Determinant factors of insufficient and excessive gestational weight gain and maternal–child adverse outcomes

Abstract Objective To estimate the magnitude and determinant factors of insufficient and excessive gestational weight gain (GWG) and its relation with maternal–child adverse outcomes. Methods This was a prospective study with 173 pregnant women and their newborns monitored at a primary health care f...

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Bibliographic Details
Published in:Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2010-06, Vol.26 (6), p.617-623
Main Authors: Rodrigues, Patricia Lima, M.Sc, Costa de Oliveira, Lívia, M.Sc, Santos Brito, Alexandre dos, Ph.D, Kac, Gilberto, Ph.D
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Biological and medical sciences
Body Height
Body mass index
Brazil - epidemiology
Cesarean section
Cesarean Section - statistics & numerical data
Children & youth
Feeding. Feeding behavior
Female
Fetal Macrosomia - epidemiology
Fetal Macrosomia - etiology
Fundamental and applied biological sciences. Psychology
Gastroenterology and Hepatology
gestational weight gain
Humans
Infant, Newborn
infants
Macrosomia
maternal nutrition
Menarche
neonates
Obesity
Obesity - complications
Overweight - complications
Pregnancy
Pregnancy - physiology
Pregnancy Complications - epidemiology
Pregnancy Outcome
Pregnancy weight gain
pregnant women
Prepregnancy body mass index
Prevalence
Prospective Studies
Regression Analysis
risk groups
Smoking
Stature
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Weight Gain
Womens health
Young Adult
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Summary:Abstract Objective To estimate the magnitude and determinant factors of insufficient and excessive gestational weight gain (GWG) and its relation with maternal–child adverse outcomes. Methods This was a prospective study with 173 pregnant women and their newborns monitored at a primary health care facility in Rio de Janeiro. Multinomial regression models were employed, having as the outcome the adequacy of GWG (insufficient, adequate, or excessive). Covariables were classified as biological, socioeconomic, reproductive, behavioral, and nutritional. Results Forty-one percent of pregnant women had insufficient GWG and 22.0% had excessive GWG. Pregestational overweight was associated with insufficient GWG (odds ratio [OR] 0.19, 95% confidence interval [CI] 0.05–0.78), and pregestational obesity was associated with excessive GWG (OR 4.66, 95% CI 1.34–19.08). Also associated with insufficient GWG were a stature
ISSN:0899-9007
1873-1244
DOI:10.1016/j.nut.2009.06.025