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Gestational weight gain, nutritional status and blood pressure in pregnant women

OBJECTIVE: To evaluate whether weekly gestational weight gain is associated with anemia, vitamin A insufficiency, and blood pressure levels in the third trimester of pregnancy. METHODS: A prospective study with 457 pregnant women attending primary care in Cruzeiro do Sul, Acre. The weekly gestationa...

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Autores principales: Campos, Chiara Alzineth Silva, Malta, Maira Barreto, Neves, Paulo Augusto Ribeiro, Lourenço, Bárbara Hatzlhoffer, Castro, Marcia C, Cardoso, Marly Augusto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6629291/
https://www.ncbi.nlm.nih.gov/pubmed/31340349
http://dx.doi.org/10.11606/S1518-8787.2019053000880
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author Campos, Chiara Alzineth Silva
Malta, Maira Barreto
Neves, Paulo Augusto Ribeiro
Lourenço, Bárbara Hatzlhoffer
Castro, Marcia C
Cardoso, Marly Augusto
author_facet Campos, Chiara Alzineth Silva
Malta, Maira Barreto
Neves, Paulo Augusto Ribeiro
Lourenço, Bárbara Hatzlhoffer
Castro, Marcia C
Cardoso, Marly Augusto
author_sort Campos, Chiara Alzineth Silva
collection PubMed
description OBJECTIVE: To evaluate whether weekly gestational weight gain is associated with anemia, vitamin A insufficiency, and blood pressure levels in the third trimester of pregnancy. METHODS: A prospective study with 457 pregnant women attending primary care in Cruzeiro do Sul, Acre. The weekly gestational weight gain rate measured between the second and third trimesters was classified as insufficient, adequate, and excessive according to the recommendations of the Institute of Medicine 2009. The outcomes at the beginning of the third gestational trimester were: anemia (Hb < 110 g/L), vitamin A insufficiency (serum retinol<1.05 μmol/L) and blood pressure levels (continuous values, in mmHg). Age-adjusted prevalence ratios, schooling, and use of vitamin and mineral supplements were calculated in Poisson regression models with robust variance. RESULTS: A total of 18.6% of pregnant women had insufficient weekly weight gain, and 59.1% had excessive weight gain. The frequencies of anemia, vitamin A insufficiency and hypertension (systolic blood pressure ≥ 140 mmHg or diastolic ≥ 90 mmHg) were 17.5%, 13.4%, and 0.6%, respectively. The prevalence ratios for anemia among pregnant women with insufficient and excessive weight gain were 0.41 (95%CI 0.18–0.93) and 1.00 (95%CI 0.63–1.59), respectively, when compared to pregnant women with adequate weight gain. For vitamin A insufficiency, the adjusted prevalence ratio was significantly higher among pregnant women with insufficient weight gain (2.85, 95%CI 1.55–5.24) and no difference for excessive weight gain (1.53, 95%CI 0.84–2.74) when compared to pregnant women with adequate weight gain. Pregnant women with excessive weight gain had higher mean systolic blood pressure (111.10; 95%CI 109.9–112.2) when compared to pregnant women with insufficient weight gain (107.50; 95%CI 105.4–109.6) and adequate (106.20; 95%CI 104.3–108.20). CONCLUSIONS: Insufficient weekly gestational weight gain was associated with the risk of vitamin A insufficiency. Excessive weight gain, in turn, was associated with higher blood pressure values at the beginning of the third gestational trimester.
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spelling pubmed-66292912019-08-01 Gestational weight gain, nutritional status and blood pressure in pregnant women Campos, Chiara Alzineth Silva Malta, Maira Barreto Neves, Paulo Augusto Ribeiro Lourenço, Bárbara Hatzlhoffer Castro, Marcia C Cardoso, Marly Augusto Rev Saude Publica Original Article OBJECTIVE: To evaluate whether weekly gestational weight gain is associated with anemia, vitamin A insufficiency, and blood pressure levels in the third trimester of pregnancy. METHODS: A prospective study with 457 pregnant women attending primary care in Cruzeiro do Sul, Acre. The weekly gestational weight gain rate measured between the second and third trimesters was classified as insufficient, adequate, and excessive according to the recommendations of the Institute of Medicine 2009. The outcomes at the beginning of the third gestational trimester were: anemia (Hb < 110 g/L), vitamin A insufficiency (serum retinol<1.05 μmol/L) and blood pressure levels (continuous values, in mmHg). Age-adjusted prevalence ratios, schooling, and use of vitamin and mineral supplements were calculated in Poisson regression models with robust variance. RESULTS: A total of 18.6% of pregnant women had insufficient weekly weight gain, and 59.1% had excessive weight gain. The frequencies of anemia, vitamin A insufficiency and hypertension (systolic blood pressure ≥ 140 mmHg or diastolic ≥ 90 mmHg) were 17.5%, 13.4%, and 0.6%, respectively. The prevalence ratios for anemia among pregnant women with insufficient and excessive weight gain were 0.41 (95%CI 0.18–0.93) and 1.00 (95%CI 0.63–1.59), respectively, when compared to pregnant women with adequate weight gain. For vitamin A insufficiency, the adjusted prevalence ratio was significantly higher among pregnant women with insufficient weight gain (2.85, 95%CI 1.55–5.24) and no difference for excessive weight gain (1.53, 95%CI 0.84–2.74) when compared to pregnant women with adequate weight gain. Pregnant women with excessive weight gain had higher mean systolic blood pressure (111.10; 95%CI 109.9–112.2) when compared to pregnant women with insufficient weight gain (107.50; 95%CI 105.4–109.6) and adequate (106.20; 95%CI 104.3–108.20). CONCLUSIONS: Insufficient weekly gestational weight gain was associated with the risk of vitamin A insufficiency. Excessive weight gain, in turn, was associated with higher blood pressure values at the beginning of the third gestational trimester. Faculdade de Saúde Pública da Universidade de São Paulo 2019-07-10 /pmc/articles/PMC6629291/ /pubmed/31340349 http://dx.doi.org/10.11606/S1518-8787.2019053000880 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Campos, Chiara Alzineth Silva
Malta, Maira Barreto
Neves, Paulo Augusto Ribeiro
Lourenço, Bárbara Hatzlhoffer
Castro, Marcia C
Cardoso, Marly Augusto
Gestational weight gain, nutritional status and blood pressure in pregnant women
title Gestational weight gain, nutritional status and blood pressure in pregnant women
title_full Gestational weight gain, nutritional status and blood pressure in pregnant women
title_fullStr Gestational weight gain, nutritional status and blood pressure in pregnant women
title_full_unstemmed Gestational weight gain, nutritional status and blood pressure in pregnant women
title_short Gestational weight gain, nutritional status and blood pressure in pregnant women
title_sort gestational weight gain, nutritional status and blood pressure in pregnant women
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6629291/
https://www.ncbi.nlm.nih.gov/pubmed/31340349
http://dx.doi.org/10.11606/S1518-8787.2019053000880
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