Factors associated with the adequacy of gestational weight gain among Brazilian teenagers

Abstract

The scope of this article is to evaluate the adequacy of total gestational weight gain (GWG) according to maternal characteristics of Brazilian adolescents. It involved a cross-sectional, hospital-based study. A total of 3,904 teenagers with a single fetus gestation and gestational age (GA) at birth ≥ 37 weeks were included. A hierarchical model was built to analyze the dependent and independent variables adequacy of GWG: sociodemographic, care, obstetric and behavioral characteristics. The chances of insufficient GWG were higher for adolescents from the North (OR = 1.50, 95%CI: 1.07-2.10) and Northeast (OR = 1.68, 95%CI: 1.27-2.21). Paid work increased the chances of insufficient (95%CI: 1.15-2.39) and excessive (95%CI: 1.01-1.86) GWG. The pre-pregnancy body mass index of overweight or obese adolescents was associated with excessive GWG (OR = 1.86, 95%CI: 1.19-2.92 and OR = 3.06, 95%CI: 2.10-4.45, respectively), as well as GA ≥ 42 weeks (OR = 2.23, 95%CI: 1.03-4.81). Living in the North and Northeast regions increases the chances of adolescents having insufficient GWG. Having paid work was associated with a greater chance of excessive and insufficient GWG. Furthermore, pre-pregnancy excess weight or obesity and GA ≥ 42 weeks increased the chances of excessive GWG.

Dietary and Nutrient Intake, Eating Habits, and Its Association with Maternal Gestational Weight Gain and Offspring’s Birth Weight in Pregnant Adolescents

“…This highlights that there is currently a higher probability in pregnant adolescents of not meeting the recommendations GWG of the IOM. This is similar to the findings of Santos et al in adolescent Brazilians, which showed 37% and 33% insufficient and excessive GWG, respectively [ 57 ]. A significant rate of insufficient and excessive GWG was observed in our sample of pregnant adolescents.…”

Prevalence and associated factors on overweight/obesity in pregnant women assisted by the Family Health Strategy

“…There was a predominance of pregnant women who self-reported as mixed, black and yellow skin color In order to verify the factors associated with overweight/obesity in pregnant women, a hierarchical conceptual theoretical model (Figure 1) was developed, as described in a previous study, 22 with adaptations, and in a research with associations of overweight/obesity in pregnant women. 2,3 The variables that composed the socioeconomic and demographic, obstetric, social and family support/support characteristics, in addition to emotional aspects and comorbidities, were considered as independent variables divided into blocks in a theoretical model hypothesized for this study.…”

“…Saúde Mater. Infant., Recife, 23: e20220354 *n may vary due to loss of information; **Minimum wage at the time of the survey: R$ 954.00; ***Demographic condition allocated at the proximal level according to Santos et al22…”

Prevalência e fatores associados ao sobrepeso/ obesidade em gestantes assistidas na Estratégia Saúde da Família

“…Com o objetivo de verificar os fatores associados ao sobrepeso/obesidade nas gestantes, foi elaborado um modelo teórico conceitual hierarquizado (Figura 1), conforme descrito em estudo prévio, 22 com adaptações, e em pesquisa de associações de sobrepeso/obesidade em gestantes. 2,3 As variáveis que compuseram as características socioeconômicas e demográficas, obstétricas, apoio/suporte social e familiar, além dos aspectos emocionais e das comorbidades, foram consideradas como variáveis independentes divididas em blocos em um modelo teórico hipotetizado para este estudo.…”

“…*Salário mínimo na época da pesquisa: R$ 954,00; **Condição demográfica alocada no nível proximal de acordo com estudo de Santos et al 22 ; RP= razão de prevalência; IC95%= intervalo de 95% de confiança.…”