Valdés AL, Valencia RY, Rodríguez AB, Santana BO, Lang PJ

Language: Spanish
References: 14
Page: 56-63
PDF size: 137.55 Kb.

ABSTRACT

Introduction: traditionally the anthropometric indexes have been used to assess the nutritional status of the pregnant.
Objective: to conduct a descriptive-retrospective study to assess the nutritional status of a group of diabetic pregnants.
Methods: a total of 1 891 diabetic pregnants was studied, from them 1 211 presenting with gestational diabetes mellitus y 680 with pre-gestational diabetes during 13 years (1994-2006). Information was collected in an Excel sheet processing it in the Microsoft Access 2000 database and p < 0,05 was considered statistically significant.
Results: it was noted that the weight gain in the diabetic pregnant was influenced by age, parity and body mass index (BMI) of pregnant and the degree of metabolic control exerted throughout pregnancy with differences in some variables between the pregnants with gestational diabetes mellitus and those with pre-gestational diabetes mellitus.
Conclusions: according our results and trying to achieve newborn with a normal weight, the pregnant with gestational diabetes mellitus con a optimal metabolic control must to show a weight gain related to its BMI and it will fluctuate between 10 and 12 kg and those with pre-gestational diabetes this increase will fluctuate between 7 and 12 kg.

REFERENCES

1. Mardones F, Rosso P. A weight gain chart for pregnant women designed in Chile. Maternal and Child Nutrition. 2005;1(2):77-90.

2. Hickey CA, Uauy R, Rodríguez LM, Jennings LW. Maternal weight gain in low income Black and Hispanic women: evaluation by use of weight-for-height near term. 1990;52:938-43.

3. World Health Organization (WHO). Promoting Optimal Fetal Development. Report of a Technical Cosultation. Geneva, Switzerland; 2003. p. 25-27.

4. Langer O. Management of gestational diabetes: pharmacologic treatment options and glycemic control. Endocrinol Metab Clin North Am. 2006;35:53-78.

5. American Diabetes Association (ADA). Position statement. Gestational diabetes mellitus. Diabetes Care. 2006;29(suppl.).

6. Garner O. Nutritional care of the pregnant diabetic women. J Arkansas Medical Society. 1986;83(6):245-49.

7. Leiva A, Rocoy C. Nutrición en la diabética gestante. Avances en Diabetología. 1992;5(suppl 1):35-47.

8. Knopp RH, Magee MS, Raisys V. Hypocaloric diets and ketogenesis in the management of obese gestational diabetic women. J Am Coll Nutr. 1991;10:649-77.

9. WHO-NCD-NCS. Definition, diagnosis and classification of diabetes mellitus and its complications. Geneva 99.2;1999.

10. American Diabetes Association (ADA). Medical management of pregnancy complicated by diabetes. Second Edition. Clinical Education Series; 1995.

11. Dueñas Gómez E, Sánchez Texido C, Santurio Gil A. Patrones antropométricos en el Recién Nacido. La Habana: ECIMED; 1991. p. 21.

12. Asociación Latinoamericana de Diabetes (ALAD). Consenso Latinoamericano deDiabetes y Embarazo. La Habana, Cuba, noviembre 2007. Junio 2008; XVI;2:55-69

13. Valdés Amador L, Santana Bacallao O, Márquez Guillén A, Lang Prieto J, Rodríguez Anzardo B. Influencia del sobrepeso materno y su relación con variables obstétricas y perinatales en diabéticas gestacionales. Rev Cubana de Salud Pública. (2003);29(1):43-4.

14. Aguilar Valdés J, Romero Placeres M, Ojeda del Valle M, García Roche R, Cumba Abreu C. Factores de riesgo asociados con el bajo peso al nacer. Rev Cubana Hig Epidemiol. 1999;37(3):122-6.