0044/2019 - Níveis pressóricos e fatores associados em gestantes do estudo Mina-Brasil Blood pressure levels and associated factors among pregnant women in the Mina-Brazil study.
O objetivo deste estudo foi investigar os fatores associados aos níveis pressóricos em gestantes participantes do Estudo MINA-Brasil, inscritas no pré-natal da Estratégia de Saúde da Família em Cruzeiro do Sul, Acre, Amazônia Ocidental Brasileira. Modelos múltiplos de regressão linear foram utilizados, adotando-se nível de significância de 5%. A maioria das gestantes participantes tinha média de idade de 24 anos (DP 6,3), 44,0% eram primigestas e 59,1% das gestantes apresentaram ganho de peso gestacional semanal excessivo. A ocorrência de hipertensão arterial foi de 0,7%. Os fatores associados positivamente aos níveis de pressão arterial sistólica foram: índice de massa corporal pré-gestacional (?= 0,984, IC95%: 0,768-1,200) e ganho de peso gestacional semanal (?= 6,816, IC95%: 3,368-10,264). Para os níveis de pressão arterial diastólica foram positivamente associados idade da gestante (?= 0,111, IC95%: 0,002-0,221), escolaridade (?=2,194, IC95%: 0,779-3,609), índice de massa corporal pré-gestacional (?=0,589, IC95%: 0,427-0,751) e ganho de peso gestacional semanal (?=3,066, IC95%: 0,483-5,650). Esses resultados reforçam a necessidade de maior atenção pré-natal no cuidado materno para prevenção de distúrbios hipertensivos no final da gravidez.
Palavras-chave:
Pressão arterial; Complicações na gravidez; Hipertensão induzida pela gravidez.
Abstract:
The objective of this study was to investigate the factors associated with pressure levels in pregnant women participating in the MINA-Brazil Study, enrolled in the Family Health Strategy in Cruzeiro do Sul, Western Brazilian Amazon. Multiple linear regression models were used, adopting a level of significance of 5%. Overall, most participants were less than 24 years of age, 44% were primigravidae, and 59.1% had excessive weekly gestational weight gain. The frequency of hypertension was 0.7%. Factors positively associated with systolic blood pressure levels in pregnancy were: pre-pregnancy body mass index (β= 0.984, IC95%: 0.768-1.200), and weekly gestational weight gain (β= 6.816, IC95%: 3.368-10.264). Diastolic blood pressure levels in pregnancy were positively associated with maternal age (β= 0.111, IC95%: 0.002-0.221), maternal schooling (β=2.194, IC95%: 0.779-3.609), pre-pregnancy body mass index (β=0.589, IC95%: 0.427-0.751), and weekly gestational weight gain (β=3.066, IC95%: 0.483-5.650). Our findings reinforce the role of the antenatal care to prevent hypertensive disorders in pregnancy.
Keywords:
Blood pressure; Complications in pregnancy; Pregnancy-induced hypertension
Blood pressure levels and associated factors among pregnant women in the Mina-Brazil study.
Resumo (abstract):
The objective of this study was to investigate the factors associated with pressure levels in pregnant women participating in the MINA-Brazil Study, enrolled in the Family Health Strategy in Cruzeiro do Sul, Western Brazilian Amazon. Multiple linear regression models were used, adopting a level of significance of 5%. Overall, most participants were less than 24 years of age, 44% were primigravidae, and 59.1% had excessive weekly gestational weight gain. The frequency of hypertension was 0.7%. Factors positively associated with systolic blood pressure levels in pregnancy were: pre-pregnancy body mass index (β= 0.984, IC95%: 0.768-1.200), and weekly gestational weight gain (β= 6.816, IC95%: 3.368-10.264). Diastolic blood pressure levels in pregnancy were positively associated with maternal age (β= 0.111, IC95%: 0.002-0.221), maternal schooling (β=2.194, IC95%: 0.779-3.609), pre-pregnancy body mass index (β=0.589, IC95%: 0.427-0.751), and weekly gestational weight gain (β=3.066, IC95%: 0.483-5.650). Our findings reinforce the role of the antenatal care to prevent hypertensive disorders in pregnancy.
Palavras-chave (keywords):
Blood pressure; Complications in pregnancy; Pregnancy-induced hypertension
Damasceno, A.A.A, Malta, M.B., Neves, PAR, Lourenço, B.H., Bessa, A.R.S, Rocha, DS, Castro, M. C., Cardoso,M.A. Níveis pressóricos e fatores associados em gestantes do estudo Mina-Brasil. Cien Saude Colet [periódico na internet] (2019/Mar). [Citado em 29/06/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/niveis-pressoricos-e-fatores-associados-em-gestantes-do-estudo-minabrasil/17118?id=17118
