Fatores de risco associados à retenção de peso seis meses após o parto

Vasconcelos, Cláudia Machado Coelho Souza de; Costa, Fabrício da Silva; Almeida, Paulo César de; Júnior, Edward Araujo; Sampaio, Helena Alves de Carvalho

doi:10.1590/s0100-7203201400050007

Cited by 13 publications

(11 citation statements)

References 16 publications

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“…This fact was demonstrated in a study that analyzed weight retention after childbirth. It showed that the frequency of women with a level of weight retention considered excessive during the postpartum period was high, reaching 15%, (14) which was also observed in international research. (15) However, as demonstrated in the initial model of this study, gender was not associated with EW, individually.…”

Section: Discussionsupporting

confidence: 65%

Excesso ponderal e marcadores de vulnerabilidade sociodemográfica em adultos jovens escolares

et al. 2016

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Objective: To analyze excessive weight (EW) in young adult students from socio-demographic markers of the individual dimension of vulnerability. Methods: Analytical study, conducted with 560 young adults from 26 schools of a Brazilian northeastern municipality. The questionnaire used for data collection contained EW and sociodemographic variables, analyzed by descriptive measures of association and logistic regression by the method enter for model adjustment.Results: A higher proportion of excessive weight was identified in young people who: were 23-24 years of age, women, skin color other than white, religious, with a partner, with children, without an occupation, with individual and family income more than two minimum wages. The excessive weight was associated with marital status and children, which remained in the final model. Conclusion: Having a companion and children makes young adults vulnerable to EW. However, this condition is multi-determined and should be understood in a larger context. ResumoObjetivo: Analisar o excesso ponderal (EP) em adultos jovens escolares a partir dos marcadores sociodemográficos da dimensão individual da vulnerabilidade. Métodos: Estudo analítico, realizado com 560 adultos jovens de 26 escolas de um município nordestino brasileiro. O questionário aplicado para coleta de dados continha a variável EP e as sociodemográficas, analisadas por medidas descritivas, de associação e regressão logística pelo método enter para ajuste do modelo. Resultados: Houve maior proporção de excesso ponderal nos jovens de 23 a 24 anos de idade, mulheres, de cor/raça diferente da branca, com religião, com companheiros, com filhos, sem ocupação, com renda individual e familiar maior que dois salários mínimos. O excesso ponderal apresentou associação com situação conjugal e filhos, que permaneceram no modelo final. Conclusão: Ter companheiro e filhos torna o adulto jovem vulnerável ao EP. No entanto, ratifica-se que o agravo em questão é multideterminado e deve ser compreendido num contexto ampliado.

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Section: Discussionsupporting

confidence: 65%

Excesso ponderal e marcadores de vulnerabilidade sociodemográfica em adultos jovens escolares

et al. 2016

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“…This cut off was selected for the regression model because ≥20 lbs of weight retention constituted a more than 10% increase in weight for majority of women in the study, which is clinically relevant and similar to the definition of weight retention used in other recent studies. (13,14) The variables included in each model were based on the results of bivariate analysis. When variables were highly correlated (i.e., insurance, poverty, income), only the variable with the largest variance explained was included in the multivariable model to avoid multicollinearity.…”

Section: Methodsmentioning

confidence: 99%

Postpartum Weight Retention Risk Factors and Relationship to Obesity at 1 Year

Endres

Straub

McKinney

et al. 2015

Obstetrics &Amp; Gynecology

233

177

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Objective To explore risk factors for postpartum weight retention at one year after delivery in predominantly low income women. Methods Data were collected from 774 women with complete height and weight information from participants in the NICHD Community Child Health Network, a national five-site, prospective cohort study. Participants were enrolled primarily in the hospitals immediately after delivery. Maternal interviews conducted at 1, 6, and 12 months postpartum identified risk factors for weight retention and included direct measurement of height and weight at 6 and 12 months. Logistic regression assessed the independent contribution of postpartum weight retention on obesity. Results Women had a mean prepregnancy weight of 161.5 lbs (BMI 27.7kg/m2). Women gained a mean of 32 lbs while pregnant and had a 1 year mean postpartum weight of 172.6 lbs (BMI 29.4kg/m2). Approximately 75% of women were heavier 1 year postpartum than they were prepregnancy, including 47.4% retaining over 10 lbs and 24.2% over 20 lbs. Women retaining at least 20 lbs were more often African American, younger, poor, less educated, or on pubic insurance. Race and socioeconomic disparities were associated with high pre-pregnancy BMI and excessive weight gain during pregnancy, associations which were attenuated by breastfeeding at 6 months and moderate exercise. Of the 39.8 with normal prepregnancy BMI, one third became overweight or obese 1 year postpartum. Conclusion Postpartum weight retention is a significant contributor to the risk for obesity 1 year postpartum, including for women of normal weight prepregnancy. Postpartum, potentially modifiable behaviors may lower the risk.

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“…The overweight of puerperal women in Porto Alegre was associated with the value of pre-gestational BMI (p<0.001), gestational weight gain (p<0.001) and age ≤20 years (p<0.001) 22 . In a study carried out in weight retention after 6 months postpartum 23 women's prisons regarding the high consumption of tobacco 24,25 in the state of Paraíba, Brazil, for example, 67.6% used it, while elsewhere in the country 8 26.1% had severe nicotine dependence.…”

Section: Discussionmentioning

confidence: 99%

Risk factors influencing food habits of overweight and obese incarcerated women

et al. 2020

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Introduction: Chronic diseases stand out on the world stage due to the impact they cause on population morbidity and mortality. In the case of persons deprived of their liberty, the situation is intensified by the restriction in the choice of food and access to physical exercise. Objective: To identify the risk factors that influence the eating habits of overweight and obese incarcerated women. Methods: Cross-sectional study, conducted with 31 participants. Data collection took place in the second half of 2018, comprising individual interviews of incarcerated women using a semi-structured questionnaire and measurement of anthropometric measures. The data were systematized in electronic spreadsheets and statistical analysis was performed in a descriptive way. The study complied with ethical standards from national guidelines. Results: A greater prevalence of overweight and obesity was identified in young, multiparous women, with low education and lower income. Most used tobacco and had less than a year in prison. Despite being overweight and obese, they felt good about their body, which may be reflecting on their lifestyle, through sedentary lifestyle, self-care deficit and consumption of products and foods with low nutritional value. Conclusion: Overweight and obesity are multifactorial and are not related only to behavioral aspects. It is necessary to carry out new research approaches that clarify the health weaknesses in prison, making it possible to provide a better quality of life for this population group.

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Fatores de risco associados à retenção de peso seis meses após o parto

Abstract: Excessive weight gain during pregnancy should receive special attention in prenatal care in view of its association with weight retention and excess weight in women after childbirth.

Cited by 13 publications

References 16 publications

Excesso ponderal e marcadores de vulnerabilidade sociodemográfica em adultos jovens escolares

Excesso ponderal e marcadores de vulnerabilidade sociodemográfica em adultos jovens escolares

Postpartum Weight Retention Risk Factors and Relationship to Obesity at 1 Year

Risk factors influencing food habits of overweight and obese incarcerated women

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