Child and Adolescent Health, Federal University of Minas Gerais, Faculdade de Medicina/UFMG, Belo Horizonte, MG, Brazil.
Nutrition Departament, Federal University of Minas Gerais, Escola de Enfermagem/UFMG, Belo Horizonte, MG, Brazil.
Rev Bras Ginecol Obstet. 2022 May;44(5):540-547. doi: 10.1055/s-0042-1744290. Epub 2022 Apr 28.
The present systematic review (PROSPERO: CRD42020148630) hypothesizes the association of excessive weight gain during pregnancy with dietary patterns composed of ultraprocessed foods. Thus, the objective was to investigate the association between dietary patterns after analysis and weight gain during pregnancy. The search for articles was performed in nine databases. Two reviewers selected the articles in the databases and extracted from them the data used in the review. Two scales were used to evaluate the quality of the selected studies: New Castle-Ottawa Quality Assessment for cohort-based studies and Appraisal tool for Cross-Sectional Studies (AXIS) for cross-sectional-based studies. In total, 11 studies were identified with sample size variation ( = 173-5,733). Women presenting more adherence to healthy and traditional patterns (fruits, vegetables, salads, nuts, and dairy) recorded less excessive gestational weight gain (GWG). Higher intake of mixed patterns and western patterns rich in ultraprocessed foods were associated with a higher prevalence of excessive GWG (24.48-55.20%). Gestational dietary patterns a posterioriderived that have presented ultraprocessed components rich in fat and sugars presented association with high GWG; healthy and traditional dietary patterns were related to better mother-child health conditions, such as adequate GWG.
本系统评价（PROSPERO：CRD42020148630）假设怀孕期间体重过度增加与由超加工食品组成的饮食模式有关。因此，本研究的目的是调查分析后的饮食模式与怀孕期间体重增加之间的关系。文章检索在九个数据库中进行。两位评审员从数据库中选择文章，并从中提取用于综述的数据。使用两种量表来评估所选研究的质量：基于队列研究的纽卡斯尔-渥太华质量评估量表和基于横断面研究的评估工具（AXIS）。共确定了 11 项具有样本量变化（n=173-5733）的研究。那些更遵循健康和传统饮食模式（水果、蔬菜、沙拉、坚果和乳制品）的女性记录的孕期体重过度增加（GWG）较少。摄入更多混合模式和富含超加工食品的西式模式与较高的 GWG 发生率（24.48-55.20%）相关。由此得出的孕期饮食模式与富含脂肪和糖的超加工成分有关，与高 GWG 有关；健康和传统的饮食模式与更好的母婴健康状况有关，如适当的 GWG。
