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

2014 ◽  
Vol 30 (3) ◽  
pp. 633-644 ◽  
Author(s):  
Ana Claudia Santos Amaral Fraga ◽  
Mariza Miranda Theme Filha
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Rio De Janeiro ◽  
Nutritional Assessment ◽  
Multinomial Logistic Regression ◽  
National Health System ◽  
Overweight And Obesity ◽  
Institute Of Medicine ◽  
Factors Associated

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.

scholarly journals Prevalence and factors associated with nutritional deviations in women in the pre-pregnancy phase in two municipalities of the State of Rio de Janeiro, Brazil

2014 ◽  
Vol 17 (1) ◽  
pp. 45-58 ◽  
Author(s):  
Daniele Marano ◽  
Silvana Granado Nogueira da Gama ◽  
Rosa Maria Soares Madeira Domingues ◽  
Paulo Roberto Borges de Souza Junior
Keyword(s):  
Rio De Janeiro ◽  
Multinomial Logistic Regression ◽  
First Trimester ◽  
Overweight And Obesity ◽  
The State ◽  
The Body ◽  
Nutritional Risk ◽  
Institute Of Medicine ◽  
Cross Sectional ◽  
Factors Associated

OBJECTIVE: To assess the prevalence and potential factors associated with pre-pregnancy nutritional status of women. METHODS: This is a cross-sectional study carried out between December 2007 and November 2008 with 1,535 women in the first trimester of pregnancy and randomly selected in health units of the Brazilian public health system (SUS) in the municipalities of Queimados and Petrópolis in the State of Rio de Janeiro. The diagnosis of nutritional deviations was based on the Body Mass Index, according to the classification of the Institute of Medicine, and the following categories were obtained: underweight, normal weight, overweight and obesity. In the statistical analysis, the multinomial logistic regression model was used and an odds ratio and confidence interval of 95% were estimated. RESULTS: The sample included women between 13 and 45 years. The prevalence of underweight, overweight and obesity were 10, 18 and 11%, respectively. Women living in Queimados, adolescents, women who did not live with a partner and smokers had a higher proportion of low pre-pregnancy weight. There was an association between hypertension, overweight and obesity. Adolescents presented lower chance to overweight and obesity. Living in Queimados reduced the odds of overweight. CONCLUSION: The proportion of pre-pregnancy nutritional deviations was high, and recognizing factors that lead to them is very important for an early identification of women at nutritional risk, with view to interventions to reduce the adverse effects of malnutrition on maternal and child health.

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

2008 ◽  
Vol 24 (suppl 2) ◽  
pp. s272-s284 ◽  
Author(s):  
Patricia Lima Rodrigues ◽  
Elisa Maria de Aquino Lacerda ◽  
Michael Maia Schlüssel ◽  
Maria Helena Constantino Spyrides ◽  
Gilberto Kac
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Regression Model ◽  
Pregnant Women ◽  
Rio De Janeiro ◽  
Family Income ◽  
Care Facility ◽  
Multiple Linear Regression Model ◽  
Increased Risk

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.

scholarly journals Factors associated with non-adherence to prescribed iron supplement use: a study with pregnant women in the city of Rio de Janeiro

2016 ◽  
Vol 16 (2) ◽  
pp. 189-199 ◽  
Author(s):  
Roberta Pereira Niquini ◽  
Sonia Duarte de Azevedo Bittencourt ◽  
Elisa Maria de Aquino Lacerda ◽  
Cláudia Saunders ◽  
Maria do Carmo Leal
Keyword(s):  
Pregnant Women ◽  
Rio De Janeiro ◽  
National Health System ◽  
Cross Sectional Study ◽  
Multiple Regression Model ◽  
Deficiency Anemia ◽  
Cross Sectional ◽  
Factors Associated ◽  
Supplement Use ◽  
Basic Care

Abstract Objectives: to identify factors associated with non-use of iron supplements (IS) by pregnant women attending National Health System (SUS) prenatal care in the Municipality of Rio de Janeiro. Methods: a cross-sectional study was conducted in 2007/2008 with a representative sample of pregnant women using SUS hospitals and basic care in the Municipality of Rio de Janeiro. The group that had gestational age of ≥ 20 weeks at the time of the interview and who had been prescribed IS (n=1407) was subjected to a Poisson multiple regression model to estimate the association between use and independent variables. Results: of the 1407 pregnant women, 65% reported use of IS. Younger age, black skin/race, larger number of births, not having received guidance on use of IS, not having tried to obtain IS at the SUS (with a stronger association between pregnant women with lower levels of education and lower household assets indicator - HAI) and not having been able to obtain them at the SUS (amongpregnant women with lower HAI) were significantly associated with non-use. Conclusions: the guidance of health professionals regarding use of IS and their regular availability may increase adherence to prescription among pregnant women and prevent iron deficiency anemia.

scholarly journals Gestational weight gain outside the 2009 Institute of Medicine recommendations: novel psychological and behavioural factors associated with inadequate or excess weight gain in a prospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yu Yang Feng ◽  
Zhijie Michael Yu ◽  
Sherry van Blyderveen ◽  
Louis Schmidt ◽  
Wendy Sword ◽  
...  
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Protective Factor ◽  
Multinomial Logistic Regression ◽  
Institute Of Medicine ◽  
Behavioral Factors ◽  
Factors Associated ◽  
Gestational Weight ◽  
Study Population ◽  
Behavioural Factors

Abstract Background Previous studies have noted traditional physical, demographic, and obstetrical predictors of inadequate or excess gestational weight gain, but the roles of psychological and behavioral factors are not well established. Few interventions targeting traditional factors of gestational weight gain have been successful, necessitating exploration of new domains. The objective of this study was to identify novel psychological and behavioral factors, along with physical, demographic, and obstetrical factors, associated with gestational weight gain that is discordant with the 2009 Institute of Medicine guidelines (inadequate or excess gain). Methods We recruited English-speaking women with a live singleton fetus at 8 to 20 weeks of gestation who received antenatal care from 12 obstetrical, family medicine, and midwifery clinics. A questionnaire was used to collect information related to demographic, physical, obstetrical, psychological, and behavioural factors anticipated to be related to weight gain. The association between these factors and total gestational weight gain, classified as inadequate, appropriate, and excess, was examined using stepwise multinomial logistic regression. Results Our study population comprised 970 women whose baseline data were obtained at a mean of 14.8 weeks of gestation ±3.4 weeks (standard deviation). Inadequate gestational weight gain was associated with obesity, planned gestational weight gain (below the guidelines or not reported), anxiety, and eating sensibly when with others but overeating when alone, while protective factors were frequent pregnancy-related food cravings and preferring an overweight or obese body size image. Excess gestational weight gain was associated with pre-pregnancy overweight or obese body mass index, planned gestational weight gain (above guidelines), frequent eating in front of a screen, and eating sensibly when with others but overeating when alone, while a protective factor was being underweight pre-pregnancy. Conclusions In addition to commonly studied predictors, this study identified psychological and behavioral factors associated with inadequate or excess gestational weight gain. Factors common to both inadequate and excessive gestational weight gain were also identified, emphasizing the multidimensional nature of the contributors to guideline-discordant weight gain.

scholarly journals Adequate weight gain in pregnancy: An analysis of its determinants in a cross-sectional study

2014 ◽  
Vol 142 (11-12) ◽  
pp. 695-702 ◽  
Author(s):  
Alina Popa ◽  
Raluca Popescu ◽  
Gina Botnariu
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Institute Of Medicine ◽  
Obese Women ◽  
Sectional Study ◽  
Maternal Weight ◽  
Cross Sectional ◽  
Weight Gain During Pregnancy

Introduction. Prenatal care is considered an important tool for promoting a healthy lifestyle, but has not been studied as a predictor for maternal weight gain during pregnancy, especially in Romania, where evidence about pregnancy and nutrition is scarce. Objective. This study has aimed to explore the relationship between pre-gestational body mass index (BMI), adequacy of prenatal care and weight gain during pregnancy. Methods. We carried a cross-sectional study on a sample of 400 pregnant women admitted at the ?Cuza Voda? Obstetrics and Gynecology Hospital in Iasi. Information regarding demographic characteristics, number of prenatal visits, date of the initial hospital record, nutritional education during pregnancy were registered throughout a questionnaire filled out by means of a direct interview. The anthropometric indicators analyzed were the pre-gestational BMI and the pregnancy weight gain. Data on caloric intake were obtained using a food frequency questionnaire. Results. Weight gain within the limits of the Institute of Medicine recommendations was noticed at 44.35% of the women who declared that they received nutritional advice compared to 40.7% of those who did not receive advice regarding diet during pregnancy. Overweight (53.1%) and obese women (66.7%) had a larger weight gain than those with a normal pre-pregnancy BMI (29.8%) (p<0.001). The variables that were identified with an effect on weight gain in this sample of pregnant women were: inadequate prenatal care, pre-gestational BMI and energy intake. Conclusion. Identifying the pre-gestational BMI and diet changes as predictors of weight gain underline the importance of an individualized prenatal care.

scholarly journals Assessment of weight gain during pregnancy in general prenatal care services in Brazil

2001 ◽  
Vol 17 (6) ◽  
pp. 1367-1374 ◽  
Author(s):  
Luciana Bertoldi Nucci ◽  
Bruce Bartholow Duncan ◽  
Sotero Serrate Mengue ◽  
Leandro Branchtein ◽  
Maria Inês Schmidt ◽  
...  
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Effective Means ◽  
Overweight And Obesity ◽  
Institute Of Medicine ◽  
Major Health ◽  
Care Services ◽  
Total Weight Gain ◽  
High Prevalence ◽  
Weight Gain During Pregnancy

Obesity is an emerging major health risk for women around the world. In this regard, little attention has been given to pregnancy, a moment of risk not only for major weight gain in these women, but also for macrosomia in their offspring. The objective of this study is to evaluate weight gain during pregnancy. Data pertains to a cohort of pregnant women attending general prenatal care clinics in six state capitals in Brazil, from 1991 to 1995. We studied women aged 20 years and over with singleton pregnancies and no diagnosis of diabetes outside pregnancy, enrolled at approximately 20 - 28 weeks of gestation. According to the Institute of Medicine criteria, 38% (95%CI: 36-40%) of the women studied gained less and 29% (95%CI: 28-31%) had more than the recommended total weight gain. These proportions vary according to pre-pregnancy nutritional status. Given the increasing epidemic of obesity, the high prevalence of overweight and obesity in Brazilian women prior to pregnancy, and the lack of achievement of recommended weight gain during pregnancy, more effective means of managing weight gain during pregnancy are necessary.

scholarly journals Association between Prenatal Care and Gestational Weight Gain: Cross-Sectional Study in a Low-Income Area of Rio de Janeiro

2021 ◽  
Vol 16 ◽  
pp. e58362
Author(s):  
Débora Souza Gigante ◽  
Amanda Rodrigues Amorim Adegboye ◽  
Elisa Maria De Aquino Lacerda ◽  
Cláudia Saunders ◽  
Patrícia Carvalho Padilha ◽  
...  
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Gestational Weight Gain ◽  
Low Income ◽  
Rio De Janeiro ◽  
Cross Sectional Study ◽  
Institute Of Medicine ◽  
Sectional Study ◽  
Cross Sectional ◽  
Gestational Weight

Objetivo: Verificar a associação entre a adequação da assistência pré-natal e o ganho de peso gestacional (GPG) em puérperas brasileiras de baixa renda. Métodos: Estudo transversal no município de Mesquita-RJ, incluindo 281 mulheres no pós-parto imediato. O GPG foi classificado como adequado, insuficiente e excessivo de acordo com as recomendações do Institute of Medicine (IOM). O número de consultas do pré-natal foi categorizado (1: nenhuma consulta; 2: 1-3 consultas; 3: 4-6 consultas; 4: 7 ou mais consultas) e o início do pré-natal, segundo as semanas gestacionais (SG), foi utilizado como variável contínua. A assistência pré-natal (AP) avaliou as duas dimensões agrupadas do Índice de Kotelchuck: adequado (adequado + mais adequado) ou inadequado (intermediário e inadequado). Modelos de regressão logística multinomial foram utilizados para estimar as associações entre assistência pré-natal inadequada e GPG. Resultados: AP foi iniciada em média com 12,6 (± 6,9) SG; 8,2% das mulheres (n = 23) fizeram ≤ 4 consultas de pré-natal e 38,4% (n = 108) foram classificadas com AP inadequada. Em média, o GPG foi de 12,9 kg (± 6,2) e 36,5%, 31,0% e 32,5% das mulheres apresentaram GPG adequado, insuficiente e excessivo, respectivamente. Após o ajuste, a inadequação da AP (OR = 2,01; IC 95% = 1,03-3,90) foi associada a uma maior probabilidade de GPG abaixo das recomendações do IOM. Conclusão: Observou-se uma associação significativa entre a inadequação da assistência pré-natal e o GPG insuficiente, o que reforça a relevância da adequada AP para monitorar o adequado GPG e intervir precocemente na gestação.

scholarly journals Factors Associated With Rates of Gestational Weight Gain Among Pregnant Women in West Sumatera, Indonesia

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 821-821
Author(s):  
Isman Susanto ◽  
Nur Indrawaty Lipoeto ◽  
Arif Sabta Aji
Keyword(s):  
Weight Gain ◽  
Pregnant Women ◽  
Gestational Weight Gain ◽  
Calorie Intake ◽  
P Value ◽  
Institute Of Medicine ◽  
Third Trimester ◽  
Factors Associated ◽  
Gestational Weight ◽  
The Third

Abstract Objectives Gestational weight gain (GWG) is an important anthropometric indicator for maternal nutritional status. This study analyzed to determine factors associated with rates of gestational weight gain among women in the third trimester in West Sumatera, Indonesia. Methods This cross-sectional study was conducted among healthy pregnant women in the third trimester in West Sumatera, Indonesia. A total 195 pregnant women attending at each public health center were enrolled in the present study from September 2017 to March 2018. Information regarding demographic characteristics, obstetrical history, physical activity, calorie intake, and anthropometric was assessed through direct interview. GWG rates were determined based on recommendations of Institute of Medicine (IOM) 2009. Results Of the 195 pregnant women, more than half of the women were GWG inadequate 53.3%, adequate 34.4%, and excessive 12.3%. Prepregnancy BMI were overweight/obese 43.1%, normal 46.7%, underweight 10.3%. The multinomial logistic model indicates than women who were overweight or obese at pre-pregnancy were 17 times more likely to have excessive GWG rate (p-value &lt; 0.01) as compared to women who were pre-pregnancy normal weight. Conclusions Women who were overweight/obese at pre-pregnancy were at-risk of having excessive GWG rate, which underlines the importance of targeting these women for pre-conception counseling or health education on GWG. Funding Sources Indonesian Danone Institute Foundation.

scholarly journals Maternal Factors Associated with Levels of Fatty Acids, Specifically n-3 PUFA during Pregnancy: ECLIPSES Study

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 317
Author(s):  
Estefania Aparicio ◽  
Carla Martín-Grau ◽  
Cristina Bedmar ◽  
Núria Serrat Orus ◽  
Josep Basora ◽  
...  
Keyword(s):  
Fatty Acids ◽  
Fatty Acid ◽  
Pregnant Women ◽  
Saturated Fatty Acids ◽  
Overweight And Obesity ◽  
Older Age ◽  
High Educational Level ◽  
Seafood Consumption ◽  
Factors Associated ◽  
High Educational

An optimal fatty acid (FA) profile during pregnancy, especially docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA), is essential for the health of the mother and child. Our aim was to identify the socioeconomic and maternal lifestyle factors associated with serum FA concentration in pregnant women. A longitudinal study was conducted on 479 pregnant women, who were assessed during the first (T1) and third (T3) trimesters of pregnancy. Data on maternal characteristics, food consumption, and lifestyle were collected. Serum FA concentrations were analysed by a gas chromatography–mass spectrometry combination. The multiple linear regression showed that high educational level and older age were significantly associated with higher EPA and DHA concentrations and lower values of n-6/n-3 and arachidonic acid (AA)/EPA in T1 and/or T3. Regarding diet—fish and seafood consumption increased EPA concentration and reduced n-6/n-3 and AA/EPA values in both trimesters, whereas its consumption increased DHA concentration only in T1. Smoking was associated with lower DHA concentration in T1 and higher values of n-6/n-3 ratio in both trimester. Overweight and obesity were associated with higher values of n-6/n-3 ratio and AA/EPA ratio in T1. A statistically non-significant association was observed with saturated fatty acids (SFA) and monounsaturated fatty acids (MUFA). In conclusion, high educational levels, older age, fish, seafood consumption, and/or non-smoking, are factors that influence better omega-3 polyunsaturated fatty acid (n-3 PUFA) profile in both trimesters of pregnancy. Further research is needed to go in-depth into these findings and their health consequences.

scholarly journals Country compliance with WHO-recommended antenatal care guidelines: equity analysis of the 2015–2016 Demography and Health Survey in Myanmar

2020 ◽  
Vol 5 (12) ◽  
pp. e002169
Author(s):  
Ngatho Samuel Mugo ◽  
Kyaw Swa Mya ◽  
Camille Raynes-Greenow
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Adolescent Mothers ◽  
Health Survey ◽  
Rural Areas ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Wealth Quintile ◽  
Adjusted Risk ◽  
Factors Associated

IntroductionEarly access to adequate antenatal care (ANC) from skilled providers is crucial for detecting and preventing obstetric complications of pregnancy. We aimed to assess factors associated with the utilisation of the new WHO ANC guidelines including the recommended number, on time initiation and adequate components of ANC contacts in Myanmar.MethodsWe examined data from 2943 mothers aged 15–49 years whose most recent birth occurred in the last 5 years prior to the 2015–2016 Myanmar Demographic and Health Survey. Factors associated with utilisation of the new WHO recommended ANC were explored using multinomial logistic regression and multivariate models. We used marginal standardisation methods to estimate the predicted probabilities of the factors significantly associated with the three measures of ANC.ResultsApproximately 18% of mothers met the new WHO recommended number of eight ANC contacts. About 58% of the mothers received adequate ANC components, and 47% initiated ANC within the first trimester of pregnancy. The predicted model shows that Myanmar could achieve 70% coverage of adequate components of ANC if all women were living in urban areas. Similarly, if ANC was through private health facilities, 63% would achieve adequate components of ANC. Pregnant women from urban areas (adjusted risk ratio (aRR): 4.86, 95% CI 2.44 to 9.68) were more than four times more likely to have adequate ANC components compared with women from rural areas. Pregnant women in the highest wealth quintile were three times more likely to receive eight or more ANC contacts (aRR: 3.20, 95% CI 1.61 to 6.36) relative to mothers from the lowest wealth quintile. On time initiation of the first ANC contact was fourfold for mothers aged 30–39 years relative to adolescent mothers (aRR: 4.07, 95% CI 1.53 to 10.84).ConclusionThe 2016 WHO ANC target is not yet being met by the majority of women in Myanmar. Our results highlight the need to address health access inequity for women who are from lower socioeconomic groups, or are younger, and those living in rural areas.

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