| Full text | |
| Author(s): |
Mosquera, Paola Soledad
;
Malta, Maira Barreto
;
de Araujo Damasceno, Ana Alice
;
Ribeiro Neves, Paulo Augusto
;
Matijasevich, Alicia
;
Cardoso, Marly Augusto
;
MINA-Brazil Study Grp
Total Authors: 7
|
| Document type: | Journal article |
| Source: | MATERNAL AND CHILD HEALTH JOURNAL; v. 26, n. 10, p. 10-pg., 2022-07-31. |
| Abstract | |
Objective To investigate the association between gestational weight gain (GWG) and perinatal outcomes in pregnant Amazonian women. Methods Data from 1305 mother-child pairs from the MINA-Brazil population-based birth cohort study were used. GWG was classified according to two methods, the Institute of Medicine (IOM) guidelines and INTERGROWTH-21st standards. Poisson and linear regression analyses were conducted to evaluate associations with perinatal outcomes. Results Following IOM guidelines (n = 1305), the rates of insufficient and excessive GWG were found to be similar (32%). Excessive GWG was associated with higher new-born birthweight (BW) z-scores; increased risks of macrosomia, large for gestational age (LGA), and caesarean delivery; and lower risks of low birthweight (LBW) and being small for gestational age (SGA). Insufficient GWG was associated with lower new-born BW z-scores. Among women with normal pre-pregnancy body mass indices (BMIs, n = 658), inappropriate GWG was high following both methods (IOM: 41.2% insufficient, 24.8% excessive; INTERGROWTH-21st: 25.2% below - 1 z-score, 16.9% above 1 z-score). Both methods also indicated that new-borns of women with excessive GWG had higher BW z-scores and increased risk of macrosomia and LGA. Women with GWG below the INTERGROWTH-21st standards were more likely to deliver an infant SGA and with lower BW z-scores. Conclusions Inappropriate GWG remains a health concern irrespective of the method used to classify weight gain. GWG above the recommendations of both methods and below the INTERGROWTH-21st standard was associated with adverse perinatal outcomes. Therefore, INTERGROWTH-21st standards seem to be a better fit for healthy women in this population. (AU) | |
| FAPESP's process: | 16/00270-6 - MINA study - Maternal and child health in Acre: birth cohort in the Western Brazilian Amazon |
| Grantee: | Marly Augusto Cardoso |
| Support Opportunities: | Research Projects - Thematic Grants |