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Study of agreement between the Rosso-Mardones and Atalah scales for nutritional assessment in pregnancy. La Ermita clinic, Cartagena, 2017 / Estudio de concordancia entre las escalas de rosso-mardones y atalah para la evaluación nutricional en embarazadas. clínica la ermita de cartagena, 2017
Rivas-Perdomo, Edgar E; Galván-Villa, Martha.
  • Rivas-Perdomo, Edgar E; Universidad del Magdalena. Programa de Medicina. Santa Marta. CO
  • Galván-Villa, Martha; Clínica La Ermita de Cartagena. Cartagena. CO
Rev. colomb. obstet. ginecol ; 71(1): 34-41, Jan.-Mar. 2020. tab
Article in Spanish | LILACS | ID: biblio-1115618
RESUMEN
RESUMEN

Objetivo:

evaluar el grado de concordancia entre el modelo de evaluación del estado nutricional materna propuesto por Rosso-Mardones con el propuesto por Atalah Materiales y

métodos:

estudio de concordancia diagnóstica. Se incluyeron gestantes entre los 19 y 37 años, con una edad gestacional de 10 o más semanas; se excluyeron gestantes con diabetes, enfermedad tiroidea, hipertensión asociada al embarazo, embarazos gemelares, malformaciones fetales graves, muerte fetal e hidrops fetalis. Muestreo no probabilístico. Se midieron las variables sociodemográficas, obstétricas y el estado nutricional. Se calculó el valor de kappa de concordancia entre las dos escalas de evaluación nutricional.

Conclusiones:

las escalas de evaluación nutricional en gestantes, nomograma de Rosso-Mardones y de Atalah, tienen un acuerdo considerable. Se requieren más estudios que evalúen la concordancia entre estas escalas en población gestante.
ABSTRACT
ABSTRACT

Objective:

To assess the degree of agreement between the model for maternal nutritional assessment proposed by Rosso-Mardones and the one proposed by Atalah. Materials and

methods:

Diagnostic agreement study. Pregnant women between the ages of 19 and 37 years with a gestational age of 10 or more weeks were included; patients with diabetes, thyroid disease, pregnancy-associated hypertension, twin pregnancy, severe fetal malformation, fetal death and hydrops fetalis were excluded. Non-probabilistic sampling. Sociodemographic, obstetrical and nutritional status variables were measured.

Results:

Overall, 98 pregnant women were included. With the use of the Rosso-Mardones scale, 33% of the patients were classified as having a normal nutritional status, 22% as low weight, and 44% as overweight or obese. With the Atalah scale, 41% of the women were classified as having a normal nutritional status, 10% as low weight and 48% as overweight or obese. The weighted kappa value was 0.74 with a standard error of 0.04, a 95% CI of 0.66-0.82 and a p value < 0.05.

Conclusions:

There is substantial agreement between nutritional assessment scales used in pregnancy, namely the Rosso-Mardones nomogram and the Atalah scale. Further studies to assess the agreement of these scales in the pregnant population are required.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Prenatal Care Type of study: Prognostic study Limits: Female / Humans / Pregnancy Language: Spanish Journal: Rev. colomb. obstet. ginecol Journal subject: Gynecology / Obstetrics Year: 2020 Type: Article Affiliation country: Colombia Institution/Affiliation country: Clínica La Ermita de Cartagena/CO / Universidad del Magdalena/CO

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Full text: Available Index: LILACS (Americas) Main subject: Prenatal Care Type of study: Prognostic study Limits: Female / Humans / Pregnancy Language: Spanish Journal: Rev. colomb. obstet. ginecol Journal subject: Gynecology / Obstetrics Year: 2020 Type: Article Affiliation country: Colombia Institution/Affiliation country: Clínica La Ermita de Cartagena/CO / Universidad del Magdalena/CO