Influência do consumo alimentar na gestação sobre a retenção de peso pós-parto

Abstract

OBJECTIVE:To evaluate the infl uence of dietary intake during gestation on postpartum weight retention. METHODS:A total of 82 healthy pregnant women who began prenatal care at public healthcare services in the Municipality of São Paulo (Southeastern Brazil) between April and June 2005 were followed up. Weight and height were measured in the fi rst interview (up to 16 weeks of gestation) and the weight measure was repeated during a household visit 15 days after delivery. The 24-Hour Dietary Recall method was employed to evaluate dietary intake at the three trimesters of gestation. The mean ingestion of saturated fat, fi bers, added sugar, soft drinks, processed foods, fruits and vegetables, as well as the dietary energy density were calculated. Weight retention was estimated by the difference between the measure of the postpartum weight and the fi rst measured weight. The infl uence of dietary intake on postpartum weight retention was assessed by multiple linear regression analysis and the linear trend test was performed. The variables used to adjust the model were: body mass index at the beginning of gestation, height, per capita family income, smoking, age, and level of schooling. RESULTS:The mean body mass index at the beginning of gestation was 24 kg/m 2 and the mean weight retention was 1.9 kg. The increase in saturated fat intake (p=0.005) and processed foods ingestion (p=0.014) signifi cantly increased postpartum weight retention, after adjustment by the control variables. The other dietary intake variables did not present a signifi cant relationship to the outcome variable. CONCLUSIONS:The increased intake of unhealthy food, such as processed foods, and of saturated fat infl uences the increment of postpartum weight retention.

Adherence of pregnant women to Nordic dietary guidelines in relation to postpartum weight retention: results from the Norwegian Mother and Child Cohort Study

“…Martins et al . [14], for instance, found that an increased intake of saturated fat or processed foods during pregnancy was connected to an increment in postpartum weight retention. However, this analysis considered only a few covariates.…”

“…Prospective cohort studies investigating effects of specific dietary behaviours during gestation on postpartum weight are generally very scarce. An analysis by Martins et al [14] suggests that increased intake of saturated fat or processed foods during pregnancy is associated with increased weight retention after delivery. A Swedish study investigating the role of meal patterns showed that weight retention 1 year after birth was higher in women with increased frequency of snacking or decreased frequency of lunch eating during or after the pregnancy [15].…”

[Id 29736] Fatores Determinantes Da Retenção De Peso Pós-Parto Em Lactantes Atendidas Em Unidades De Saúde Da Família Do Município De Cuité/Pb

“…Alguns estudos confirmam a hipótese encontrada neste estudo com relação ao ganho de peso excessivo durante a gestação. Uma investigação do tipo coorte com 104 gestantes recrutadas em uma Unidade Básica de Saúde, no Município do Rio de Janeiro, demonstrou que a retenção de peso foi maior entre as mulheres que apresentaram ganho de peso gestacional excessivo, em comparação às mulheres com ganho de peso gestacional adequado ou insuficiente 7 , resultados semelhantes também foram encontrados por Colebrusco, 2010 22 .…”

Maternal nutritional factors and impacts on weight of newborn / Fatores nutricionais maternos e repercussões no peso do recém-nascido

“…Contudo hábitos alimentares não saudáveis estão presentes em todas as fases do ciclo vital e podem prejudicar ainda mais grupos populacionais mais vulneráveis, como mulheres no período da gestação (8) .…”