Prevalência de diabetes mellitus diagnosticado na gravidez e fatores associados: estudo observacional

Detalhes bibliográficos
Autor(a) principal: Figuerêdo, Luana Machado
Data de Publicação: 2023
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UEFS
Texto Completo: http://tede2.uefs.br:8080/handle/tede/1652
Resumo: Introduction: The prevalence of Diabetes Mellitus(DM) diagnosed during pregnancy has been increasing in Brazil and worldwide. It is conceptually divided into: Gestational Diabetes Mellitus(GDM) and DM Franco recognized in Pregnancy (Overt Diabetes). Severalrisk factorsare known, but the association with hypovitaminosis D has been investigated. Objective: To assess the prevalence of DM diagnosed during pregnancy as well as its associated factors and its relation to hypovitaminosis D in puerperal women admitted to a maternity hospital in Feirade Santana-BA. Methods: This was an observational, cross-sectional, unicentric, quantitative study. The population consisted of puerperal women hospitalized in the obstetric wards of the HospitalEstadual daCriança in Feira de Santana-BA, who gave birth at the institution, totaling 311 interviewed in the periodbetween November/2022 and August/2023. Data collection included the application of a structured survey, consultation of computerized medical records and prenatal examinations. The diagnosis of DM during pregnancy was defined by fasting glucose and/or a 75g oral glucose tolerance test. In addition, the participants' serum 25- Hydroxy-Vitamin D (25-OH-Vit D) was measured. Results: The prevalence of DM diagnosedin pregnancy was 22.22%, of which 16.8% were GDM and 5.38% Overt Diabetes. A previoushistory of DM in former pregnancies was associated with the diagnosis of DM during pregnancyamong the puerperal women interviewed [OR 4.9 and p = 0,04]. Pre-pregnancy Body Mass Index (BMI) > 29.9kg/m2 also showed a statistically significant association with the diagnosisof DM during pregnancy [OR 2.55 and p<0.0001]. The median serum levels of 25-OH-Vit D did not differ significantly in women with and without DM diagnosed during pregnancy, respectively 27.0 [21.5-32.3] and 26.7 [21.5-32.4], p = 0.795. Conclusions: The prevalence ofDM diagnosed during pregnancy in this study was higher than the estimated prevalence in Brazil and worldwide. Regarding the associated factors investigated, a history of DM in previous pregnancies and being overweight were associated with the occurrence of DM duringpregnancy. However, no association with hypovitaminosis D was confirmed.
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spelling Oliveira, Márcio Camposhttps://orcid.org/0000-0002-1913-0417http://lattes.cnpq.br/5703051980918880Bessa Junior, José5258362769958269http://lattes.cnpq.br/52583627699582690245685240623335http://lattes.cnpq.br/0245685240623335Figuerêdo, Luana Machado2024-05-02T19:49:07Z2023-12-13FIGUERÊDO, Luana Machado. Prevalência de diabetes mellitus diagnosticado na gravidez e fatores associados: estudo observacional, 2023, 119 f., Dissertação (mestrado) - Mestrado Profissional em Saúde Coletiva, Universidade Estadual de Feira de Santana, Feira de Santana.http://tede2.uefs.br:8080/handle/tede/1652Introduction: The prevalence of Diabetes Mellitus(DM) diagnosed during pregnancy has been increasing in Brazil and worldwide. It is conceptually divided into: Gestational Diabetes Mellitus(GDM) and DM Franco recognized in Pregnancy (Overt Diabetes). Severalrisk factorsare known, but the association with hypovitaminosis D has been investigated. Objective: To assess the prevalence of DM diagnosed during pregnancy as well as its associated factors and its relation to hypovitaminosis D in puerperal women admitted to a maternity hospital in Feirade Santana-BA. Methods: This was an observational, cross-sectional, unicentric, quantitative study. The population consisted of puerperal women hospitalized in the obstetric wards of the HospitalEstadual daCriança in Feira de Santana-BA, who gave birth at the institution, totaling 311 interviewed in the periodbetween November/2022 and August/2023. Data collection included the application of a structured survey, consultation of computerized medical records and prenatal examinations. The diagnosis of DM during pregnancy was defined by fasting glucose and/or a 75g oral glucose tolerance test. In addition, the participants' serum 25- Hydroxy-Vitamin D (25-OH-Vit D) was measured. Results: The prevalence of DM diagnosedin pregnancy was 22.22%, of which 16.8% were GDM and 5.38% Overt Diabetes. A previoushistory of DM in former pregnancies was associated with the diagnosis of DM during pregnancyamong the puerperal women interviewed [OR 4.9 and p = 0,04]. Pre-pregnancy Body Mass Index (BMI) > 29.9kg/m2 also showed a statistically significant association with the diagnosisof DM during pregnancy [OR 2.55 and p<0.0001]. The median serum levels of 25-OH-Vit D did not differ significantly in women with and without DM diagnosed during pregnancy, respectively 27.0 [21.5-32.3] and 26.7 [21.5-32.4], p = 0.795. Conclusions: The prevalence ofDM diagnosed during pregnancy in this study was higher than the estimated prevalence in Brazil and worldwide. Regarding the associated factors investigated, a history of DM in previous pregnancies and being overweight were associated with the occurrence of DM duringpregnancy. However, no association with hypovitaminosis D was confirmed.Introdução: A prevalência de Diabetes Mellitus (DM) reconhecida pela primeira vez na gravidez vem crescendo no Brasil e no mundo. Divide-se, conceitualmente, em: Diabetes Mellitus Gestacional (DMG) e DM diagnosticado na gravidez. Vários fatores de risco são conhecidos, mas investiga-se a associação com hipovitaminose D. Objetivo: Avaliar a prevalência de DM reconhecida pela primeira vez na gravidez, os fatores associados e sua relação com a hipovitaminose D em puérperas internadas em uma maternidade em Feira de Santana-BA. Métodos: Trata-se de um estudo observacional, transversal, unicêntrico e quantitativo. A população foi constituída por puérperas internadas nas enfermarias obstétricas do Hospital Estadual da Criança em Feira de Santana-BA, submetidas ao parto na instituição, totalizando 311 entrevistadas no período entre novembro/2022 e agosto/2023. A coleta de dados incluiu aplicação de questionário estruturado, consulta ao prontuário informatizado e aos exames de pré-natal. Definiu-se o diagnóstico de DM na gestação com glicemia de jejum e/ou teste oral de tolerância a glicose 75g. Além disso, dosou-se a 25-Hidroxi-Vitamina D (25-OHVit D) sérica das participantes. Resultados: A prevalência de DM reconhecido pela primeira vez na gravidez foi 22,22%, sendo 16,8% DMG e 5,38% DM diagnosticado na gestação . A história prévia de DM em gestações anteriores associou-se ao diagnóstico de DM na gravidez entre as puérperas entrevistadas [OR4,9 e p = 0,04]. O Índice de Massa Corporal (IMC) prégestacional > 29.9kg/m2 também mostrou associação estatisticamente significativa com o diagnóstico de DM na gravidez [OR 2,55 e p<0,001]. Já a mediana, dos níveis séricos da 25- OH-Vit D, não diferiu significativamente nas mulheres com e sem DM diagnosticado na gestação, respectivamente 27.0 [21.5-32.3] e 26.7 [21.5-32.4], p = 0.795. Conclusões: A prevalência de DM reconhecida pela primeira vez na gravidez nesta pesquisa foi superior à prevalência estimada no Brasil e no mundo. Quanto aos fatores associados pesquisados, a história de DM em gestações anteriorese a obesidade tiveram associação com a ocorrência de DM na gravidez. Não foi confirmada, contudo, associação com hipovitaminose D.Submitted by Daniela Costa (dmscosta@uefs.br) on 2024-05-02T19:49:07Z No. of bitstreams: 1 Figueredo, Luana Machado - Dissertação.pdf: 6163535 bytes, checksum: 1185f0266dc293f1931492102be59d87 (MD5)Made available in DSpace on 2024-05-02T19:49:07Z (GMT). No. of bitstreams: 1 Figueredo, Luana Machado - Dissertação.pdf: 6163535 bytes, checksum: 1185f0266dc293f1931492102be59d87 (MD5) Previous issue date: 2023-12-13application/pdfporUniversidade Estadual de Feira de SantanaMestrado Profissional em Saúde ColetivaUEFSBrasilDEPARTAMENTO DE SAÚDEDiabetes GestacionalEstudos TransversaisGravidezEstudo ObservacionalVitamina DGestational DiabetesCross-Sectional StudiesPregnancyObservational StudyVitamin DCIENCIAS DA SAUDE::SAUDE COLETIVAPrevalência de diabetes mellitus diagnosticado na gravidez e fatores associados: estudo observacionalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-50230830685708681256006006001006395569471477890-6173167103754495199info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UEFSinstname:Universidade Estadual de Feira de Santana (UEFS)instacron:UEFSORIGINALFigueredo, Luana Machado - Dissertação.pdfFigueredo, Luana Machado - Dissertação.pdfapplication/pdf6163535http://tede2.uefs.br:8080/bitstream/tede/1652/2/Figueredo%2C+Luana+Machado+-+Disserta%C3%A7%C3%A3o.pdf1185f0266dc293f1931492102be59d87MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82089http://tede2.uefs.br:8080/bitstream/tede/1652/1/license.txt7b5ba3d2445355f386edab96125d42b7MD51tede/16522024-05-02 16:49:07.144oai:tede2.uefs.br:8080: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.uefs.br:8080/PUBhttp://tede2.uefs.br:8080/oai/requestbcuefs@uefs.br|| bcref@uefs.br||bcuefs@uefs.bropendoar:2024-05-02T19:49:07Biblioteca Digital de Teses e Dissertações da UEFS - Universidade Estadual de Feira de Santana (UEFS)false
dc.title.por.fl_str_mv Prevalência de diabetes mellitus diagnosticado na gravidez e fatores associados: estudo observacional
title Prevalência de diabetes mellitus diagnosticado na gravidez e fatores associados: estudo observacional
spellingShingle Prevalência de diabetes mellitus diagnosticado na gravidez e fatores associados: estudo observacional
Figuerêdo, Luana Machado
Diabetes Gestacional
Estudos Transversais
Gravidez
Estudo Observacional
Vitamina D
Gestational Diabetes
Cross-Sectional Studies
Pregnancy
Observational Study
Vitamin D
CIENCIAS DA SAUDE::SAUDE COLETIVA
title_short Prevalência de diabetes mellitus diagnosticado na gravidez e fatores associados: estudo observacional
title_full Prevalência de diabetes mellitus diagnosticado na gravidez e fatores associados: estudo observacional
title_fullStr Prevalência de diabetes mellitus diagnosticado na gravidez e fatores associados: estudo observacional
title_full_unstemmed Prevalência de diabetes mellitus diagnosticado na gravidez e fatores associados: estudo observacional
title_sort Prevalência de diabetes mellitus diagnosticado na gravidez e fatores associados: estudo observacional
author Figuerêdo, Luana Machado
author_facet Figuerêdo, Luana Machado
author_role author
dc.contributor.advisor1.fl_str_mv Oliveira, Márcio Campos
dc.contributor.advisor1ID.fl_str_mv https://orcid.org/0000-0002-1913-0417
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/5703051980918880
dc.contributor.advisor-co1.fl_str_mv Bessa Junior, José
dc.contributor.advisor-co1ID.fl_str_mv 5258362769958269
dc.contributor.advisor-co1Lattes.fl_str_mv http://lattes.cnpq.br/5258362769958269
dc.contributor.authorID.fl_str_mv 0245685240623335
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/0245685240623335
dc.contributor.author.fl_str_mv Figuerêdo, Luana Machado
contributor_str_mv Oliveira, Márcio Campos
Bessa Junior, José
dc.subject.por.fl_str_mv Diabetes Gestacional
Estudos Transversais
Gravidez
Estudo Observacional
Vitamina D
topic Diabetes Gestacional
Estudos Transversais
Gravidez
Estudo Observacional
Vitamina D
Gestational Diabetes
Cross-Sectional Studies
Pregnancy
Observational Study
Vitamin D
CIENCIAS DA SAUDE::SAUDE COLETIVA
dc.subject.eng.fl_str_mv Gestational Diabetes
Cross-Sectional Studies
Pregnancy
Observational Study
Vitamin D
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::SAUDE COLETIVA
description Introduction: The prevalence of Diabetes Mellitus(DM) diagnosed during pregnancy has been increasing in Brazil and worldwide. It is conceptually divided into: Gestational Diabetes Mellitus(GDM) and DM Franco recognized in Pregnancy (Overt Diabetes). Severalrisk factorsare known, but the association with hypovitaminosis D has been investigated. Objective: To assess the prevalence of DM diagnosed during pregnancy as well as its associated factors and its relation to hypovitaminosis D in puerperal women admitted to a maternity hospital in Feirade Santana-BA. Methods: This was an observational, cross-sectional, unicentric, quantitative study. The population consisted of puerperal women hospitalized in the obstetric wards of the HospitalEstadual daCriança in Feira de Santana-BA, who gave birth at the institution, totaling 311 interviewed in the periodbetween November/2022 and August/2023. Data collection included the application of a structured survey, consultation of computerized medical records and prenatal examinations. The diagnosis of DM during pregnancy was defined by fasting glucose and/or a 75g oral glucose tolerance test. In addition, the participants' serum 25- Hydroxy-Vitamin D (25-OH-Vit D) was measured. Results: The prevalence of DM diagnosedin pregnancy was 22.22%, of which 16.8% were GDM and 5.38% Overt Diabetes. A previoushistory of DM in former pregnancies was associated with the diagnosis of DM during pregnancyamong the puerperal women interviewed [OR 4.9 and p = 0,04]. Pre-pregnancy Body Mass Index (BMI) > 29.9kg/m2 also showed a statistically significant association with the diagnosisof DM during pregnancy [OR 2.55 and p<0.0001]. The median serum levels of 25-OH-Vit D did not differ significantly in women with and without DM diagnosed during pregnancy, respectively 27.0 [21.5-32.3] and 26.7 [21.5-32.4], p = 0.795. Conclusions: The prevalence ofDM diagnosed during pregnancy in this study was higher than the estimated prevalence in Brazil and worldwide. Regarding the associated factors investigated, a history of DM in previous pregnancies and being overweight were associated with the occurrence of DM duringpregnancy. However, no association with hypovitaminosis D was confirmed.
publishDate 2023
dc.date.issued.fl_str_mv 2023-12-13
dc.date.accessioned.fl_str_mv 2024-05-02T19:49:07Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
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dc.identifier.citation.fl_str_mv FIGUERÊDO, Luana Machado. Prevalência de diabetes mellitus diagnosticado na gravidez e fatores associados: estudo observacional, 2023, 119 f., Dissertação (mestrado) - Mestrado Profissional em Saúde Coletiva, Universidade Estadual de Feira de Santana, Feira de Santana.
dc.identifier.uri.fl_str_mv http://tede2.uefs.br:8080/handle/tede/1652
identifier_str_mv FIGUERÊDO, Luana Machado. Prevalência de diabetes mellitus diagnosticado na gravidez e fatores associados: estudo observacional, 2023, 119 f., Dissertação (mestrado) - Mestrado Profissional em Saúde Coletiva, Universidade Estadual de Feira de Santana, Feira de Santana.
url http://tede2.uefs.br:8080/handle/tede/1652
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dc.publisher.none.fl_str_mv Universidade Estadual de Feira de Santana
dc.publisher.program.fl_str_mv Mestrado Profissional em Saúde Coletiva
dc.publisher.initials.fl_str_mv UEFS
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv DEPARTAMENTO DE SAÚDE
publisher.none.fl_str_mv Universidade Estadual de Feira de Santana
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