Overweight and the need for drug treatment in women with gestational diabetes

Detalhes bibliográficos
Autor(a) principal: Campos, Vanessa Meurer
Data de Publicação: 2014
Outros Autores: Silva, Jean Carl, Mastroeni, Silmara Salete de Barros Silva
Tipo de documento: Artigo
Idioma: por
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/15728
Resumo: Objective: To investigate the association between maternal AIMS: To investigate the association between overweight and need for drug treatment in women with gestational diabetes. METHODS: A retrospective cross-sectional study was conducted in the Hospital Dona Helena, in Joinville, Santa Catarina state, using data collected from medical records of pregnant women with gestational diabetes mellitus. The included period was July 2001 to July 2011 and the variables investigated were: height, pre-pregnancy weight and body mass index, weight at the first visit, body weight, total weight gain and type of treatment prescribed (diet therapy or medication). RESULTS: The study included 320 pregnant women, of whom 134 (41.8%) were overweight before pregnancy. One hundred and seventy-eight patients (55.6%) required medical treatment (oral hypoglycemic agents or insulin) and 142 (44.4%) continued treatment with diet only. The average initial body mass index of patients in need of drug treatment was higher compared to those that were maintained on the diet alone (26.1 vs. 23.1, p less than 0.01) and average initial weight (75.5 vs. 69.3, p
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spelling Overweight and the need for drug treatment in women with gestational diabetesExcesso de peso e necessidade de tratamento medicamentoso em mulheres com diabetes gestacionalGESTATIONAL DIABETESNUTRITIONAL STATEOVERWEIGHTINSULINDRUG THERAPYDIABETES GESTACIONALESTADO NUTRICIONALSOBREPESOTRATAMENTO MEDICAMENTOSOObjective: To investigate the association between maternal AIMS: To investigate the association between overweight and need for drug treatment in women with gestational diabetes. METHODS: A retrospective cross-sectional study was conducted in the Hospital Dona Helena, in Joinville, Santa Catarina state, using data collected from medical records of pregnant women with gestational diabetes mellitus. The included period was July 2001 to July 2011 and the variables investigated were: height, pre-pregnancy weight and body mass index, weight at the first visit, body weight, total weight gain and type of treatment prescribed (diet therapy or medication). RESULTS: The study included 320 pregnant women, of whom 134 (41.8%) were overweight before pregnancy. One hundred and seventy-eight patients (55.6%) required medical treatment (oral hypoglycemic agents or insulin) and 142 (44.4%) continued treatment with diet only. The average initial body mass index of patients in need of drug treatment was higher compared to those that were maintained on the diet alone (26.1 vs. 23.1, p less than 0.01) and average initial weight (75.5 vs. 69.3, p OBJETIVO: Investigar se existe associação entre excesso de peso e necessidade de tratamento medicamentoso em mulheres com diabetes gestacional. MÉTODOS: Foi realizado um estudo transversal retrospectivo no Hospital Dona Helena em Joinville, estado de Santa Catarina, a partir de dados coletados dos prontuários de gestantes com diabetes mellitus gestacional. O período incluído foi julho de 2001 a julho de 2011 e as variáveis investigadas foram: estatura, peso e índice de massa corporal pré-gestacionais, peso na primeira consulta, peso final, ganho ponderal total e tipo de tratamento prescrito (dietoterápico ou medicamentoso). RESULTADOS: O estudo incluiu 320 gestantes, das quais 134 (41,8%) apresentaram excesso de peso pré-gestacional. Cento e setenta e oito gestantes (55,6%) necessitaram de tratamento medicamentoso (hipoglicemiante oral ou insulina) e 142 (44,4%) mantiveram o tratamento apenas com a dieta. A média de índice de massa corporal inicial das pacientes com necessidade de tratamento medicamentoso foi maior quando comparada com aquelas que permaneceram apenas com a dieta (26,1 vs. 23,1, p menor do que 0,01), assim como as médias de peso inicial (75,5 vs. 69,3, p menor do que 0,01) e de peso final (77,4 vs. 70,8, p menor do que 0,01). A necessidade de tratamento medicamentoso foi maior entre as gestantes classificadas com sobrepeso e obesidade (odds ratio=9,6; intervalo de confiança 95% 3,3-27,8) e naquelas com o ganho de peso gestacional total acima das recomendações (p=0,02). CONCLUSÃO: O excesso de peso pré-gestacional e o ganho de peso total excessivo durante a gestação, em gestantes com diabetes gestacional, associaram-se à necessidade de tratamento medicamentoso.Editora da PUCRS - ediPUCRS2014-05-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1572810.15448/1980-6108.2014.2.15728Scientia Medica; Vol. 24 No. 2 (2014); 111-115Scientia Medica; v. 24 n. 2 (2014); 111-1151980-61081806-556210.15448/1980-6108.2014.2reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/15728/11483Campos, Vanessa MeurerSilva, Jean CarlMastroeni, Silmara Salete de Barros Silvainfo:eu-repo/semantics/openAccess2017-08-28T14:51:15Zoai:ojs.revistaseletronicas.pucrs.br:article/15728Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2017-08-28T14:51:15Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Overweight and the need for drug treatment in women with gestational diabetes
Excesso de peso e necessidade de tratamento medicamentoso em mulheres com diabetes gestacional
title Overweight and the need for drug treatment in women with gestational diabetes
spellingShingle Overweight and the need for drug treatment in women with gestational diabetes
Campos, Vanessa Meurer
GESTATIONAL DIABETES
NUTRITIONAL STATE
OVERWEIGHT
INSULIN
DRUG THERAPY
DIABETES GESTACIONAL
ESTADO NUTRICIONAL
SOBREPESO
TRATAMENTO MEDICAMENTOSO
title_short Overweight and the need for drug treatment in women with gestational diabetes
title_full Overweight and the need for drug treatment in women with gestational diabetes
title_fullStr Overweight and the need for drug treatment in women with gestational diabetes
title_full_unstemmed Overweight and the need for drug treatment in women with gestational diabetes
title_sort Overweight and the need for drug treatment in women with gestational diabetes
author Campos, Vanessa Meurer
author_facet Campos, Vanessa Meurer
Silva, Jean Carl
Mastroeni, Silmara Salete de Barros Silva
author_role author
author2 Silva, Jean Carl
Mastroeni, Silmara Salete de Barros Silva
author2_role author
author
dc.contributor.author.fl_str_mv Campos, Vanessa Meurer
Silva, Jean Carl
Mastroeni, Silmara Salete de Barros Silva
dc.subject.por.fl_str_mv GESTATIONAL DIABETES
NUTRITIONAL STATE
OVERWEIGHT
INSULIN
DRUG THERAPY
DIABETES GESTACIONAL
ESTADO NUTRICIONAL
SOBREPESO
TRATAMENTO MEDICAMENTOSO
topic GESTATIONAL DIABETES
NUTRITIONAL STATE
OVERWEIGHT
INSULIN
DRUG THERAPY
DIABETES GESTACIONAL
ESTADO NUTRICIONAL
SOBREPESO
TRATAMENTO MEDICAMENTOSO
description Objective: To investigate the association between maternal AIMS: To investigate the association between overweight and need for drug treatment in women with gestational diabetes. METHODS: A retrospective cross-sectional study was conducted in the Hospital Dona Helena, in Joinville, Santa Catarina state, using data collected from medical records of pregnant women with gestational diabetes mellitus. The included period was July 2001 to July 2011 and the variables investigated were: height, pre-pregnancy weight and body mass index, weight at the first visit, body weight, total weight gain and type of treatment prescribed (diet therapy or medication). RESULTS: The study included 320 pregnant women, of whom 134 (41.8%) were overweight before pregnancy. One hundred and seventy-eight patients (55.6%) required medical treatment (oral hypoglycemic agents or insulin) and 142 (44.4%) continued treatment with diet only. The average initial body mass index of patients in need of drug treatment was higher compared to those that were maintained on the diet alone (26.1 vs. 23.1, p less than 0.01) and average initial weight (75.5 vs. 69.3, p
publishDate 2014
dc.date.none.fl_str_mv 2014-05-14
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/15728
10.15448/1980-6108.2014.2.15728
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/15728
identifier_str_mv 10.15448/1980-6108.2014.2.15728
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/15728/11483
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 24 No. 2 (2014); 111-115
Scientia Medica; v. 24 n. 2 (2014); 111-115
1980-6108
1806-5562
10.15448/1980-6108.2014.2
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
_version_ 1809101750152462336

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