Weight retention 12 months postpartum: association with sociodemographic, gestational and puerperal factors

Q3 Medicine

Revista Brasileira de Saude Materno Infantil Pub Date : 2023-08-25 DOI:10.1590/1806-9304202300000392-en

Brenda da Cunha Carvalho, L. B. Ferreira, Tamires Nunes dos Santos, R. C. V. E. Souza, Luana Caroline dos Santos

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引用次数: 0

Abstract

Abstract Objectives: to investigate the association between sociodemographic, gestational/puerperal factors and postpartum weight retention (PPWR) after 12 months in Brazilian women at a university hospital. Methods: prospective cohort with puerperal women recruited at the maternity ward of a university hospital in a Brazilian metropolis. At baseline (n=260), sociodemographic and anthropometric information on the mother-child binomial and data related to the gestational period were collected. Maternal dietary patterns were measured using a food frequency questionnaire and subsequently determined by Principal Component Analysis. Results: 75 women, with a mean age of 28.4 years (CI95%= 27.0-29.7), 25.3% with excessive PPPR, with an average of 3.6 kg (CI95%= 1.7) continued in the follow-up. -5.4). Higher gestational weight gain (GWG) (ß= 0.36; CI95%= 0.18-0.70) and lower maternal age (ß= -0.41; CI95%= -0.92–-0.22) were PRPP predictors (p=0.001) (adjusted for per capita income, parity, type of delivery, number of prenatal visits, baby’s birth weight, breastfeeding and physical activity). Conclusion: there was a high occurrence of excessive PPPR, favored by higher GPG and lower maternal age. This highlights the importance of monitoring women’s health during the reproductive period, with guidance on ways of life (diet and physical activity), to favor better outcomes for mother-child.

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产后12个月体重保持:与社会人口统计学、妊娠期和产褥期因素有关

目的:探讨某大学医院巴西妇女产后12个月体重保持(PPWR)与社会人口学、妊娠/产褥因素的关系。方法:前瞻性队列与产褥期妇女在巴西大都市的一所大学医院的产科病房招募。在基线(n=260)，收集了母婴二项的社会人口学和人体测量学信息以及与妊娠期相关的数据。使用食物频率问卷测量母亲的饮食模式，随后通过主成分分析确定。结果:75例女性，平均年龄28.4岁(CI95%= 27.0 ~ 29.7)， PPPR超标25.3%，平均3.6 kg (CI95%= 1.7)继续随访。-5.4)。妊娠期增重较高(GWG) (ß= 0.36;CI95%= 0.18-0.70)和较低的产妇年龄(s = -0.41;CI95%= -0.92—0.22)是PRPP预测因子(p=0.001)(根据人均收入、胎次、分娩类型、产前就诊次数、婴儿出生体重、母乳喂养和身体活动进行调整)。结论:PPPR过高发生率高，GPG高、产妇年龄小有利于PPPR过高。这突出了在生育期间监测妇女健康的重要性，并对生活方式(饮食和体育活动)提供指导，以有利于母子取得更好的结果。

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来源期刊

Revista Brasileira de Saude Materno Infantil Medicine-Obstetrics and Gynecology

CiteScore

1.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Brazilian Journal of Mother and Child Health is published every three months (March, June, September and December) by Institute of Mother and Child Health, continuing the Revista do IMIP. Aiming at publishing scientific research articles in the field of mother and child health. Contributions should approach different aspects of mother’s health, women’s health and children’s health, covering biomedical, sociocultural and epidemiological determinants.