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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

A systematic review and meta-analysis of gestational weight gain recommendations and related outcomes in Brazil

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Author(s):
Godoy, Ana Carolina [1] ; do Nascimento, Simony Lira [2] ; Surita, Fernanda Garanhani [1]
Total Authors: 3
Affiliation:
[1] Univ Estadual Campinas, UNICAMP, Fac Ciencias Med, Dept Tocoginecol, Campinas, SP - Brazil
[2] Univ Fed Ceara, Fac Med, Dept Fisioterapia, Fortaleza, Ceara - Brazil
Total Affiliations: 2
Document type: Journal article
Source: Clinics; v. 70, n. 11, p. 758-764, 2015.
Web of Science Citations: 13
Abstract

Worldwide, different guidelines are used to assess the adequacy of gestational weight gain. This study identified the recommendations for gestational weight gain in Brazilian women. We also determined the proportion of women with adequate weight gain in accordance with these recommendations and the associated perinatal outcomes. A systematic review was performed. A computerized search was conducted utilizing the following databases: PubMed, MEDLINE, Web of Science, Embase, SciELO and Google Scholar. Observational studies of healthy, Brazilian, pregnant women were included. Studies were excluded if they did not provide pregestational weight and gestational weight gain or if they studied women with comorbid conditions. A meta-analysis was performed to evaluate the odds ratio of inadequate (insufficient or excessive) gestational weight gain. Seventeen studies were included in the systematic review and four studies were included in the meta-analysis. The most widely used recommendations were from the Institute of Medicine. Excessive gestational weight gain was associated with fetal macrosomia and high rates of cesarean delivery. Overweight women had a higher risk of excessive gestational weight gain than eutrophic women (OR=2.80, 95%CI=2.22-3.53). There are no standardized recommendations concerning gestational weight gain based on Brazilian population-based data. Many Brazilian women are overweight or obese at the beginning of pregnancy. Overweight pregnant women have a higher risk of excessive gestational weight gain. Excessive gestational weight gain was associated with cesarean delivery and fetal macrosomia. (AU)

FAPESP's process: 14/01770-7 - Standardization of weight gain in healthy pregnant women: a proposed curve for Brazilian women
Grantee:Fernanda Garanhani de Castro Surita
Support Opportunities: Regular Research Grants