Atalah E, Castillo C, Gómez C, Mateluna A, Urteaga C, Castro R, Riumalló J
Departamento de Nutrición, Universidad de Chile, Santiago.
Rev Med Chil. 1995 Dec;123(12):1531-8.
The aim of this work was to compare the nutritional classification of pregnant women and their predictive value for low birth weight, using the criteria of the Ministry of Health (Rosso-Mardones curves) with the curves developed at the Department of Nutrition of the Faculty of Medicine and the body mass index. One thousand eight hundred four pregnant women of the Metropolitan Region, that were devoid of factors affecting birth weight, were studied retrospectively. Initial and final nutritional status was calculated according to the three criteria in study. Results showed that 47 to 75% of women classified as undernourished using Rosso-Mardones curves, were normal according to the curves of the Department of Nutrition and body mass index. Rosso-Mardones curves had the lower predictive value, relative risk and risk attributable to maternal nutritional deficit, for low birth weight. Also these curves showed a higher of obesity and a low predictive value for macrosomia. It is concluded that the curves used by the Ministry of Health must be revised.
这项工作的目的是使用卫生部的标准（罗索 - 马尔多内斯曲线）与医学院营养系制定的曲线以及体重指数，比较孕妇的营养分类及其对低出生体重的预测价值。对首都地区1804名无影响出生体重因素的孕妇进行了回顾性研究。根据研究中的三个标准计算初始和最终营养状况。结果显示，按照罗索 - 马尔多内斯曲线分类为营养不良的女性中，有47%至75%根据营养系曲线和体重指数属于正常。罗索 - 马尔多内斯曲线对低出生体重的预测价值、相对风险和归因于母亲营养不足的风险较低。此外，这些曲线显示出较高的肥胖率以及对巨大儿的低预测价值。结论是卫生部使用的曲线必须修订。
