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  • Original Article

    The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(6):316-324

    Summary

    Original Article

    The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(6):316-324

    DOI 10.1055/s-0040-1712132

    Views17

    Abstract

    Objective

    To evaluate the influence of health-related behaviors including food intake, physical activity, sleep time, smoking habits, stress, depression, and optimism on excessive gestational weight gain (GWG) among women with overweight and obesity.

    Methods

    A cross-sectional study was conducted at the Women’s Hospital of the Universidade de Campinas, Campinas, state of São Paulo, Brazil, with 386 mediate postpartum women that fit the inclusion criteria of ≥ 19 years old, first prenatal care visit at or before 14 weeks, and single live baby. Dietary habits, physical exercise practice, sleep duration, smoking and alcohol habits were self-reported. Psychosocial history was evaluated using the Edinburgh Postpartum Depression Scale (EPDS), Perceived Stress Scale (PSS), and Life Orientation Test-Revised (LOT-R). Sociodemographic, obstetric, anthropometric, and neonatal data were retrieved from medical records. Descriptive statistics and stepwise logistic regression were performed.

    Results

    The prevalence of overweight and obesity was 29.27% and 24.61%, respectively, according to the body mass index (BMI). Excessive GWG was observed in 47.79% of women with overweight and in 45.26% of women with obesity. Excessive GWG among overweight and obese women was associated with inadequate vegetable and bean consumption (odds ratio [OR] = 2.95, 95% confidence interval [CI]: 1.35-6.46 and OR = 1.91; 95%CI: 1.01-3.63, respectively) and stress (OR = 1.63; 95%CI 1.01-2.64). After adjustment by maternal age, multiparity, sleep duration, smoking, and alcohol intake, we found that stress (PSS ≥ 20) was associated with excessive GWG in women with overweight or obesity (OR: 1.75; 95%CI: 1.03-2.96).

    Conclusion

    Among women with overweight and obesity, stress is the main variable associated with excessive GWG. Inadequate vegetables and beans consumption also showed association with excessive GWG.

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    The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis
  • Editorial

    Health-related Behaviors in Pregnancy: A Key to Achieve Better Outcomes

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(3):121-123

    Summary

    Editorial

    Health-related Behaviors in Pregnancy: A Key to Achieve Better Outcomes

    Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(3):121-123

    DOI 10.1055/s-0040-1708094

    Views11
    In the last decades, changes in disease patterns from infectious to chronic diseases have made health-related behaviors become critical to the public’s health and well-being. In pregnancy, similarly, the adoption of health-related behaviors has been recognized as a powerful element to minimize the occurrence of adverse maternal and perinatal outcomes and, consequently, improve woman and […]
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  • Original Articles

    Putting Knowledge into Practice-The Challenge of Acquiring Healthy Habits during Pregnancy Colocando conhecimento em prática – O desafio de adquirir hábitos saudáveis durante a gravidez

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(8):469-475

    Summary

    Original Articles

    Putting Knowledge into Practice-The Challenge of Acquiring Healthy Habits during Pregnancy Colocando conhecimento em prática – O desafio de adquirir hábitos saudáveis durante a gravidez

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(8):469-475

    DOI 10.1055/s-0039-1692633

    Views18

    Abstract

    Objective

    The aim of this study was to investigate the knowledge concerning gestational weight gain (GWG), nutrition, and physical exercise (PE) in pregnant women, and how to put them into practice.

    Methods

    A cross-sectional study with 61 pregnant women above 26 weeks of gestation, at the Woman’s Hospital, CAISM, University of Campinas. Questionnaires regarding the knowledge of healthy habits (HH) during pregnancy, sociodemographic data, and previous obstetric outcomes were applied. An educational guide with advice on HH during pregnancy and in the postpartum period was offered.

    Results

    The average age of women was 28.7 ± 6.23 years, with 85% of them being married; 32% nulliparous; the average body mass index (BMI) before pregnancy was 25.4 ± 9.8 kg/m2, and themean number of years of schoolingwas 11.2 ± 3.8. Only 61%of the subjects had received any previous information about GWG during their antenatal care and were aware as to howmany pounds they should gain during pregnancy. Among the 61 women, 85% understood that they did not need to “eat for 2” and 99% knew that PE had benefits for their body and was safe for their baby. Half of the women practiced PE prior to pregnancy; however, only 31% continued the practice of PE during the pregnancy.

    Conclusion

    Despite understanding the need for HH during pregnancy, women still need encouragement to practice PE during pregnancy, as well as more information about GWG.

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