{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:34:03Z","timestamp":1785537243967,"version":"3.56.0"},"reference-count":48,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T00:00:00Z","timestamp":1626134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["401636\/2013-5"],"award-info":[{"award-number":["401636\/2013-5"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","award":["OPP1107597"],"award-info":[{"award-number":["OPP1107597"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Although maternal nutrition has an impact on fetal development and gestational outcome, tracking maternal nutrition in outpatient practice is still complex and involves proper technical capacitation in this area. Nevertheless, the association between nutritional variables may broaden the ability to predict the occurrence of gestational disorders and prevention management. We aimed to identify factors that could indicate the probability of adverse outcomes in mid-pregnancy. From a cohort of 1165 nulliparous pregnant women without any previous disease, the nutritional status was assessed by body mass index (BMI) and mid-upper arm circumference (MUAC), associated with dietary patterns and sociodemographic characteristics. Two predictive models with nutritional status for screening the occurrence of adverse outcomes of preterm birth, gestational diabetes mellitus, small-for-gestational-age newborns and preeclampsia were developed. The odds of adverse outcomes were higher in non-white (p &lt; 0.05) obese women and with high protein consumption. There was no significant difference between the models, with an overall accuracy of 63% for both models and a probability of success in predicting adverse outcomes (BMI = 61%, MUAC = 52%). This study of Brazilian pregnant nulliparous women offers two possible options for early tracking of adverse gestational outcomes that should be further externally validated.<\/jats:p>","DOI":"10.3390\/nu13072398","type":"journal-article","created":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T22:25:31Z","timestamp":1626215131000},"page":"2398","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Maternal Nutrition Status Associated with Pregnancy-Related Adverse Outcomes"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6270-6269","authenticated-orcid":false,"given":"Maria J","family":"Miele","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, University of Campinas (UNICAMP), Campinas 13083-881, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9075-9269","authenticated-orcid":false,"given":"Renato T","family":"Souza","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, University of Campinas (UNICAMP), Campinas 13083-881, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iracema M","family":"Calderon","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Botucatu Medical School, Sao Paulo State University (Unesp), Botucatu 18618-970, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco E","family":"Feitosa","sequence":"additional","affiliation":[{"name":"MEAC\u2013Maternity School of the Federal University of Cear\u00e1, Fortaleza 60430-270, CE, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debora F","family":"Leite","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, University of Campinas (UNICAMP), Campinas 13083-881, SP, Brazil"},{"name":"Department of Maternal and Child Health, Federal University of Pernambuco, Recife 50670-901, PE, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edilberto A","family":"Rocha Filho","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, Federal University of Pernambuco, Recife 50670-901, PE, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9278-6861","authenticated-orcid":false,"given":"Janete","family":"Vettorazzi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Maternity Hospital, Federal University of RS, Porto Alegre 90035-903, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jussara","family":"Mayrink","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, University of Campinas (UNICAMP), Campinas 13083-881, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karayna G","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, University of Campinas (UNICAMP), Campinas 13083-881, SP, Brazil"},{"name":"Department of Gynecology and Obstetrics, Jundiai School of Medicine, Jundia\u00ed 13202-550, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matias C","family":"Vieira","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, University of Campinas (UNICAMP), Campinas 13083-881, SP, Brazil"},{"name":"Division of Women and Children\u2019s Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, London SE1 7EH, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5739-0009","authenticated-orcid":false,"given":"Rodolfo C","family":"Pacagnella","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, University of Campinas (UNICAMP), Campinas 13083-881, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 G.","family":"Cecatti","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, University of Campinas (UNICAMP), Campinas 13083-881, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,7,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1017\/S0007114519000758","article-title":"Nutrition in transition: Historical cohort analysis summarising trends in under- and over-nutrition among pregnant women in a marginalised population along the Thailand-Myanmar border from 1986 to 2016","volume":"121","author":"Hashmi","year":"2019","journal-title":"Br. 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