Inadequacy of gestational weight gain during high-risk pregnancies is not associated with household food insecurity
Background Inadequate gestational weight gain (GWG) is associated with adverse outcomes in maternal and child health and can be enhanced by social inequalities, such as lower education and household food insecurity (HFI). Women are more vulnerable to HFI, which has been associated with negative heal...
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| description | Background Inadequate gestational weight gain (GWG) is associated with adverse outcomes in maternal and child health and can be enhanced by social inequalities, such as lower education and household food insecurity (HFI). Women are more vulnerable to HFI, which has been associated with negative health effects for pregnant women during the prenatal and puerperal periods, particularly in regard to the aggravation of pregnancy risks. This study investigated the association between sociodemographic characteristics and HFI with respect to adequacy of total GWG among women with high-risk pregnancies. Methods This was a prospective cohort study that evaluated the total GWG of 169 pregnant women. The women were seen at a public university hospital in the metropolitan region of Rio de Janeiro (Brazil). Their sociodemographic and gestational characteristics and the Brazilian Scale of Domestic Food Insecurity were investigated. To estimate the total GWG, the difference between the patient weight at the last prenatal visit and the initial patient weight was verified, with both collected from the medical records of the pregnant women. The classification of the total GWG considered the recommendations of the Institute of Medicine (IOM) (2009). A multinomial logistic regression model assessed the risk (odds ratio; OR) and confidence intervals (CI 95%)) of insufficient and excessive GWG with exposure to HFI and other covariates (p value |
| doi_str_mv | 10.1186/s12884-021-03950-y |
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Women are more vulnerable to HFI, which has been associated with negative health effects for pregnant women during the prenatal and puerperal periods, particularly in regard to the aggravation of pregnancy risks. This study investigated the association between sociodemographic characteristics and HFI with respect to adequacy of total GWG among women with high-risk pregnancies. Methods This was a prospective cohort study that evaluated the total GWG of 169 pregnant women. The women were seen at a public university hospital in the metropolitan region of Rio de Janeiro (Brazil). Their sociodemographic and gestational characteristics and the Brazilian Scale of Domestic Food Insecurity were investigated. To estimate the total GWG, the difference between the patient weight at the last prenatal visit and the initial patient weight was verified, with both collected from the medical records of the pregnant women. The classification of the total GWG considered the recommendations of the Institute of Medicine (IOM) (2009). A multinomial logistic regression model assessed the risk (odds ratio; OR) and confidence intervals (CI 95%)) of insufficient and excessive GWG with exposure to HFI and other covariates (p value <0.05). Results Insufficient and excessive GWG were observed in 27.8% and 47.9% of the pregnant women, respectively. More than half of the women (74.6%) had a high education level. Exposure to mild HFI occurred in 44.2% of the women. After adjustment, the HFI was not associated with insufficient or excessive GWG. The educational level of women was the only variable significantly associated with a lower risk of GWG insufficiency (OR: 0.10; 95% CI: 0.01-0.89). Conclusions In this population, higher maternal education was a protective factor against insufficient GWG. We highlight the importance of additional health support and counseling for women in the most vulnerable social conditions, considering the importance of access to information for reducing health risks. Keywords: Gestational weight gain, Pregnant women, Food and nutrition security, Social determinants of health</description><identifier>ISSN: 1471-2393</identifier><identifier>EISSN: 1471-2393</identifier><identifier>DOI: 10.1186/s12884-021-03950-y</identifier><identifier>PMID: 34187424</identifier><language>eng</language><publisher>London: BioMed Central Ltd</publisher><subject>Ambulatory care ; Comparative analysis ; Education ; Fetus ; Food ; Food and nutrition security ; Food security ; Gestational weight gain ; Growth ; Health aspects ; High risk pregnancy ; Illiteracy ; Life expectancy ; Maternal & child health ; Measurement ; Physiological aspects ; Pregnancy ; Pregnancy complications ; Pregnant women ; Prenatal care ; Social aspects ; Social determinants of health ; Sociodemographics ; Weight gain ; Women ; Womens health</subject><ispartof>BMC Pregnancy and Childbirth, 2021-06, Vol.21 (1), p.1-460, Article 460</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-6a3d3a8ef6e53fb039c09ca6f4a8bdedcf083e11e34856b45f6afb0914ad7fce3</citedby><cites>FETCH-LOGICAL-c540t-6a3d3a8ef6e53fb039c09ca6f4a8bdedcf083e11e34856b45f6afb0914ad7fce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8243526/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8243526/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>de Abreu Rodrigues, Aléxia Vieira</creatorcontrib><creatorcontrib>Augusto, Ana Lúcia Pires</creatorcontrib><creatorcontrib>Salles-Costa, Rosana</creatorcontrib><title>Inadequacy of gestational weight gain during high-risk pregnancies is not associated with household food insecurity</title><title>BMC Pregnancy and Childbirth</title><description>Background Inadequate gestational weight gain (GWG) is associated with adverse outcomes in maternal and child health and can be enhanced by social inequalities, such as lower education and household food insecurity (HFI). Women are more vulnerable to HFI, which has been associated with negative health effects for pregnant women during the prenatal and puerperal periods, particularly in regard to the aggravation of pregnancy risks. This study investigated the association between sociodemographic characteristics and HFI with respect to adequacy of total GWG among women with high-risk pregnancies. Methods This was a prospective cohort study that evaluated the total GWG of 169 pregnant women. The women were seen at a public university hospital in the metropolitan region of Rio de Janeiro (Brazil). Their sociodemographic and gestational characteristics and the Brazilian Scale of Domestic Food Insecurity were investigated. To estimate the total GWG, the difference between the patient weight at the last prenatal visit and the initial patient weight was verified, with both collected from the medical records of the pregnant women. The classification of the total GWG considered the recommendations of the Institute of Medicine (IOM) (2009). A multinomial logistic regression model assessed the risk (odds ratio; OR) and confidence intervals (CI 95%)) of insufficient and excessive GWG with exposure to HFI and other covariates (p value <0.05). Results Insufficient and excessive GWG were observed in 27.8% and 47.9% of the pregnant women, respectively. More than half of the women (74.6%) had a high education level. Exposure to mild HFI occurred in 44.2% of the women. After adjustment, the HFI was not associated with insufficient or excessive GWG. The educational level of women was the only variable significantly associated with a lower risk of GWG insufficiency (OR: 0.10; 95% CI: 0.01-0.89). Conclusions In this population, higher maternal education was a protective factor against insufficient GWG. We highlight the importance of additional health support and counseling for women in the most vulnerable social conditions, considering the importance of access to information for reducing health risks. Keywords: Gestational weight gain, Pregnant women, Food and nutrition security, Social determinants of health</description><subject>Ambulatory care</subject><subject>Comparative analysis</subject><subject>Education</subject><subject>Fetus</subject><subject>Food</subject><subject>Food and nutrition security</subject><subject>Food security</subject><subject>Gestational weight gain</subject><subject>Growth</subject><subject>Health aspects</subject><subject>High risk pregnancy</subject><subject>Illiteracy</subject><subject>Life expectancy</subject><subject>Maternal & child health</subject><subject>Measurement</subject><subject>Physiological aspects</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Pregnant women</subject><subject>Prenatal care</subject><subject>Social aspects</subject><subject>Social determinants of health</subject><subject>Sociodemographics</subject><subject>Weight gain</subject><subject>Women</subject><subject>Womens health</subject><issn>1471-2393</issn><issn>1471-2393</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNpdkk1v1DAQhiMEoqXwBzhZ4sIlxd9xLkhVVWClSlzgbE38kXjJ2ls7ocq_x-1WiCIfbI3fecbjeZvmPcGXhCj5qRCqFG8xJS1mvcDt9qI5J7wjLWU9e_nP-ax5U8oeY9IpgV83Z4wT1XHKz5uyi2Dd3QpmQ8mj0ZUFlpAizOjehXFa0AghIrvmEEc01UibQ_mFjtmNEaIJrqBQUEwLglKSCbA4i-7DMqEprcVNabbIp2RRiMWZilm2t80rD3Nx7572i-bnl5sf19_a2-9fd9dXt60RHC-tBGYZKOelE8wPtUWDewPSc1CDddZ4rJgjxDGuhBy48BKqrCccbOeNYxfN7sS1Cfb6mMMB8qYTBP0YSHnUkJdgZqc95VQNoDrRU-4FGaSQxPbGdFYSIbrK-nxiHdfhUGu7uGSYn0Gf38Qw6TH91opyJqisgI9PgJzu1vrN-hCKcfMM0dWP0lRw2Xd1Pn2VfvhPuk9rriN5UAlGBSG9qqrLk2qE2kCIPtW6pi7rDsGk6Hyo8SvZUSr7nomaQE8JJqdSsvN_X0-wfjCUPhlKV0PpR0Ppjf0BBP6_xg</recordid><startdate>20210629</startdate><enddate>20210629</enddate><creator>de Abreu Rodrigues, Aléxia Vieira</creator><creator>Augusto, Ana Lúcia Pires</creator><creator>Salles-Costa, Rosana</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20210629</creationdate><title>Inadequacy of gestational weight gain during high-risk pregnancies is not associated with household food insecurity</title><author>de Abreu Rodrigues, Aléxia Vieira ; Augusto, Ana Lúcia Pires ; Salles-Costa, Rosana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-6a3d3a8ef6e53fb039c09ca6f4a8bdedcf083e11e34856b45f6afb0914ad7fce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Ambulatory care</topic><topic>Comparative analysis</topic><topic>Education</topic><topic>Fetus</topic><topic>Food</topic><topic>Food and nutrition security</topic><topic>Food security</topic><topic>Gestational weight gain</topic><topic>Growth</topic><topic>Health aspects</topic><topic>High risk pregnancy</topic><topic>Illiteracy</topic><topic>Life expectancy</topic><topic>Maternal & child health</topic><topic>Measurement</topic><topic>Physiological aspects</topic><topic>Pregnancy</topic><topic>Pregnancy complications</topic><topic>Pregnant women</topic><topic>Prenatal care</topic><topic>Social aspects</topic><topic>Social determinants of health</topic><topic>Sociodemographics</topic><topic>Weight gain</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Abreu Rodrigues, Aléxia Vieira</creatorcontrib><creatorcontrib>Augusto, Ana Lúcia Pires</creatorcontrib><creatorcontrib>Salles-Costa, Rosana</creatorcontrib><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC Pregnancy and Childbirth</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Abreu Rodrigues, Aléxia Vieira</au><au>Augusto, Ana Lúcia Pires</au><au>Salles-Costa, Rosana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inadequacy of gestational weight gain during high-risk pregnancies is not associated with household food insecurity</atitle><jtitle>BMC Pregnancy and Childbirth</jtitle><date>2021-06-29</date><risdate>2021</risdate><volume>21</volume><issue>1</issue><spage>1</spage><epage>460</epage><pages>1-460</pages><artnum>460</artnum><issn>1471-2393</issn><eissn>1471-2393</eissn><abstract>Background Inadequate gestational weight gain (GWG) is associated with adverse outcomes in maternal and child health and can be enhanced by social inequalities, such as lower education and household food insecurity (HFI). Women are more vulnerable to HFI, which has been associated with negative health effects for pregnant women during the prenatal and puerperal periods, particularly in regard to the aggravation of pregnancy risks. This study investigated the association between sociodemographic characteristics and HFI with respect to adequacy of total GWG among women with high-risk pregnancies. Methods This was a prospective cohort study that evaluated the total GWG of 169 pregnant women. The women were seen at a public university hospital in the metropolitan region of Rio de Janeiro (Brazil). Their sociodemographic and gestational characteristics and the Brazilian Scale of Domestic Food Insecurity were investigated. To estimate the total GWG, the difference between the patient weight at the last prenatal visit and the initial patient weight was verified, with both collected from the medical records of the pregnant women. The classification of the total GWG considered the recommendations of the Institute of Medicine (IOM) (2009). A multinomial logistic regression model assessed the risk (odds ratio; OR) and confidence intervals (CI 95%)) of insufficient and excessive GWG with exposure to HFI and other covariates (p value <0.05). Results Insufficient and excessive GWG were observed in 27.8% and 47.9% of the pregnant women, respectively. More than half of the women (74.6%) had a high education level. Exposure to mild HFI occurred in 44.2% of the women. After adjustment, the HFI was not associated with insufficient or excessive GWG. The educational level of women was the only variable significantly associated with a lower risk of GWG insufficiency (OR: 0.10; 95% CI: 0.01-0.89). Conclusions In this population, higher maternal education was a protective factor against insufficient GWG. We highlight the importance of additional health support and counseling for women in the most vulnerable social conditions, considering the importance of access to information for reducing health risks. Keywords: Gestational weight gain, Pregnant women, Food and nutrition security, Social determinants of health</abstract><cop>London</cop><pub>BioMed Central Ltd</pub><pmid>34187424</pmid><doi>10.1186/s12884-021-03950-y</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Ambulatory care Comparative analysis Education Fetus Food Food and nutrition security Food security Gestational weight gain Growth Health aspects High risk pregnancy Illiteracy Life expectancy Maternal & child health Measurement Physiological aspects Pregnancy Pregnancy complications Pregnant women Prenatal care Social aspects Social determinants of health Sociodemographics Weight gain Women Womens health |
| title | Inadequacy of gestational weight gain during high-risk pregnancies is not associated with household food insecurity |
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