Influencia combinada del índice de masa corporal pregestacional y de la ganancia de peso en el embarazo sobre el crecimiento fetal

Background: The Chilean Ministry of Health has been using standards for nutritional evaluation and weight gain recommendations during pregnancy in the last 25 years. In the meantime new standards have been developed. Aim: To study the combined infl uence of preconception maternal nutritional status...

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Autores principales: Mardones,Francisco, García-Huidobro,Trinidad, Ralph,Constanza, Farías,Marcelo, Domínguez,Angélica, Rojas,Iván, Urrutia,M. Teresa
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2011
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000600003
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spelling oai:scielo:S0034-988720110006000032011-09-14Influencia combinada del índice de masa corporal pregestacional y de la ganancia de peso en el embarazo sobre el crecimiento fetalMardones,FranciscoGarcía-Huidobro,TrinidadRalph,ConstanzaFarías,MarceloDomínguez,AngélicaRojas,IvánUrrutia,M. Teresa Birth weight Cesarean section Prenatal nutritional physiological phenomena Background: The Chilean Ministry of Health has been using standards for nutritional evaluation and weight gain recommendations during pregnancy in the last 25 years. In the meantime new standards have been developed. Aim: To study the combined infl uence of preconception maternal nutritional status and gestational weight gain, using new standards to classify those parameters, on perinatal outcomes. Material and Meihods: A cohort of 11,465 healthy pregnant women was prospectively followed until term. Their pre-gestational nutritional status was classified using the body mass Índex cut-offs in use in the United States (USA). Their gestational weight gain was classified using categories proposed in a Danish study. Perinatal outcomes included were risky birth weight, i.e. < 3000 g and &#8805; 4000 g, and cesarean delivery. Relative risks for those perinatal outcomes were calculated for all combined categories of pre-gestational nutritional status and gestational weight gain. Results: Relative risks of almost all gestational weight gain results were statistically significant for women having a normal pre-gestational nutritional status meanwhile all of them were not significant for underweight women. Overweight and obese women had similar relative risks valúes as normal women. However, many of them were not significant, especially in obese women. Conclusions: There is an independent and combined infl uence of preconception nutritional status and gestational weight gain on perinatal outcomes, when using standards to classify those parameters developed in the USA and Denmark, respectively.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.6 20112011-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000600003es10.4067/S0034-98872011000600003
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Birth weight
Cesarean section
Prenatal nutritional physiological phenomena
spellingShingle Birth weight
Cesarean section
Prenatal nutritional physiological phenomena
Mardones,Francisco
García-Huidobro,Trinidad
Ralph,Constanza
Farías,Marcelo
Domínguez,Angélica
Rojas,Iván
Urrutia,M. Teresa
Influencia combinada del índice de masa corporal pregestacional y de la ganancia de peso en el embarazo sobre el crecimiento fetal
description Background: The Chilean Ministry of Health has been using standards for nutritional evaluation and weight gain recommendations during pregnancy in the last 25 years. In the meantime new standards have been developed. Aim: To study the combined infl uence of preconception maternal nutritional status and gestational weight gain, using new standards to classify those parameters, on perinatal outcomes. Material and Meihods: A cohort of 11,465 healthy pregnant women was prospectively followed until term. Their pre-gestational nutritional status was classified using the body mass Índex cut-offs in use in the United States (USA). Their gestational weight gain was classified using categories proposed in a Danish study. Perinatal outcomes included were risky birth weight, i.e. < 3000 g and &#8805; 4000 g, and cesarean delivery. Relative risks for those perinatal outcomes were calculated for all combined categories of pre-gestational nutritional status and gestational weight gain. Results: Relative risks of almost all gestational weight gain results were statistically significant for women having a normal pre-gestational nutritional status meanwhile all of them were not significant for underweight women. Overweight and obese women had similar relative risks valúes as normal women. However, many of them were not significant, especially in obese women. Conclusions: There is an independent and combined infl uence of preconception nutritional status and gestational weight gain on perinatal outcomes, when using standards to classify those parameters developed in the USA and Denmark, respectively.
author Mardones,Francisco
García-Huidobro,Trinidad
Ralph,Constanza
Farías,Marcelo
Domínguez,Angélica
Rojas,Iván
Urrutia,M. Teresa
author_facet Mardones,Francisco
García-Huidobro,Trinidad
Ralph,Constanza
Farías,Marcelo
Domínguez,Angélica
Rojas,Iván
Urrutia,M. Teresa
author_sort Mardones,Francisco
title Influencia combinada del índice de masa corporal pregestacional y de la ganancia de peso en el embarazo sobre el crecimiento fetal
title_short Influencia combinada del índice de masa corporal pregestacional y de la ganancia de peso en el embarazo sobre el crecimiento fetal
title_full Influencia combinada del índice de masa corporal pregestacional y de la ganancia de peso en el embarazo sobre el crecimiento fetal
title_fullStr Influencia combinada del índice de masa corporal pregestacional y de la ganancia de peso en el embarazo sobre el crecimiento fetal
title_full_unstemmed Influencia combinada del índice de masa corporal pregestacional y de la ganancia de peso en el embarazo sobre el crecimiento fetal
title_sort influencia combinada del índice de masa corporal pregestacional y de la ganancia de peso en el embarazo sobre el crecimiento fetal
publisher Sociedad Médica de Santiago
publishDate 2011
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000600003
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