Contagem de carboidratos e perfil metabólico de adolescentes com diabetes melito tipo 1 atendidos no Hospital das Clínicas/UFG, Goiânia
Autor(a) principal: | |
---|---|
Data de Publicação: | 2012 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tde/1478 |
Resumo: | Objective: The aim of the study was evaluated the effect of carbohydrate counting, for four months, on anthropometric parameters, body composition, biochemical and food intake in adolescents with type 1 diabetes mellitus. Methods: Clinical trial, controlled and randomized study at the Clinic of Endocrinology, Hospital das Clinicas, Federal University of Goiás, with 28 patients divided into intervention group (IG - carbohydrate counting) and control (CG - no counting carbs) and monitored fortnightly. At the beginning and end of the study data were collected on: anthropometric (weight, height and waist circumference), body composition (skinfold thickness and subscapular), biochemical (fasting glucose - FPG, postprandial glucose - GPP, glycated hemoglobin - A1C, total cholesterol - TC, triglycerides - TG, high density lipoprotein - HDL-c and low density lipoprotein - LDL-c) and, fortnightly, 24-hour recalls. Statistical analysis was performed using the statistical package SPSS version 18.0. For categorical variables used the chi-square and Fisher exact test. Shapiro-Wilk test to assess the normality of continuous variables, paired t test or Wilcoxon test for intragroup analysis, and Student's t test or Mann-Whitney test for intergroup analysis. The significance level was 5%. Results: The CG increased A1C (p=0.024) and both groups decreased energy intake (CG: p=0.005; IG: p=0.002). IG decreased A1C (p=0.002), but increased the CT (p=0.009) and LDL-c (p=0.012). This group also increased the caloric intake of carbohydrates (p=0.005) and decreased caloric intake of fat (p=0.002). There were a decreased in FPG and A1C (p=0.033 and p<0.001, respectively) in IG and increased CT and LDL-c (p=0.004 and p=0.019, respectively). The mean capillary glucose pre-and post-prandial were not affected between groups (p>0.005), although the oscillation glucose was lower in IG. Conclusion: Carbohydrate counting resulted in improved glycemic control and glucose concentrations more constant. However, this practice was associated with increased CT and LDL-c. Patients who have applied this strategy increased the caloric intake of carbohydrates and decreased consumption of fat. |
id |
UFG-2_619118c9661b899883679ec1c049b91d |
---|---|
oai_identifier_str |
oai:repositorio.bc.ufg.br:tde/1478 |
network_acronym_str |
UFG-2 |
network_name_str |
Repositório Institucional da UFG |
repository_id_str |
|
spelling |
CAMPOS, Maria Raquel Hidalgohttp://lattes.cnpq.br/9910969694141110STRINGHINI, Maria Luiza Ferreirahttp://lattes.cnpq.br/3705544548242014http://lattes.cnpq.br/3142949631089403ALBUQUERQUE, Izabela Zibetti de2014-07-29T15:23:44Z2012-12-072012-05-10ALBUQUERQUE, Izabela Zibetti de. Count carbs and metabolic profile of adolescents with type 1 diabetes mellitus treated in Hospital Clinics/UFG, Goiânia. 2012. 104 f. Dissertação (Mestrado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2012.http://repositorio.bc.ufg.br/tede/handle/tde/1478Objective: The aim of the study was evaluated the effect of carbohydrate counting, for four months, on anthropometric parameters, body composition, biochemical and food intake in adolescents with type 1 diabetes mellitus. Methods: Clinical trial, controlled and randomized study at the Clinic of Endocrinology, Hospital das Clinicas, Federal University of Goiás, with 28 patients divided into intervention group (IG - carbohydrate counting) and control (CG - no counting carbs) and monitored fortnightly. At the beginning and end of the study data were collected on: anthropometric (weight, height and waist circumference), body composition (skinfold thickness and subscapular), biochemical (fasting glucose - FPG, postprandial glucose - GPP, glycated hemoglobin - A1C, total cholesterol - TC, triglycerides - TG, high density lipoprotein - HDL-c and low density lipoprotein - LDL-c) and, fortnightly, 24-hour recalls. Statistical analysis was performed using the statistical package SPSS version 18.0. For categorical variables used the chi-square and Fisher exact test. Shapiro-Wilk test to assess the normality of continuous variables, paired t test or Wilcoxon test for intragroup analysis, and Student's t test or Mann-Whitney test for intergroup analysis. The significance level was 5%. Results: The CG increased A1C (p=0.024) and both groups decreased energy intake (CG: p=0.005; IG: p=0.002). IG decreased A1C (p=0.002), but increased the CT (p=0.009) and LDL-c (p=0.012). This group also increased the caloric intake of carbohydrates (p=0.005) and decreased caloric intake of fat (p=0.002). There were a decreased in FPG and A1C (p=0.033 and p<0.001, respectively) in IG and increased CT and LDL-c (p=0.004 and p=0.019, respectively). The mean capillary glucose pre-and post-prandial were not affected between groups (p>0.005), although the oscillation glucose was lower in IG. Conclusion: Carbohydrate counting resulted in improved glycemic control and glucose concentrations more constant. However, this practice was associated with increased CT and LDL-c. Patients who have applied this strategy increased the caloric intake of carbohydrates and decreased consumption of fat.Objetivo: Avaliar o efeito da contagem de carboidratos, por quatro meses, sobre parâmetros antropométricos, de composição corporal, bioquímicos e de consumo alimentar de adolescentes portadores de Diabetes Melito tipo 1. Metodologia: Ensaio clínico, controlado, randomizado, realizado no Ambulatório de Endocrinologia do Hospital das Clínicas da Universidade Federal de Goiás, com 28 pacientes, divididos em grupo intervenção (GI - contagem de carboidratos) e controle (GC - sem contagem de carboidratos), e acompanhados quinzenalmente. Ao início e ao final do estudo foi feita avaliação antropométrica (peso, altura e circunferência da cintura), da composição corporal (pregas cutâneas tricipital e subescapular), bioquímica (glicemia de jejum - GJ, glicemia pós-prandial - GPP, hemoglobina glicada - A1C, colesterol total - CT, triglicerídeos - TG, lipoproteína de alta densidade - HDL-c e lipoproteína de baixa densidade - LDL-c) e, quinzenalmente, de consumo alimentar (recordatórios de 24 horas). A análise estatística foi procedida por meio do pacote estatístico SPSS versão 18.0. Para as variáveis categóricas utilizou-se o teste Qui-Quadrado e teste Exato de Fisher. Teste de Shapiro-Wilk para avaliar a normalidade das variáveis contínuas, teste t-pareado ou teste de Wilcoxon para análise intragrupo, e teste t de Student ou teste de Mann-Whitney para a análise intergrupo. O nível de significância adotado foi de 5%. Resultados: O GC aumentou a A1C (p=0,024) e ambos os grupos diminuíram o consumo calórico (GC: p=0,005; GI: p=0,002). GI diminuiu a A1C (p=0,002), mas aumentou o CT (p=0,009) e o LDL-c (p=0,012). Este grupo também aumentou o consumo calórico de carboidratos (p=0,005) e diminuiu o consumo calórico de lipídeos (p=0,002). Verificou-se a diminuição de GJ e A1C (p=0,033 e p<0,001, respectivamente) no GI e o aumento de CT e LDL-c (p=0,004 e p=0,019, respectivamente). As médias glicêmicas pré e pós-prandiais não foram afetadas entre os grupos (p>0,005), embora a oscilação glicêmica tenha sido menor no GI. Conclusão: A contagem de carboidratos resultou na melhora do controle glicêmico e em concentrações glicêmicas mais constantes. Entretanto, a sua prática esteve associada ao aumento de CT e LDL-c. Os pacientes que aplicaram essa estratégia aumentaram o consumo calórico de carboidratos e diminuíram o consumo de lipídeos.Made available in DSpace on 2014-07-29T15:23:44Z (GMT). No. of bitstreams: 1 Dissertacao Final - Izabela Z de Albuquerque.pdf: 1038583 bytes, checksum: 13e3b77d98b69c764907a2844ac3318c (MD5) Previous issue date: 2012-05-10application/pdfhttp://repositorio.bc.ufg.br/TEDE/retrieve/4314/Dissertacao%20Final%20-%20Izabela%20Z%20de%20Albuquerque.pdf.jpgporUniversidade Federal de GoiásMestrado em Nutricao e SaudeUFGBRCiencias da SaudeAdolescentecarboidratos na dietadiabetes mellitus tipo 1hemoglobina A glicosiladaAdolescentcarbohydrates in the diet, type 1 diabetes, glycosylated hemoglobinCNPQ::CIENCIAS DA SAUDE::NUTRICAOContagem de carboidratos e perfil metabólico de adolescentes com diabetes melito tipo 1 atendidos no Hospital das Clínicas/UFG, GoiâniaCount carbs and metabolic profile of adolescents with type 1 diabetes mellitus treated in Hospital Clinics/UFG, Goiâniainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGORIGINALDissertacao Final - Izabela Z de Albuquerque.pdfapplication/pdf1038583http://repositorio.bc.ufg.br/tede/bitstreams/11d3eee7-ba6e-434a-b952-6543e3422b9f/download13e3b77d98b69c764907a2844ac3318cMD51THUMBNAILDissertacao Final - Izabela Z de Albuquerque.pdf.jpgDissertacao Final - Izabela Z de Albuquerque.pdf.jpgGenerated Thumbnailimage/jpeg2748http://repositorio.bc.ufg.br/tede/bitstreams/21481612-142d-4ee6-ad29-6265a54b6439/downloaddc592b8e4597459a787c6a3765e8553aMD52tde/14782014-07-30 03:13:16.309open.accessoai:repositorio.bc.ufg.br:tde/1478http://repositorio.bc.ufg.br/tedeRepositório InstitucionalPUBhttp://repositorio.bc.ufg.br/oai/requesttasesdissertacoes.bc@ufg.bropendoar:2014-07-30T06:13:16Repositório Institucional da UFG - Universidade Federal de Goiás (UFG)false |
dc.title.por.fl_str_mv |
Contagem de carboidratos e perfil metabólico de adolescentes com diabetes melito tipo 1 atendidos no Hospital das Clínicas/UFG, Goiânia |
dc.title.alternative.eng.fl_str_mv |
Count carbs and metabolic profile of adolescents with type 1 diabetes mellitus treated in Hospital Clinics/UFG, Goiânia |
title |
Contagem de carboidratos e perfil metabólico de adolescentes com diabetes melito tipo 1 atendidos no Hospital das Clínicas/UFG, Goiânia |
spellingShingle |
Contagem de carboidratos e perfil metabólico de adolescentes com diabetes melito tipo 1 atendidos no Hospital das Clínicas/UFG, Goiânia ALBUQUERQUE, Izabela Zibetti de Adolescente carboidratos na dieta diabetes mellitus tipo 1 hemoglobina A glicosilada Adolescent carbohydrates in the diet, type 1 diabetes, glycosylated hemoglobin CNPQ::CIENCIAS DA SAUDE::NUTRICAO |
title_short |
Contagem de carboidratos e perfil metabólico de adolescentes com diabetes melito tipo 1 atendidos no Hospital das Clínicas/UFG, Goiânia |
title_full |
Contagem de carboidratos e perfil metabólico de adolescentes com diabetes melito tipo 1 atendidos no Hospital das Clínicas/UFG, Goiânia |
title_fullStr |
Contagem de carboidratos e perfil metabólico de adolescentes com diabetes melito tipo 1 atendidos no Hospital das Clínicas/UFG, Goiânia |
title_full_unstemmed |
Contagem de carboidratos e perfil metabólico de adolescentes com diabetes melito tipo 1 atendidos no Hospital das Clínicas/UFG, Goiânia |
title_sort |
Contagem de carboidratos e perfil metabólico de adolescentes com diabetes melito tipo 1 atendidos no Hospital das Clínicas/UFG, Goiânia |
author |
ALBUQUERQUE, Izabela Zibetti de |
author_facet |
ALBUQUERQUE, Izabela Zibetti de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
CAMPOS, Maria Raquel Hidalgo |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9910969694141110 |
dc.contributor.advisor-co1.fl_str_mv |
STRINGHINI, Maria Luiza Ferreira |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/3705544548242014 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3142949631089403 |
dc.contributor.author.fl_str_mv |
ALBUQUERQUE, Izabela Zibetti de |
contributor_str_mv |
CAMPOS, Maria Raquel Hidalgo STRINGHINI, Maria Luiza Ferreira |
dc.subject.por.fl_str_mv |
Adolescente carboidratos na dieta diabetes mellitus tipo 1 hemoglobina A glicosilada |
topic |
Adolescente carboidratos na dieta diabetes mellitus tipo 1 hemoglobina A glicosilada Adolescent carbohydrates in the diet, type 1 diabetes, glycosylated hemoglobin CNPQ::CIENCIAS DA SAUDE::NUTRICAO |
dc.subject.eng.fl_str_mv |
Adolescent carbohydrates in the diet, type 1 diabetes, glycosylated hemoglobin |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::NUTRICAO |
description |
Objective: The aim of the study was evaluated the effect of carbohydrate counting, for four months, on anthropometric parameters, body composition, biochemical and food intake in adolescents with type 1 diabetes mellitus. Methods: Clinical trial, controlled and randomized study at the Clinic of Endocrinology, Hospital das Clinicas, Federal University of Goiás, with 28 patients divided into intervention group (IG - carbohydrate counting) and control (CG - no counting carbs) and monitored fortnightly. At the beginning and end of the study data were collected on: anthropometric (weight, height and waist circumference), body composition (skinfold thickness and subscapular), biochemical (fasting glucose - FPG, postprandial glucose - GPP, glycated hemoglobin - A1C, total cholesterol - TC, triglycerides - TG, high density lipoprotein - HDL-c and low density lipoprotein - LDL-c) and, fortnightly, 24-hour recalls. Statistical analysis was performed using the statistical package SPSS version 18.0. For categorical variables used the chi-square and Fisher exact test. Shapiro-Wilk test to assess the normality of continuous variables, paired t test or Wilcoxon test for intragroup analysis, and Student's t test or Mann-Whitney test for intergroup analysis. The significance level was 5%. Results: The CG increased A1C (p=0.024) and both groups decreased energy intake (CG: p=0.005; IG: p=0.002). IG decreased A1C (p=0.002), but increased the CT (p=0.009) and LDL-c (p=0.012). This group also increased the caloric intake of carbohydrates (p=0.005) and decreased caloric intake of fat (p=0.002). There were a decreased in FPG and A1C (p=0.033 and p<0.001, respectively) in IG and increased CT and LDL-c (p=0.004 and p=0.019, respectively). The mean capillary glucose pre-and post-prandial were not affected between groups (p>0.005), although the oscillation glucose was lower in IG. Conclusion: Carbohydrate counting resulted in improved glycemic control and glucose concentrations more constant. However, this practice was associated with increased CT and LDL-c. Patients who have applied this strategy increased the caloric intake of carbohydrates and decreased consumption of fat. |
publishDate |
2012 |
dc.date.available.fl_str_mv |
2012-12-07 |
dc.date.issued.fl_str_mv |
2012-05-10 |
dc.date.accessioned.fl_str_mv |
2014-07-29T15:23:44Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
ALBUQUERQUE, Izabela Zibetti de. Count carbs and metabolic profile of adolescents with type 1 diabetes mellitus treated in Hospital Clinics/UFG, Goiânia. 2012. 104 f. Dissertação (Mestrado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2012. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tde/1478 |
identifier_str_mv |
ALBUQUERQUE, Izabela Zibetti de. Count carbs and metabolic profile of adolescents with type 1 diabetes mellitus treated in Hospital Clinics/UFG, Goiânia. 2012. 104 f. Dissertação (Mestrado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2012. |
url |
http://repositorio.bc.ufg.br/tede/handle/tde/1478 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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 |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Mestrado em Nutricao e Saude |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
BR |
dc.publisher.department.fl_str_mv |
Ciencias da Saude |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
instname_str |
Universidade Federal de Goiás (UFG) |
instacron_str |
UFG |
institution |
UFG |
reponame_str |
Repositório Institucional da UFG |
collection |
Repositório Institucional da UFG |
bitstream.url.fl_str_mv |
http://repositorio.bc.ufg.br/tede/bitstreams/11d3eee7-ba6e-434a-b952-6543e3422b9f/download http://repositorio.bc.ufg.br/tede/bitstreams/21481612-142d-4ee6-ad29-6265a54b6439/download |
bitstream.checksum.fl_str_mv |
13e3b77d98b69c764907a2844ac3318c dc592b8e4597459a787c6a3765e8553a |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1798044367246589952 |