Nutritional status of pregnant women

Prevalence and associated pregnancy outcomes

Bibliographic Data

ID9262912
AuthorsLuciana Bertoldi Nucci (0000-0002-5140-3622, Universidade Federal do Rio Grande do Sul), Maria Ines Schmidt (0000-0002-3837-0731, Universidade Federal do Rio Grande do Sul), Bruce B Duncan (0000-0002-7491-2630, Universidade Federal do Rio Grande do Sul), Sandra Cristina Pereira Costa Fuch (0000-0001-6351-9588, Universidade Federal do Rio Grande do Sul), Sandra Costa Fuchs (Universidade Federal do Rio Grande do Sul), Eni Teresinha Fleck (Universidade de Fortaleza), Maria Margarida Santos Britto (Universidade Federal da Bahia)
Year2001
Volume35
Issue6
Pages502-507
Publication date2001-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueRevista de Saúde Pública (JOURNAL)
Journal identifiersISSN: 0034-8910 • E-ISSN: 0034-8910
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s0034-89102001000600002
PMID11799462
OpenAlexW2078403278
SCIELO_PIDS0034-89102001000600002
LanguageEN
Citations received18
References cited7

INTRODUCTION: Although obesity is well recognized as a current public health problem, its prevalence and impact among pregnant women have been less investigated in Brazil. The objective of the study was to evaluate the impact of pre-obesity and obesity among pregnant women, describing its prevalence and risk factors, and their association with adverse pregnancy outcomes. METHODS: A cohort of 5,564 pregnant women, aged 20 years or more, enrolled at aproximately 20 to 28 weeks of pregnancy, seen in prenatal public clinics of six state capitals in Brazil were followed up, between 1991 and 1995. Prepregnancy weight, age, educational level and parity were obtained from a standard questionnaire. Height was measured in duplicate and the interviewer assigned the skin color. Nutritional status was defined using body mass index (BMI), according to World Health Organization (WHO) criteria. Odds ratios and 95% confidence interval were calculated using logistic regression. RESULTS: Age-adjusted prevalences (and 95% CI) based on prepregnancy weight were: underweight 5.7% (5.1%-6.3%), overweight 19.2% (18.1%-20.3%), and obesity 5.5% (4.9%-6.2%). Obesity was more frequently observed in older black women, with a lower educational level and multiparous. Obese women had higher frequencies of gestational diabetes, macrosomia, hypertensive disorders, and lower risk of microsomia. CONCLUSIONS: Overweight nutritional status (obesity and pre-obesity) was seen in 25% of adult pregnant women and it was associated with increased risk for several adverse pregnancy outcomes, such as gestational diabetes and pre-eclampsia

Body mass index · Gestation · Gestational diabetes · Obesity · Obstetrics · Odds ratio · Overweight · Pregnancy · Underweight · Gestational Diabetes Research and Management · Internal Medicine · Maternal and Neonatal Healthcare · Medicine · Pregnancy and preeclampsia studies

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