Associação entre o estado nutricional pré-gestacional e a predição do risco de intercorrências gestacionais

Padilha, Patrícia de Carvalho; Saunders, Cláudia; Machado, Raphaela Corrêa Monteiro; Silva, Cristina Lúcia da; Bull, Aline; Sally, Enilce de Oliveira Fonseca; Accioly, Elizabeth

doi:10.1590/s0100-72032007001000004

Cited by 48 publications

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“…Padilha et al 23 did not find an association between pre-pregnancy body mass index and anemia during pregnancy. However, in agreement with the present study, the aforementioned authors also observed that the frequency of anemia in women with gestational overweight or obesity increased gradually over time.…”

Section: Discussionmentioning

confidence: 90%

Factors associated with iron deficiency in pregnant women seen at a public prenatal care service

et al. 2013

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A B S T R A C T ObjectiveThis study aimed to determine the frequency of iron deficiency and its association with socioeconomic, obstetric, and nutritional factors in pregnant women. MethodsThis cross-sectional study included women on the second trimester of pregnancy seen at a public prenatal care facility of Cuiabá, Mato Grosso, Brazil from May 2008 to May 2009. Socioeconomic, nutritional, and obstetric data were compared with markers of iron stores. ResultsDuring the study period, 146 pregnant women met the inclusion criteria. The frequency of anemia characterized by abnormal hemoglobin level, hematocrit, and mean corpuscular volume varied from 3% to 5%. However, 11% of the women had high transferrin levels and 39% had low ferritin levels. Before pregnancy, 21% of the women were underweight and 29% were overweight or obese. During pregnancy, the percentage of overweight or obese women rose to 40%. History of miscarriages, higher gestational age, and excess weight before pregnancy were associated with markers of iron stores at abnormal levels. Consumption of specific food groups was not associated with abnormal marker levels.

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Section: Discussionmentioning

confidence: 90%

Factors associated with iron deficiency in pregnant women seen at a public prenatal care service

et al. 2013

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“…The small number of pregnant women with a diagnosis of hypertension probably explains why this variable failed to reach statistical significance, although it was kept in the final model due to its clinical and epidemiological importance. Hypertensive complications in pregnancy (preeclampsia and eclampsia) are serious public health problems, among the leading causes of maternal and fetal morbidity and mortality 15 and also appear to be associated with pre-gestational nutritional status 29,30 . In this context, prenatal care is used as an indicator of the quality of care provided to the mother and infant, controlling risk factors potentially associated with pregnancy and implementing adequate interventions.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with gestational weight gain in pregnant women in Rio de Janeiro, Brazil, 2008

Fraga

Filha

2014

Cad. Saúde Pública

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Inadequate weight gain during pregnancy is an important predictor of complications for the mother and infant. This cross-sectional study assessed factors associated with inadequate weight gain among women in the third trimester of pregnancy who received prenatal care under the Brazilian Unified National Health System (SUS) in the city of Rio de Janeiro, Brazil, from November 2007 to July 2008. A total of 1,079 pregnant women were interviewed, and adequacy of weight gain was obtained by calculating weight gain as recommended by the U.S. Institute of Medicine. Social, demographic, and obstetric factors were analyzed as independent variables. A multinomial logistic regression model was used, and pregnant women with weight gain below or above the recommended levels were compared to those with adequate weight gain. Low schooling was associated with insufficient weight gain, while excessive gain was observed in women with hypertension and pre-gestational underweight, overweight, and obesity. Nutritional assessment during prenatal care is essential, and interventions should target cases of inadequate weight gain in order to prevent complications for the mother and infant.

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“…A literatura demonstra que os extremos do estado nutricional antropométrico podem trazer riscos adicionais à gestação [18][19][20][21] . Conhecer os detalhes do consumo dietético aprimora a qualidade do atendimento e das orientações fornecidas.…”

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Consumo dietético de gestantes e ganho ponderal materno após aconselhamento nutricional

Fazio¹,

Nomura²,

Dias³

et al. 2011

Rev. Bras. Ginecol. Obstet.

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ResumoOBJETIVOS: conhecer o consumo dietético de gestantes avaliando a ingestão de macronutrientes e micronutrientes, e verificar o ganho ponderal materno na gravidez. MÉTODOS: estudo retrospectivo do período de junho de 2002 a junho de 2008 com gestantes que receberam orientação nutricional durante pré-natal em hospital universitário, agrupadas de acordo com o estado nutricional antropométrico classificado pelo índice de massa corpórea (IMC) pré-gestacional. O consumo dietético foi analisado pelas informações de entrevista de frequência alimentar realizada na primeira avaliação da gestante no serviço de nutrição, para obter os dados do hábito alimentar, calculando-se a ingestão de macronutrientes e micronutrientes. As gestantes receberam aconselhamento nutricional, e foi analisado o ganho ponderal materno na gravidez. RESULTADOS: do total de 187 gestantes que receberam orientação nutricional, 23 (12,2%) eram de baixo peso, 84 (45,0%), eutróficas, 37 (19,8%) com sobrepeso, e 43 (23,0%), obesas. As gestantes de baixo peso apresentaram menor consumo de lípides quando comparadas ao grupo com eutrofia (101,4 versus 137,3 g; p=0,043). A média do consumo de ferro foi maior nas gestantes eutróficas (14,6 mg/d) quando comparadas às com sobrepeso (12,2 mg/d) ou obesidade (10,9 mg/d; p<0,001). A média da ingestão de folatos foi maior nas gestantes eutróficas quando comparadas às obesas (336,5 versus 234,5 µg/d; p=0,002). O ganho de peso excessivo, acima do recomendado, foi significativamente mais frequente (p=0,009) nas gestantes com sobrepeso (56,7%) e obesidade (39,5%) quando comparadas às com baixo peso (17,4%) e eutrofia (31,0%). CONCLUSÕES: o ganho ponderal materno acima do recomendado associou-se ao sobrepeso e à obesidade. O consumo dietético de gestantes difere conforme o estado nutricional antropométrico materno, com menor ingestão diária de ferro nas gestantes com sobrepeso e obesidade, e menor ingestão de folatos nas obesas, o que reforça a importância da suplementação vitamínica pré-natal.Abstract PURPOSE: to determine the dietary consumption of pregnant women, by assessing the intake of macronutrients and micronutrients, and to verify the maternal weight gain during pregnancy. METhODS: a retrospective study conducted from June 2002 to June 2008 with pregnant women who received nutritional counseling during prenatal care at a university hospital, grouped according to anthropometric nutritional status classified by pregestational body mass index (BMI). The dietary intake was analyzed according to the information obtained in food frequency interviews, performed at the first evaluation of pregnant women in the service of nutrition to obtain data about eating habits, and the intake of macronutrients and micronutrients was calculated. The pregnant women received nutritional counseling, and the maternal weight gain was investigated. RESULTS: a total of 187 pregnant women who received nutritional counseling were analyzed. Twenty-three (12.2%) were underweight, 84 (45.0%) normal weight, 37 (19.8%) overweight, and 43 (...

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Associação entre o estado nutricional pré-gestacional e a predição do risco de intercorrências gestacionais

Cited by 48 publications

References 0 publications

Factors associated with iron deficiency in pregnant women seen at a public prenatal care service

Factors associated with iron deficiency in pregnant women seen at a public prenatal care service

Factors associated with gestational weight gain in pregnant women in Rio de Janeiro, Brazil, 2008

Consumo dietético de gestantes e ganho ponderal materno após aconselhamento nutricional

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