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

Fraga, Ana; Filha, Mariza Miranda Theme

doi:10.1590/0102-311x00085313

Cited by 23 publications

(26 citation statements)

References 22 publications

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“…This data suggests that women who enter pregnancy when overweight have reduced chances of getting inadequate gestational weight gain as compared to those with normal BMI or underweight. Our findings are in agreement with the findings of other studies done in Brazil and England [24, 25]. It is also important to note that the mean rates of GWG for underweight and normal weight participants during second and third trimester were lower and significantly different from those recommended by the Uganda MoH.…”

Section: Discussionsupporting

confidence: 92%

“…This is close to 32.5% that was found by Farhana et al , (2015) in their study on Malaysian pregnant women in the rural area [11]. However, our finding of is lower than the 27.5% and the 27.7% that were reported in urban Brazil and urban Malaysia respectively [24, 25]. Although our prevalence of women gaining adequate gestational weight is low, it is higher than the 3.1% that was reported in Nigeria [10].…”

Section: Discussionsupporting

confidence: 81%

“…We had 1.4% and 19.0% of our participants gaining excessive gestational weight in the normal weight and overweight categories respectively (Table 5). As much as we did not have obese (BMI ≥ 30 kg/m 2 ), there is evidence to show that overweight and obese women have a higher risk of gaining excessive gestational weight [24, 25]. …”

Section: Discussionmentioning

confidence: 99%

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Are women in Uganda gaining adequate gestational weight? A prospective study in low income urban Kampala

Wanyama¹,

Obai²,

Odongo³

et al. 2018

Reprod Health

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BackgroundPre-pregnancy weight and weight gained during pregnancy significantly influence maternal and infant health. Little information is available regarding optimal gestational weight gain (GWG) in relation to pre-pregnancy body mass index (BMI) in Uganda. The study aimed at determining gestational weight gain (GWG) in women pregnant for the first and second time.MethodsThe study was prospective cohort study which included 221 HIV negative women pregnant for the first or second time. It was conducted in the antenatal clinic of the directorate of gynecology and obstetrics, Mulago hospital and women were recruited at ≤18 weeks of gestation by dates. Follow up measurements were done at 26 and 36 weeks gestation. Measured maternal height and reported pre-pregnancy weight were used to calculate BMI. Depending on BMI category, GWG was categorized as inadequate, adequate and excessive based on the Uganda Ministry of Health guidelines.ResultsThe participants’ mean ± standard deviation (Sd) age was 20.9 ± 2.7 years and mean ± Sd BMI was 21.40 ± 2.73 kg/m2. None of the participants was obese and 68.8% (n = 132) were pregnant for the first time. The mean ± Sd GWG at time of delivery was 10.58 ± 2.44 kg. Inadequate GWG was recorded in 62.5% (n = 120/192) while only 3.1% (n = 6/192) of the participants gained excessive weight during pregnancy.ConclusionAbout 62% of pregnant women in Kampala did not gain adequate weight during their first/second pregnancy. We recommend that studies be carried out to assess whether the Uganda Ministry of Health recommendations for weight gain during are appropriate for preventing adverse pregnancy outcomes across populations in Uganda.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 81%

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Are women in Uganda gaining adequate gestational weight? A prospective study in low income urban Kampala

Wanyama¹,

Obai²,

Odongo³

et al. 2018

Reprod Health

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“…High percentages of inadequate GWG were reported from low-income Sub-Saharan African countries (80% and 71.8% from Malawi [28,56], 69.3% and 67.2% from Ethiopia [2,35], 63% from Niger [58], 62.7% from Uganda [9], and 58.8% from Democratic Republic of Congo [59]) compared to middleincome countries (28% and 36.9% from Cameroon [45,47], 15.7% and 24% from South Africa [54,55]). Unlike in other high-income [20,24,62,63] and middle-income [64] countries where many pregnant women experience excessive GWG, all of the studies from low-income Sub-Saharan countries [2,9,28,35,56,58,59] reported that more than 58% of pregnant women experienced inadequate GWG. This could be due to the inability of women to consume adequate food because of accessibility and affordability problems [65].…”

Section: Discussionmentioning

confidence: 98%

Gestational weight gain and its effect on birth outcomes in sub-Saharan Africa: Systematic review and meta-analysis

et al. 2020

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Introduction An increased metabolic demand during pregnancy is fulfilled by gaining sufficient gestational weight. Women who gain inadequate-weight are at a high-risk of premature birth or having a baby with low-birth weight. However, women who gain excessive-weight are at a high-risk of having a baby with macrosomia. The aim of this review was to determine the distribution of gestational weight gain and its association with birth-outcomes in Sub-Saharan Africa. Methods For this systematic review and meta-analysis, we performed a literature search using PubMed, Medline, Embase, Scopus, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases. We searched grey-literature from Google and Google Scholar, and region-specific journals from the African Journals Online (AJOL) database. We critically appraised the included studies using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies. Two independent reviewers evaluated the quality of the studies and extracted the data. We calculated pooled relative-risks (RR) with 95% confidence intervals. Results Of 1450 retrieved studies, 26 met the inclusion criteria. Sixteen studies classified gestational weight gain according to the United States Institute of Medicine recommendations. The percentage adequate amount of gestational weight ranged from 3% to 62%. The percentage of inadequate weight was >50% among nine studies. Among underweight women, the percentage of women who gained inadequate gestational weight ranged from 67% to 98%. Only two studies were included in the meta-analyses to evaluate the association of

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“…Studies from Belgium, Canada and Sweden demonstrated an inverse association (but the association only being apparent in those with healthy pre-pregnancy weight in the Swedish study) [49][50][51], while nine studies from Iran, USA, Australia/New Zealand, Brazil and the Netherlands found no association [52][53][54][55][56][57][58][59][60]. One study from New York found that the relationship was complex and depended upon area of residence [61].…”

Section: High Maternal Weight Gain In Pregnancymentioning

confidence: 99%

A Review of the Relationship Between Socioeconomic Position and the Early-Life Predictors of Obesity

et al. 2015

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A range of important early-life predictors of later obesity have been identified. Children of lower socioeconomic position (SEP) have a steeper weight gain trajectory from birth with a strong socioeconomic gradient in child and adult obesity prevalence. An assessment of the association between SEP and the early-life predictors of obesity has been lacking. The review involved a two-stage process: Part 1, using previously published systematic reviews, we developed a list of the potentially modifiable determinants of obesity observable in the pre-natal, peri-natal or post-natal (pre-school) periods; and part 2, conducting a literature review of evidence for socioeconomic patterning in the determinants identified in part 1. Strong evidence was found for an inverse relationship between SEP and (1) pre-natal risk factors (pre-pregnancy maternal body mass index (BMI), diabetes and pre-pregnancy diet), (2) antenatal/peri natal risk factors (smoking during pregnancy and low birth weight) and (3) early-life nutrition (including breastfeeding initiation and duration, early introduction of solids, maternal and infant diet quality, and some aspects of the home food environment), and television viewing in young children. Less strong evidence (because of a lack of studies for some factors) was found for paternal BMI, maternal weight gain during pregnancy, child sleep duration, high birth weight and lack of physical activity in young children. A strong socioeconomic gradient exists for the majority of the early-life predictors of obesity suggesting that the die is cast very early in life (even pre-conception). Lifestyle interventions targeting disadvantaged women at or before child-bearing age may therefore be particularly important in reducing inequality. Given the likely challenges of reaching this target population, it may be that during pregnancy and their child's early years are more feasible windows for engagement.

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

Cited by 23 publications

References 22 publications

Are women in Uganda gaining adequate gestational weight? A prospective study in low income urban Kampala

Are women in Uganda gaining adequate gestational weight? A prospective study in low income urban Kampala

Gestational weight gain and its effect on birth outcomes in sub-Saharan Africa: Systematic review and meta-analysis

A Review of the Relationship Between Socioeconomic Position and the Early-Life Predictors of Obesity

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