Title |
Fatores de risco associados à retenção de peso seis meses após o parto
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Published in |
Revista Brasileira de Ginecologia e Obstetrícia, May 2014
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DOI | 10.1590/s0100-7203201400050007 |
Pubmed ID | |
Authors |
Cláudia Machado Coelho Souza de Vasconcelos, Fabrício da Silva Costa, Paulo César de Almeida, Edward Araujo Júnior, Helena Alves de Carvalho Sampaio |
Abstract |
To identify risk factors for weight retention in women after childbirth. This was a prospective observational study that followed for six months adult women who delivered at a tertiary center. Were applied a structured questionnaire before hospital discharge and at six weeks and six months after childbirth, through home visits. The outcome was weight retention after childbirth (if risk >7.5 kg). The variables analyzed were: age, skin color, working during pregnancy, income, education, marital status, age at menarche, maternal age at first birth, parity, mode of delivery, birth interval, pre-pregnancy weight, gestational weight gain, percent body fat, and nutritional status. Data were first analyzed by bivariate analysis between prevalence of weight retention at six months and several covariates (p<0.2). We then calculated the Odds Ratio (OR) and their respective gross confidence intervals of 95% (95%CI) and finally performed multivariate logistic regression to control for confounding factors and to estimate the OR and 95%CI. The frequency of weight retention >7.5 kg by 6 months after delivery was 15%. In bivariate analysis, weight retention was associated with the following variables: age at menarche <12 years (OR=3.7; 95%CI1.1-13.2), gestational weight gain ≥16 kg (OR=5.8; 95%CI 1.8-18.6), percent body fat at baseline >30% (OR=5.0; 95%CI 1.1-23.6), and nutritional status by 6 weeks postpartum >25 kg/m2 (OR=7.7; 95%CI1.6-36.1). In multivariate analysis, only excessive gestational weight gain (OR=74.1; 95%CI 9.0-609.6) remained as a risk factor. Excessive weight gain during pregnancy should receive special attention in prenatal care in view of its association with weight retention and excess weight in women after childbirth. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 21 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 2 | 10% |
Student > Doctoral Student | 1 | 5% |
Other | 1 | 5% |
Student > Ph. D. Student | 1 | 5% |
Student > Master | 1 | 5% |
Other | 3 | 14% |
Unknown | 12 | 57% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 5 | 24% |
Nursing and Health Professions | 2 | 10% |
Biochemistry, Genetics and Molecular Biology | 1 | 5% |
Unknown | 13 | 62% |