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

Gespeichert in:

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]

Format:	E-Artikel
Sprache:	Englisch ; Portugiesisch

Erschienen:	2017

Schlagwörter:	macrosomia prevalence trends epidemiology maternal health child health

Übergeordnetes Werk:	In: Revista Brasileira de Ginecologia e Obstetrícia - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2004, 39(2017), 8, Seite 376-383
Übergeordnetes Werk:	volume:39 ; year:2017 ; number:8 ; pages:376-383

Links:	Link aufrufen Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1055/s-0037-1604266

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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allfields	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
allfieldsSound	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
language	English Portuguese
source	In Revista Brasileira de Ginecologia e Obstetrícia 39(2017), 8, Seite 376-383 volume:39 year:2017 number:8 pages:376-383
sourceStr	In Revista Brasileira de Ginecologia e Obstetrícia 39(2017), 8, Seite 376-383 volume:39 year:2017 number:8 pages:376-383
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	macrosomia prevalence trends epidemiology maternal health child health Gynecology and obstetrics
isfreeaccess_bool	true
container_title	Revista Brasileira de Ginecologia e Obstetrícia
authorswithroles_txt_mv	Maria Isabel do Nascimento @@aut@@ Daniele Francine Pereira @@aut@@ Calliana Lopata @@aut@@ Carina Ladeia Flores Oliveira @@aut@@ Ariane Arruda de Moura @@aut@@ Maria Júlia da Silva Mattos @@aut@@ Lucas Saraiva da Silva @@aut@@
publishDateDaySort_date	2017-01-01T00:00:00Z
hierarchy_top_id	363749608
id	DOAJ017880815
language_de	englisch portugiesisch
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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.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">macrosomia</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">prevalence</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">trends</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">epidemiology</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">maternal health</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">child health</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Gynecology and obstetrics</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Daniele Francine Pereira</subfield><subfield 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callnumber-first	R - Medicine
author	Maria Isabel do Nascimento
spellingShingle	Maria Isabel do Nascimento misc RG1-991 misc macrosomia misc prevalence misc trends misc epidemiology misc maternal health misc child health misc Gynecology and obstetrics Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001-2010, and 2012-2014
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topic_title	RG1-991 Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001-2010, and 2012-2014 macrosomia prevalence trends epidemiology maternal health child health
topic	misc RG1-991 misc macrosomia misc prevalence misc trends misc epidemiology misc maternal health misc child health misc Gynecology and obstetrics
topic_unstemmed	misc RG1-991 misc macrosomia misc prevalence misc trends misc epidemiology misc maternal health misc child health misc Gynecology and obstetrics
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title	Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001-2010, and 2012-2014
ctrlnum	(DE-627)DOAJ017880815 (DE-599)DOAJ7c7cc5830838413ba1ad1e1295e12f46
title_full	Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001-2010, and 2012-2014
author_sort	Maria Isabel do Nascimento
journal	Revista Brasileira de Ginecologia e Obstetrícia
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author_browse	Maria Isabel do Nascimento 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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title_sort	trends in the prevalence of live macrosomic newborns according to gestational age strata, in brazil, 2001-2010, and 2012-2014
callnumber	RG1-991
title_auth	Trends in the Prevalence of Live Macrosomic Newborns According to Gestational Age Strata, in Brazil, 2001-2010, and 2012-2014
abstract	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
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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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