A systematic review and meta-analysis of gestational weight gain recommendations and related outcomes in Brazil
Clinics
;
70(11): 758-764, Nov. 2015. tab, graf
Artículo
en Inglés
| LILACS
| ID: lil-766150
ABSTRACT
Worldwide, different guidelines are used to assess the adequacy of gestational weight gain. This study identified the recommendations for gestational weight gain in Brazilian women. We also determined the proportion of women with adequate weight gain in accordance with these recommendations and the associated perinatal outcomes. A systematic review was performed. A computerized search was conducted utilizing the following databases PubMed, MEDLINE, Web of Science, Embase, SciELO and Google Scholar. Observational studies of healthy, Brazilian, pregnant women were included. Studies were excluded if they did not provide pregestational weight and gestational weight gain or if they studied women with comorbid conditions. A meta-analysis was performed to evaluate the odds ratio of inadequate (insufficient or excessive) gestational weight gain. Seventeen studies were included in the systematic review and four studies were included in the meta-analysis. The most widely used recommendations were from the Institute of Medicine. Excessive gestational weight gain was associated with fetal macrosomia and high rates of cesarean delivery. Overweight women had a higher risk of excessive gestational weight gain than eutrophic women (OR=2.80, 95%CI=2.22-3.53). There are no standardized recommendations concerning gestational weight gain based on Brazilian population-based data. Many Brazilian women are overweight or obese at the beginning of pregnancy. Overweight pregnant women have a higher risk of excessive gestational weight gain. Excessive gestational weight gain was associated with cesarean delivery and fetal macrosomia.
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Índice:
LILACS (Américas)
Asunto principal:
Complicaciones del Embarazo
/
Aumento de Peso
/
Guías como Asunto
/
Obesidad
Tipo de estudio:
Estudio de etiología
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Guía de Práctica Clínica
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Estudio observacional
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Revisiones Sistemáticas Evaluadas
Límite:
Femenino
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Humanos
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Embarazo
País/Región como asunto:
America del Sur
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Brasil
Idioma:
Inglés
Revista:
Clinics
Asunto de la revista:
Medicina
Año:
2015
Tipo del documento:
Artículo
/
Documento de proyecto
País de afiliación:
Brasil
Institución/País de afiliación:
Universidade Estadual de Campinas (UNICAMP)/BR
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