0489/2016 - Estado nutricional materno e sua associação com o peso ao nascer em gestações de alto risco. Maternal nutricional status and it’s association with birth weight in high risk pregnancies.
O estado clínico e o nutricional da gestante representam importantes variáveis para o risco de inadequações de peso ao nascer. Assim, o presente estudo visou avaliar o estado nutricional de gestantes de alto risco e sua associação com o peso ao nascer de seus conceptos. Estudo transversal com gestantes de alto risco assistidas no Hospital Universitário de Maceió-AL e seus recém-nascidos. O estado nutricional das gestantes e de seus conceptos foi avaliado segundo o Índice de Massa Corporal para a idade gestacional e o peso ao nascer, respectivamente. A associação entre fatores maternos (comorbidades e estado nutricional) e o peso ao nascer foram realizadas pelos testes de qui-quadrado e correlação de Pearson, adotando um nível de confiança de 95% (α=0,05). Foram estudadas 149 gestantes, com 19,7% delas com baixo peso; 32,0% eutróficas e 48,3% com excesso de peso. Entre os recém-nascidos, 39,6% eram pequenos para idade gestacional (PIG); 26,8% adequados para a idade gestacional (AIG) e 33,6% grandes para a idade gestacional (GIG). O excesso de peso gestacional e a presença de comorbidades metabólicas se associaram com o nascimento de recém-nascidos GIG e o ganho ponderal gestacional insuficiente com o nascimento de recém-nascidos PIG, sendo fundamentais intervenções para redução desses desfechos.
Palavras-chave:
gravidezalto riscopeso ao nascerestado nutricional
Abstract:
The clinical and nutritional status of pregnant women are important variables for risk of inadequacies birth weight. Thus, this study aimed the nutritional status of high-risk pregnant women and its association with birth weight of their concepts. A cross-sectional study with high-risk pregnant women assisted at the universitary hospital of Maceio-AL and their newborns. The nutritional status of pregnant women and their concepts was evaluated according to body mass index for gestational age and birth weight, respectively. The association between maternal factors (comorbidities and nutritional status) and birth weight was made by the chi-square test and Pearson correlation, by adopting a confidence level of 95%. They were studied 149 pregnant women, with 19.7% of these were with low weight; 32.0% were eutrophic and 48.3% with overweight. Among newborns, 39.6% referred to as small for gestational age (SGA); 26.8% appropriete for gestacional age (AGA) and 33.6% large for gestational age (LGA). Newborns LGA of birth was associated with overweight and the presence of metabolic comorbidities and newborns SGA of birth was associated with gestational insufficient weight gain, it is key interventions to reduce these outcomes.
Maternal nutricional status and it’s association with birth weight in high risk pregnancies.
Resumo (abstract):
The clinical and nutritional status of pregnant women are important variables for risk of inadequacies birth weight. Thus, this study aimed the nutritional status of high-risk pregnant women and its association with birth weight of their concepts. A cross-sectional study with high-risk pregnant women assisted at the universitary hospital of Maceio-AL and their newborns. The nutritional status of pregnant women and their concepts was evaluated according to body mass index for gestational age and birth weight, respectively. The association between maternal factors (comorbidities and nutritional status) and birth weight was made by the chi-square test and Pearson correlation, by adopting a confidence level of 95%. They were studied 149 pregnant women, with 19.7% of these were with low weight; 32.0% were eutrophic and 48.3% with overweight. Among newborns, 39.6% referred to as small for gestational age (SGA); 26.8% appropriete for gestacional age (AGA) and 33.6% large for gestational age (LGA). Newborns LGA of birth was associated with overweight and the presence of metabolic comorbidities and newborns SGA of birth was associated with gestational insufficient weight gain, it is key interventions to reduce these outcomes.
Oliveira, A.C.M, Pereira, Lidiane Almeida, Ferreira, R.C, Clemente, Ana Paula Grotti. Estado nutricional materno e sua associação com o peso ao nascer em gestações de alto risco.. Cien Saude Colet [periódico na internet] (2016/Nov). [Citado em 08/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/estado-nutricional-materno-e-sua-associacao-com-o-peso-ao-nascer-em-gestacoes-de-alto-risco/15915?id=15915&id=15915
