Fatores associados com a retenção e o ganho de peso pós-parto: uma revisão sistemática

Lacerda, Elisa Maria de Aquino; Leal, María do Carmo

doi:10.1590/s1415-790x2004000200008

Cited by 24 publications

(28 citation statements)

References 46 publications

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“…O consumo energético é um importante determinante do ganho de peso durante a gestação que, por sua vez, é um dos fatores que sistematicamente vem apresentando associação positiva com a retenção de peso pós-parto e obesidade materna (31) . O consumo de água é altamente recomendado, salvo as restrições hídricas, pois, além de não conter nenhuma caloria, melhora o funcionamento do organismo e hidrata a pele (19) .…”

Section: Resultsunclassified

Cuidados com a pele adotados por gestantes assistidas em serviços públicos de saúde

Urasaki

2011

Acta paul. enferm.

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RESUMOObjetivos: Descrever os cuidados com a pele adotados por mulheres no período gestacional e identificar a adequação das práticas utilizadas. Métodos: Estudo descritivo exploratório com participação de 124 gestantes atendidas em quatro unidades básicas de saúde da região Leste do Município de São Paulo. Resultados: A maioria das gestantes afirmou cuidar da pele (74,2%), entretanto, constatou-se inadequação de várias práticas que podem contribuir no desencadeamento de alterações cutâneas; mais da metade das mulheres (56,5%) afirmou não ter recebido orientações acerca dos cuidados com a pele. Conclusões: Os resultados evidenciaram a importância da inclusão da abordagem sobre os cuidados da pele nos programas de educação em saúde desenvolvidos em serviços que proporcionam atendimento à gestante. Descritores: Dermatologia; Gravidez; Pele; Cuidados de enfermagem ABSTRACT Objectives: To describe skin care practices used by women during pregnancy and to determine if these practices are adequate. Methods: A descriptive exploratory study with 124 pregnant women enrolled in four basic health units in the eastern region of São Paulo. Results: Most of the women affirmed that they practiced skin care regimens (74.2%), however, several practices were found to be inadequate and could contribute to the onset of skin changes. More than half of these women (56.5%) noted that they had received guidance about skin care. Conclusions: The results showed the importance of including information related to skin care when developing health education services for pregnant women. Keywords: Dermatology; Pregnancy; Skin; Nursing care RESUMEN Objetivos: Describir los cuidados con la piel adoptados por mujeres en el período gestacional e identificar la adecuación de las prácticas utilizadas. Métodos: Estudio descriptivo exploratorio realizado con la participación de 124 gestantes atendidas en cuatro unidades básicas de salud de la región Este del Municipio de Sao Paulo. Resultados: La mayoría de las gestantes afirmó cuidar la piel (74,2%), no obstante, se constató inadecuación de varias prácticas que pueden contribuir en la aparición de alteraciones cutáneas; más de la mitad de las mujeres (56,5%) afirmó no haber recibido orientaciones acerca de los cuidados con la piel. Conclusiones: Los resultados evidenciaron la importancia de la inclusión de temas relativos al cuidado de la piel en los programas de educación en salud desarrollados en los servicios que proporcionan atención a la gestante.

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Section: Resultsunclassified

Cuidados com a pele adotados por gestantes assistidas em serviços públicos de saúde

Urasaki

2011

Acta paul. enferm.

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“…Numerous studies show the positive association between excessive weight gain during gestation and weight retention for up to three years after delivery. 8,10,14,16 A study based on data from 50 Demographic Health Surveys conducted in developing countries pointed to the importance of excessive weight gain during gestation and weight retention after delivery as predictors of the increase in overweight prevalence in women of childbearing age, mainly in richer developing countries, such as those of Latin America. 9 The relationship between higher ingestion of calories and the increase in weight gain during gestation has been demonstrated in the literature since the 1990s.…”

Section: Introductionmentioning

confidence: 99%

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

Martins

Benício

2011

Rev. Saúde Pública

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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.

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“…Meanwhile, excessive maternal weight gain is associated with macrosomy, increased cesarean rate, diabetes mellitus, pregnancy-induced hypertension, and postpartum weight retention 2,12,13,14,15,16,17,18 .…”

Section: Introductionmentioning

confidence: 99%

Determinants of weight gain in pregnant women attending a public prenatal care facility in Rio de Janeiro, Brazil: a prospective study, 2005-2007

et al. 2008

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The objective of this study was to evaluate the determinants of weight gain during pregnancy. The study adopted a prospective cohort design with four follow-up waves and included a sample of 255 pregnant women that received prenatal care at a public health care facility in Rio de Janeiro, Brazil. A mixed-effects linear longitudinal regression model was used, having as the dependent variable the weight assessed in four follow-up waves, and as independent variables: demographic, socioeconomic, reproductive, behavioral, and nutritional data. Mean weight gain was 0.413kg per gestational week, consistent with recommendations by the Institute of Medicine. Per capita family income and smoking were associated with total weight gain during gestation. According to the longitudinal multiple linear regression model, age (² = 0.6315), menarche (² = -2.3861), triglycerides (² = 0.0437), blood glucose (² = 0.1544), and adequacy of energy consumption (² = -0.0642) were associated with gestational weight gain. Special attention should be given to these sub-groups, due to increased risk of excessive weight gain.

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Fatores associados com a retenção e o ganho de peso pós-parto: uma revisão sistemática

Cited by 24 publications

References 46 publications

Cuidados com a pele adotados por gestantes assistidas em serviços públicos de saúde

Cuidados com a pele adotados por gestantes assistidas em serviços públicos de saúde

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

Determinants of weight gain in pregnant women attending a public prenatal care facility in Rio de Janeiro, Brazil: a prospective study, 2005-2007

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