Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/340325
Type: Artigo
Title: How to classify BMI among pregnant adolescents? a prospective cohort
Author: Pinho-Pompeu, Maira
Moraes Paulino, Daiane Sofia
Morals, Sirlei Siani
Crubelatti, Marina Yumi
Pinto e Silva, Joao Luiz
Surita, Fernando Garanhani
Abstract: Pregnancy in adolescence is a global health issue, especially in developing countries. Additionally, the recommended gestational weight gain (GWG) is usually based on pre-pregnancy BMI and that might be complex for pregnant teens. The study objective was to compare three different methods of BMI classification and suggest the best way of determining pre-pregnancy BMI and monitoring GWG among pregnant adolescents. Pre-pregnancy weight, weight at first prenatal visit, height, sociodemographic, reproductive and perinatal data were collected. Weighted kappa and McNemar statistics were used to assess agreement between the classification methods. Prof. Dr Jose Aristodemo Pinotti Women's Hospital, University of Campinas, Brazil. Primiparas younger than 19 years of age and with less than 20 weeks of gestational age (n 150). BMI of the primiparas was determined according to the WHO recommendation for adult women, the Child Growth Standards (CGS) and their gynaecological age (GA). The WHO and GA measurements presented a strong agreement with each other (kappa(w)=0 center dot 99; 95 % CI 0 center dot 97, 1 center dot 00), but did not agree with the CGS classification (kappa(w)=0 center dot 62; 95 % CI 0 center dot 50, 0 center dot 74 by WHO; kappa(w)=0 center dot 62; 95 % CI 0 center dot 51, 0 center dot 74 by GA). Also, inadequate GWG was observed in 72 center dot 2 % of cases and was correlated with a higher rate of caesarean birth. BMI classification according to the CGS differed from WHO and GA. However, CGS and WHO agreed on perinatal outcomes. We recommend using BMI classification by WHO to assess pregnant adolescents, since it is easily applied and better known among health professionals
Subject: Gravidez
Country: Reino Unido
Editor: Cambridge University Press
Rights: Fechado
Identifier DOI: 10.1017/S1368980018002768
Address: https://www.cambridge.org/core/journals/public-health-nutrition/article/how-to-classify-bmi-among-pregnant-adolescents-a-prospective-cohort/82F655EBF90A0436DF8A470713012742
Date Issue: 2019
Appears in Collections:FCM - Artigos e Outros Documentos

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