Garmendia Maria Luisa, Mondschein Susana, Matus Omar, Murrugarra Ruth, Uauy Ricardo
a Institute of Nutrition and Food Technology , University of Chile , Santiago , Chile.
b Facultad de Ingeniería y Ciencias , Universidad Adolfo Ibañez , Santiago , Chile.
Health Care Women Int. 2017 Aug;38(8):892-904. doi: 10.1080/07399332.2017.1332627. Epub 2017 May 19.
We identified factors associated with gestational weight gain (GWG) in 1,654 Chilean pregnant women with full-term pregnancies. At baseline, we collected information about sociodemographic, gyneco-obstetric, anthropometric, and health-care-related factors. We found that prepregnancy nutritional body mass index was the most important factor related to GWG above recommendations (overweight: ratio of relative risks [RRR] = 2.31, 95% confidence interval [CI, 1.73, 3.09] and obesity: RRR = 2.90, 95% CI [2.08, 4.03]). We believe that women who are overweight/obese at the beginning of pregnancy should be identified because of their higher risk, and that adequate strategies should be designed and implemented to help them achieve a healthy GWG.
我们在1654名足月妊娠的智利孕妇中确定了与孕期体重增加(GWG)相关的因素。在基线时,我们收集了有关社会人口统计学、妇产科、人体测量学和医疗保健相关因素的信息。我们发现,孕前营养体重指数是与高于推荐值的GWG相关的最重要因素(超重:相对风险比[RRR]=2.31,95%置信区间[CI,1.73,3.09];肥胖:RRR=2.90,95%CI[2.08,4.03])。我们认为,由于超重/肥胖孕妇在怀孕初期风险较高,应识别出她们,并应设计和实施适当的策略来帮助她们实现健康的GWG。