Author:
Silva Thales Philipe Rodrigues da,Viana Thamara Gabriela Fernandes,Pessoa Milene Cristine,Felisbino-Mendes Mariana Santos,Inácio Monique Louise Cassimiro,Mendes Larissa Loures,Velasquez-Melendez Gustavo,Martins Eunice Francisca,Matozinhos Fernanda Penido
Abstract
Abstract
Background
Environmental factors have an impact on inappropriate food choices and sedentary lifestyle, and both individually and in combination these factors favour improper gestational weight gain (GWG) and consequent maternal and neonatal health problems. The objective of this study was to analyze the environmental and individual factors associated with GWG.
Methods
Data were from “Born in Belo Horizonte: Survey on childbirth and birth”, a hospital-based retrospective cohort of 506 pregnant women with deliveries in public and private maternity hospitals in Belo Horizonte, Minas Gerais. Data were collected via face-to-face interviews from November 2011 to March 2013. The outcome variable of this study was the GWG categorized based on the Institute of Medicine Guidelines. Explanatory environmental variables included the availability and access to food environment and places available for physical activity in the neighborhood. Explanatory individual variables included socioeconomic and demographic, obstetric and childbirth variables. Generalized estimating equations examined the association of environmental and individual factors with insufficient or excessive GWG.
Results
The final sample consisted of 506 mothers. There was 36.4% pregnant women showing excessive GWG and 22.7% showing GWG below the recommended interval. Regarding excessive GWG, there was a positive association with the number of mixed food purchasing establishments close to the place of residence, pre-pregnancy body mass index in the categories of overweight and obesity, arterial hypertension and the private sector as the predominant place for prenatal consultations.
Conclusion
GWG outside of the recommended interval was associated with individual and environmental factors, and most pregnant women had insufficient or excessive gestational weight gain. Such results can complement previously published evidence, important for creating more effective strategies for the prevention of excessive and inadequate GWG and the consequent problems related to it during pregnancy.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference37 articles.
1. Voerman E, Santos S, Inskip H, Amiano P, Barros H, Charles M-A, et al. Association of Gestational Weight Gain With Adverse Maternal and Infant Outcomes. JAMA. 2019;321(17):1702–15.
2. Institute of Medicine, National Research Council Committee to Reexamine IOMPWG. The National Academies Collection: Reports funded by National Institutes of Health. In: Rasmussen KM, Yaktine AL, editors. Weight Gain During Pregnancy: Reexamining the Guidelines. Washington (DC): National Academies Press (US) National Academy of Sciences; 2009.
3. Deputy NP, Sharma AJ, Kim SY, Hinkle SN. Centers for disease control and prevalence and characteristics associated with gestational weight gain adequacy. Obstet Gynecol. 2015;125(4):773–81. https://doi.org/10.1097/AOG.0000000000000739.
4. Headen I, Mujahid M, Deardorff J, Rehkopf DH, Abrams B. Associations between cumulative neighborhood deprivation, long-term mobility trajectories, and gestational weight gain. Health Place. 2018;52:101–9. https://doi.org/10.1016/j.healthplace.2018.05.007.
5. Grilo S. A., Earnshaw V. A., Lewis J. B., Stasco E. C. Food matters: food insecurity among pregnant adolescents and infant birth outcomes. Nut Food Insec. 2015;6(2):1–6 https://digitalcommons.library.tmc.edu/childrenatrisk/vol6/iss2/4/.
Cited by
8 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献