Predictors of excess birth weight in Brazil: a systematic review.

Abstract:

OBJECTIVE:To describe the main predictors for excess birth weight in Brazilian children. DATA SOURCES:Systematic review carried out in the bibliographic databases: PubMed/MEDLINE, Cochrane, Scopus, Web of Science, and LILACS. The research in the gray literature was performed using the Google Scholar database. The bias risk analysis was adapted from the Downs and Black scale, used to evaluate the methodology of the included studies. DATA SYNTHESIS:Using the classifications of fetal macrosomia (>4.000g or ≥4.000g) and large for gestational age (above the 90th percentile), 64 risk factors for excess birth weight were found in 33 scientific articles in the five regions of the country. Of the 64 risk factors, 31 were significantly associated with excess birth weight, with excess gestational weight gain, pre-gestational body mass index ≥25kg/m2, and gestational diabetes mellitus being the most prevalent. CONCLUSION:The main predictors for excess birth weight in Brazil are modifiable risk factors. The implementation of adequate nutritional status in the gestational period and even after childbirth appears to be due to the quality and frequency of the follow-up of the mothers and their children by public health agencies.

journal_name

J Pediatr (Rio J)

journal_title

Jornal de pediatria

authors

Czarnobay SA,Kroll C,Schultz LF,Malinovski J,Mastroeni SSBS,Mastroeni MF

doi

10.1016/j.jped.2018.04.006

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

128-154

issue

2

eissn

0021-7557

issn

1678-4782

pii

S0021-7557(18)30301-2

journal_volume

95

pub_type

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