atividade física durante a gestação e associação com indicadores de saúde materno-infantil actividad física durante la gestación y asociación con indicadores de salud materno-infantil physical activity during pregnancy and its association with maternal and child health indicators
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Abstract
OBJETIVO: Analisar fatores associados à prática de atividade física durante a gestação e sua relação com indicadores de saúde materno-infantil. MÉTODOS: Estudo transversal realizado com todos os nascimentos ocorridos em maternidades no município de Rio Grande, RS, durante o ano de 2007 (N = 2.557). As informações foram obtidas por entrevista, por meio de um questionário pré-codificado aplicado às mães. Os desfechos de saúde materno-infantil analisados foram: hospitalização durante a gravidez, parto por cesárea, prematuridade (idade gestacional menor de 37 semanas), baixo peso ao nascer (< 2.500 g) e morte fetal. RESULTADOS: Relataram ter praticado atividade física durante a gestação 32,8% (IC95% 31,0;34,6) das mães. Os fatores associados à prática de atividade física na gestação, após ajustes para possíveis confundidores, foram: idade materna (associação inversa), escolaridade (associação direta), ser primigesta, ter feito pré-natal, e ter recebido orientação para a prática de exercícios durante o pré-natal. Mulheres que praticaram atividade física durante a gestação mostraram menor probabilidade de realização de cesariana e de terem filho natimorto. Não houve associação entre atividade física e parto prematuro, hospitalização e baixo peso ao nascer. CONCLUSÕES: Apenas um terço das mães relatou ter praticado atividade física durante a gestação. Esse comportamento foi mais frequente entre mulheres mais jovens, com maior escolaridade e que receberam orientação. Mulheres que praticaram atividade física durante a gestação realizaram menos cesarianas e tiveram menor ocorrência de natimorto.
OBJETIVO: Analizar factores asociados con la práctica de actividad física durante la gestación y su relación con indicadores de salud materno-infantil. MÉTODOS: Estudio transversal realizado con todos los nacimientos ocurridos en maternidades en el municipio de Rio Grande, Sur de Brasil, durante el año 2007 (N=2.557). Las informaciones fueron obtenidas por entrevista, por medio de un cuestionario pre-codificado aplicado a las madres. Los desenlaces de salud materno-infantil analizados fueron: hospitalización durante el embarazo, parto por cesárea, prematuridad (edad gestacional menor de 37 semanas), bajo peso al nacer (<2500 g) y muerte fetal. RESULTADOS: Informaron haber practicado actividad física durante la gestación 32,8% (IC95% 31,0; 34,6) de las madres. Los factores asociados con la práctica de actividad física en la gestación, posterior a los ajustes para posibles confundidores, fueron: edad materna (asociación inversa), escolaridad (asociación directa), ser primigestante, haber hecho prenatal, y haber recibido orientación para la práctica de ejercicios durante el prenatal. Mujeres que practicaron actividad física durante la gestación mostraron menor probabilidad de realización de cesárea y de tener hijo natimuerto. No hubo asociación entre actividad física y parto prematuro, hospitalización y bajo peso al nacer. CONCLUSIONES: Sólo un tercio de las madres informó haber practicado actividad física durante la gestación. Este comportamiento fue más frecuente entre mujeres más jóvenes, con mayor escolaridad y que recibieron orientación. Mujeres que practicaron actividad física durante la gestación realizaron menos cesáreas y tuvieron menor ocurrencia de natimuerto.
OBJECTIVE: To analyze factors associated with the practice of physical activity during pregnancy and its relationship to maternal and child health indicators. METHODS: Cross-sectional study carried out with all births that occurred at maternity hospitals in the municipality of Rio Grande (Southern Brazil) during the year of 2007 (N = 2,557). Information was collected through interviews, by means of a pre-coded questionnaire administered to the mothers. The analyzed maternal and child health outcomes were: hospitalization during pregnancy, cesarean delivery, preterm birth (gestational age < 37 weeks), low birth weight (< 2500g), and fetal death. RESULTS: A total of 32.8% of mothers (95%CI 31.0;34.6) reported having practiced physical activity during pregnancy. The factors associated with practice of physical activity during pregnancy, after adjusting for potential confounders, were: maternal age (inverse association), level of schooling (direct association), mother's first pregnancy, having received prenatal care, and having been instructed in physical activity during prenatal care. Women who practiced physical activity during pregnancy were less likely to deliver surgically and to have a stillbirth. There was no association between physical activity and preterm birth, hospitalization, and low birth weight. CONCLUSIONS: Only one third of mothers reported having practiced physical activity during pregnancy. This behavior was more frequent among younger women with higher level of schooling who were advised during prenatal care. Women who practiced physical activity during pregnancy had fewer cesarean sections and lower occurrence of stillbirths.
OBJETIVO: Analizar factores asociados con la práctica de actividad física durante la gestación y su relación con indicadores de salud materno-infantil. MÉTODOS: Estudio transversal realizado con todos los nacimientos ocurridos en maternidades en el municipio de Rio Grande, Sur de Brasil, durante el año 2007 (N=2.557). Las informaciones fueron obtenidas por entrevista, por medio de un cuestionario pre-codificado aplicado a las madres. Los desenlaces de salud materno-infantil analizados fueron: hospitalización durante el embarazo, parto por cesárea, prematuridad (edad gestacional menor de 37 semanas), bajo peso al nacer (<2500 g) y muerte fetal. RESULTADOS: Informaron haber practicado actividad física durante la gestación 32,8% (IC95% 31,0; 34,6) de las madres. Los factores asociados con la práctica de actividad física en la gestación, posterior a los ajustes para posibles confundidores, fueron: edad materna (asociación inversa), escolaridad (asociación directa), ser primigestante, haber hecho prenatal, y haber recibido orientación para la práctica de ejercicios durante el prenatal. Mujeres que practicaron actividad física durante la gestación mostraron menor probabilidad de realización de cesárea y de tener hijo natimuerto. No hubo asociación entre actividad física y parto prematuro, hospitalización y bajo peso al nacer. CONCLUSIONES: Sólo un tercio de las madres informó haber practicado actividad física durante la gestación. Este comportamiento fue más frecuente entre mujeres más jóvenes, con mayor escolaridad y que recibieron orientación. Mujeres que practicaron actividad física durante la gestación realizaron menos cesáreas y tuvieron menor ocurrencia de natimuerto.
OBJECTIVE: To analyze factors associated with the practice of physical activity during pregnancy and its relationship to maternal and child health indicators. METHODS: Cross-sectional study carried out with all births that occurred at maternity hospitals in the municipality of Rio Grande (Southern Brazil) during the year of 2007 (N = 2,557). Information was collected through interviews, by means of a pre-coded questionnaire administered to the mothers. The analyzed maternal and child health outcomes were: hospitalization during pregnancy, cesarean delivery, preterm birth (gestational age < 37 weeks), low birth weight (< 2500g), and fetal death. RESULTS: A total of 32.8% of mothers (95%CI 31.0;34.6) reported having practiced physical activity during pregnancy. The factors associated with practice of physical activity during pregnancy, after adjusting for potential confounders, were: maternal age (inverse association), level of schooling (direct association), mother's first pregnancy, having received prenatal care, and having been instructed in physical activity during prenatal care. Women who practiced physical activity during pregnancy were less likely to deliver surgically and to have a stillbirth. There was no association between physical activity and preterm birth, hospitalization, and low birth weight. CONCLUSIONS: Only one third of mothers reported having practiced physical activity during pregnancy. This behavior was more frequent among younger women with higher level of schooling who were advised during prenatal care. Women who practiced physical activity during pregnancy had fewer cesarean sections and lower occurrence of stillbirths.
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| Authors | ;Samuel C Dumith;Marlos R Domingues;Raul A Mendoza-Sassi;Juraci A Cesar |
| Journal | proceedings - 2016 3rd international conference on information technology, computer, and electrical engineering, icitacee 2016 |
| Year | 2012 |
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