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Type: Artigo de periódico
Title: Evaluation of the ability of a Latin-American gestational weight curve to predict adverse pregnancy outcomes
Author: Kac, G
Nucci, LB
Spyrides, MHC
Duncan, BB
Schmidt, MI
Abstract: Objective: To assess the accuracy of a Latin-American curve used to predict adverse pregnancy outcomes such as low birth weight (LBW), small for gestational age (SGA), large for gestational age (LGA). Methods: More than 23 000 body mass index (BMI) measurements from 4540 pregnant women participating in a prospective cohort study conducted in 6 Brazilian capitals were analyzed in their relationship to LBW, SGA, LGA, and macrosomia. Analyses were based Oil receiver operating characteristic curves and models for repeated measures. Results: The areas under the curve were less than 0.70 for all outcomes, with low sensitivity and specificity for pregestational BMI (0.54-0.61) and BMI at the last prenatal visit (0.63-0.68). The longitudinal model showed a mean weekly BMI gain of 0.16. Conclusion: The Latin-American curve is inadequate to predict LBW, SGA, and LGA suggesting the need to develop a new approach for the nutritional monitoring of pregnant women. (C) 2009 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Subject: Body mass index
Gestational weight gain
Prenatal care
Country: Irlanda
Editor: Elsevier Ireland Ltd
Citation: International Journal Of Gynecology & Obstetrics. Elsevier Ireland Ltd, v. 106, n. 3, n. 223, n. 226, 2009.
Rights: fechado
Identifier DOI: 10.1016/j.ijgo.2009.04.010
Date Issue: 2009
Appears in Collections:Unicamp - Artigos e Outros Documentos

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