Environmental factors associated with excessive gestational weight gain: a meta-analysis and systematic review

Silva, Thales Philipe Rodrigues da; Viana, Thamara Gabriela Fernandes; Duarte, Camila Kümmel; Inácio, Monique Louise Cassimiro; Velasquez-Melendez, Gustavo; Pessoa, Milene Cristine; Mendes, Larissa Loures; Matozinhos, Fernanda Penido

doi:10.1590/1413-81232023281.14432021

Thales Philipe Rodrigues da Silva

literature research

extracted the data and evaluated the quality of studies

drafted/revised the manuscript

designed the study and interpreted the results

approved the final version

Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais (UFMG). Av. Alfredo Balena 190, Santa Efigênia. 30130-100 Belo Horizonte MG Brasil. thalesphilipe27@hotmail.com

https://orcid.org/0000-0002-7115-0925

Thamara Gabriela Fernandes Viana

literature research

extracted the data and evaluated the quality of studies

drafted/revised the manuscript

designed the study and interpreted the results

approved the final version

Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais (UFMG). Av. Alfredo Balena 190, Santa Efigênia. 30130-100 Belo Horizonte MG Brasil. thalesphilipe27@hotmail.com

https://orcid.org/0000-0002-3742-5905

Camila Kümmel Duarte

literature research

extracted the data and evaluated the quality of studies

statistical analysis

drafted/revised the manuscript

approved the final version

Departamento de Nutrição, Escola de Enfermagem, UFMG. Belo Horizonte MG Brasil.

https://orcid.org/0000-0003-1930-3282

Monique Louise Cassimiro Inácio

approved the final version

Escola de Nutrição, Universidade Federal de Ouro Preto. Ouro Preto MG Brasil.

https://orcid.org/0000-0002-0675-0895

Gustavo Velasquez-Melendez

drafted/revised the manuscript

approved the final version

Departamento de Enfermagem Materno-Infantil e Saúde Pública, UFMG. Belo Horizonte MG Brasil.

https://orcid.org/0000-0001-8349-5042

Milene Cristine Pessoa

drafted/revised the manuscript

approved the final version

Departamento de Nutrição, Escola de Enfermagem, UFMG. Belo Horizonte MG Brasil.

https://orcid.org/0000-0002-1053-5450

Larissa Loures Mendes

drafted/revised the manuscript

approved the final version

Departamento de Nutrição, Escola de Enfermagem, UFMG. Belo Horizonte MG Brasil.

https://orcid.org/0000-0003-0776-6845

Fernanda Penido Matozinhos

drafted/revised the manuscript

designed the study and interpreted the results

approved the final version

Departamento de Enfermagem Materno-Infantil e Saúde Pública, UFMG. Belo Horizonte MG Brasil.

https://orcid.org/0000-0003-1368-4248

Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva

Search strategy

((((“Environmental Health”[MeSH] OR “Environmental Healths” OR “Healths, Environmental” OR “Environmental Health Science” OR “Environmental Health Sciences” OR “Health Science, Environmental” OR “Health Sciences, Environmental” OR “Science, Environmental Health” OR “Sciences, Environmental Health” OR “Health, Environmental” OR “Environment and Public Health”[MeSH] OR “Social Environment”[MeSH] OR “Environments, Social” OR “Social Environments” OR “Environment, Social” OR “Environment Design”[MeSH] OR “Design, Environment” OR “Designs, Environment” OR “Environment Designs” OR “Healthy Places” OR “Healthy Place” OR “Residence Characteristics”[MeSH] OR “Characteristic, Residence” OR “Characteristics, Residence” OR “Residence Characteristic” OR “Domicile” OR “Domiciles” OR “Neighborhood” OR “Neighborhoods”)))) AND ((((“Weight Gain”[MeSH]) OR “Gain, Weight” OR “Gains, Weight” OR “Weight Gains” OR “Obesity”[MeSH]) OR “Overweight”[MeSH])))) AND ((((“Pregnant Women”[MeSH] OR “Pregnant Women” OR “Women, Pregnant” OR “Pregnant Woman” OR “Woman, Pregnant” OR “Pregnancy”[MeSH] OR “Pregnancy” OR “Pregnancies” OR “Gestation”))

PECO strategy	Descriptors
P (population) - pregnant women	Pregant women, pregnancy, gestation
E (exposition) - environmental factors	Environmental health, environment and public health, social environment, environmental planning, spatial population distribution
C (control)	Not applicable
O (outcome) - weight gain	Weight gain, obesity, overweight

First author, year	City, Country	Sample size	Excessive weight gain rate (%)	Risk factors for the excessive gestational weight gain	Methodological quality
Mendez et al., 2014²⁵25 Mendez DD, Doebler DA, Kim KH, Amutah NN, Fabio A, Bodnar LM. Neighborhood socioeconomic disadvantage and gestational weight gain and loss. Matern Child Health J 2014; 18(5):1095-103.	Allegheny County, US	55,608	55	Black race/ethnicity, residence in neighborhoods with high poverty rates	6
Laraia et al., 2007¹⁰10 Laraia B, Messer L, Evenson K, Kaufman JS. Neighborhood factors associated with physical activity and adequacy of weight gain during pregnancy. J Urban Heal 2007; 84(6):793-806.	North Carolina, US	703	58	Physical incivility and precarious social spaces	6
Headen et al., 2018⁷7 Headen I, Mujahid M, Deardorff J, Rehkopf DH, Abrams B. Associations between cumulative neighborhood deprivation, long-term mobility trajectories, and gestational weight gain. Heal Place 2018; 52:101-109.	United States	5,690	43	Residence in neighborhood with limited socioeconomic aspects	5
Badreldin et al., 2018⁵5 Badreldin N, Grobman WA, Pool LR, Kershaw KN. 916: The association of race/ethnicity and neighborhood poverty with gestational weight gain. Am J Obstet Gynecol 2018; 218(1):S543-S544.	Chicago, US	29,380	41.8	Neighborhood with high poverty rates, black or Hispanic race	4
Gallagher et al., 2013²⁴24 Gallagher A, Liu J, Probst JC, Martin AB, Hall JW. Maternal obesity and gestational weight gain in rural versus urban dwelling women in South Carolina. J Rural Heal 2013; 29(1):1-11.	South Carolina, US	132,795	47.9	Living in rural areas with normal BMI	5
Galin et al., 2017²²22 Galin J, Abrams B, Leonard SA, Matthay EC, Goin DE, Ahern J. Living in Violent Neighbourhoods is Associated with Gestational Weight Gain Outside the Recommended Range. Paediatr Perinat Epidemiol 2017; 31(1):37-46.	California, US	2,364,793	49.8	Residence in neighborhoods with high violence rates	5
Farhangi, 2016²¹21 Farhangi MA. Gestational weight gain and its related social and demographic factors in health care settings of rural and urban areas in northwest Iran. Ecol Food Nutr 2016; 55(3):258-265.	Northwest Iran	481	23.2	High education level, prenatal care at public health centers, nulliparity	5
Hasan et al., 2018⁴4 Hasan SMT, Rahman S, Locks LM, Rahman M, Hore SK, Saqeeb KN, Khan MA, Ahmed T. Magnitude and determinants of inadequate third-trimester weight gain in rural Bangladesh. PLoS One 2018; 13(4):e0196190.	Matlab, Bangladesh	1,883	54	Short stature, previous BMI - overweight and obesity, advanced age, multiparity, low socioeconomic status, low education level, belonging to the Hindu religious community, consumption of arsenic-contaminated water and giving birth during the monsoon or dry season compared to summer.	6
Mendez et al., 2016²³23 Mendez DD, Thorpe RJ, Amutah N, Davis EM, Walker RE, Chapple-McGruder T, Bodnar L. Neighborhood racial composition and poverty in association with pre-pregnancy weight and gestational weight gain. SSM Popul Heal 2016; 2:692-699.	Allegheny County, US	73,061	59	Black race/ethnicity; residence in poor neighborhoods	5
Tabet et al., 2017²⁶26 Tabet M, Nelson E, Schootman M, Chien LC, Chang JJ. Geographic variability in gestational weight gain: a multilevel population-based study of women having term births in Florida (2005-2012). Ann Epidemiol 2017; 27(7):421-428.e2.	Florida, US	1,385,574	82.4	Born in United States, excessive weight pregestational obesity, and hypertension	5
Silva et al., 2019³¹31 Silva FMO, Novaes TG, Ribeiro AQ, Longo GZ, Pessoa MC. Environmental factors associated with obesity in the adult population in a medium-sized Brazilian City. Cad Saude Publica 2019; 35(5):e00119618.	Ceará, Brazil	189	51.3	No partner and not having paid work were associated with insufficient weight gain	3

[1] Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva

Brasil

Brasil

Environmental factors associated with excessive gestational weight gain: a meta-analysis and systematic review

Fatores ambientais associados ao ganho de peso gestacional excessivo: uma meta-análise e revisão sistemática

Abstract