escolaridade da gestante, exigindo políticas públicas que transcendam o cuidado básico do pré-natal.Núcleo de Editoração – PUC-Campinas2023-06-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/8656Brazilian Journal of Nutrition; Vol. 35 (2022): Revista de Nutrição; 1-12Revista de Nutrição; Vol. 35 (2022): Revista de Nutrição; 1-12Revista de Nutrição; v. 35 (2022): Revista de Nutrição; 1-121678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPenghttps://periodicos.puc-campinas.edu.br/nutricao/article/view/8656/6101https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessZANLOURENSI, Clorine BorbaWAGNER, Katia Jakovljevic PudlaBOING, Antonio Fernando2023-10-06T18:55:02Zoai:ojs.periodicos.puc-campinas.edu.br:article/8656Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2023-10-06T18:55:02Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false |
dc.title.none.fl_str_mv |
Inadequacies of gestational weight gain: and association with sociodemographic characteristics and the living environment Inadequações do ganho de peso gestacional: prevalência e associação com características sociodemográficas e do ambiente de moradia |
title |
Inadequacies of gestational weight gain: and association with sociodemographic characteristics and the living environment |
spellingShingle |
Inadequacies of gestational weight gain: and association with sociodemographic characteristics and the living environment ZANLOURENSI, Clorine Borba Built environment Gestational weight gain Health status disparities Socioeconomic factors Unified Health System Ambiente construído Ganho de peso na gestação Disparidades nos níveis de saúde Fatores socioeconômicos Sistema Único de Saúde |
title_short |
Inadequacies of gestational weight gain: and association with sociodemographic characteristics and the living environment |
title_full |
Inadequacies of gestational weight gain: and association with sociodemographic characteristics and the living environment |
title_fullStr |
Inadequacies of gestational weight gain: and association with sociodemographic characteristics and the living environment |
title_full_unstemmed |
Inadequacies of gestational weight gain: and association with sociodemographic characteristics and the living environment |
title_sort |
Inadequacies of gestational weight gain: and association with sociodemographic characteristics and the living environment |
author |
ZANLOURENSI, Clorine Borba |
author_facet |
ZANLOURENSI, Clorine Borba WAGNER, Katia Jakovljevic Pudla BOING, Antonio Fernando |
author_role |
author |
author2 |
WAGNER, Katia Jakovljevic Pudla BOING, Antonio Fernando |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
ZANLOURENSI, Clorine Borba WAGNER, Katia Jakovljevic Pudla BOING, Antonio Fernando |
dc.subject.por.fl_str_mv |
Built environment Gestational weight gain Health status disparities Socioeconomic factors Unified Health System Ambiente construído Ganho de peso na gestação Disparidades nos níveis de saúde Fatores socioeconômicos Sistema Único de Saúde |
topic |
Built environment Gestational weight gain Health status disparities Socioeconomic factors Unified Health System Ambiente construído Ganho de peso na gestação Disparidades nos níveis de saúde Fatores socioeconômicos Sistema Único de Saúde |
description |
Objective To assess the association of gestational weight gain inadequacies with sociodemographic indicators and characteristics of the living environment. Methods Cross-sectional study conducted in 2019 with a probabilistic sample of 3580 postpartum women who gave birth in maternity hospitals of the Unified Health System in the State of Santa Catarina. Prevalence was calculated and, using logistic regression models, odd ratios of inadequate and adequate gestational weight gain were estimated according to sociodemographic and health indicators (Body Mass Index, age, marital status, race/skin color and education); and characteristics of the neighborhood (violence, social cohesion, encouragement to practice physical activity and access to healthy food). Results It was observed that 29.6% of the mothers had adequate gestational weight gain, 29.3% insufficient and 41.1% excessive gestational weight gain. Lower chances of adequate weight gain were found in women with pre-pregnancy body mass index classified as overweight (43.0%) and obesity (58.0%) and who lived in an environment with social cohesion (25.0%). In contrast, the chances of adequate weight gain were 43.0% higher among women with 12 years of schooling or more when compared to those with 8 years or less. Conclusion Inadequate gestational weight gain is associated with high pre-pregnancy body mass index, with social cohesion in the living environment and with a low level of education of the pregnant woman, requiring public policies that go beyond prenatal care |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-07 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8656 |
url |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8656 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8656/6101 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Nutrition; Vol. 35 (2022): Revista de Nutrição; 1-12 Revista de Nutrição; Vol. 35 (2022): Revista de Nutrição; 1-12 Revista de Nutrição; v. 35 (2022): Revista de Nutrição; 1-12 1678-9865 reponame:Revista de Nutrição instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) instacron:PUC_CAMP |
instname_str |
Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
instacron_str |
PUC_CAMP |
institution |
PUC_CAMP |
reponame_str |
Revista de Nutrição |
collection |
Revista de Nutrição |
repository.name.fl_str_mv |
Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
repository.mail.fl_str_mv |
||sbi.submissionrn@puc-campinas.edu.br |
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1799126070418472960 |