1702/2013 - Ganho de peso gestacional e peso ao nascer do concepto:estudo transversal na região de Jundiaí, São Paulo – Brasil Gestational weight gain and birth weight of the newborn:cross sectional study in Jundiaí, São Paulo - Brazil
• Márcia Regina Campos Costa da Fonseca - Fonseca, MRCC - Campinas, SP - Faculdade de Medicina de Jundiaí - <fonseca100@uol.com.br>
Coautor(es):
• Ruy Laurenti - LAURENTI, R. - Faculdade de Saúde Pública-USP - <laurenti@usp.br>
• Caroline Roveri Marin - MARIN, CR - Faculdade de Medicina de Jundiaí - <carolrm_sp@hotmail.com>
• Maria Cristina Traldi - TRALDI, MC - Faculdade de Medicina de Jundiaí - <mcristraldi@gmail.com.>
Área Temática:
Saúde e Gênero
Resumo:
O objetivo deste estudo foi determinar a prevalência de sobrepeso e obesidade pré-gravídica e gestacional e verificar a associação com o peso ao nascer do concepto. Estudo descritivo, transversal, quantitativo, realizado com 712 gestantes internadas para o parto, no hospital da Faculdade de Medicina de Jundiaí. Variáveis estudadas: perfil sócio-demográfico, gestacional, peso pré-gravídico, assistência pré-natal, ganho de peso gestacional total e peso ao nascer do concepto. A maioria (99,7%) realizou pré-natal, 84,6% ≥ seis consultas. Prevalência de excesso de peso pré-gravídico (34,7%) (24,0% sobrepeso/10,7% obesidade) e de ganho de peso total excessivo (36,9%). Associação significativa foi observada entre classificação do ÍMC inicial da gestante e classificação do peso do recém-nascido (RN) (p=0,0002) e entre classificação do ganho de peso total da gestante e classificação do peso do RN (p<0,0001). Nas gestantes com peso excessivo observou-se maior prevalência de RNs com peso adequado, em contrapartida, gestantes com ganho de peso insuficiente tiveram 2,15 vezes mais risco de RNs com peso insuficiente e 2,85 vezes mais risco de RNs com baixo peso. Conclui-se que embora observado importante percentual de gestantes com excesso de peso, este, não influenciou no peso ao nascer do concepto e sim, o peso insuficiente da gestante.
Palavras-chave:
Obesidade
Peso ao nascer
Gestação
Ganho de peso
Abstract:
The aim was to determine the prevalence of overweightness, pre-pregnancy and gestational obesity and to verify the association with the birth weight of the newborn. A descriptive cross-sectional was conducted with 712 pregnant women admitted for delivery at the Medicine Faculty of Jundiaí’s hospital. Studied variables: socio-demographic, pre-pregnancy weight, prenatal care, total gestational weight gain and newborn’s birth weight. The majority (99.7%) had a pre-natal and 84.6% ≥6 visits. Prevalence of pre-pregnancy overweightness (34.7%), (24.0% overweight/ 10.7% obesity) and excessive total weight gain (36.9%). Significant association was observed between the pregnant women’s BMI classification and the classification of the newborn’s weight (p = 0.0002) and between classification of total weight gain of the mother and newborn’s weight classification (p <0. 0001). In pregnant women with excessive weight, higher prevalence of newborns with appropriate weight was observed, in contrast, women with insufficient weight gain had 2.15 times higher risk of underweight newborns and 2.85 times higher risk of low weight newborns. We conclude that although we observed a significant percentage of pregnant women who are overweight, this did not influence the birth weight of the newborns and yes, the insufficient weight of the pregnant woman.
Gestational weight gain and birth weight of the newborn:cross sectional study in Jundiaí, São Paulo - Brazil
Resumo (abstract):
The aim was to determine the prevalence of overweightness, pre-pregnancy and gestational obesity and to verify the association with the birth weight of the newborn. A descriptive cross-sectional was conducted with 712 pregnant women admitted for delivery at the Medicine Faculty of Jundiaí’s hospital. Studied variables: socio-demographic, pre-pregnancy weight, prenatal care, total gestational weight gain and newborn’s birth weight. The majority (99.7%) had a pre-natal and 84.6% ≥6 visits. Prevalence of pre-pregnancy overweightness (34.7%), (24.0% overweight/ 10.7% obesity) and excessive total weight gain (36.9%). Significant association was observed between the pregnant women’s BMI classification and the classification of the newborn’s weight (p = 0.0002) and between classification of total weight gain of the mother and newborn’s weight classification (p <0. 0001). In pregnant women with excessive weight, higher prevalence of newborns with appropriate weight was observed, in contrast, women with insufficient weight gain had 2.15 times higher risk of underweight newborns and 2.85 times higher risk of low weight newborns. We conclude that although we observed a significant percentage of pregnant women who are overweight, this did not influence the birth weight of the newborns and yes, the insufficient weight of the pregnant woman.
Fonseca, MRCC, LAURENTI, R., MARIN, CR, TRALDI, MC. Ganho de peso gestacional e peso ao nascer do concepto:estudo transversal na região de Jundiaí, São Paulo – Brasil. Cien Saude Colet [periódico na internet] (2013/set). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/ganho-de-peso-gestacional-e-peso-ao-nascer-do-conceptoestudo-transversal-na-regiao-de-jundiai-sao-paulo-brasil/14167?id=14167
