Associated factors with excessive weight gain in pregnant women from Maceió, Northeastern Brazil

Abstract

This article aims to evaluate the associated factors with excessive weight gain in pregnant women from Maceió, the capital of Alagoas, Northeastern Brazil. Cross-sectional study with pregnant women attended in public health in the city of Maceió in 2014, of which socioeconomic, clinical (glycemia, capillary hemoglobin, and blood pressure measurement), dietary, and anthropometric data, including in the latter gestational weight gain, classified as insufficient, adequate and excessive according to the US Institute of Medicine, were collected. The combination of excessive weight gain with the independent variables was tested using the Poisson regression expressed by the Prevalence Ratio (PR) and a 95% confidence interval (CI95%). We studied 403 pregnant women with a mean age of 24.08 ± 6.01 years, with 19.9% of them displayed insufficient weight gain; 14.1% displayed adequate weight gain, and 66.0% displayed excessive weight gain, that was associated with maternal hyperglycemia (PR = 1.35; CI95% = 1.17 to 1.57; p < 0.001). Excessive weight gain is common among pregnant women evaluated with the association of this variable with maternal hyperglycemia.

The weight percentiles of singleton full-term pregnant women by gestational week and risks of low birth weight or macrosomia in those outsides: a real word data analysis of 32 hospitals

“…We found the weight percentiles by GW could be used to estimate the risk of full-term LBW or macrosomia (OBW) during pregnancy, both LBW and macrosomia were prevalent and associated with increased risks of perinatal morbidity and mortality [24][25][26][27][28].This study showed more frequency of maternal weight under 10th percentile during pregnancy was higher risk of LBW and lower risk of OBW, in contrast more frequency of maternal weight over 90th percentile during pregnancy was lower risk of LBW and higher risk of OBW, but we didn't nd similar report. Many previous reported that inappropriate amount or rate of GWG were associated with adverse pregnancy outcomes including LBW and macrosomia [2,29,30], and low or excess pre-pregnancy BMI, gestational diabetes mellitus, and maternal anemia also increased the risk of LBW or macrosomia [31][32][33][34][35][36][37], this paper also showed these factors were associated with LBW or OBW. Furthermore, maternal age, abnormal reproductive history, assisted reproductive, scarred uterus, parity, delivery mode, and infant sex were considered determinant factors of LBW or OBW, which were consistent with the previous reports [38 -42].…”

The gestational weight gain trajectories of full-term singleton pregnant women for different neonatal birth weight outcomes in Zhongshan, China: a multi-center retrospective longitudinal follow-up study

“…Many previous studies showed that preexisting or gestational diabetes mellitus or hypertension increased the risk of adverse outcomes of neonatal birth weight [23][24][25][26][27], and as we know, maternal edema and polyhydramnios both great affect the weight of pregnant women [2]. In our study, for exploring the impact of these complications on maternal GWG trajectory of different neonatal birth weight categories, we established mean and percentile trajectory charts using the data both included and excluded these pregnancy with Polyhydramnios, maternal Edema, preexisting and gestational Diabetes mellitus or Hypertension (PEDH), and we found the trajectories with or without PEDH had similar overall trend and had same associations with different neonatal birth weight categories.…”

Associação entre estado nutricional e ganho de peso gestacional nos distúrbios hipertensivos da gestação

“…O expressivo excesso de peso é evidenciado em mulheres brasileiras em período reprodutivo 1,2 . Aproximadamente 54% das mulheres no Brasil são classificadas com excesso de peso e 21% com obesidade 3 .…”