Pregnancy and diabetes: relationship between nutritional status and glycemic control

Detalhes bibliográficos
Autor(a) principal: Gomes de Sousa, Vivian Braga
Data de Publicação: 2015
Outros Autores: Meireles, Ana Vaneska Passos, Frota, Julyanne Torres, Melo Garcia, Maria Miriam da Cunha, Nobre, Raquel Guimarães
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/2861
Resumo: Objective: To assess the relationship between nutritional status and glycemic control in pregnant women with diabetes hospitalized in a public maternity hospital in Fortaleza- CE. Methods: Observational, descriptive and cross-sectional study conducted with 11 diabetic pregnant women hospitalized in a reference maternity hospital between July and November 2012. Clinical, obstetric, pre-natal, weight gain, insulin and glucose data were obtained from records and prenatal care cards; socioeconomic data and obstetric and nutritional history data were obtained through direct interviews. Qualitative variables were presented in absolute numbers and simple frequency, and quantitative variables were presented using mean and standard deviation. Results: The participants were aged 31.4±4.2 years. The majority (81.9%, n=9) started pregnancy with weight deviation such as overweight (27.3%; n=3) and obesity (54.5%; n=6) and used a greater amount of insulin per day, mean of 39.5±16.8 International Units (IU) and 53.3±32.7 IU, respectively, when compared to the women who started pregnancy with eutrophic values, mean of 26.7±8.6 IU. Patients with adequate nutritional status before pregnancy have achieved good levels of fasting glucose and glucose 1h after breakfast, and overweight and pre-pregnancy obese women had inadequate glycemic control at all times (fasting, 1h after breakfast, 1h after lunch and 1h after dinner). Conclusion: Inadequate pre-pregnancy nutritional status, such as overweight and obesity, and weight gain above what is recommended during pregnancy are factors that positively influence the difficulty in obtaining optimal glycemic control in pregnant women with diabetes. doi: 10.5020/18061230.2014.p541
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spelling Pregnancy and diabetes: relationship between nutritional status and glycemic controlEmbarazo y Diabetes: relación del estado nutricional y El control glucémicoGestação e diabetes: relação entre estado nutricional e o controle glicêmicoGestational DiabetesNutritional StatusGlucoseInsulin.Diabetes GestacionalEstado NutricionalGlucemiaInsulinaDiabetes GestacionalEstado NutricionalGlicemiaInsulina.Objective: To assess the relationship between nutritional status and glycemic control in pregnant women with diabetes hospitalized in a public maternity hospital in Fortaleza- CE. Methods: Observational, descriptive and cross-sectional study conducted with 11 diabetic pregnant women hospitalized in a reference maternity hospital between July and November 2012. Clinical, obstetric, pre-natal, weight gain, insulin and glucose data were obtained from records and prenatal care cards; socioeconomic data and obstetric and nutritional history data were obtained through direct interviews. Qualitative variables were presented in absolute numbers and simple frequency, and quantitative variables were presented using mean and standard deviation. Results: The participants were aged 31.4±4.2 years. The majority (81.9%, n=9) started pregnancy with weight deviation such as overweight (27.3%; n=3) and obesity (54.5%; n=6) and used a greater amount of insulin per day, mean of 39.5±16.8 International Units (IU) and 53.3±32.7 IU, respectively, when compared to the women who started pregnancy with eutrophic values, mean of 26.7±8.6 IU. Patients with adequate nutritional status before pregnancy have achieved good levels of fasting glucose and glucose 1h after breakfast, and overweight and pre-pregnancy obese women had inadequate glycemic control at all times (fasting, 1h after breakfast, 1h after lunch and 1h after dinner). Conclusion: Inadequate pre-pregnancy nutritional status, such as overweight and obesity, and weight gain above what is recommended during pregnancy are factors that positively influence the difficulty in obtaining optimal glycemic control in pregnant women with diabetes. doi: 10.5020/18061230.2014.p541Objetivo: Evaluar la relación del estado nutricional y el control glucémico en embarazadas con diabetes ingresadas em una maternidad pública de Fortaleza-CE. Métodos: Estudio observacional, descriptivo y transversal realizado con 11 embarazadas diabéticas ingresadas en una maternidad de referencia entre julio y noviembre de 2012. Los datos clínicos, obstétricos, de prenatal, ganancia de peso, terapia con insulina y glucemia fueron obtenidos a través de consulta al historial clínico y la tarjeta de la embarazada. A través de entrevista directa se recogieron los datos socioeconómicos, los antecedentes obstétricos y nutricionales. Se presentó las variables cualitativas con número absoluto y frecuencia simple y las cuantitativas com media y desviación típica. Resultados: Las participantes tenían edad de 31,4±4,2 años. La mayoría (81,8%; n=9) empezó El embarazo con desvío ponderal como el sobrepeso (27,3%; n=3) y la obesidad (54,5%; n=6), y estas utilizaron mayor cantidad de insulina al día, media de 39,5±16,8 Unidades Internacionales (UI) y 53,3±32,7 UI, respectivamente, al comparar con las que empezaron el embarazo eutróficas con media de 26,7±8,6 UI. Las participantes con el estado nutricional adecuado antes de quedarse embarazadas tuvieron buenos niveles de glucemia en ayuno y 1h después del desayuno y las participantes con sobrepeso y obesidad pre-gestacional presentaron el control glucémico inadecuado em todos los horarios (en ayuno, 1h después del desayuno, 1h después de la comida y 1h después de la cena). Conclusión: El estado nutricional pre-gestacional inadecuado como el sobrepeso y la obesidad y la ganancia de peso superior al recomendado en El embarazo son factores que influyen positivamente en la dificultad para la obtención del control glucémico ideal para la embarazada con diabetes. 10.5020/18061230.2014.p541Objetivo: Avaliar a relação entre o estado nutricional e o controle glicêmico de gestantes internadas com diabetes em uma maternidade pública em Fortaleza-CE. Métodos: Estudo observacional, descritivo e transversal realizado com 11 gestantes diabéticas, hospitalizadas em uma maternidade de referência, entre julho e novembro de 2012. Os dados clínicos, obstétricos, de pré-natal, ganho de peso, insulinoterapia e glicemia foram obtidos por meio de busca ao prontuário e cartão da gestante; por meio de entrevista direta, coletaram-se dados socioeconômicos, antecedentes obstétricos e nutricionais. Apresentaram-se as variáveis qualitativas em número absoluto e frequência simples, e as quantitativas, em média e desvio padrão. Resultados: As participantes apresentaram idade de 31,4±4,2 anos. A maioria (81,8%; n=9) iniciou a gestação com desvio ponderal, como sobrepeso (27,3%;n=3) e obesidade (54,5%; n=6), e estas utilizaram uma maior quantidade de insulina por dia, média de 39,5±16,8 Unidades Internacionais (UI) e 53,3±32,7 UI, respectivamente, quando comparadas com as que começaram o período gravídico eutróficas, média de 26,7±8,6 UI. Participantes com estado nutricional adequado antes de engravidar atingiram bons níveis de glicemia em jejum e 1h após o desjejum, e as participantes com sobrepeso e obesidade prégestacional apresentaram controle glicêmico inadequado em todos os horários (em jejum,1h após o desjejum, 1h após o almoço e 1h após o jantar). Conclusão: O estado nutricional pré-gravídico inadequado, como sobrepeso e obesidade, e o ganho de peso superior ao recomendado na gestação são fatores que influenciam positivamente na dificuldade de obter o controle glicêmico ideal da gestante com diabetes. doi: 10.5020/18061230.2014.p541Universidade de Fortaleza2015-05-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/286110.5020/2861Brazilian Journal in Health Promotion; Vol. 27 No. 4 (2014); 541-549Revista Brasileña en Promoción de la Salud; Vol. 27 Núm. 4 (2014); 541-549Revista Brasileira em Promoção da Saúde; v. 27 n. 4 (2014); 541-5491806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/2861/pdfhttps://ojs.unifor.br/RBPS/article/view/2861/pdf_1Gomes de Sousa, Vivian BragaMeireles, Ana Vaneska PassosFrota, Julyanne TorresMelo Garcia, Maria Miriam da CunhaNobre, Raquel Guimarãesinfo:eu-repo/semantics/openAccess2022-02-16T12:12:53Zoai:ojs.ojs.unifor.br:article/2861Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2022-02-16T12:12:53Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Pregnancy and diabetes: relationship between nutritional status and glycemic control
Embarazo y Diabetes: relación del estado nutricional y El control glucémico
Gestação e diabetes: relação entre estado nutricional e o controle glicêmico
title Pregnancy and diabetes: relationship between nutritional status and glycemic control
spellingShingle Pregnancy and diabetes: relationship between nutritional status and glycemic control
Gomes de Sousa, Vivian Braga
Gestational Diabetes
Nutritional Status
Glucose
Insulin.
Diabetes Gestacional
Estado Nutricional
Glucemia
Insulina
Diabetes Gestacional
Estado Nutricional
Glicemia
Insulina.
title_short Pregnancy and diabetes: relationship between nutritional status and glycemic control
title_full Pregnancy and diabetes: relationship between nutritional status and glycemic control
title_fullStr Pregnancy and diabetes: relationship between nutritional status and glycemic control
title_full_unstemmed Pregnancy and diabetes: relationship between nutritional status and glycemic control
title_sort Pregnancy and diabetes: relationship between nutritional status and glycemic control
author Gomes de Sousa, Vivian Braga
author_facet Gomes de Sousa, Vivian Braga
Meireles, Ana Vaneska Passos
Frota, Julyanne Torres
Melo Garcia, Maria Miriam da Cunha
Nobre, Raquel Guimarães
author_role author
author2 Meireles, Ana Vaneska Passos
Frota, Julyanne Torres
Melo Garcia, Maria Miriam da Cunha
Nobre, Raquel Guimarães
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Gomes de Sousa, Vivian Braga
Meireles, Ana Vaneska Passos
Frota, Julyanne Torres
Melo Garcia, Maria Miriam da Cunha
Nobre, Raquel Guimarães
dc.subject.por.fl_str_mv Gestational Diabetes
Nutritional Status
Glucose
Insulin.
Diabetes Gestacional
Estado Nutricional
Glucemia
Insulina
Diabetes Gestacional
Estado Nutricional
Glicemia
Insulina.
topic Gestational Diabetes
Nutritional Status
Glucose
Insulin.
Diabetes Gestacional
Estado Nutricional
Glucemia
Insulina
Diabetes Gestacional
Estado Nutricional
Glicemia
Insulina.
description Objective: To assess the relationship between nutritional status and glycemic control in pregnant women with diabetes hospitalized in a public maternity hospital in Fortaleza- CE. Methods: Observational, descriptive and cross-sectional study conducted with 11 diabetic pregnant women hospitalized in a reference maternity hospital between July and November 2012. Clinical, obstetric, pre-natal, weight gain, insulin and glucose data were obtained from records and prenatal care cards; socioeconomic data and obstetric and nutritional history data were obtained through direct interviews. Qualitative variables were presented in absolute numbers and simple frequency, and quantitative variables were presented using mean and standard deviation. Results: The participants were aged 31.4±4.2 years. The majority (81.9%, n=9) started pregnancy with weight deviation such as overweight (27.3%; n=3) and obesity (54.5%; n=6) and used a greater amount of insulin per day, mean of 39.5±16.8 International Units (IU) and 53.3±32.7 IU, respectively, when compared to the women who started pregnancy with eutrophic values, mean of 26.7±8.6 IU. Patients with adequate nutritional status before pregnancy have achieved good levels of fasting glucose and glucose 1h after breakfast, and overweight and pre-pregnancy obese women had inadequate glycemic control at all times (fasting, 1h after breakfast, 1h after lunch and 1h after dinner). Conclusion: Inadequate pre-pregnancy nutritional status, such as overweight and obesity, and weight gain above what is recommended during pregnancy are factors that positively influence the difficulty in obtaining optimal glycemic control in pregnant women with diabetes. doi: 10.5020/18061230.2014.p541
publishDate 2015
dc.date.none.fl_str_mv 2015-05-27
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed Article"
"Avaliado pelos pares"
"Avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/2861
10.5020/2861
url https://ojs.unifor.br/RBPS/article/view/2861
identifier_str_mv 10.5020/2861
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/2861/pdf
https://ojs.unifor.br/RBPS/article/view/2861/pdf_1
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 27 No. 4 (2014); 541-549
Revista Brasileña en Promoción de la Salud; Vol. 27 Núm. 4 (2014); 541-549
Revista Brasileira em Promoção da Saúde; v. 27 n. 4 (2014); 541-549
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
_version_ 1798313062071009280

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