The impact of gestational weight gain on fetal and neonatal outcomes: the Araraquara Cohort Study
Carregando...
Autores
Victor, Audêncio
Teles, Laísla de França da Silva
Aires, Isabel Oliveira
Carvalho, Leticia Falcão de
Luzia, Liania A.
Victor, Audêncio
Teles, Laísla de França da Silva
Rinaldo Artes
Rondó, Patrícia H.
Orientador
Co-orientadores
Citações na Scopus
Tipo de documento
Artigo Científico
Data
2024
Título da Revista
ISSN da Revista
Título do Volume
Resumo
Background: Gestational weight gain (GWG) is an important indicator for monitoring maternal and fetal health.
Objective: To evaluate the effect of GWG outside the recommendations of the Institute of Medicine (IOM) on fetal and
neonatal outcomes.
Study design A prospective cohort study with 1642 pregnant women selected from 2017 to 2023, with gestational age≤18 weeks and followed until delivery in the city of Araraquara, Southeast Brazil. The relationship between IOM recommended GWG and fetal outcomes (abdominal subcutaneous tissue thickness, arm and thigh subcutaneous tissue area and intrauterine growth restriction) and neonatal outcomes (percentage of fat mass, fat-free mass, birth weight and length, ponderal index, weight adequateness for gestational age by the Intergrowth curve, prematurity, and Apgar score) were investigated. Generalized Estimating Equations were used.
Results: GWG below the IOM recommendations was associated with increased risks of intrauterine growth restriction (IUGR) (aOR 1.61; 95% CI: 1.14–2.27), low birth weight (aOR 2.44; 95% CI: 1.85–3.21), and prematurity (aOR 2.35; 95% CI: 1.81–3.05), and lower chance of being Large for Gestational Age (LGA) (aOR 0.38; 95% CI: 0.28–0.54), with smaller arm subcutaneous tissue area (AST) (-7.99 g; 95% CI: -8.97 to -7.02), birth length (-0.76 cm; 95% CI: -1.03 to -0.49), and neonatal fat mass percentage (-0.85%; 95% CI: -1.12 to -0.58). Conversely, exceeding GWG guidelines increased the likelihood of LGA (aOR 1.53; 95% CI: 1.20–1.96), with lower 5th-minute Apgar score (aOR 0.42; 95% CI: 0.20–0.87), and increased birth weight (90.14 g; 95% CI: 53.30 to 126.99).
Conclusion: Adherence to GWG recommendations is crucial, with deviations negatively impacting fetal health.
Effective weight control strategies are imperative.
Palavras-chave
Vínculo institucional
Titulo de periódico
BMC Pregnancy and Childbirth
Título de Livro
URL na Scopus
Idioma
Inglês
URL permanente
Notas
Membros da banca
Área do Conhecimento CNPQ
CIÊNCIAS DA SAÚDE
CIÊNCIAS BIOLÓGICAS
CIÊNCIAS SOCIAIS APLICADAS
CIÊNCIAS BIOLÓGICAS
CIÊNCIAS SOCIAIS APLICADAS