medigraphic.com
Federación Mexicana de Ginecología y Obstetricia, A.C.

2014, Number 12

<< Back Next >>

Ginecol Obstet Mex 2014; 82 (12)

Body composition and lipidic profile in women’s during the third trimester of pregnancy

González-Vargas DJ, Vásquez-Garibay EM, Romero-Velarde E, Rolón-Díaz JC, Troyo-Sanromán R, Hidalgo-Ornelas JJ

Language: Spanish
References: 25
Page: 807-815
PDF size: 410.20 Kb.


ABSTRACT

Objective: To demonstrate the behavior of body composition and lipid profile in pregnant women during the third trimester and who attended a Regional hospital Tepatitlán, Jalisco, Mexico.
Methods: In an observational study, transversal, analytic 36 apparently healthy pregnant women were included with gestational age between 33 to ‹42 weeks. Anthropometric measurements, body composition and lipid profile were obtained. Student t test, Mann Whitney, chi square, Pearson and Spearman correlation for data analysis were used.
Results: 11 participants were overweight and 8 obese. Significant association between higher concentrations of triglycerides and TG / HDL-c index and pre-gestational BMI (p = 0.039 and p = 0.032 respectively) were found. Concentration greater than 200 mg / dL triglycerides are associated with an increased interpregnancy period of 3 years (p = 0.012). There was a significant correlation between abdominal deliveries with anthropometric indicators, pre-gestational weight, pre-gestational BMI and current BMI.
Conclusion: There is a direct correlation between body composition and lipid profile with age and the incidence of cesarean section. It is necessary to establish a more precise reference criterion for both the longitudinal track for every pregnant woman and for purposes of parametric comparison.


REFERENCES

  1. Gutiérrez JP, Rivera-Dommarco J, Shama-Levy T, Villalpando- Hernández S, Franco A, Cuevas-Nasu L, y col. Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Cuernavaca: Instituto Nacional de Salud Pública, 2012.

  2. Luskaski HC, Siders WA, Nielsen EJ, Hall CB. Total body water in pregnancy: assessment by using bioelectrical impedance. Am J Clin Nutr 1994;59:578-85.

  3. Thame M, Trotman H, Osmond C, Fletcher H, Antoine M. Body composition in pregnancies of adolescents and mature women and the relationship to birth anthropometry. Eur J Clin Nutr 2007;61:47-53.

  4. Atalah E, Castro R. Obesidad materna y riesgo reproductivo. Rev Med Chile 2004;132:923-30.

  5. Perichart O, Balas M, Schiffman E, Serrano M, Vadillo F. Impacto de la obesidad pregestacional en el estado nutricio de mujeres embarazadas de la Ciudad de México. Ginecol Obstet Mex 2006;74:77-88.

  6. Sebire NJ, Jolly M, Harris JP, Wadsworth J, Joffe M, Beard RW, et al. Maternal obesity and pregnancy outcome: a study of 287 213 pregnancies in London. Int J Obes 2001;25:1175-82.

  7. McCarthy EA, Strauss BJG, Walker SP, Perniezel M. Determination of Maternal Body Composition in Pregnancy and its Relevance to Perinatal Outcomes. Obstetrical and Gynecological Survey 2004;59:731-42.

  8. Troyo-Barriga P. Obesidad y dislipidemias. Gac Méd Méx 2004;140(Supl):S49-58.

  9. Merabishvili NV, Kamladze SO, Sulaberidze GT. Peculiarities of lipid metabolism during pregnancy. Georgian Med News 2006;138:86-9.

  10. Landázuri P, Restrepo B, Trejos J, Gallego ML, Loango- Chamorro, Ocampo R. Perfil lipídico por trimestres de gestación en una población de mujeres colombianas. Revista Colombiana de Obstetricia y Ginecología 2006;57:256-63.

  11. Potter JM, Nestel PJ. The hyperlipidemia of pregnancy in normal and complicated pregnancies. Am J Obstet Gynecol 1979;133:165-70.

  12. Sattar N, Greer IA, Louden J, Lindsay G, Mcconnell M, Shepherd J, et al. Lipoprotein subfraction changes in normal pregnancy: threshold effect of plasma triglyceride on appearance of small, dense low density lipoprotein. JCE & M 1997;82:2483-91.

  13. Álvarez JJ, Montelongo A, Iglesias A, Lasunción MA, Herrera E. Longitudinal stuy on lipoprotein profile, high density lipoprotein subclass and postheparin lipases during gestation in women. Journal of Lipid Research 1996;37:299-308.

  14. Núñez-González J, Sanabria-Vera C, Romero-Adrián T, Nuñez L, Montiel I, Boscán F, y col. Óxido nítrico, malondialdehído, perfil lipídico, factor de necrosis tumoral alfa y sus receptores solubles en mujeres no embarazadas, gestantes normales y pre-eclámpticas. Gac Méd Caracas 2001;109:352-60.

  15. Segovia-Reyes JL. Factores de riesgo asociados a dislipidemia en recién nacidos de término, atendidos en el Hospital General de Zona 89 del IMSS en Guadalajara, Jal. Tesis recepcional de la Maestría en Nutrición Humana, orientación Materno Infantil, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, enero 2008.

  16. Ywaskewycz LR, Bonneau GA, Castillo MS, López DL, Pedrozo WR. Perfil lipídico por trimestre de gestación en una población de mujeres adultas. Rev Chil Obstet Ginecol 2010;75:227-33.

  17. Martin U, Davies C, Hayavi S, Hartland A, Dunne F. Is normal pregnancy atherogenic? Clin Sci 1999;96:421-5.

  18. Juárez IE, Rivera-Silva G, Mejía-Arangure JM, Mercado- Arellano JA, Díaz-Bensussen S. Perfil de lípidos en recién nacidos sanos y su correlación con los niveles de lípidos maternos. Salud Pública Mex 1999;41:405-9.

  19. Diareme M, Karkalousos P, Theodoropoulos G, Strouzas S, Lazanas N. Lipid Profile of Healthy Women During Normal Pregnancy. Journal of Medical Biochemistry 2009;28:152-60.

  20. McLaughlin T, Abbasi F, Cheal K, Chu J, Lamendola C, Reaven G. Use of metabolic markers to identify overweight individuals who are insulin resistant. Ann Intern Med 2003;139:802-9.

  21. Abenhaim HA, Kinch RA, Morin L, Benjamin A, Usher R. Effect of prepregnancy body mass index categories on obstetrical and neonatal outcomes. Arch Gynecol Obstet 2007;275:39-43.

  22. Suárez L, Campero L, De la Vara E, Rivera L, Hernández MI, Walke D, y col. Encuesta Nacional de Salud y Nutrición 2012. Evidencia para la política pública en salud. Elevada recurrencia a las cesáreas: revertir la tendencia y mejorar la calidad en el parto. Cuernavaca, México: Instituto Nacional de Salud Pública, 2012.

  23. Rivera J, Barquera S, González-Cossío T, Olaiz G, Sepúlveda J. Nutrition transition in Mexico and in other Latin American countries. Nutr Rev 2004;52:S149S57.

  24. Maksane S, Ranka R, Maksane N, Sharma A. Study of serum lipids profile and magnesium in normal pregnancy and in pre-eclampsia: a case control study. Asian J Biochem 2011;6:228-39.

  25. Festus OO, Idonije OB, Eseigbe MA, Okhiai O, Unuabonah F, Dike M. Comparative study of lipid profile of normal pregnant women in the different trimesters. Arch Appl Sci Res 2011;3:528-32.




2020     |     www.medigraphic.com