Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001-2010, and 2012-2014
Abstract Purpose To describe the trends in the prevalence of macrosomia (birth weight ± 4,000 g) according to gestational age in Brazil in the periods of 2001-2010 and 2012-2014. Methods Ecological study with data from the Brazilian Live Birth Information System (SINASC, in the Portuguese acrony...
Ausführliche Beschreibung
Autor*in: |
Maria Isabel do Nascimento [verfasserIn] Daniele Francine Pereira [verfasserIn] Calliana Lopata [verfasserIn] Carina Ladeia Flores Oliveira [verfasserIn] Ariane Arruda de Moura [verfasserIn] Maria Júlia da Silva Mattos [verfasserIn] Lucas Saraiva da Silva [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch ; Portugiesisch |
Erschienen: |
2017 |
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Übergeordnetes Werk: |
In: Revista Brasileira de Ginecologia e Obstetrícia - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2004, 39(2017), 8, Seite 376-383 |
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Übergeordnetes Werk: |
volume:39 ; year:2017 ; number:8 ; pages:376-383 |
Links: |
Link aufrufen |
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DOI / URN: |
10.1055/s-0037-1604266 |
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Katalog-ID: |
DOAJ017880815 |
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520 | |a Abstract Purpose To describe the trends in the prevalence of macrosomia (birth weight ± 4,000 g) according to gestational age in Brazil in the periods of 2001-2010 and 2012-2014. Methods Ecological study with data from the Brazilian Live Birth Information System (SINASC, in the Portuguese acronym) regarding singleton live newborns born from 22 gestational weeks. The trends in Brazil as a whole and in each of its five regions were analyzed according to preterm (22-36 gestational weeks) and term (37-42 gestational weeks) strata. Annual Percent Changes (APCs) based on the Prais-Winsten method and their respective 95% confidence intervals (CIs) were used to verify statistically significant changes in 2001-2010. Results In Brazil, the prevalence of macrosomic births was of 5.3% (2001-2010) and 5.1% (2012-2014). The rates were systematically higher in the North and Northeast Regions both in the preterm and in term strata. In the preterm stratum, the North Region presented the highest variation in the prevalence of macrosomia (+137.5%) when comparing 2001 (0.8%) to 2010 (1.9%). In the term stratum, downward trends were observed in Brazil as a whole and in every region. The trends for 2012-2014 were more heterogeneous, with the prevalence systematically higher than that observed for 2001-2010. The APC in the preterm stratum (2001-2010) showed a statistically significant trend change in the North (APC: 15.4%; 95%CI: 0.6-32.3) and South (APC: 13.5%; 95%CI: 4.8-22.9) regions. In the term stratum, the change occurred only in the North region (APC:-1.5%; 95%CI: -2.5--0.5). Conclusion The prevalence of macrosomic births in Brazil was higher than 5.0%. Macrosomia has potentially negative health implications for both children and adults, and deserves close attention in the public health agenda in Brazil, as well as further support for investigation and intervention. | ||
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10.1055/s-0037-1604266 doi (DE-627)DOAJ017880815 (DE-599)DOAJ7c7cc5830838413ba1ad1e1295e12f46 DE-627 ger DE-627 rakwb eng por RG1-991 Maria Isabel do Nascimento verfasserin aut Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001-2010, and 2012-2014 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Purpose To describe the trends in the prevalence of macrosomia (birth weight ± 4,000 g) according to gestational age in Brazil in the periods of 2001-2010 and 2012-2014. Methods Ecological study with data from the Brazilian Live Birth Information System (SINASC, in the Portuguese acronym) regarding singleton live newborns born from 22 gestational weeks. The trends in Brazil as a whole and in each of its five regions were analyzed according to preterm (22-36 gestational weeks) and term (37-42 gestational weeks) strata. Annual Percent Changes (APCs) based on the Prais-Winsten method and their respective 95% confidence intervals (CIs) were used to verify statistically significant changes in 2001-2010. Results In Brazil, the prevalence of macrosomic births was of 5.3% (2001-2010) and 5.1% (2012-2014). The rates were systematically higher in the North and Northeast Regions both in the preterm and in term strata. In the preterm stratum, the North Region presented the highest variation in the prevalence of macrosomia (+137.5%) when comparing 2001 (0.8%) to 2010 (1.9%). In the term stratum, downward trends were observed in Brazil as a whole and in every region. The trends for 2012-2014 were more heterogeneous, with the prevalence systematically higher than that observed for 2001-2010. The APC in the preterm stratum (2001-2010) showed a statistically significant trend change in the North (APC: 15.4%; 95%CI: 0.6-32.3) and South (APC: 13.5%; 95%CI: 4.8-22.9) regions. In the term stratum, the change occurred only in the North region (APC:-1.5%; 95%CI: -2.5--0.5). Conclusion The prevalence of macrosomic births in Brazil was higher than 5.0%. Macrosomia has potentially negative health implications for both children and adults, and deserves close attention in the public health agenda in Brazil, as well as further support for investigation and intervention. macrosomia prevalence trends epidemiology maternal health child health Gynecology and obstetrics Daniele Francine Pereira verfasserin aut Calliana Lopata verfasserin aut Carina Ladeia Flores Oliveira verfasserin aut Ariane Arruda de Moura verfasserin aut Maria Júlia da Silva Mattos verfasserin aut Lucas Saraiva da Silva verfasserin aut In Revista Brasileira de Ginecologia e Obstetrícia Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2004 39(2017), 8, Seite 376-383 (DE-627)363749608 (DE-600)2105176-8 01007203 nnns volume:39 year:2017 number:8 pages:376-383 https://doi.org/10.1055/s-0037-1604266 kostenfrei https://doaj.org/article/7c7cc5830838413ba1ad1e1295e12f46 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032017000800376&tlng=en kostenfrei http://www.scielo.br/pdf/rbgo/v39n8/0100-7203-rbgo-39-08-00376.pdf kostenfrei https://doaj.org/toc/0100-7203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 39 2017 8 376-383 |
spelling |
10.1055/s-0037-1604266 doi (DE-627)DOAJ017880815 (DE-599)DOAJ7c7cc5830838413ba1ad1e1295e12f46 DE-627 ger DE-627 rakwb eng por RG1-991 Maria Isabel do Nascimento verfasserin aut Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001-2010, and 2012-2014 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Purpose To describe the trends in the prevalence of macrosomia (birth weight ± 4,000 g) according to gestational age in Brazil in the periods of 2001-2010 and 2012-2014. Methods Ecological study with data from the Brazilian Live Birth Information System (SINASC, in the Portuguese acronym) regarding singleton live newborns born from 22 gestational weeks. The trends in Brazil as a whole and in each of its five regions were analyzed according to preterm (22-36 gestational weeks) and term (37-42 gestational weeks) strata. Annual Percent Changes (APCs) based on the Prais-Winsten method and their respective 95% confidence intervals (CIs) were used to verify statistically significant changes in 2001-2010. Results In Brazil, the prevalence of macrosomic births was of 5.3% (2001-2010) and 5.1% (2012-2014). The rates were systematically higher in the North and Northeast Regions both in the preterm and in term strata. In the preterm stratum, the North Region presented the highest variation in the prevalence of macrosomia (+137.5%) when comparing 2001 (0.8%) to 2010 (1.9%). In the term stratum, downward trends were observed in Brazil as a whole and in every region. The trends for 2012-2014 were more heterogeneous, with the prevalence systematically higher than that observed for 2001-2010. The APC in the preterm stratum (2001-2010) showed a statistically significant trend change in the North (APC: 15.4%; 95%CI: 0.6-32.3) and South (APC: 13.5%; 95%CI: 4.8-22.9) regions. In the term stratum, the change occurred only in the North region (APC:-1.5%; 95%CI: -2.5--0.5). Conclusion The prevalence of macrosomic births in Brazil was higher than 5.0%. Macrosomia has potentially negative health implications for both children and adults, and deserves close attention in the public health agenda in Brazil, as well as further support for investigation and intervention. macrosomia prevalence trends epidemiology maternal health child health Gynecology and obstetrics Daniele Francine Pereira verfasserin aut Calliana Lopata verfasserin aut Carina Ladeia Flores Oliveira verfasserin aut Ariane Arruda de Moura verfasserin aut Maria Júlia da Silva Mattos verfasserin aut Lucas Saraiva da Silva verfasserin aut In Revista Brasileira de Ginecologia e Obstetrícia Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2004 39(2017), 8, Seite 376-383 (DE-627)363749608 (DE-600)2105176-8 01007203 nnns volume:39 year:2017 number:8 pages:376-383 https://doi.org/10.1055/s-0037-1604266 kostenfrei https://doaj.org/article/7c7cc5830838413ba1ad1e1295e12f46 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032017000800376&tlng=en kostenfrei http://www.scielo.br/pdf/rbgo/v39n8/0100-7203-rbgo-39-08-00376.pdf kostenfrei https://doaj.org/toc/0100-7203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 39 2017 8 376-383 |
allfields_unstemmed |
10.1055/s-0037-1604266 doi (DE-627)DOAJ017880815 (DE-599)DOAJ7c7cc5830838413ba1ad1e1295e12f46 DE-627 ger DE-627 rakwb eng por RG1-991 Maria Isabel do Nascimento verfasserin aut Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001-2010, and 2012-2014 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Purpose To describe the trends in the prevalence of macrosomia (birth weight ± 4,000 g) according to gestational age in Brazil in the periods of 2001-2010 and 2012-2014. Methods Ecological study with data from the Brazilian Live Birth Information System (SINASC, in the Portuguese acronym) regarding singleton live newborns born from 22 gestational weeks. The trends in Brazil as a whole and in each of its five regions were analyzed according to preterm (22-36 gestational weeks) and term (37-42 gestational weeks) strata. Annual Percent Changes (APCs) based on the Prais-Winsten method and their respective 95% confidence intervals (CIs) were used to verify statistically significant changes in 2001-2010. Results In Brazil, the prevalence of macrosomic births was of 5.3% (2001-2010) and 5.1% (2012-2014). The rates were systematically higher in the North and Northeast Regions both in the preterm and in term strata. In the preterm stratum, the North Region presented the highest variation in the prevalence of macrosomia (+137.5%) when comparing 2001 (0.8%) to 2010 (1.9%). In the term stratum, downward trends were observed in Brazil as a whole and in every region. The trends for 2012-2014 were more heterogeneous, with the prevalence systematically higher than that observed for 2001-2010. The APC in the preterm stratum (2001-2010) showed a statistically significant trend change in the North (APC: 15.4%; 95%CI: 0.6-32.3) and South (APC: 13.5%; 95%CI: 4.8-22.9) regions. In the term stratum, the change occurred only in the North region (APC:-1.5%; 95%CI: -2.5--0.5). Conclusion The prevalence of macrosomic births in Brazil was higher than 5.0%. Macrosomia has potentially negative health implications for both children and adults, and deserves close attention in the public health agenda in Brazil, as well as further support for investigation and intervention. macrosomia prevalence trends epidemiology maternal health child health Gynecology and obstetrics Daniele Francine Pereira verfasserin aut Calliana Lopata verfasserin aut Carina Ladeia Flores Oliveira verfasserin aut Ariane Arruda de Moura verfasserin aut Maria Júlia da Silva Mattos verfasserin aut Lucas Saraiva da Silva verfasserin aut In Revista Brasileira de Ginecologia e Obstetrícia Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2004 39(2017), 8, Seite 376-383 (DE-627)363749608 (DE-600)2105176-8 01007203 nnns volume:39 year:2017 number:8 pages:376-383 https://doi.org/10.1055/s-0037-1604266 kostenfrei https://doaj.org/article/7c7cc5830838413ba1ad1e1295e12f46 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032017000800376&tlng=en kostenfrei http://www.scielo.br/pdf/rbgo/v39n8/0100-7203-rbgo-39-08-00376.pdf kostenfrei https://doaj.org/toc/0100-7203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 39 2017 8 376-383 |
allfieldsGer |
10.1055/s-0037-1604266 doi (DE-627)DOAJ017880815 (DE-599)DOAJ7c7cc5830838413ba1ad1e1295e12f46 DE-627 ger DE-627 rakwb eng por RG1-991 Maria Isabel do Nascimento verfasserin aut Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001-2010, and 2012-2014 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Purpose To describe the trends in the prevalence of macrosomia (birth weight ± 4,000 g) according to gestational age in Brazil in the periods of 2001-2010 and 2012-2014. Methods Ecological study with data from the Brazilian Live Birth Information System (SINASC, in the Portuguese acronym) regarding singleton live newborns born from 22 gestational weeks. The trends in Brazil as a whole and in each of its five regions were analyzed according to preterm (22-36 gestational weeks) and term (37-42 gestational weeks) strata. Annual Percent Changes (APCs) based on the Prais-Winsten method and their respective 95% confidence intervals (CIs) were used to verify statistically significant changes in 2001-2010. Results In Brazil, the prevalence of macrosomic births was of 5.3% (2001-2010) and 5.1% (2012-2014). The rates were systematically higher in the North and Northeast Regions both in the preterm and in term strata. In the preterm stratum, the North Region presented the highest variation in the prevalence of macrosomia (+137.5%) when comparing 2001 (0.8%) to 2010 (1.9%). In the term stratum, downward trends were observed in Brazil as a whole and in every region. The trends for 2012-2014 were more heterogeneous, with the prevalence systematically higher than that observed for 2001-2010. The APC in the preterm stratum (2001-2010) showed a statistically significant trend change in the North (APC: 15.4%; 95%CI: 0.6-32.3) and South (APC: 13.5%; 95%CI: 4.8-22.9) regions. In the term stratum, the change occurred only in the North region (APC:-1.5%; 95%CI: -2.5--0.5). Conclusion The prevalence of macrosomic births in Brazil was higher than 5.0%. Macrosomia has potentially negative health implications for both children and adults, and deserves close attention in the public health agenda in Brazil, as well as further support for investigation and intervention. macrosomia prevalence trends epidemiology maternal health child health Gynecology and obstetrics Daniele Francine Pereira verfasserin aut Calliana Lopata verfasserin aut Carina Ladeia Flores Oliveira verfasserin aut Ariane Arruda de Moura verfasserin aut Maria Júlia da Silva Mattos verfasserin aut Lucas Saraiva da Silva verfasserin aut In Revista Brasileira de Ginecologia e Obstetrícia Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2004 39(2017), 8, Seite 376-383 (DE-627)363749608 (DE-600)2105176-8 01007203 nnns volume:39 year:2017 number:8 pages:376-383 https://doi.org/10.1055/s-0037-1604266 kostenfrei https://doaj.org/article/7c7cc5830838413ba1ad1e1295e12f46 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032017000800376&tlng=en kostenfrei http://www.scielo.br/pdf/rbgo/v39n8/0100-7203-rbgo-39-08-00376.pdf kostenfrei https://doaj.org/toc/0100-7203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 39 2017 8 376-383 |
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10.1055/s-0037-1604266 doi (DE-627)DOAJ017880815 (DE-599)DOAJ7c7cc5830838413ba1ad1e1295e12f46 DE-627 ger DE-627 rakwb eng por RG1-991 Maria Isabel do Nascimento verfasserin aut Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001-2010, and 2012-2014 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Purpose To describe the trends in the prevalence of macrosomia (birth weight ± 4,000 g) according to gestational age in Brazil in the periods of 2001-2010 and 2012-2014. Methods Ecological study with data from the Brazilian Live Birth Information System (SINASC, in the Portuguese acronym) regarding singleton live newborns born from 22 gestational weeks. The trends in Brazil as a whole and in each of its five regions were analyzed according to preterm (22-36 gestational weeks) and term (37-42 gestational weeks) strata. Annual Percent Changes (APCs) based on the Prais-Winsten method and their respective 95% confidence intervals (CIs) were used to verify statistically significant changes in 2001-2010. Results In Brazil, the prevalence of macrosomic births was of 5.3% (2001-2010) and 5.1% (2012-2014). The rates were systematically higher in the North and Northeast Regions both in the preterm and in term strata. In the preterm stratum, the North Region presented the highest variation in the prevalence of macrosomia (+137.5%) when comparing 2001 (0.8%) to 2010 (1.9%). In the term stratum, downward trends were observed in Brazil as a whole and in every region. The trends for 2012-2014 were more heterogeneous, with the prevalence systematically higher than that observed for 2001-2010. The APC in the preterm stratum (2001-2010) showed a statistically significant trend change in the North (APC: 15.4%; 95%CI: 0.6-32.3) and South (APC: 13.5%; 95%CI: 4.8-22.9) regions. In the term stratum, the change occurred only in the North region (APC:-1.5%; 95%CI: -2.5--0.5). Conclusion The prevalence of macrosomic births in Brazil was higher than 5.0%. Macrosomia has potentially negative health implications for both children and adults, and deserves close attention in the public health agenda in Brazil, as well as further support for investigation and intervention. macrosomia prevalence trends epidemiology maternal health child health Gynecology and obstetrics Daniele Francine Pereira verfasserin aut Calliana Lopata verfasserin aut Carina Ladeia Flores Oliveira verfasserin aut Ariane Arruda de Moura verfasserin aut Maria Júlia da Silva Mattos verfasserin aut Lucas Saraiva da Silva verfasserin aut In Revista Brasileira de Ginecologia e Obstetrícia Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2004 39(2017), 8, Seite 376-383 (DE-627)363749608 (DE-600)2105176-8 01007203 nnns volume:39 year:2017 number:8 pages:376-383 https://doi.org/10.1055/s-0037-1604266 kostenfrei https://doaj.org/article/7c7cc5830838413ba1ad1e1295e12f46 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032017000800376&tlng=en kostenfrei http://www.scielo.br/pdf/rbgo/v39n8/0100-7203-rbgo-39-08-00376.pdf kostenfrei https://doaj.org/toc/0100-7203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 39 2017 8 376-383 |
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Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001-2010, and 2012-2014 |
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Abstract Purpose To describe the trends in the prevalence of macrosomia (birth weight ± 4,000 g) according to gestational age in Brazil in the periods of 2001-2010 and 2012-2014. Methods Ecological study with data from the Brazilian Live Birth Information System (SINASC, in the Portuguese acronym) regarding singleton live newborns born from 22 gestational weeks. The trends in Brazil as a whole and in each of its five regions were analyzed according to preterm (22-36 gestational weeks) and term (37-42 gestational weeks) strata. Annual Percent Changes (APCs) based on the Prais-Winsten method and their respective 95% confidence intervals (CIs) were used to verify statistically significant changes in 2001-2010. Results In Brazil, the prevalence of macrosomic births was of 5.3% (2001-2010) and 5.1% (2012-2014). The rates were systematically higher in the North and Northeast Regions both in the preterm and in term strata. In the preterm stratum, the North Region presented the highest variation in the prevalence of macrosomia (+137.5%) when comparing 2001 (0.8%) to 2010 (1.9%). In the term stratum, downward trends were observed in Brazil as a whole and in every region. The trends for 2012-2014 were more heterogeneous, with the prevalence systematically higher than that observed for 2001-2010. The APC in the preterm stratum (2001-2010) showed a statistically significant trend change in the North (APC: 15.4%; 95%CI: 0.6-32.3) and South (APC: 13.5%; 95%CI: 4.8-22.9) regions. In the term stratum, the change occurred only in the North region (APC:-1.5%; 95%CI: -2.5--0.5). Conclusion The prevalence of macrosomic births in Brazil was higher than 5.0%. Macrosomia has potentially negative health implications for both children and adults, and deserves close attention in the public health agenda in Brazil, as well as further support for investigation and intervention. |
abstractGer |
Abstract Purpose To describe the trends in the prevalence of macrosomia (birth weight ± 4,000 g) according to gestational age in Brazil in the periods of 2001-2010 and 2012-2014. Methods Ecological study with data from the Brazilian Live Birth Information System (SINASC, in the Portuguese acronym) regarding singleton live newborns born from 22 gestational weeks. The trends in Brazil as a whole and in each of its five regions were analyzed according to preterm (22-36 gestational weeks) and term (37-42 gestational weeks) strata. Annual Percent Changes (APCs) based on the Prais-Winsten method and their respective 95% confidence intervals (CIs) were used to verify statistically significant changes in 2001-2010. Results In Brazil, the prevalence of macrosomic births was of 5.3% (2001-2010) and 5.1% (2012-2014). The rates were systematically higher in the North and Northeast Regions both in the preterm and in term strata. In the preterm stratum, the North Region presented the highest variation in the prevalence of macrosomia (+137.5%) when comparing 2001 (0.8%) to 2010 (1.9%). In the term stratum, downward trends were observed in Brazil as a whole and in every region. The trends for 2012-2014 were more heterogeneous, with the prevalence systematically higher than that observed for 2001-2010. The APC in the preterm stratum (2001-2010) showed a statistically significant trend change in the North (APC: 15.4%; 95%CI: 0.6-32.3) and South (APC: 13.5%; 95%CI: 4.8-22.9) regions. In the term stratum, the change occurred only in the North region (APC:-1.5%; 95%CI: -2.5--0.5). Conclusion The prevalence of macrosomic births in Brazil was higher than 5.0%. Macrosomia has potentially negative health implications for both children and adults, and deserves close attention in the public health agenda in Brazil, as well as further support for investigation and intervention. |
abstract_unstemmed |
Abstract Purpose To describe the trends in the prevalence of macrosomia (birth weight ± 4,000 g) according to gestational age in Brazil in the periods of 2001-2010 and 2012-2014. Methods Ecological study with data from the Brazilian Live Birth Information System (SINASC, in the Portuguese acronym) regarding singleton live newborns born from 22 gestational weeks. The trends in Brazil as a whole and in each of its five regions were analyzed according to preterm (22-36 gestational weeks) and term (37-42 gestational weeks) strata. Annual Percent Changes (APCs) based on the Prais-Winsten method and their respective 95% confidence intervals (CIs) were used to verify statistically significant changes in 2001-2010. Results In Brazil, the prevalence of macrosomic births was of 5.3% (2001-2010) and 5.1% (2012-2014). The rates were systematically higher in the North and Northeast Regions both in the preterm and in term strata. In the preterm stratum, the North Region presented the highest variation in the prevalence of macrosomia (+137.5%) when comparing 2001 (0.8%) to 2010 (1.9%). In the term stratum, downward trends were observed in Brazil as a whole and in every region. The trends for 2012-2014 were more heterogeneous, with the prevalence systematically higher than that observed for 2001-2010. The APC in the preterm stratum (2001-2010) showed a statistically significant trend change in the North (APC: 15.4%; 95%CI: 0.6-32.3) and South (APC: 13.5%; 95%CI: 4.8-22.9) regions. In the term stratum, the change occurred only in the North region (APC:-1.5%; 95%CI: -2.5--0.5). Conclusion The prevalence of macrosomic births in Brazil was higher than 5.0%. Macrosomia has potentially negative health implications for both children and adults, and deserves close attention in the public health agenda in Brazil, as well as further support for investigation and intervention. |
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title_short |
Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001-2010, and 2012-2014 |
url |
https://doi.org/10.1055/s-0037-1604266 https://doaj.org/article/7c7cc5830838413ba1ad1e1295e12f46 http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032017000800376&tlng=en http://www.scielo.br/pdf/rbgo/v39n8/0100-7203-rbgo-39-08-00376.pdf https://doaj.org/toc/0100-7203 |
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Daniele Francine Pereira Calliana Lopata Carina Ladeia Flores Oliveira Ariane Arruda de Moura Maria Júlia da Silva Mattos Lucas Saraiva da Silva |
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