0349/2021 - FATORES ASSOCIADOS À ADEQUAÇÃO DO GANHO DE PESO GESTACIONAL DE ADOLESCENTES BRASILEIRAS FACTORS ASSOCIATED WITH THE ADEQUACY OF THE GESTATIONAL WEIGHT GAIN OF BRAZILIAN TEENAGERS
Objetivo: Avaliar a adequação do ganho de peso gestacional total (GPT) segundo características maternas de adolescentes brasileiras. Métodos: Estudo transversal e de base hospitalar. Incluíram-se 3.904 adolescentes com gestação de feto único e idade gestacional (IG) ao nascimento ?37 semanas. Foi construído um modelo hierarquizado para analisar as variáveis dependente adequação do GPT e independentes: características sociodemográficas, assistenciais, obstétricas e comportamentais. Resultados: As chances de GPT insuficiente foram maiores para as adolescentes do Norte (OR=1,50, IC95%: 1,07 – 2,10) e Nordeste (OR=1,68, IC95%: 1,27 – 2,21). O trabalho remunerado elevou as chances de GPT insuficiente (IC95%: 1,15 – 2,39) e excessivo (IC95%: 1,01 – 1,86). O índice de massa corporal pré-gestacional de sobrepeso ou obesidade associou-se ao GPT excessivo (OR=1,86, IC95%: 1,19 – 2,92 e OR= 3,06, IC95%: 2,10 – 4,45, respectivamente), bem como a IG ?42 semanas (OR=2,23, IC95%: 1,03 – 4,81). Conclusão: Residir nas regiões Norte e Nordeste aumentou as chances das adolescentes apresentarem GPT insuficiente. Exercer trabalho remunerado esteve associado a maior chance de GPT excessivo e insuficiente. Além disso, o sobrepeso ou obesidade pré-gestacional e IG ? 42 semanas ampliaram as chances de GPT excessivo.
Palavras-chave:
Ganho de Peso na Gestação; Gravidez na Adolescência; Estado nutricional.
Abstract:
Objective: To evaluate the adequacy of total gestational weight gain (GWG) according to maternal characteristics of Brazilian adolescents. Methods: Cross-sectional, hospital-based study. A total of 3.904 teenagers with a single fetus gestation and gestational age (GA) at birth ≥37 weeks were included. A hierarchical model was built to analyze the dependent variables adequacy of the GWG and independent: sociodemographic, care, obstetric and behavioral characteristics. Results: The chances of insufficient GWG were higher for adolescentsthe North (OR=1.50, 95%CI: 1.07 – 2.10) and Northeast (OR=1.68, 95%CI: 1.27 – 2, 21). Paid work increased the chances of insufficient (CI95%: 1.15 – 2.39) and excessive (CI95%: 1.01 – 1.86) GWG. The pre-pregnancy body mass index of overweight or obesity was associated with excessive GWG (OR=1.86, 95%CI: 1.19 - 2.92 and OR= 3.06, 95%CI: 2.10 - 4.45, respectively), as well as GA ≥42 weeks (OR=2.23, 95%CI: 1.03 – 4.81). Conclusion: Reside in the North and Northeast regions increases the chances of adolescents having insufficient GWG. Having paid work was associated with a greater chance of excessive and insufficient GWG. Furthermore, pre-pregnancy overweight or obesity and GA ≥ 42 weeks increased the chances of excessive GWG.
Keywords:
Weight gain; Pregnancy in adolescence; Nutritional status.
FACTORS ASSOCIATED WITH THE ADEQUACY OF THE GESTATIONAL WEIGHT GAIN OF BRAZILIAN TEENAGERS
Resumo (abstract):
Objective: To evaluate the adequacy of total gestational weight gain (GWG) according to maternal characteristics of Brazilian adolescents. Methods: Cross-sectional, hospital-based study. A total of 3.904 teenagers with a single fetus gestation and gestational age (GA) at birth ≥37 weeks were included. A hierarchical model was built to analyze the dependent variables adequacy of the GWG and independent: sociodemographic, care, obstetric and behavioral characteristics. Results: The chances of insufficient GWG were higher for adolescentsthe North (OR=1.50, 95%CI: 1.07 – 2.10) and Northeast (OR=1.68, 95%CI: 1.27 – 2, 21). Paid work increased the chances of insufficient (CI95%: 1.15 – 2.39) and excessive (CI95%: 1.01 – 1.86) GWG. The pre-pregnancy body mass index of overweight or obesity was associated with excessive GWG (OR=1.86, 95%CI: 1.19 - 2.92 and OR= 3.06, 95%CI: 2.10 - 4.45, respectively), as well as GA ≥42 weeks (OR=2.23, 95%CI: 1.03 – 4.81). Conclusion: Reside in the North and Northeast regions increases the chances of adolescents having insufficient GWG. Having paid work was associated with a greater chance of excessive and insufficient GWG. Furthermore, pre-pregnancy overweight or obesity and GA ≥ 42 weeks increased the chances of excessive GWG.
Palavras-chave (keywords):
Weight gain; Pregnancy in adolescence; Nutritional status.
dos Santos, S. F. M., Gama, S.G.N, Araújo, R. G. P. da S., Silva, L. A. T., Costa, A. C. C, Fonseca, V. M.. FATORES ASSOCIADOS À ADEQUAÇÃO DO GANHO DE PESO GESTACIONAL DE ADOLESCENTES BRASILEIRAS. Cien Saude Colet [periódico na internet] (2021/dez). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-a-adequacao-do-ganho-de-peso-gestacional-de-adolescentes-brasileiras/18248?id=18248
