Healthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of Brazil
Autor(a) principal: | |
---|---|
Data de Publicação: | 2016 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da FURG (RI FURG) |
Texto Completo: | http://repositorio.furg.br/handle/1/7504 http://dx.doi.org/10.1590/1678-98652016000400001 |
Resumo: | Objective To measure and identify the factors associated with healthy weight gain during pregnancy in the municipality of Rio Grande, Rio Grande do Sul, Brazil. Methods This was a population-based, cross-sectional study that included all parturient women from the municipality who gave birth at its maternity hospitals in 2013. Information was collected by interview with the mothers in the first 48 hours following parturition and from the prenatal care cards. Healthy weight gain was evaluated according to the Institute of Medicine guidelines. Data analysis used Poisson regression with robust variance using previous hierarchical model. Results Among the 1,784 pregnant participants, 89% attended at least six prenatal care visits, and 32% had healthy weight gain during pregnancy. Higher education level and fewer children resulted in a higher prevalence ratiofor healthy weight gain (p=0.003 and p=0.029, respectively). Underweight women at conception had a higher proportion of healthy weight gain (p<0.001). Despite extensive coverage, prenatal care did not affect healthy weight gain during pregnancy (p=0.104). Conclusion The low proportion of women with healthy gestational weight gain suggests a need of better prenatal care services. Women who are overweight, have lower education levels, and had had multiple pregnancies at conception need special attention |
id |
FURG_2b50e59723fa0d8cff86039b5f8334f8 |
---|---|
oai_identifier_str |
oai:repositorio.furg.br:1/7504 |
network_acronym_str |
FURG |
network_name_str |
Repositório Institucional da FURG (RI FURG) |
repository_id_str |
|
spelling |
Marmitt, Luana PatriciaGonçalves, Carla VitolaCesar, Juraci Almeida2017-08-02T17:46:17Z2017-08-02T17:46:17Z2016MARMITT, Luana Patricia; Gonçalves, Carla Vitola; CESAR, Juraci Almeida. Healthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of Brazil. Revista de Nutrição. v. 29, n. 4, p. 445-455, 2016. Disponível em :<http://www.scielo.br/pdf/rn/v29n4/1415-5273-rn-29-04-00445.pdf> Acesso em: 30 dez. 2016.http://repositorio.furg.br/handle/1/7504http://dx.doi.org/10.1590/1678-98652016000400001Objective To measure and identify the factors associated with healthy weight gain during pregnancy in the municipality of Rio Grande, Rio Grande do Sul, Brazil. Methods This was a population-based, cross-sectional study that included all parturient women from the municipality who gave birth at its maternity hospitals in 2013. Information was collected by interview with the mothers in the first 48 hours following parturition and from the prenatal care cards. Healthy weight gain was evaluated according to the Institute of Medicine guidelines. Data analysis used Poisson regression with robust variance using previous hierarchical model. Results Among the 1,784 pregnant participants, 89% attended at least six prenatal care visits, and 32% had healthy weight gain during pregnancy. Higher education level and fewer children resulted in a higher prevalence ratiofor healthy weight gain (p=0.003 and p=0.029, respectively). Underweight women at conception had a higher proportion of healthy weight gain (p<0.001). Despite extensive coverage, prenatal care did not affect healthy weight gain during pregnancy (p=0.104). Conclusion The low proportion of women with healthy gestational weight gain suggests a need of better prenatal care services. Women who are overweight, have lower education levels, and had had multiple pregnancies at conception need special attentionObjetivo Medir a prevalência e identificar fatores associados ao ganho de peso adequado no período gestacional no município de Rio Grande, Rio Grande do Sul. Métodos Trata-se de um estudo transversal de base populacional do qual fizeram parte todas as parturientes residentes no município em questão e que tiveram filhos em maternidades ao longo do ano de 2013. As informações foram coletadas por entrevista nas primeiras 48 horas após o parto e também pelo Cartão da Gestante, usado nas consultas de pré-natal. O ganho de peso adequado foi avaliado conforme critérios do Institute of Medicine. Na análise dos dados, utilizou-se regressão de Poisson com ajuste robusto da variância e obedecendo modelo hierárquico prévio. Resultados Dentre as 1.784 gestantes incluídas no estudo, 89% realizaram pelo menos seis consultas de pré-natal e 32% apresentaram ganho de peso adequado na gestação. Quanto maior a escolaridade e menor o número de filhos, maior a razão de prevalência para ganho de peso adequado (p=0,003 e p=0,029; respectivamente). As mulheres que iniciaram a gestação com baixo peso tiveram a maior proporção de ganho de peso adequado (p<0,001). Apesar de ampla cobertura, o pré-natal não se mostrou capaz de influenciar o ganho de peso na gestação (p=0,104). Conclusão A reduzida proporção de mulheres as quais apresentaram ganho de peso adequado na gestação sugere a necessidade de melhoria dos cuidados oferecidos durante o pré-natal. Atenção especial deve ser dada àquelas que iniciam a gestação acima do peso, com níveis mais baixos de educação e de múltiplas gestações.porNutritional statusPregnancyRisk factorsWeight gainEstado nutricionalGravidezFatores de riscoGanho de pesoHealthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of BrazilPrevalência e fatores associados ao ganho de peso adequado na gestação: um estudo de base populacional no extremo sul do Brasilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FURG (RI FURG)instname:Universidade Federal do Rio Grande (FURG)instacron:FURGLICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://repositorio.furg.br/bitstream/1/7504/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52open accessORIGINAL1415-5273-rn-29-04-00445.pdf1415-5273-rn-29-04-00445.pdfapplication/pdf362197https://repositorio.furg.br/bitstream/1/7504/1/1415-5273-rn-29-04-00445.pdf2d0ee724d57556869ca353d331e11512MD51open access1/75042017-08-02 14:46:17.894open accessoai:repositorio.furg.br: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Repositório InstitucionalPUBhttps://repositorio.furg.br/oai/request || http://200.19.254.174/oai/requestopendoar:2017-08-02T17:46:17Repositório Institucional da FURG (RI FURG) - Universidade Federal do Rio Grande (FURG)false |
dc.title.pt_BR.fl_str_mv |
Healthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of Brazil |
dc.title.alternative.pt_BR.fl_str_mv |
Prevalência e fatores associados ao ganho de peso adequado na gestação: um estudo de base populacional no extremo sul do Brasil |
title |
Healthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of Brazil |
spellingShingle |
Healthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of Brazil Marmitt, Luana Patricia Nutritional status Pregnancy Risk factors Weight gain Estado nutricional Gravidez Fatores de risco Ganho de peso |
title_short |
Healthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of Brazil |
title_full |
Healthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of Brazil |
title_fullStr |
Healthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of Brazil |
title_full_unstemmed |
Healthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of Brazil |
title_sort |
Healthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of Brazil |
author |
Marmitt, Luana Patricia |
author_facet |
Marmitt, Luana Patricia Gonçalves, Carla Vitola Cesar, Juraci Almeida |
author_role |
author |
author2 |
Gonçalves, Carla Vitola Cesar, Juraci Almeida |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Marmitt, Luana Patricia Gonçalves, Carla Vitola Cesar, Juraci Almeida |
dc.subject.por.fl_str_mv |
Nutritional status Pregnancy Risk factors Weight gain Estado nutricional Gravidez Fatores de risco Ganho de peso |
topic |
Nutritional status Pregnancy Risk factors Weight gain Estado nutricional Gravidez Fatores de risco Ganho de peso |
description |
Objective To measure and identify the factors associated with healthy weight gain during pregnancy in the municipality of Rio Grande, Rio Grande do Sul, Brazil. Methods This was a population-based, cross-sectional study that included all parturient women from the municipality who gave birth at its maternity hospitals in 2013. Information was collected by interview with the mothers in the first 48 hours following parturition and from the prenatal care cards. Healthy weight gain was evaluated according to the Institute of Medicine guidelines. Data analysis used Poisson regression with robust variance using previous hierarchical model. Results Among the 1,784 pregnant participants, 89% attended at least six prenatal care visits, and 32% had healthy weight gain during pregnancy. Higher education level and fewer children resulted in a higher prevalence ratiofor healthy weight gain (p=0.003 and p=0.029, respectively). Underweight women at conception had a higher proportion of healthy weight gain (p<0.001). Despite extensive coverage, prenatal care did not affect healthy weight gain during pregnancy (p=0.104). Conclusion The low proportion of women with healthy gestational weight gain suggests a need of better prenatal care services. Women who are overweight, have lower education levels, and had had multiple pregnancies at conception need special attention |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016 |
dc.date.accessioned.fl_str_mv |
2017-08-02T17:46:17Z |
dc.date.available.fl_str_mv |
2017-08-02T17:46:17Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MARMITT, Luana Patricia; Gonçalves, Carla Vitola; CESAR, Juraci Almeida. Healthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of Brazil. Revista de Nutrição. v. 29, n. 4, p. 445-455, 2016. Disponível em :<http://www.scielo.br/pdf/rn/v29n4/1415-5273-rn-29-04-00445.pdf> Acesso em: 30 dez. 2016. |
dc.identifier.uri.fl_str_mv |
http://repositorio.furg.br/handle/1/7504 |
dc.identifier.doi.pt_BR.fl_str_mv |
http://dx.doi.org/10.1590/1678-98652016000400001 |
identifier_str_mv |
MARMITT, Luana Patricia; Gonçalves, Carla Vitola; CESAR, Juraci Almeida. Healthy gestational weight gain prevalence and associated risk factors: A population-based study in the far South of Brazil. Revista de Nutrição. v. 29, n. 4, p. 445-455, 2016. Disponível em :<http://www.scielo.br/pdf/rn/v29n4/1415-5273-rn-29-04-00445.pdf> Acesso em: 30 dez. 2016. |
url |
http://repositorio.furg.br/handle/1/7504 http://dx.doi.org/10.1590/1678-98652016000400001 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da FURG (RI FURG) instname:Universidade Federal do Rio Grande (FURG) instacron:FURG |
instname_str |
Universidade Federal do Rio Grande (FURG) |
instacron_str |
FURG |
institution |
FURG |
reponame_str |
Repositório Institucional da FURG (RI FURG) |
collection |
Repositório Institucional da FURG (RI FURG) |
bitstream.url.fl_str_mv |
https://repositorio.furg.br/bitstream/1/7504/2/license.txt https://repositorio.furg.br/bitstream/1/7504/1/1415-5273-rn-29-04-00445.pdf |
bitstream.checksum.fl_str_mv |
8a4605be74aa9ea9d79846c1fba20a33 2d0ee724d57556869ca353d331e11512 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da FURG (RI FURG) - Universidade Federal do Rio Grande (FURG) |
repository.mail.fl_str_mv |
|
_version_ |
1798313654380134400 |