Influence of maternal weight gain on birth weight : a gestational diabetes cohort
dc.contributor.author | Mastella, Lívia Silveira | pt_BR |
dc.contributor.author | Weinert, Letícia Schwerz | pt_BR |
dc.contributor.author | Gnielka, Vanessa | pt_BR |
dc.contributor.author | Hirakata, Vania Naomi | pt_BR |
dc.contributor.author | Oppermann, Maria Lúcia Rocha | pt_BR |
dc.contributor.author | Silveiro, Sandra Pinho | pt_BR |
dc.contributor.author | Reichelt, Angela de Azevedo Jacob | pt_BR |
dc.date.accessioned | 2018-09-28T02:35:15Z | pt_BR |
dc.date.issued | 2018 | pt_BR |
dc.identifier.issn | 2359-4292 | pt_BR |
dc.identifier.uri | http://hdl.handle.net/10183/182955 | pt_BR |
dc.description.abstract | Objective: 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):48-56 | en |
dc.format.mimetype | application/pdf | pt_BR |
dc.language.iso | eng | pt_BR |
dc.relation.ispartof | Archives of endocrinology and metabolism. São Paulo. Vol. 62, no. 1 (Feb. 2018), p. 55-63 | pt_BR |
dc.rights | Open Access | en |
dc.subject | Peso ao nascer | pt_BR |
dc.subject | Gestational diabetes mellitus | en |
dc.subject | Weight gain | en |
dc.subject | Diabetes gestacional | pt_BR |
dc.subject | Ganho de peso | pt_BR |
dc.subject | Birth weight | en |
dc.subject | Gravidez | pt_BR |
dc.subject | Fatores socioeconômicos | pt_BR |
dc.title | Influence of maternal weight gain on birth weight : a gestational diabetes cohort | pt_BR |
dc.type | Artigo de periódico | pt_BR |
dc.identifier.nrb | 001075118 | pt_BR |
dc.type.origin | Nacional | pt_BR |
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