2016, Number 5
Maternal anthropometry and trophic condition of the newborn
Language: Spanish
References: 30
Page: 477-487
PDF size: 761.80 Kb.
ABSTRACT
Background: the nutritional state of a pregnant w hen she begins being follow ed up, her body fat and weight gains during pregnancy can affect growing and fetal development in mother’s health.Objective: to determine the possible relation of the pregnant‘s nutritional state at follow up, the body fat, and weight gains during pregnancy with trophic condition of the new-born.
Methods: a prospective longitudinal study w as conducted in 582 pregnant w omen from “Chiqui Gómez Lubián” health center in Santa Clara municipality. Specific anthropometric methods were applied to determine the body mass index, the percentage of body fat and weight gains for trimesters during pregnancy, as well as to evaluate the trophic condition of the new-born. Distributions of frequencies and analyses of variable association were carried out.
Results: the association of nutritional state w ith body fat percentage and w aist/ height index, as in waist height index with body fat percentage. Pregnant women with adequate weight and normal percentages of body weight and waist/height prevailed. The greatest weight gains during pregnancy corresponded to mothers of big children for the gestational age.
Conclusions: the nutritional state of the pregnant at the beginning of the pregnancy seems to mask the real proportions of body fat and particularly abdominal adiposity, according to the figures of body mass index. However, waist/height index can reveal in time the behavior of composition and distribution of fat in the woman from the beginning of the pregnancy. The greatest weight gains occurred in those pregnancies with big new-borns for the gestational age, in dependence of the nutritional state when they were followed-up.
REFERENCES
Després JP, Nadeau A, Tremblay A, Ferland M, Moorjani S, Lupien PJ, et al. Role of deep abdominal fat in the associationbe-tween regional adipose tissue distribution and glucose tolerance in obese women. Diabetes [Internet]. 1989 [citado 2015 May 27];38(3):[about 3 p.]. Available from: http://diabetes.diabetesjournals.org/content/38/3/304
Hernández Díaz D, Sarasa Muñoz N, Cañiza-res Luna O, Lima Pérez Y, Ruiz González LE. Las acciones sistemáticas en salud me-joran el seguimiento ponderal de las emba-razadas. Arsmedica [Internet]. 2016 [citado 27 May 2015];40(1):[aprox. 3 p.]. Disponible en: http://www.arsmedica.cl/index.php/MED/article/view/43/.
Remón Popa I, González Sotolongo OC, Arpa Gámez A. El índice cintura-talla como va-riable de acumulación de grasa para valo-rar riesgo cardiovascular. Rev Cubana Med Milit [Internet]. 2013 [citado 27 May 2015];24(4):[aprox. 5 p. ]. Disponible en: http://scielo.sld.cu/scielo.php?pid=S0138-65572013000400004&script=sci_arttext
Artal R, Lockwood CJ, Brown HL. Weight gain recommendations in pregnancy and the obesity epidemic. Obstet Gyneco [Internet]. 2010 [citado 2015 Sep 4];115(1):[about 3 p. ]. Available from: http://journals.lww.com/greenjournal/Abstract/2010/01000/Weight_Gain_Recommendations_in_Pregnancy_and_the.24.aspx
Hanieh S, Ha TT, Simpson JA, ThuyTT, Khu-ong NC, Thoang DD. Postnatal growth out-comes and influence of maternal gestation-al weight gain: a prospective cohort study in rural Vietnam. BMC Preg Childbi [Internet]. 2014 [citado 2015 May 27];(14):[about 5 p. ]. Available from: http://www.biomedcentral.com/content/pdf/1471-2393-14-339.pdf
Rode L, Kjaergaard H, Ottesen B, Damm P, Hegaard HK. Association between gesta-tional weight gain according to body mass index and postpartum weight in a large cohort of Danish women. Matern Child Health J [Internet]. 2012 [citado 2015 May 27];16(2):[about 6 p. ]. Available from: http://link.springer.com/article/10.1007/s10995-011-0775-z#page-1
Tsai YL, Chong KM, Seow KM. Following the 2009 American Institute of Medicine rec-ommendations for normal body mass index and overweight women led to an increased risk of fetal macrosomia among Taiwanese women. Taiwan J Obstet Gynecol [Internet]. 2013 [citado 2015 May 27];52(3):[about 6 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24075370
Margerison Zilko CE, Rehkopf D, Abrams B. Association of maternal gestational weight gain with short and long-term maternal and child health outcomes. Am J Obstet Gynecol [Internet]. 2010 [citado 2015 May 27];202(6):[about 6 p.]. Available from: http://www.sciencedirect.com/science/article/pii/S0002937809022509
Lederman SA, Paxton A, Heymsfield SB, Wang J, Thornton J, Pierson RN Jr. Body fat and water changes during pregnancy in women with different body weight and weight gain. Obstet Gynecol [Internet]. 1997 [citado 2015 May 27];90(4):[about 7 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9380301
Li S, Rosenberg L, Palmer JR, Phillips Gh S, Heffner LJ, Wise LA. Central Adiposity and Other Anthropometric Factors in Relation to Risk of Macrosomia in an African Ameri-can population. Obesity (Silver Spring) [Internet]. 2013 Jan [citado 27 May 2015];21(1):[about 7 p.]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/?term=Li