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
Artigo
em Inglês
| 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)
Assunto principal:
Complicações na Gravidez
/
Aumento de Peso
/
Guias como Assunto
/
Obesidade
Tipo de estudo:
Estudo de etiologia
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Guia de Prática Clínica
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Estudo observacional
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Revisões Sistemáticas Avaliadas
Limite:
Feminino
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Humanos
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Gravidez
País/Região como assunto:
América do Sul
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Brasil
Idioma:
Inglês
Revista:
Clinics
Assunto da revista:
Medicina
Ano de publicação:
2015
Tipo de documento:
Artigo
/
Documento de projeto
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Estadual de Campinas (UNICAMP)/BR
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