A weight gain chart for pregnant women designed in Chile
A weight gain chart for pregnant women designed in Chile
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DOI：
10.1111/j.1740-8709.2005.00013.x
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发表时间：
2005-04-01
影响因子：
3.4
通讯作者：
Rosso, Pedro
中科院分区：
文献类型：
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作者：
Mardones, Francisco;Rosso, Pedro
对罗索和Mardones编制的孕妇体重增加图表（RM图表，1997年）进行了分析，并与其他图表进行了比较，以确定其对旨在预防出生体重过低或过高的营养干预措施的有用性。RM图表根据体重/身高定义了妊娠早期母体营养状况的类别，以标准体重（PSW）或体重指数（BMI）的百分比表示，以及每个类别的理想妊娠体重增加。RM图表的体重增加建议与母亲身高成正比。对于体重不足的妇女，体重建议来自实际数据，而对于超重和肥胖的妇女，体重建议则基于数据外推。自1987年以来，智利国家卫生服务局在其所有诊所的产前护理中使用RM图表作为标准，覆盖全国约70%的人口，其中大多数是中低收入妇女。在1987-2001年期间，体重不足的孕妇和出生体重≤ 4 000克的婴儿的比例有所增加。多因素的社会变化，包括十年的大幅经济增长，在该国改善家庭收入，排除了确定RM图表在这一组的有效性的可能性。然而，RM图表的广泛使用表明，它是一个有用的和易于使用的工具，在外地。此外，它以图表形式清楚地显示产妇营养状况，有助于引起保健人员对需要特别营养咨询和支助的妇女的注意。
The weight gain chart for pregnant women, developed by Rosso and Mardones (RM chart, 1997), is analysed and compared with other charts in terms of its usefulness for targeting nutritional interventions aimed at preventing low or high birth weights. The RM chart defines categories of maternal nutritional status in early gestation based on weight/height, expressed either as percentage of standard weight (PSW) or body mass index (BMI), and desirable gestational weight gains for each of these categories. Weight gain recommendations of the RM chart are proportional to maternal height. For underweight women the weight recommendation was derived from actual data, while for overweight and obese women it is based on data extrapolations. Since 1987 the Chilean National Health Service has used the RM chart as a standard in prenatal care in all its clinics, covering approximately 70% of the country's population, mostly middle and low income women. During the 1987-2001 period the proportion of underweight pregnant women and infants with birth weight = 4000 g increased during this period. Multifactorial social changes including a decade of substantial economic growth in the country with improved family income, precludes the possibility of determining the efficacy of the RM chart in this group. However, the widespread use of the RM chart indicates that it is a helpful and easy-to-use instrument in the field. Further, by its clear graphical presentation of maternal nutritional status it helps draw the attention of health personnel to women who need special nutritional advice and support.