SciELO - Scientific Electronic Library Online

 
vol.17 issue3Agreement and association between different indicators of body image and body mass index in adolescentsSatisfaction with physical and social surroundings and the habit of smoking cigarettes in the metropolitan area of Belo Horizonte, Brazil author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Revista Brasileira de Epidemiologia

Print version ISSN 1415-790X

Abstract

BARROS, Denise Cavalcante de et al. The performance of various anthropometric assessment methods for predicting low birth weight in adolescent pregnant women. Rev. bras. epidemiol. [online]. 2014, vol.17, n.3, pp.761-774. ISSN 1415-790X.  http://dx.doi.org/10.1590/1809-4503201400030015.

Objective:

To evaluate the performance of various anthropometric evaluation methods for adolescent pregnant women in the prediction of birth weight.

Methods:

It is a cross-sectional study including 826 adolescent pregnant women. In the pre-pregnancy body mass index (BMI) classification, the recommendations of the World Health Organization were compared with that of the Brazilian Ministry of Health and the Institute of Medicine (IOM) of 1992 and 2006. The gestational weight gain adequacy was evaluated according to the classification of IOM of 1992, of 2006 and of the Brazilian Ministry of Health. The newborns were classified as low birth weight (LBW) or macrosomic. Multinomial logistic regression was used for statistical analysis and sensibility, specificity, accuracy, positive and negative predictive values were calculated.

Results:

The evaluation, according to the Brazilian Ministry of Health, showed the best prediction for LBW among pregnant women with low weight gain (specificity = 69.5%). The evaluation according to the IOM of 1992 showed the best prediction for macrosomia among pregnant women with high weight gain (specificity = 50.0%). The adequacy of weight gain according to the IOM of 1992 classification showed the best prediction for LBW (OR = 3.84; 95%CI 2.19 - 6.74), followed by the method of the Brazilian Ministry of Health (OR = 2.88, 95%CI 1.73 - 4.79), among pregnant women with low weight gain.

Conclusion:

It is recommended the adoption of the Brazilian Ministry of Health proposal, associated with BMI cut-offs specific for adolescents as an anthropometric assessment method for adolescent pregnant women.

Keywords : Pregnancy in adolescence; Body mass index; Weight gain; Birth weight; Nutrition assessment; Anthropometry.

        · abstract in Portuguese     · text in English | Portuguese     · English ( pdf ) | Portuguese ( pdf )