Fatores determinantes da retenção de peso no pós-parto: uma revisão da literatura

Kac, Gilberto

doi:10.1590/s0102-311x2001000300002

Cited by 21 publications

(27 citation statements)

References 39 publications

(79 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Um achado peculiar desta pesquisa foi o declínio da obesidade observado entre as mulheres da região Sudeste do maior quartil de renda (82). A queda foi de 13,2% em 1999 para 8,2% em 1997, fato ainda não observado em nenhum país em desenvolvimento (86).…”

Section: Testes Funcionaisunclassified

Avaliação do estado nutricional de adultos e idosos e situação nutricional da população brasileira

Acuña

Cruz

2004

Arq Bras Endocrinol Metab

View full text Add to dashboard Cite

RESUMOAs alterações do estado nutricional (desnutrição e obesidade) são relacionadas com sérios agravos para a saúde. O presente trabalho de revisão da literatura tem por objetivo descrever os principais métodos de avaliação do estado nutricional, com finalidade de facilitar o diagnóstico dos problemas nutricionais e acompanhar intervenções dietoterápicas. Descreve o método clínico, detalha aspectos da antropometria e os exames laboratoriais utilizados em avaliação do estado nutricional. Relaciona alguns dos principais índices múltiplos, utilizados tanto com fins diagnósticos e prognósticos. Informa a respeito da impedância bioelétrica, completando abordagem sobre os méto-dos convencionais, além de descrever as principais vantagens e desvantagens dos métodos não-convencionais. Finaliza com revisão sobre a situação nutricional da população brasileira, através da análise de dados obtidos em três inquéritos populacionais (1974, 1989, 1997). Nutritional disorders (undernutrition and obesity) are associated to increases in morbidity and mortality. This paper consists on a review of literature with the purpose of describing the main methods of nutritional assessment, in order to facilitate the diagnosis of nutritional disorders and the follow-up of dietetics interventions. It describes the clinical method, details procedures of anthropometry and laboratory evaluation and enrolls some of the multiple indices used for diagnosis and prognosis. Information about bioelectric impedance is given. Some aspects of non-conventional methods are reminded. Nutritional status of the Brazilian population is discussed, using the analysis of data collected from three populational surveys (1974, 1989, and 1997). (1), para manter a composição e funções adequadas do organismo (2), resultando do equilíbrio entre ingestão e necessidade de nutrientes (1). As alterações do estado nutricional contribuem para aumento da morbi-mortalidade. Assim sendo, a desnutrição predispõe a uma série de complicações graves, incluindo tendência à infecção, deficiência de cicatrização de feridas, falência respi- ratória (3), insuficiência cardíaca, diminuição da sín-tese de proteínas a nível hepático com produção de metabólitos anormais, diminuição da filtração glomerular e da produção de suco gástrico (4). Por outro lado, o sobrepeso e a obesidade são fatores de risco para variado número de agravos à saúde, dos quais os mais freqüentes são doença isquêmica do coração, hipertensão arterial, acidente vascular cerebral, diabetes mellitus tipo 2, colelitíase, osteoartrite (especialmente de joelhos), neoplasia maligna de mama pós-menopausa e de endométrio, esofagite de refluxo, hér-nia de hiato e problemas psicológicos (5,6). AVALIAÇÃO DO ESTADO NUTRICIONALOs objetivos da avaliação do estado nutricional são: a) identificar os pacientes com risco aumentado de apresentar complicações associadas ao estado nutricional (CAN), para que possam receber terapia nutricional adequada (1,7-9); b) monitorizar a eficácia da intervenção dietoterápica (1,9).Esta avaliação pode...

show abstract

Section: Testes Funcionaisunclassified

Avaliação do estado nutricional de adultos e idosos e situação nutricional da população brasileira

Acuña

Cruz

2004

Arq Bras Endocrinol Metab

View full text Add to dashboard Cite

show abstract

“…Studies have reported an association between insufficient weight gain in pregnancy and increased risk of low birth weight, intrauterine growth restriction, and prematurity 4,5 . Meanwhile, excessive weight gain has been associated with increased incidence of diabetes mellitus and gestational hypertension, cesarean delivery, fetal macrosomia, perinatal morbidity and mortality, postpartum weight retention, and childhood obesity 6,7,8,9,10 .…”

Section: Introductionmentioning

confidence: 99%

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

Fraga

Filha

2014

Cad. Saúde Pública

View full text Add to dashboard Cite

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.

show abstract

“…Gestational weight gain is by far the most important predictor of weight retention reported in the literature 7,10,12,32,33 . All these studies reported greater postpartum weight retention for women with high gestational weight gain.…”

mentioning

confidence: 99%

Nine months postpartum weight retention predictors for Brazilian women

Kac

Benício

Velásquez-Meléndez

et al. 2004

Public Health Nutr.

Self Cite

View full text Add to dashboard Cite

Objective: To identify factors potentially associated with weight retention measured 9 months after childbirth. Design: Prospective study with four follow-up waves in time (0.5, 2, 6 and 9 months postpartum). Setting: Rio de Janeiro, Brazil. Subjects and methods: Two hundred and sixty-six Brazilian women of childbearing age. Analysis was based on hierarchical logistic regression. The dependent variable was weight retention and was defined as the difference between weight at 9 months postpartum and pre-pregnancy weight, with a dichotomised cut-off at 7.5 kg.Covariates included demographic and socio-economic data, obstetric history, anthropometric data, and data on the infant. These data were grouped in blocks and ordered according to their influence on the dependent variable. Results: Of the women studied, 19.2% presented weight retention values $ 7.5 kg. According to the logistic regression analysis, the following variables remained associated with weight retention $ 7.5 kg: total family income, difficulty or inability to read a letter, age category $ 30 years, age at first childbirth , 23 years, gestational weight gain $ 12 kg, body fat at baseline $30% and infant birth weight ,3500 g. Infant hospitalisation was only marginally significant. Conclusions: Determinant factors identified by the analysis highlight the need for nutritional intervention policies during pregnancy and in the first months postpartum as a way of minimising obesity and the diseases resulting from it.

show abstract

Fatores determinantes da retenção de peso no pós-parto: uma revisão da literatura

Cited by 21 publications

References 39 publications

Avaliação do estado nutricional de adultos e idosos e situação nutricional da população brasileira

Avaliação do estado nutricional de adultos e idosos e situação nutricional da população brasileira

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

Nine months postpartum weight retention predictors for Brazilian women

Contact Info

Product

Resources

About