Department of Obstetrics and Gynecology, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Rev Bras Ginecol Obstet. 2020 Jun;42(6):316-324. doi: 10.1055/s-0040-1712132. Epub 2020 Jun 30.
To evaluate the influence of health-related behaviors including food intake, physical activity, sleep time, smoking habits, stress, depression, and optimism on excessive gestational weight gain (GWG) among women with overweight and obesity.
A cross-sectional study was conducted at the Women's Hospital of the Universidade de Campinas, Campinas, state of São Paulo, Brazil, with 386 mediate postpartum women that fit the inclusion criteria of ≥ 19 years old, first prenatal care visit at or before 14 weeks, and single live baby. Dietary habits, physical exercise practice, sleep duration, smoking and alcohol habits were self-reported. Psychosocial history was evaluated using the Edinburgh Postpartum Depression Scale (EPDS), Perceived Stress Scale (PSS), and Life Orientation Test-Revised (LOT-R). Sociodemographic, obstetric, anthropometric, and neonatal data were retrieved from medical records. Descriptive statistics and stepwise logistic regression were performed.
The prevalence of overweight and obesity was 29.27% and 24.61%, respectively, according to the body mass index (BMI). Excessive GWG was observed in 47.79% of women with overweight and in 45.26% of women with obesity. Excessive GWG among overweight and obese women was associated with inadequate vegetable and bean consumption (odds ratio [OR] = 2.95, 95% confidence interval [CI]: 1.35-6.46 and OR = 1.91; 95%CI: 1.01-3.63, respectively) and stress (OR = 1.63; 95%CI 1.01-2.64). After adjustment by maternal age, multiparity, sleep duration, smoking, and alcohol intake, we found that stress (PSS ≥ 20) was associated with excessive GWG in women with overweight or obesity (OR: 1.75; 95%CI: 1.03-2.96).
Among women with overweight and obesity, stress is the main variable associated with excessive GWG. Inadequate vegetables and beans consumption also showed association with excessive GWG.
评估健康相关行为（包括饮食、体力活动、睡眠时间、吸烟习惯、压力、抑郁和乐观）对超重和肥胖女性妊娠体重过度增加（GWG）的影响。
这是一项在巴西圣保罗坎皮纳斯市坎皮纳斯大学妇女医院进行的横断面研究，纳入了 386 名符合以下条件的产后女性：年龄≥ 19 岁，首次产前检查在 14 周或之前，单胎活产。饮食习惯、体育锻炼情况、睡眠时间、吸烟和饮酒习惯均为自我报告。采用爱丁堡产后抑郁量表（EPDS）、感知压力量表（PSS）和生活取向测试修订版（LOT-R）评估心理社会史。社会人口学、产科、人体测量学和新生儿数据均从病历中提取。采用描述性统计和逐步逻辑回归进行分析。
根据体重指数（BMI），超重和肥胖的患病率分别为 29.27%和 24.61%。超重和肥胖女性中，47.79%和 45.26%发生了 GWG 过度。超重和肥胖女性的 GWG 过度与蔬菜和豆类摄入不足有关（比值比 [OR] = 2.95，95%置信区间 [CI]：1.35-6.46 和 OR = 1.91；95%CI：1.01-3.63），与压力有关（OR = 1.63；95%CI 1.01-2.64）。在校正了母亲年龄、多胎妊娠、睡眠时间、吸烟和饮酒后，我们发现压力（PSS≥20）与超重或肥胖女性的 GWG 过度有关（OR：1.75；95%CI：1.03-2.96）。
在超重和肥胖女性中，压力是与 GWG 过度相关的主要变量。蔬菜和豆类摄入不足也与 GWG 过度有关。
