Nutritional status of pregnant women: prevalence and associated pregnancy outcomes
INTRODUCTION: Although obesity is well recognized as a current public health problem, its prevalence and impact among pregnant women have been less investigated in Brazil. The objective of the study was to evaluate the impact of pre-obesity and obesity among pregnant women, describing its prevalence and risk factors, and their association with adverse pregnancy outcomes. METHODS: A cohort of 5,564 pregnant women, aged 20 years or more, enrolled at aproximately 20 to 28 weeks of pregnancy, seen in prenatal public clinics of six state capitals in Brazil were followed up, between 1991 and 1995. Prepregnancy weight, age, educational level and parity were obtained from a standard questionnaire. Height was measured in duplicate and the interviewer assigned the skin color. Nutritional status was defined using body mass index (BMI), according to World Health Organization (WHO) criteria. Odds ratios and 95% confidence interval were calculated using logistic regression. RESULTS: Age-adjusted prevalences (and 95% CI) based on prepregnancy weight were: underweight 5.7% (5.1%-6.3%), overweight 19.2% (18.1%-20.3%), and obesity 5.5% (4.9%-6.2%). Obesity was more frequently observed in older black women, with a lower educational level and multiparous. Obese women had higher frequencies of gestational diabetes, macrosomia, hypertensive disorders, and lower risk of microsomia. CONCLUSIONS: Overweight nutritional status (obesity and pre-obesity) was seen in 25% of adult pregnant women and it was associated with increased risk for several adverse pregnancy outcomes, such as gestational diabetes and pre-eclampsia.
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Faculdade de Saúde Pública da Universidade de São Paulo
2001
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oai:scielo:S0034-891020010006000022002-01-28Nutritional status of pregnant women: prevalence and associated pregnancy outcomesNucci,Luciana BertoldiSchmidt,Maria InêsDuncan,Bruce BartholowFuchs,Sandra CostaFleck,Eni TeresinhaBritto,Maria Margarida Santos Obesity Pregnancy complications Body mass index Nutritional status Prevalence Prenatal care Risk factors Brazil INTRODUCTION: Although obesity is well recognized as a current public health problem, its prevalence and impact among pregnant women have been less investigated in Brazil. The objective of the study was to evaluate the impact of pre-obesity and obesity among pregnant women, describing its prevalence and risk factors, and their association with adverse pregnancy outcomes. METHODS: A cohort of 5,564 pregnant women, aged 20 years or more, enrolled at aproximately 20 to 28 weeks of pregnancy, seen in prenatal public clinics of six state capitals in Brazil were followed up, between 1991 and 1995. Prepregnancy weight, age, educational level and parity were obtained from a standard questionnaire. Height was measured in duplicate and the interviewer assigned the skin color. Nutritional status was defined using body mass index (BMI), according to World Health Organization (WHO) criteria. Odds ratios and 95% confidence interval were calculated using logistic regression. RESULTS: Age-adjusted prevalences (and 95% CI) based on prepregnancy weight were: underweight 5.7% (5.1%-6.3%), overweight 19.2% (18.1%-20.3%), and obesity 5.5% (4.9%-6.2%). Obesity was more frequently observed in older black women, with a lower educational level and multiparous. Obese women had higher frequencies of gestational diabetes, macrosomia, hypertensive disorders, and lower risk of microsomia. CONCLUSIONS: Overweight nutritional status (obesity and pre-obesity) was seen in 25% of adult pregnant women and it was associated with increased risk for several adverse pregnancy outcomes, such as gestational diabetes and pre-eclampsia.info:eu-repo/semantics/openAccessFaculdade de Saúde Pública da Universidade de São PauloRevista de Saúde Pública v.35 n.6 20012001-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102001000600002en10.1590/S0034-89102001000600002 |
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Nucci,Luciana Bertoldi Schmidt,Maria Inês Duncan,Bruce Bartholow Fuchs,Sandra Costa Fleck,Eni Teresinha Britto,Maria Margarida Santos |
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Nucci,Luciana Bertoldi Schmidt,Maria Inês Duncan,Bruce Bartholow Fuchs,Sandra Costa Fleck,Eni Teresinha Britto,Maria Margarida Santos Nutritional status of pregnant women: prevalence and associated pregnancy outcomes |
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Nucci,Luciana Bertoldi Schmidt,Maria Inês Duncan,Bruce Bartholow Fuchs,Sandra Costa Fleck,Eni Teresinha Britto,Maria Margarida Santos |
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Nucci,Luciana Bertoldi |
title |
Nutritional status of pregnant women: prevalence and associated pregnancy outcomes |
title_short |
Nutritional status of pregnant women: prevalence and associated pregnancy outcomes |
title_full |
Nutritional status of pregnant women: prevalence and associated pregnancy outcomes |
title_fullStr |
Nutritional status of pregnant women: prevalence and associated pregnancy outcomes |
title_full_unstemmed |
Nutritional status of pregnant women: prevalence and associated pregnancy outcomes |
title_sort |
nutritional status of pregnant women: prevalence and associated pregnancy outcomes |
description |
INTRODUCTION: Although obesity is well recognized as a current public health problem, its prevalence and impact among pregnant women have been less investigated in Brazil. The objective of the study was to evaluate the impact of pre-obesity and obesity among pregnant women, describing its prevalence and risk factors, and their association with adverse pregnancy outcomes. METHODS: A cohort of 5,564 pregnant women, aged 20 years or more, enrolled at aproximately 20 to 28 weeks of pregnancy, seen in prenatal public clinics of six state capitals in Brazil were followed up, between 1991 and 1995. Prepregnancy weight, age, educational level and parity were obtained from a standard questionnaire. Height was measured in duplicate and the interviewer assigned the skin color. Nutritional status was defined using body mass index (BMI), according to World Health Organization (WHO) criteria. Odds ratios and 95% confidence interval were calculated using logistic regression. RESULTS: Age-adjusted prevalences (and 95% CI) based on prepregnancy weight were: underweight 5.7% (5.1%-6.3%), overweight 19.2% (18.1%-20.3%), and obesity 5.5% (4.9%-6.2%). Obesity was more frequently observed in older black women, with a lower educational level and multiparous. Obese women had higher frequencies of gestational diabetes, macrosomia, hypertensive disorders, and lower risk of microsomia. CONCLUSIONS: Overweight nutritional status (obesity and pre-obesity) was seen in 25% of adult pregnant women and it was associated with increased risk for several adverse pregnancy outcomes, such as gestational diabetes and pre-eclampsia. |
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Faculdade de Saúde Pública da Universidade de São Paulo |
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2001 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102001000600002 |
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