Protective effect of medium-high socioeconomic level on nutritional status of pregnant women in Córdoba, 2021-2022.
Socioeconomic factors can modulate nutritional status before and during pregnancy. Likewise, a high weight gain during pregnancy has been associated with the development of pathologies in the short and long term, in women and their offspring. It was proposed to evaluate the association between socio...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/39070 |
| Aporte de: |
| id |
I10-R327-article-39070 |
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| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
alimentación y nutrición |
| spellingShingle |
alimentación y nutrición Lambert, V Muñóz, SE Miranda, VS Román, MD Protective effect of medium-high socioeconomic level on nutritional status of pregnant women in Córdoba, 2021-2022. |
| topic_facet |
alimentación y nutrición |
| author |
Lambert, V Muñóz, SE Miranda, VS Román, MD |
| author_facet |
Lambert, V Muñóz, SE Miranda, VS Román, MD |
| author_sort |
Lambert, V |
| title |
Protective effect of medium-high socioeconomic level on nutritional status of pregnant women in Córdoba, 2021-2022. |
| title_short |
Protective effect of medium-high socioeconomic level on nutritional status of pregnant women in Córdoba, 2021-2022. |
| title_full |
Protective effect of medium-high socioeconomic level on nutritional status of pregnant women in Córdoba, 2021-2022. |
| title_fullStr |
Protective effect of medium-high socioeconomic level on nutritional status of pregnant women in Córdoba, 2021-2022. |
| title_full_unstemmed |
Protective effect of medium-high socioeconomic level on nutritional status of pregnant women in Córdoba, 2021-2022. |
| title_sort |
protective effect of medium-high socioeconomic level on nutritional status of pregnant women in córdoba, 2021-2022. |
| description |
Socioeconomic factors can modulate nutritional status before and during pregnancy. Likewise, a high weight gain during pregnancy has been associated with the development of pathologies in the short and long term, in women and their offspring. It was proposed to evaluate the association between socioeconomic level (SL) and nutritional status in pregnant women in Córdoba, Argentina (2021-2022). Recently, a cohort of pregnant women residing in the city of Córdoba has been initiated.
The 187 women enrolled to date completed a socio demographic survey. Data were collected on pre-pregnancy and current nutritional status. SL ("low"/"medium-high"), pregestational nutritional status (without/with overweight according to body mass index [BMI]-WHO classification), weight gain for gestational age (adequate/excessive gain according to the National Academy of Sciences), parity (has children/no children), and gestational age were the variables of analysis. Chi-square test was applied to assess the association between weight gain for gestational age and SL. Binomial logistic regression models (outcome: "low-adequate" / "high" weight gain) were fitted including SL, age, gestational age and parity as covariates. All analyses were performed with Stata V17 stratifying by pregestational nutritional status.
In women with healthy pregestational BMI, weight gain was inversely associated with SL. It was observed that having medium-high SL was associated with a lower occurrence of high weight gain during pregnancy (OR 0.28; 95% CI 0.11-0.70; p value=0.007), while those women who were already pregestational overweight, SL was not associated with weight gain (OR 0.49; 95% CI 0.17-1.36; p value=0.173).
It is concluded that medium-high SL exerts a protective effect on weight gain during pregnancy in those women who had a healthy BMI. However, this protective effect during pregnancy is not sufficient in those women who were overweight earlier in life. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/39070 |
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2024-09-03T21:04:07Z |
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I10-R327-article-390702024-04-15T16:14:45Z Protective effect of medium-high socioeconomic level on nutritional status of pregnant women in Córdoba, 2021-2022. Efecto protector del nivel socioeconómico medio-alto sobre el estado nutricional de mujeres gestantes en Córdoba, 2021-2022 Lambert, V Muñóz, SE Miranda, VS Román, MD alimentación y nutrición Socioeconomic factors can modulate nutritional status before and during pregnancy. Likewise, a high weight gain during pregnancy has been associated with the development of pathologies in the short and long term, in women and their offspring. It was proposed to evaluate the association between socioeconomic level (SL) and nutritional status in pregnant women in Córdoba, Argentina (2021-2022). Recently, a cohort of pregnant women residing in the city of Córdoba has been initiated. The 187 women enrolled to date completed a socio demographic survey. Data were collected on pre-pregnancy and current nutritional status. SL ("low"/"medium-high"), pregestational nutritional status (without/with overweight according to body mass index [BMI]-WHO classification), weight gain for gestational age (adequate/excessive gain according to the National Academy of Sciences), parity (has children/no children), and gestational age were the variables of analysis. Chi-square test was applied to assess the association between weight gain for gestational age and SL. Binomial logistic regression models (outcome: "low-adequate" / "high" weight gain) were fitted including SL, age, gestational age and parity as covariates. All analyses were performed with Stata V17 stratifying by pregestational nutritional status. In women with healthy pregestational BMI, weight gain was inversely associated with SL. It was observed that having medium-high SL was associated with a lower occurrence of high weight gain during pregnancy (OR 0.28; 95% CI 0.11-0.70; p value=0.007), while those women who were already pregestational overweight, SL was not associated with weight gain (OR 0.49; 95% CI 0.17-1.36; p value=0.173). It is concluded that medium-high SL exerts a protective effect on weight gain during pregnancy in those women who had a healthy BMI. However, this protective effect during pregnancy is not sufficient in those women who were overweight earlier in life. Factores socioeconómicos pueden modular el estado nutricional antes y durante la gestación. Asimismo, el elevado incremento de peso durante la gestación se ha asociado al desarrollo de patologías en el corto y largo plazo, en la mujer y en su descendencia. Por ello, se propuso evaluar la asociación entre el nivel socioeconómico (NSE) y el estado nutricional en mujeres embarazadas de Córdoba, Argentina (2021-2022). Recientemente, se ha dado inicio a una cohorte de mujeres embarazadas residentes en la ciudad de Córdoba. Las 187 mujeres inscritas hasta la fecha completaron una encuesta sociodemográfica. Se recogieron datos sobre el estado nutricional previo al embarazo y actual. El NSE (“bajo”/“medio-alto”), el estado nutricional pregestacional (sin/con sobrepeso según la clasificación del índice de masa corporal [IMC]-OMS), ganancia de peso para la edad gestacional (aumento adecuado/excesivo según la Academia Nacional de Ciencias), paridad (tiene hijos/no tiene hijos), y la edad gestacional fueron las variables de análisis. Se aplicó test de Chi-cuadrado para evaluar la asociación entre la ganancia de peso para la edad gestacional y el NSE. Se ajustaron modelos de regresión logística binomial (resultado: aumento de peso “bajo-adecuado” / “elevado”) incluyendo el NSE, la edad, la edad gestacional y la paridad como covariables. Todos los análisis se realizaron con Stata V17 estratificando por estado nutricional pregestacional. En las mujeres con IMC pregestacional sano, el incremento de peso se asoció inversamente con el NSE. Se observó que pertenecer al NSE medio-alto se asoció con una menor ocurrencia de ganancia de peso elevada durante el embarazo (OR 0,28; IC 95% 0,11-0,70; p valor=0,007), mientras que aquellas mujeres que ya tenían exceso de peso pregestacional, el NSE no se asoció con la ganancia de peso (OR 0,49; IC95% 0,17-1,36; p valor=0,173). Se concluye que el NSE medio-alto ejerce un efecto protector de la ganancia de peso durante el embarazo en aquellas mujeres que tenían un IMC saludable. Sin embargo, este efecto protector durante el embarazo no es suficiente en aquellas mujeres que tenían exceso de peso en etapas más tempranas de la vida. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-10-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/39070 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. Suplemento JIC XXIII (2022): Suplemento JIC XXIII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |