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3101MCID_676f0864c607f4e5e90aa5d6 39227805 Leticia Falcao de Carvalho[author] Falcao De Carvalho, Leticia[Full Author Name] OR De Carvalho, Leticia Falcao[Full Author Name] falcao de carvalho, leticia[Author] OR de carvalho, leticia falcao[Author] trying2...
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1471-23932412024Sep03BMC pregnancy and childbirthBMC Pregnancy ChildbirthPredictors of inadequate gestational weight gain according to iom recommendations and intergrowth-21st standards: the araraquara cohort study.57957957910.1186/s12884-024-06749-9Gestational weight gain (GWG) is a critical factor for maternal and fetal health.To identify maternal predictors of inadequate GWG according to the 2009 Institute of Medicine (IOM) recommendations and Intergrowth-21st standards.A prospective epidemiological cohort study conducted from 2017 to 2023 in southeastern Brazil assessed 1,557 women at three different stages of pregnancy (≤ 18, 20-26, and 30-36 weeks of gestation) and at delivery. Sociodemographic, obstetric, lifestyle, nutritional, and maternal morbidity characteristics were collected, along with biochemical parameters.Among the participants, 38.7% had GWG above IOM recommendations, while 67.5% had GWG above the Intergrowth-21st standards. Multinomial logistic regression analysis showed that women with pre-pregnancy obesity and women with the highest body fat percentage had, respectively, a 95% (OR = 1.95; 95% CI: 1.08-3.51) and 1% (OR = 1.01; 95% CI: 1.01-1.05) higher chance of GWG above IOM recommendations. Pregnant women in the lowest tertile of height, smokers, number of previous pregnancies, and women living in crowded homes had, respectively, a 57% (OR = 0.57; 95% CI: 0.41-0.80), 36% (OR = 0.64; 95% CI: 0.37-0.86), 35% (OR = 0.65; 95% CI: 0.43-0.97), and 14% (OR = 0.86; 95% CI: 0.59-0.86) lower chance of GWG above IOM recommendations. Women with diabetes were 2.53 times more likely (OR = 2.53; 95% CI: 1.32-4.83) to have GWG below IOM recommendations. Using the Intergrowth-21st standards, women with the highest body fat percentage had a 12% (OR = 1.12; 95% CI: 1.02-1.24) higher chance of GWG above the 90th percentile. Pregnant women in the lowest tertile of height were 2.82 times more likely (OR = 2.82; 95% CI: 1.08-8.13) and women with the lowest hemoglobin concentrations had a 41% lower chance (OR = 0.59; 95% CI: 0.39-0.88) of having GWG below the 10th percentile. While both guidelines identified body fat percentage and pre-pregnancy obesity as significant predictors of excessive GWG, the Intergrowth-21st standards captured a higher percentage of women exceeding GWG limits.The findings underscore the importance of comparing two instruments for assessing the adequacy of GWG. The IOM and Intergrowth-21st standards provide complementary insights, which can help implement targeted interventions for specific groups of women based on their nutritional and socioeconomic status, lifestyle, and obstetric factors to prevent pregnancy-related complications.© 2024. The Author(s).VictorAudêncioA0000-0002-8161-3639Public Health Postgraduate Program, School of Public Health, University of São Paulo, São Paulo, SP, Brazil. audenciovictor@gmail.com.Nutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil. audenciovictor@gmail.com.de França da Silva TelesLaíslaLNutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.de CarvalhoLeticia FalcãoLFNutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.BiagioLeonardo DomingosLDNutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.ArgentatoPerla PizziPPNutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.LuziaLiania ALANutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.RondóPatrícia H CPHCPublic Health Postgraduate Program, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.Nutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.engJournal Article20240903
EnglandBMC Pregnancy Childbirth1009677991471-2393IMHumansFemalePregnancyGestational Weight GainAdultNational Academies of Science, Engineering, and Medicine, U.S., Health and Medicine DivisionProspective StudiesBrazilepidemiologyYoung AdultUnited StatesCohort StudiesPregnancy ComplicationsepidemiologyObesityepidemiologyBody Mass IndexCohort studyGestational weight gainIOM recommendationsIntergrowth-21st standardsPredictorsThe authors declare no competing interests.2024419202489202494642202494122024932347202493epublish39227805PMC1137334610.1186/s12884-024-06749-910.1186/s12884-024-06749-9Poston L, Caleyachetty R, Cnattingius S, Corvalán C, Uauy R, Herring S, et al. Preconceptional and maternal obesity: epidemiology and health consequences. Lancet Diabetes Endocrinol. 2016;4:1025–36. 10.1016/S2213-8587(16)30217-010.1016/S2213-8587(16)30217-027743975Henriksson P, Sandborg J, Blomberg M, Nowicka P, Petersson K, Bendtsen M, et al. 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2056-46942024May17BJPsych bulletinBJPsych BullFactors associated with domestic violence in pregnant women during the COVID-19 pandemic: Araraquara Cohort study.171-710.1192/bjb.2024.43This cross-sectional study, carried out from 2021 to 2022, investigated the factors associated with domestic violence in 400 Brazilian pregnant women during the COVID-19 pandemic. Violence was assessed with the World Health Organization's Violence Against Women questionnaire and the Abuse Assessment Screen. Demographic, socioeconomic, obstetric, lifestyle and mental health data were collected.Violence at any time in their lives was reported by 52.2% of the women, and psychological violence was the most prevalent type (19.5%). Violence was associated with being single and mental health changes. Pregnant women exposed to any lifetime violence and psychological violence were, respectively, 4.67 and 5.93 times more likely to show mental health changes compared with women with no reported violence.Training health professionals involved in prenatal care in the early detection of single women and women with mental health changes could be important in preventing domestic violence.BiagioLeonardo DomingosLDSchool of Public Health, University of São Paulo, Brazil.DevakumarDelanjathanDInstitute for Global Health, University College London, UK.Falcão de CarvalhoLeticiaLSchool of Public Health, University of São Paulo, Brazil.Pinheiro de CastroNatáliaNSchool of Public Health, University of São Paulo, Brazil.LópezRossana Verónica MendozaRVMSão Paulo State Cancer Institute (ICESP), Brazil.LuziaLiania AlvesLASchool of Public Health, University of São Paulo, Brazil.Pizzi ArgentatoPerlaPSchool of Public Health, University of São Paulo, Brazil.RondóPatrícia Helen CarvalhoPHC0000-0002-8308-6393School of Public Health, University of São Paulo, Brazil.engMRC_Medical Research CouncilUnited KingdomJournal Article20240517
EnglandBJPsych Bull1016509502056-4694COVID-19Domestic violencemental healthpandemicpregnant women202451764320245176432024517433aheadofprint3875719810.1192/bjb.2024.43S2056469424000433386646582024042620240428
1471-23932412024Apr25BMC pregnancy and childbirthBMC Pregnancy ChildbirthThe impact of gestational weight gain on fetal and neonatal outcomes: the Araraquara Cohort Study.32032032010.1186/s12884-024-06523-xGestational weight gain (GWG) is an important indicator for monitoring maternal and fetal health.To evaluate the effect of GWG outside the recommendations of the Institute of Medicine (IOM) on fetal and neonatal outcomes.A prospective cohort study with 1642 pregnant women selected from 2017 to 2023, with gestational age ≤ 18 weeks and followed until delivery in the city of Araraquara, Southeast Brazil. The relationship between IOM-recommended GWG and fetal outcomes (abdominal subcutaneous tissue thickness, arm and thigh subcutaneous tissue area and intrauterine growth restriction) and neonatal outcomes (percentage of fat mass, fat-free mass, birth weight and length, ponderal index, weight adequateness for gestational age by the Intergrowth curve, prematurity, and Apgar score) were investigated. Generalized Estimating Equations were used.GWG below the IOM recommendations was associated with increased risks of intrauterine growth restriction (IUGR) (aOR 1.61; 95% CI: 1.14-2.27), low birth weight (aOR 2.44; 95% CI: 1.85-3.21), and prematurity (aOR 2.35; 95% CI: 1.81-3.05), and lower chance of being Large for Gestational Age (LGA) (aOR 0.38; 95% CI: 0.28-0.54), with smaller arm subcutaneous tissue area (AST) (-7.99 g; 95% CI: -8.97 to -7.02), birth length (-0.76 cm; 95% CI: -1.03 to -0.49), and neonatal fat mass percentage (-0.85%; 95% CI: -1.12 to -0.58). Conversely, exceeding GWG guidelines increased the likelihood of LGA (aOR 1.53; 95% CI: 1.20-1.96), with lower 5th-minute Apgar score (aOR 0.42; 95% CI: 0.20-0.87), and increased birth weight (90.14 g; 95% CI: 53.30 to 126.99).Adherence to GWG recommendations is crucial, with deviations negatively impacting fetal health. Effective weight control strategies are imperative.© 2024. The Author(s).VictorAudêncioA0000-0002-8161-3639Public Health Postgraduate Program, School of Public Health, University of São Paulo, São Paulo, SP, Brazil. Audenciovictor@gmail.com.Nutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil. Audenciovictor@gmail.com.Faculdade de Saúde Pública- USP, Avenida Doutor Arnaldo, 715 - São Paulo, São Paulo, Brazil. Audenciovictor@gmail.com.de França da Silva TelesLaíslaLNutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.AiresIsabel OliveiraIONutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.de CarvalhoLeticia FalcãoLFNutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.LuziaLiania ALANutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.ArtesRinaldoRInsper - Institute of Education and Research, São Paulo, Brazil.RondóPatrícia HPHPublic Health Postgraduate Program, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.Nutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil.engJournal Article20240425
EnglandBMC Pregnancy Childbirth1009677991471-2393IMHumansFemalePregnancyGestational Weight GainAdultInfant, NewbornProspective StudiesBrazilepidemiologyFetal Growth RetardationepidemiologyPregnancy OutcomeepidemiologyBirth WeightInfant, Low Birth WeightPremature BirthepidemiologyYoung AdultCohort StudiesGestational AgeCohort studyFetal outcomesGestational weight gainIntrauterine growth restrictionNeonatal outcomesPregnancyThe authors declare no competing interests.202411202441620244267252024426052202442523462024425epublish38664658PMC1104438210.1186/s12884-024-06523-x10.1186/s12884-024-06523-xChampion ML, Harper LM. Gestational weight gain: update on outcomes and interventions. Curr Diab Rep. 2020;20:11. doi: 10.1007/s11892-020-1296-1.10.1007/s11892-020-1296-132108283Gesche J, Nilas L. Pregnancy outcome according to pre-pregnancy body mass index and gestational weight gain. 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Inadequate maternal weight gain in the third trimester increases the risk of intrauterine growth restriction in rural Bangladesh. PLoS ONE. 2019;14:e0212116. doi: 10.1371/journal.pone.0212116.10.1371/journal.pone.0212116PMC636831530735555Wang L, Zhang X, Chen T, Tao J, Gao Y, Cai L, et al. Association of Gestational Weight Gain with Infant Morbidity and Mortality in the United States. JAMA Netw Open. 2021;4:e2141498. doi: 10.1001/jamanetworkopen.2021.41498.10.1001/jamanetworkopen.2021.41498PMC871924634967878Davis RR, Hofferth SL, Shenassa ED. Gestational weight gain and risk of infant death in the United States. Am J Public Health. 2014;104(Suppl 1):S90–5. doi: 10.2105/AJPH.2013.301425.10.2105/AJPH.2013.301425PMC401110124354832Truong YN, Yee LM, Caughey AB, Cheng YW. Weight gain in pregnancy: does the Institute of Medicine have it right? Am J Obstet Gynecol. 2015;212:362.e1-362.e8.25725659Cantor AG, Jungbauer RM, McDonagh M, Blazina I, Marshall NE, Weeks C, et al. Counseling and behavioral interventions for healthy weight and weight gain in pregnancy: evidence report and systematic review for the US Preventive Services Task Force. JAMA. 2021;325:2094–109. doi: 10.1001/jama.2021.4230.10.1001/jama.2021.423034032824Voerman E, Santos S, Patro Golab B, Amiano P, Ballester F, Barros H, et al. Maternal body mass index, gestational weight gain, and the risk of overweight and obesity across childhood: an individual participant data meta-analysis. PLoS Med. 2019;16:e1002744. doi: 10.1371/journal.pmed.1002744.10.1371/journal.pmed.1002744PMC637018430742624Aung W, Saw L, Sweet L. An integrative review of interventions for limiting gestational weight gain in pregnant women who are overweight or obese. Women Birth. 2022;35:108–26. doi: 10.1016/j.wombi.2021.04.009.10.1016/j.wombi.2021.04.00933958291WHO WHO. Physical status: the use and interpretation of anthropometry. Geneva; 1995.Stirnemann J, Villar J, Salomon LJ, Ohuma E, Ruyan P, Altman DG. 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JAMA. 2017;317:2207. doi: 10.1001/jama.2017.3635.10.1001/jama.2017.3635PMC581505628586887Langley-Evans SC, Pearce J, Ellis S. Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: a narrative review. J Hum Nutr Diet. 2022;35:250–64. doi: 10.1111/jhn.12999.10.1111/jhn.12999PMC931141435239212Liu X, Wang H, Yang L, Zhao M, Magnussen CG, Xi B. Associations between Gestational Weight Gain and adverse birth outcomes: a Population-based Retrospective Cohort Study of 9 million mother-infant pairs. Front Nutr. 2022;9.PMC888272935237640Godoy AC, do Nascimento SL, Surita FG. A systematic review and meta-analysis of gestational weight gain recommendations and related outcomes in Brazil. Clinics. 2015;70:758–64. doi: 10.6061/clinics/2015(11)08.10.6061/clinics/2015(11)08PMC464249126602524Chiavaroli V, Hopkins SA, Biggs JB, Rodrigues RO, Seneviratne SN, Baldi JC, et al. The associations between maternal BMI and gestational weight gain and health outcomes in offspring at age 1 and 7 years. Sci Rep. 2021;11:20865. doi: 10.1038/s41598-021-99869-7.10.1038/s41598-021-99869-7PMC853105334675369Athukorala C, Rumbold AR, Willson KJ, Crowther CA. The risk of adverse pregnancy outcomes in women who are overweight or obese. BMC Pregnancy Childbirth. 2010;10:56. doi: 10.1186/1471-2393-10-56.10.1186/1471-2393-10-56PMC294978720849609Haugen M, Brantsæter AL, Winkvist A, Lissner L, Alexander J, Oftedal B, et al. Associations of pre-pregnancy body mass index and gestational weight gain with pregnancy outcome and postpartum weight retention: a prospective observational cohort study. BMC Pregnancy Childbirth. 2014;14:201. doi: 10.1186/1471-2393-14-201.10.1186/1471-2393-14-201PMC406290424917037Chowdhury R, ▪ N, Choudhary TS, Dhabhai N, Mittal P, Dewan R et al. Gestational weight gain and pregnancy outcomes: findings from north Indian pregnancy cohort. 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Publications by Leticia Falcao de Carvalho | LitMetric
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Publications by authors named "Leticia Falcao de Carvalho"

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Predictors of inadequate gestational weight gain according to iom recommendations and intergrowth-21st standards: the araraquara cohort study.
Audêncio Victor Laísla de França da Silva Teles Leticia Falcão de Carvalho Leonardo Domingos Biagio Perla Pizzi Argentato

BMC Pregnancy Childbirth

September 2024

Background: Gestational weight gain (GWG) is a critical factor for maternal and fetal health.

Objective: To identify maternal predictors of inadequate GWG according to the 2009 Institute of Medicine (IOM) recommendations and Intergrowth-21st standards.

Methods: A prospective epidemiological cohort study conducted from 2017 to 2023 in southeastern Brazil assessed 1,557 women at three different stages of pregnancy (≤ 18, 20-26, and 30-36 weeks of gestation) and at delivery.

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Factors associated with domestic violence in pregnant women during the COVID-19 pandemic: Araraquara Cohort study.
Leonardo Domingos Biagio Delanjathan Devakumar Leticia Falcão de Carvalho Natália Pinheiro de Castro Rossana Verónica Mendoza López Patrícia Helen Carvalho Rondó

BJPsych Bull

May 2024

Aims And Method: This cross-sectional study, carried out from 2021 to 2022, investigated the factors associated with domestic violence in 400 Brazilian pregnant women during the COVID-19 pandemic. Violence was assessed with the World Health Organization's Violence Against Women questionnaire and the Abuse Assessment Screen. Demographic, socioeconomic, obstetric, lifestyle and mental health data were collected.

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The impact of gestational weight gain on fetal and neonatal outcomes: the Araraquara Cohort Study.
Audêncio Victor Laísla de França da Silva Teles Isabel Oliveira Aires Leticia Falcão de Carvalho Liania A Luzia

BMC Pregnancy Childbirth

April 2024

Background: Gestational weight gain (GWG) is an important indicator for monitoring maternal and fetal health.

Objective: To evaluate the effect of GWG outside the recommendations of the Institute of Medicine (IOM) on fetal and neonatal outcomes.

Study Design: A prospective cohort study with 1642 pregnant women selected from 2017 to 2023, with gestational age ≤ 18 weeks and followed until delivery in the city of Araraquara, Southeast Brazil.

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