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Determinant factors of insufficient and excessive gestational weight gain and maternal-child adverse outcomes.
Nutrition. 2010 Jun; 26(6):617-23.N

Abstract

OBJECTIVE

To estimate the magnitude and determinant factors of insufficient and excessive gestational weight gain (GWG) and its relation with maternal-child adverse outcomes.

METHODS

This was a prospective study with 173 pregnant women and their newborns monitored at a primary health care facility in Rio de Janeiro. Multinomial regression models were employed, having as the outcome the adequacy of GWG (insufficient, adequate, or excessive). Covariables were classified as biological, socioeconomic, reproductive, behavioral, and nutritional.

RESULTS

Forty-one percent of pregnant women had insufficient GWG and 22.0% had excessive GWG. Pregestational overweight was associated with insufficient GWG (odds ratio [OR] 0.19, 95% confidence interval [CI] 0.05-0.78), and pregestational obesity was associated with excessive GWG (OR 4.66, 95% CI 1.34-19.08). Also associated with insufficient GWG were a stature <157 cm (OR 2.25, 95% CI 1.03-4.93) and ages 25-29 y (OR 3.70, 95% CI 1.26-10.84) and >or=30 y (OR 2.88, 95% CI 1.13-7.35) compared with the reference group (18-24 y). Age <12 y at menarche (OR 4.97, 95% CI 1.51-16.30) and being a former smoker (OR 5.18, 95% CI 1.62-16.52) demonstrated an association with excessive GWG compared with non-smokers (reference group). Sixty percent of pregnant women with excessive GWG delivered by cesarean section compared with 39.8% with adequate or insufficient GWG (P < 0.05). Prevalence of macrosomia in the excessive GWG group was 23.5% compared with 4.5% for pregnant women with insufficient GWG (P < 0.001).

CONCLUSION

Different determinant factors related to insufficient and excessive GWG were observed, which can be identified in the beginning of pregnancy, thus predicting unfavorable gestational outcomes. An increased percentage of women presented GWGs outside recommended levels.

Authors+Show Affiliations

Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19944566

Citation

Rodrigues, Patricia Lima, et al. "Determinant Factors of Insufficient and Excessive Gestational Weight Gain and Maternal-child Adverse Outcomes." Nutrition (Burbank, Los Angeles County, Calif.), vol. 26, no. 6, 2010, pp. 617-23.
Rodrigues PL, de Oliveira LC, Brito Ados S, et al. Determinant factors of insufficient and excessive gestational weight gain and maternal-child adverse outcomes. Nutrition. 2010;26(6):617-23.
Rodrigues, P. L., de Oliveira, L. C., Brito, A. d. o. s. . S., & Kac, G. (2010). Determinant factors of insufficient and excessive gestational weight gain and maternal-child adverse outcomes. Nutrition (Burbank, Los Angeles County, Calif.), 26(6), 617-23. https://doi.org/10.1016/j.nut.2009.06.025
Rodrigues PL, et al. Determinant Factors of Insufficient and Excessive Gestational Weight Gain and Maternal-child Adverse Outcomes. Nutrition. 2010;26(6):617-23. PubMed PMID: 19944566.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Determinant factors of insufficient and excessive gestational weight gain and maternal-child adverse outcomes. AU - Rodrigues,Patricia Lima, AU - de Oliveira,Lívia Costa, AU - Brito,Alexandre dos Santos, AU - Kac,Gilberto, Y1 - 2009/11/26/ PY - 2008/08/04/received PY - 2009/06/24/revised PY - 2009/06/25/accepted PY - 2009/12/1/entrez PY - 2009/12/1/pubmed PY - 2010/10/13/medline SP - 617 EP - 23 JF - Nutrition (Burbank, Los Angeles County, Calif.) JO - Nutrition VL - 26 IS - 6 N2 - OBJECTIVE: To estimate the magnitude and determinant factors of insufficient and excessive gestational weight gain (GWG) and its relation with maternal-child adverse outcomes. METHODS: This was a prospective study with 173 pregnant women and their newborns monitored at a primary health care facility in Rio de Janeiro. Multinomial regression models were employed, having as the outcome the adequacy of GWG (insufficient, adequate, or excessive). Covariables were classified as biological, socioeconomic, reproductive, behavioral, and nutritional. RESULTS: Forty-one percent of pregnant women had insufficient GWG and 22.0% had excessive GWG. Pregestational overweight was associated with insufficient GWG (odds ratio [OR] 0.19, 95% confidence interval [CI] 0.05-0.78), and pregestational obesity was associated with excessive GWG (OR 4.66, 95% CI 1.34-19.08). Also associated with insufficient GWG were a stature <157 cm (OR 2.25, 95% CI 1.03-4.93) and ages 25-29 y (OR 3.70, 95% CI 1.26-10.84) and >or=30 y (OR 2.88, 95% CI 1.13-7.35) compared with the reference group (18-24 y). Age <12 y at menarche (OR 4.97, 95% CI 1.51-16.30) and being a former smoker (OR 5.18, 95% CI 1.62-16.52) demonstrated an association with excessive GWG compared with non-smokers (reference group). Sixty percent of pregnant women with excessive GWG delivered by cesarean section compared with 39.8% with adequate or insufficient GWG (P < 0.05). Prevalence of macrosomia in the excessive GWG group was 23.5% compared with 4.5% for pregnant women with insufficient GWG (P < 0.001). CONCLUSION: Different determinant factors related to insufficient and excessive GWG were observed, which can be identified in the beginning of pregnancy, thus predicting unfavorable gestational outcomes. An increased percentage of women presented GWGs outside recommended levels. SN - 1873-1244 UR - https://www.unboundmedicine.com/medline/citation/19944566/Determinant_factors_of_insufficient_and_excessive_gestational_weight_gain_and_maternal_child_adverse_outcomes_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0899-9007(09)00300-1 DB - PRIME DP - Unbound Medicine ER -