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dc.contributor.authorMastella, Lívia Silveirapt_BR
dc.contributor.authorWeinert, Letícia Schwerzpt_BR
dc.contributor.authorGnielka, Vanessapt_BR
dc.contributor.authorHirakata, Vania Naomipt_BR
dc.contributor.authorOppermann, Maria Lúcia Rochapt_BR
dc.contributor.authorSilveiro, Sandra Pinhopt_BR
dc.contributor.authorReichelt, Angela de Azevedo Jacobpt_BR
dc.date.accessioned2018-09-28T02:35:15Zpt_BR
dc.date.issued2018pt_BR
dc.identifier.issn2359-4292pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/182955pt_BR
dc.description.abstractObjective: Our objective was to evaluate gestational weight gain (GWG) patterns and their relation to birth weight. Subjects and methods: We prospectively enrolled 474 women with gestational diabetes mellitus (GDM) at a university hospital (Porto Alegre, Brazil, November 2009-May 2015). GWG was categorized according to the 2009 Institute of Medicine guidelines; birth weight was classified as large (LGA) or small (SGA) for gestational age. Adjusted relative risks (aRRs) and 95% confidence intervals (95% CIs) were determined. Results: Adequate GWG occurred in 121 women [25.5%, 95% CI: 22, 30%]; excessive, in 180 [38.0%, 95% CI: 34, 43%]; and insufficient, in 173 [36.5%, 95% CI: 32, 41%]. In women with normal body mass index (BMI), the prevalence of SGA was higher in those with insufficient compared to adequate GWG (30% vs. 0%, p < 0.001). In women with BMI ≥ 25 kg/m2, excessive GWG increased the prevalence of LGA [aRR 2.58, 95% CI: 1.06, 6.29] and protected from SGA [aRR 0.25, 95% CI: 0.10, 0.64]. Insufficient vs. adequate GWG did not influence the prevalence of SGA [aRR 0.61, 95% CI: 0.31, 1.22]; insufficient vs. excessive GWG protected from LGA [aRR 0.46, 95% CI: 0.23, 0.91]. Conclusions: One quarter of this cohort achieved adequate GWG, indicating that specific ranges have to be tailored for GDM. To prevent inadequate birth weight, excessive GWG in women with higher BMI and less than recommended GWG in normal BMI women should be avoided; less than recommended GWG may be suitable for overweight and obese women. Arch Endocrinol Metab. 2018;62(1):48-56en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofArchives of endocrinology and metabolism. São Paulo. Vol. 62, no. 1 (Feb. 2018), p. 55-63pt_BR
dc.rightsOpen Accessen
dc.subjectPeso ao nascerpt_BR
dc.subjectGestational diabetes mellitusen
dc.subjectWeight gainen
dc.subjectDiabetes gestacionalpt_BR
dc.subjectGanho de pesopt_BR
dc.subjectBirth weighten
dc.subjectGravidezpt_BR
dc.subjectFatores socioeconômicospt_BR
dc.titleInfluence of maternal weight gain on birth weight : a gestational diabetes cohortpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001075118pt_BR
dc.type.originNacionalpt_BR


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