Damasceno Ana Alice de Araújo, Malta Maíra Barreto, Neves Paulo Augusto Ribeiro, Lourenço Bárbara Hatzlhoffer, Bessa Andréa Ramos da Silva, Rocha Danúzia da Silva, Castro Márcia Caldas de, Cardoso Marly Augusto
Campus Floresta, Universidade Federal do Acre (UFAC). R. Estrada da Canela Fina KM 12 Gleba Formoso, São Francisco. 69895-000 Cruzeiro do Sul AC Brasil.
Faculdade de Saúde Pública, Universidade de São Paulo. São Paulo SP Brasil.
Cien Saude Colet. 2020 Nov;25(11):4583-4592. doi: 10.1590/1413-812320202511.31742018. Epub 2019 Feb 13.
The scope of this study was to investigate the factors associated with blood pressure levels among pregnant women participating in the MINA-Brazil Study, registered in the Family Health Strategy in Cruzeiro do Sul in the Western Brazilian Amazon. Multiple linear regression models were used, adopting a level of significance of 5%. The majority of pregnant participants were less than 24 years of age, 44% were primigravidae, and 59.1% had excessive weekly gestational weight gain. The frequency of hypertension was 0.7%. Factors positively associated with systolic blood pressure levels in pregnancy were pre-pregnancy body mass index (β = 0.984, CI95%: 0.768-1.200), and weekly gestational weight gain (β = 6.816, CI95%: 3.368-10.264). Diastolic blood pressure levels in pregnancy were positively associated with maternal age (β = 0.111, CI95%: 0.002-0.221), maternal schooling (β = 2.194, CI95%: 0.779-3.609), pre-pregnancy body mass index (β = 0.589, CI95%: 0.427-0.751), and weekly gestational weight gain (β = 3.066, CI95%: 0.483-5.650). These findings stress the importance of the role of antenatal care to prevent hypertensive disorders during pregnancy.
本研究的范围是调查参与巴西米纳研究的孕妇的血压水平相关因素，这些孕妇在巴西亚马逊西部南克鲁塞罗市的家庭健康战略中登记。使用了多元线性回归模型，显著性水平为5%。大多数参与研究的孕妇年龄小于24岁，44%为初产妇，59.1%的孕妇每周孕期体重增加过多。高血压发生率为0.7%。与孕期收缩压水平呈正相关的因素有孕前体重指数（β = 0.984，95%置信区间：0.768 - 1.200）和每周孕期体重增加（β = 6.816，95%置信区间：3.368 - 10.264）。孕期舒张压水平与产妇年龄（β = 0.111，95%置信区间：0.002 - 0.221）、产妇受教育程度（β = 2.194，95%置信区间：0.779 - 3.609）、孕前体重指数（β = 0.589，95%置信区间：0.427 - 0.751）和每周孕期体重增加（β = 3.066，95%置信区间：0.483 - 5.650）呈正相关。这些发现强调了产前护理在预防孕期高血压疾病方面的重要作用。
