Estudo da validação das informações de peso e estatura em gestantes atendidas em maternidades municipais no Rio de Janeiro, Brasil

Oliveira, Andréia Ferreira de; Gadelha, Angela Maria Jourdan; Leal, María do Carmo; Szwarcwald, Célia Landmann

doi:10.1590/s0102-311x2004000700010

Cited by 20 publications

(22 citation statements)

References 24 publications

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“…Another possible limitation was the imputation of values for weights at the end of pregnancy in 19.1% of the sample, although the proportion of the sample in which imputation was used was lower than that used in another study (24.5%) that applied the same methodology 35 . Reported pre-pregnancy weight was also used, which was supported by a strong correlation with measured weight, shown in previous studies on Brazilian pregnant women (r = 0.92) 36 . Finally, different sources of secondary data were used, collected from official records to obtain information regarding the prenatal period.…”

Section: Discussionmentioning

confidence: 81%

Socioeconomic, demographic and nutritional factors associated with maternal weight gain in general practices in Southern Brazil

et al. 2010

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In order to describe adequacy of weight gain during pregnancy and its association with pre-pregnancy nutritional status and other factors, a cohort study of pregnant women enrolled at 16-36 weeks of gestation and followed up until delivery was carried out in prenatal care in primary care services in Rio Grande do Sul State, Brazil. Maternal weight was recorded at each prenatal care visit. Weight gain was classified as "adequate," "insufficient" or "excessive" (Institute of Medicine). Poisson regression was used to measure the associations. The sample was comprised of 667 women, and insufficient and excessive weight gain incidences were 25.8% and 44.8%, respectively. Overweight and obese before pregnancy had a significant increased risk of excessive weight gain in pregnancy (RR: 1.75; 95%CI: 1.48-2.07, RR: 1.55; 95%CI: 1.23-1.96, respectively). Women with fewer than six prenatal visits had a 52% increased risk for weight gain below recommended values. Although insufficient weight gain may still be a public health problem, excessive gain is becoming a concern that needs immediate attention in prenatal care.

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Section: Discussionmentioning

confidence: 81%

Socioeconomic, demographic and nutritional factors associated with maternal weight gain in general practices in Southern Brazil

et al. 2010

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“…Stevens-Simon et al [16] and de Oliveira et al [17] found high Pearson correlation coefficients between measured and self-reported maternal prepregnancy weight (r = 0.96 for both). However, a study by Yu et al [18] detected a statistically significant difference of up to 3 kg less for self-reported when compared to estimated weight.…”

Section: Discussionmentioning

confidence: 99%

Maternal anthropometric characteristics in pregnancy and blood pressure among adolescents: 1993 live birth cohort, Pelotas, southern Brazil

et al. 2010

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BackgroundWe investigated the association between maternal anthropometric measurements in prepregnancy and at the end of pregnancy and their children's systolic (SBP) and diastolic (DBP) blood pressure at 11 years of age, in a prospective cohort study.MethodsAll hospital births which took place in 1993 in the city of Pelotas - Brazil, were identified (5,249 live births). In 2004, the overall proportion of follow-up was 85% and we obtained arterial blood pressure measurements of 4,452 adolescents.ResultsIndependent variables analyzed included maternal prepregnancy weight and body mass index (BMI) and maternal weight, and height at the end of pregnancy. Multiple linear regression analysis controlling for the following confounders were carried out: adolescent's skin color, family income at birth, smoking, alcohol intake during pregnancy, and gestational arterial hypertension. Mean SBP and DBP were 101.9 mmHg (SD 12.3) and 63.4 mmHg (SD 9.9), respectively. Maternal prepregnancy weight and BMI, and weight at the end of pregnancy were positively associated with both SBP and DBP in adolescent subjects of both sexes; maternal height was positively associated with SBP only among males.ConclusionsAdequate evaluation of maternal anthropometric characteristics during pregnancy may prevent high levels of blood pressure among adolescent children.

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“…The use of self-reported data has been recommended in conducting large populational studies 23,24 ; however, in this study, these were validated during field work of the original project 25 . For the classification of the pre-gestational nutritional status, according to the BMI, the cutoff points and the classification recommended by the committees: IOM 14,15 and WHO 16 , were used, being this last one with the Z score adapted classification proposed for the food and nutritional surveillance in Brazil 19 .…”

Section: Methodsmentioning

confidence: 99%

The performance of various anthropometric assessment methods for predicting low birth weight in adolescent pregnant women

Barros

Saunders

Santos

et al. 2014

Rev. bras. epidemiol.

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ABSTRACT:Objective: To evaluate the performance of various anthropometric evaluation methods for adolescent pregnant women in the prediction of birth weight. Methods: It is a cross-sectional study including 826 adolescent pregnant women. In the pre-pregnancy body mass index (BMI) classification, the recommendations of the World Health Organization were compared with that of the Brazilian Ministry of Health and the Institute of Medicine (IOM) of 1992 and 2006. The gestational weight gain adequacy was evaluated according to the classification of IOM of 1992, of 2006 and of the Brazilian Ministry of Health. The newborns were classified as low birth weight (LBW) or macrosomic. Multinomial logistic regression was used for statistical analysis and sensibility, specificity, accuracy, positive and negative predictive values were calculated. Results: The evaluation, according to the Brazilian Ministry of Health, showed the best prediction for LBW among pregnant women with low weight gain (specificity = 69.5%). The evaluation according to the IOM of 1992 showed the best prediction for macrosomia among pregnant women with high weight gain (specificity = 50.0%). The adequacy of weight gain according to the IOM of 1992 classification showed the best prediction for LBW (OR = 3.84;, followed by the method of the Brazilian Ministry of Health (OR = 2.88, 95%CI 1.73 -4.79), among pregnant women with low weight gain. Conclusion: It is recommended the adoption of the Brazilian Ministry of Health proposal, associated with BMI cut-offs specific for adolescents as an anthropometric assessment method for adolescent pregnant women.

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Estudo da validação das informações de peso e estatura em gestantes atendidas em maternidades municipais no Rio de Janeiro, Brasil

Cited by 20 publications

References 24 publications

Socioeconomic, demographic and nutritional factors associated with maternal weight gain in general practices in Southern Brazil

Socioeconomic, demographic and nutritional factors associated with maternal weight gain in general practices in Southern Brazil

Maternal anthropometric characteristics in pregnancy and blood pressure among adolescents: 1993 live birth cohort, Pelotas, southern Brazil

The performance of various anthropometric assessment methods for predicting low birth weight in adolescent pregnant women

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