Maternal anthropometry: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982-2015

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art_HORTA_Maternal_anthropometry_trends_and_inequalities_in_four_populationbased_2019.PDF (438.06 KB)
Citações na Scopus
21
Tipo de produção
article
Data de publicação
2019
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
OXFORD UNIV PRESS
Autores
HORTA, Bernardo L.
BARROS, Fernando C.
LIMA, Natalia P.
ASSUNCAO, Maria C. F.
SANTOS, Ina S.
DOMINGUES, Marlos R.
VICTORA, Cesar G.
BARROS, Aluisio J. D.
MENEZES, Ana M. B.
Citação
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, v.48, suppl.1, p.i26-i36, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background Pre-pregnancy nutritional status and weight gain during pregnancy have short- and long-term consequences for the health of women and children. This study was aimed at evaluating maternal height,- and overweight or obesity at the beginning of the pregnancy and gestational weight gain, according to socioeconomic status and maternal skin colour of mothers in Pelotas, a southern Brazilian city, in 1982, 1993, 2004 and 2015. Methods In 1982, 1993, 2004 and 2015, the maternity hospitals in Pelotas were visited daily, all deliveries were identified and mothers who lived in the urban area of the city were interviewed. Maternal weight at the beginning of the pregnancy was self-reported by the mother or obtained from the antenatal card. Maternal height was collected from the maternity records or measured by the research team. Overweight or obesity was defined by a body mass index 25kg/m(2). Gestational weight gain was evaluated according to the Institute of Medicine guidelines. Results In the four cohorts, we evaluated 19931 women. From 1982 to 2015, the prevalence of overweight or obesity at the beginning of the pregnancy increased from 22.1% to 47.0% and height increased by an average of 5.2cm, whereas gestational weight gain did not change. Socioeconomic status was positively associated with maternal height, and the difference between the poorest and the wealthiest decreased. Overweight or obesity was lower among those mothers in the extreme categories of family income. Conclusions Over the 33-year span, mothers were taller at the beginning of the pregnancy, but the prevalence of overweight or obesity more than doubled.
Palavras-chave
Nutritional status, anthropometry, maternal health, pregnancy, socioeconomic factors, cohort studies
URI
https://observatorio.fm.usp.br/handle/OPI/32515
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MPR
Artigos e Materiais de Revistas Científicas - LIM/39
Artigos e Materiais de Revistas Científicas - ODS/01
Artigos e Materiais de Revistas Científicas - ODS/03