2012, Number 2
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Revista Cubana de Obstetricia y Ginecología 2012; 38 (2)
Implementation of national references for the anthropometry assessment of pregnants in the nutritional surveillance in Cuba
Jiménez ASM, Rodríguez SA, Díaz SME
Language: Spanish
References: 15
Page:
PDF size: 65.52 Kb.
ABSTRACT
Introduction: the surveillance of the maternal nutritional status is conducted in Cuba from 1979, but never has been possible to have our own references for pregnants.
Objectives: to compare the nutritional status of pregnants using the Cuban references and that of the Institute of Medicine of the United States of America (IOM) 1990.
Methods: using as basement information the sentinel sites for the maternal nutritional surveillance authors assessed the cut points of the IOM 1990 and of the national references of the pregnant nutritional status obtaining the comparison between the body mass index (BMI) for capture, the weight gain during pregnancy according to the initial nutritional status and the pregnant age according to both references.
Results: it was possible to verify the existence of a decrease in the low weight pregnants at onset of pregnancy with the use of Cuban standards, the ideal weight gain according to the initial nutritional status is relatively low using both standards, the Cuban tables diagnose more frequently the excess weight and the obesity than that of the IOM, the pregnant aged under 15 are who have a greater ratio of weight gain lower than the ideal one. The significance of the use of own references is demonstrated.
Conclusions: The data on maternal nutritional status surveillance are better interpreted according to the Cuban tables because they are obtained from the same population.
REFERENCES
Jiménez S, Monterrey P, Plasencia D. Sitios centinelas: su aplicación en la vigilancia del estado nutricional materno en Cuba. Rev Esp Nutr Comunitaria. 2002;8(3-4):95-100.
Institute of Medicine. Nutrition During Pregnancy. Washington, DC: National Academy Press;1990.
Díaz ME, Montero M, Jiménez S, Wong I, Moreno V. Tablas antropométricas para la evaluación de la mujer embarazada. Boletín del CNSCS No. 3, 2009. Disponible en: http://files.sld.cu/boletincnscs/files/2009/11/respub2009dramaria-elena.pdf
Díaz ME, Jiménez S, Montero M, Wong I, Moreno V. A weight gain chart for Cuban pregnant women. Public Health Nutrition. 2010;13(9A):138.
Center for disease Control. EpiInfo 2008 versión 3.5.1. Database and statistic software for public health professionals. [Programa de ordenador] CDC; 2008.
Jiménez SM, Díaz ME, Barroso I, Bonet M, Cabrera A, Wong I. Estado nutricional de la población cubana adulta. Rev Esp Nutr Comunitaria. 2005;11:18-28.
Sebire NJ, Jolly M, Harris JP. Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London. Int J Obes Relat Metab Disord; 2001;25:1175-82.
Phelan S. Pregnancy: A "teachable moment" for weight control and obesity Prevention. Am J Obstet Gynecol. 2010;202(2):135.e1.
Catalano P M, Presley L, Minium J. Haugel S. Fetuses of obese mothers develop insulin resistance in utero. Diabetes Care. 2009;32:1076-80.
Magriples U, Kershaw TC, Schindler S, Westdahl C, Ickovics JR. The effects of obesity and weight gain in young women on obstetric Outcomes. Am J Perinatol. 2009;26(5):365-71.
Marsoosi V, Jamal A, Eslamian L. Pre-pregnancy weight, low pregnancy weight gain, and preterm delivery. Int J Gynaecol Obstet. 2004;87:36-7.
Kumari AS. Pregnancy outcome in women with morbid obesity. Int J Gynaecol Obstet. 2001;73:101-7.
CDC Pediatric and Pregnancy Nutrition Surveillance System. Disponible en: http://www.cdc.gov/pednss/how_to/interpret_data/what/index.htm
Institute of Medicine of the Nacional Academies. Weight gain during pregnancy: Reexaming the guidelines. Report Brief 2009. Disponible en: http://www.iom.edu/pregnancyweightgain
Oken E, Sheryl L. Field AE, Lindsay A, Gillman MW, Maternal gestational weight gain and offspring weight in adolescence. Obstet Gynecol. 2008;112(5):999-1006.