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
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 ymétodos:
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 andmethods:
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.
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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