Weight gain and nutritional status of women with gestational diabetes mellitus

Authors

DOI:

https://doi.org/10.33448/rsd-v10i3.13565

Keywords:

Diabetes Gestational; Gestational Weight Gain; Nutritional status.

Abstract

Objective: To analyze weight gain and nutritional status of pregnant women with diabetes mellitus gestational. Methodology: This is a descriptive, cross-sectional study, conducted from August to December 2020, in a high-risk pregnancy reference service in Pernambuco. Information on anthropometric, socioeconomic, demographic, clinical, obstetric and lifestyle data were collected. To statistical analysis the Pearson’s Chi-Square and Fisher’s Exact tests, were performed, when applicable, at 5% significance level. Results: 101 high-risk pregnant women were studied, with mean age 30,73 ± 6,29, most (79,2%) with previous overweight and with weight gain during gestation (85,1%). Excessive weight gain was prevalent (45,3%), revealing positive association with current nutritional status. The presence of pathologies associated with DMG was the only obstetric data which showed a significative association with previous and current nutritional status and gestational weight gain, regardless of the type of comorbidities. Conclusion: Excess weight gain was prevalent, as well as the frequency of overweight before and during pregnancy, which shows the importance of nutritional monitoring in patients with gestational diabetes mellitus.  

References

Abreu, L. R. S., Shirley, M. K., Castro, N. P., Euclydes, V. V., Bergamaschi, D. P., Luzia, L. A., Cruz, A. M., & Rondó, P. H. C. (2019). Gestational diabetes mellitus, pre-pregnancy body mass index, and gestational weight gain as risk factors for increased fat mass in Brazilian newborns. Plos One, 14(8), 221-971. https://doi.org/10.1371/journal.pone.0221971

Alfadhli, E. M. (2015). Gestational diabetes mellitus. Saudi Medical Journal, 36(4), 399-406. https://doi.org/10.15537/smj.2015.4.10307

American Diabetes Association. 2. (2020). Classification and diagnosis of diabetes: standards of medical care in diabetes - 2021. Diabetes Care, 44(1), 15-33. https://doi.org/10.2337/dc21-S002

Ashwal, E., & Hod, M. (2015) Gestational diabetes mellitus: Where are we now? Clinica Chimica Acta, 451, 14-20. https://doi.org/10.1016/j.cca.2015.01.021

Atalah, E. S., Castillo, L. C., Castro S. R., & Aldea P., A. (1997). Propuesta de um nuevo estándar de evaluación nutricional en embarazadas. Revista Médica del Chile, 125(12), 1429-1436. http://repositorio.uchile.cl/handle/2250/162816

Barbosa, J. M., Neves, C. M. A. F., Araújo, L. L., & Silva, E. M. C. (2013). Guia ambulatorial de nutrição materno-infantil. MedBook, p. 466.

Behboudi-Gandevani, S., Amiri, M., Yarandi, R. B., & Tehrani, F. R. (2019). The impact of diagnostic criteria for gestational diabetes on its prevalence: a systematic review and meta-analysis. Diabetology Metabolic Syndrome, 11(1), 1-18. https://doi.org/10.1186/s13098-019-0406-1

Braz, L., Figueiredo, L., & Fonseca, F. (2016). A influência da obesidade e ganho ponderal no peso do recém-nascido num grupo de grávidas com diabetes gestacional. Revista Portuguesa de Endocrinologia, Diabetes e Metabolismo, 8(2), 70-76. https://doi.org/10.1016/j.rpedm.2013.10.001

Cianni, G., Lacaria, E., Lencioni, C., & Resi, V. (2018). Preventing type 2 diabetes and cardiovascular disease in women with gestational diabetes – The evidence and potential strategies. Diabetes Research And Clinical Practice, 145, 184-192. https://doi.org/10.1016/j.diabres.2018.04.021

Cysneiros, G. F., Nascimento, E., Araújo, E. C., Escoteiro, F. K. R. S., Paes-Silva, R. P., Barbosa, L. M. A., Burgos, M. G. P. A., & Lemos, M. C. C. (2020). Estado nutricional e consumo alimentar de gestantes diabéticas atendidas em hospital de referência em Recife- PE. Brazilian Journal Of Development, 6(7), 46320-46335. https://doi.org/10.34117/bjdv6n7-311

Djaković, I., Soljačić-Vraneł, H., & Kuna, K. (2019). Weight gain in pregnancy and weight retention after birth. Open Access Macedonian Journal Of Medical Sciences, 7(4), 614-616. https://doi.org/10.3889/oamjms.2019.141

Galliano, L. M., Vecchio, A. H. M., Silvani, J., & Façanha, C. (2018). Physical activity level in women with gestational diabetes mellitus: lifestyle intervention for diabetes prevention after pregnancy (linda⠰brasil) study. Journal Of Diabetes, 11(6), 457-465. https://doi.org/10.1111/1753-0407.12872

Gao, X., Yan, Y., Xiang, S., Zeng, G., Liu, S., Sha, T., He, Q., Li, H., Tan, S., & Chen, C. (2017). The mutual effect of pre-pregnancy body mass index, waist circumference and gestational weight gain on obesity-related adverse pregnancy outcomes: A birth cohort study. Plos One, 12(6), 177-418. https://doi.org/10.1371/journal.pone.0177418

Gou, B. H., Guan, H. M., Bi, Y. X., & Ding, B. J. (2019). Weight gain during pregnancy and its relationship to pregnancy outcomes. Chinese Medical Journal, 132(2), 154-160. https://doi.org/10.1097/CM9.0000000000000036

Guerra, J. V. V., Alves, V. H., Rodrigues, D. P., Branco, M. B. L. R., Marchiori, G. R. S., & Santos, M. V. (2018). Diabetes gestacional e estado nutricional materno em um hospital universitário de Niterói. Journal Nursing And Health, 8(8), 111-118. https://doi.org/10.15210/jonah.v8i1.13785

Hantoushzadeh, S., Sheikh, M., Bosaghzadeh, Z., Ghotbizadeh, F., Tarafdari, A., Panahi, Z., & Shariat, M. (2016). The impact of gestational weight gain in different trimesters of pregnancy on glucose challenge test and gestational diabetes. Postgraduate Medical Journal, 92(1091), 520-524. https://doi.org/10.1136/postgradmedj-2015-133816

Huet, J., Beucher, G., Rod, A., Morello, R., & Dreyfus, M. (2018) Joint impact of gestational diabetes and obesity on perinatal outcomes. Journal Of Gynecology Obstetrics And Human Reproduction, 47(9), 469-476. https://doi.org/10.1016 /j.jogoh.2018.08.003

Institute of Medicine. (2009). Weight gain during pregnancy: reexamining the guidelines. The National Academies Press. https://doi.org/10.17226/12584

Iwanowicz-Palus, G., Zarajczyk, M., & Bien, A. (2020). The relationship between health-related quality of life, acceptance of illness and characteristics of pregnant women with hyperglycemia. Health And Quality Of Life Outcomes, 18(1), 319-325. https://doi.org/10.1186/s12955-020-01582-y

Jiwani, A., Marseille, E., Lohse, N., Damm, P., Hod, M., & Kahn, J. G. (2011). Gestational diabetes mellitus: results from a survey of country prevalence and practices. The Journal Of Maternal-fetal & Neonatal Medicine, 25(6), 600-610. https://doi.org/10.3109/14767058.2011.587921

Johns, E. C., Denison, F. C., Norman, J. E., & Reynolds, R. M. (2018). Gestational diabetes mellitus: mechanisms, treatment, and complications. Trends In Endocrinology & Metabolism, 29(11), 743-754. https://doi.org/10.1016/j.tem.2018.09.004

Kautzky-Willer, A., Harreiter, J., Winhofer-StöckL, Y., Bancher-Todesca, D., Berger, A., Repa, A., Lechleitner, M., & Weitgasser, R. (2019). Gestations diabetes (GDM): update 2019. Wiener Klinische Wochenschrift, 131(1), 91-102. https://doi.org/10.1007/s00508-018-1419-8

Larrabure-Torrealva, G. T., Martinez, S., Fernandez, M. A. L., Sanchez, S. E., Mascaro, P. A., Ingar, H., Castillo, W., Zumaeta, R., Grande, M., & Motta, V. (2018). Prevalence and risk factors of gestational diabetes mellitus: findings from a universal screening feasibility program in lima, peru. Bmc Pregnancy And Childbirth, 18(1), 303. https://doi.org/10.1186/s12884-018-1904-0

Law, K. P., & Zhang, H. (2017). The pathogenesis and pathophysiology of gestational diabetes mellitus: deductions from a three-part longitudinal metabolomics study in China. Clinica Chimica Acta, 468, 60-70. https://doi.org/10.1016/j.cca.2017.02.008

Machado, C., Monteiro, S., & Oliveira, M. J. (2019). Impact of overweight and obesity on pregnancy outcomes in women with gestational diabetes – results from a retrospective multicenter study. Archives Of Endocrinology And Metabolism, 64(1), 45-51. https://doi.org/10.20945/2359-3997000000178

Martin, K. E., Grivell, R. M., Yelland, L. N., & Dodd, J. M. (2015). The influence of maternal BMI and gestational diabetes on pregnancy outcome. Diabetes Research And Clinical Practice, 108(3), 508-513. https://doi.org/10.1016/j.diabres.2014.12.015

Nogueira, M. D. A., Santos, C. C., Lima, A. M., Lima, M. R. S., Sousa, F. I. S., Vieira, L. C. O., Braga, R. A. M., & Cruz, I. F. S. (2020). Associação entre estado nutricional, diabetes gestacional e doenças hipertensivas em gestantes de risco. Brazilian Journal Of Development, 6 (2), 8005-8018. https://doi:10.34117/bjdv6n2-20

Plows, J., Stanley, J., Baker, P., Reynolds, C., & Vickers, M. (2018). The pathophysiology of gestational diabetes mellitus. International Journal Of Molecular Sciences, 19(11), 3342. https://doi.org/10.3390/ijms19113342

Queiroz, P. M. A., Souza, N. M. M., & Burgos, M. G. P. A. (2016). Nutritional profile and associated factors in women with gestational diabetes. Nutrición Clínica y Dietetica Hospitalaria, 2, 96-102. https://doi:10.12873/362alburquerquequeiroz

Ribeiro, A. M. C., Silva, C. N., Rocha, G. M., & Pereira, M. L. (2015). Diabetes gestacional: determinação de fatores de risco para diabetes mellitus. Revista Portuguesa de Endocrinologia, Diabetes e Metabolismo, 10(1), 8-13. https://doi.org/10.1016/j.rpedm.2014.05.004

Shen, Y., Li, W., Leng, J., Zhang, S., Liu, H., Li, W., Wang, L., Tian, H., Chen, J., & Qi, L. (2019). High risk of metabolic syndrome after delivery in pregnancies complicated by gestational diabetes. Diabetes Research And Clinical Practice, 150, 219-226. https://doi.org/10.1016/j.diabres.2019.03.030

Silva, L. B. G., Rosado, E. L., Padilha, P. C., Dias, J. R., Moreira, T. M., Paula, T. P., Barros, D. C., & Saunders, C. (2018). Food intake of women with gestational diabetes mellitus, in accordance with two methods of dietary guidance: a randomised controlled clinical trial. British Journal Of Nutrition, 121(1), 82-92. https://doi.org/10.1017/S0007114518001484

Silveira, L. R. P., Schmidt, M. I., Reichelt, A. A. J., & Drehmer, M. (2020). Obesity, gestational weight gain, and birth weight in women with gestational diabetes: the linda-brasil (2014-2017) and the ebdg (1991-1995) studies. Jornal de Pediatria, S0021-7557(19), 30560-1. https://doi.org/10.1016/j.jped.2020.02.004

Sociedade Brasileira de Diabetes. (2019). Diretrizes da Sociedade Brasileira de Diabetes 2019-2020. Editora Clannad. https://www.diabetes.org.br/profissionais/images/DIRETRIZES-COMPLETA-2019-2020.pdf

Tavares, M. G. R., Lopes, E. S., Barros, R. A. J. P. A., Azulay, R. S. S., & Faria, M. S. (2019). Profile of pregnant women with gestational diabetes mellitus at increased risk for large for gestational age newborns. Revista Brasileira de Ginecologia e Obstetrícia, 41(05), 298-305. https://doi.org/10.1055/s-0039-1687860

Trujillo, J., Vigo, A., Reichelt, A., Duncan, B. B., & Schmidt, M. I. (2014). Fasting plasma glucose to avoid a full OGTT in the diagnosis of gestational diabetes. Diabetes research and clinical practice, 105(3), 322–326. https://doi.org/10.1016/j.diabres.2014.06.001

World Health Organization. (2000). Obesity: preventing and managing the global epidemic: Report of a World Health Organization consultation. https://apps.who.int/iris/handle/10665/42330

Yen, I. W., Lee, C. N., Lin, M. W., Fan, K. C., Wei, J. N., Chen, K. Y., Chen, S. C., Tai, Y., Kuo, C. H., & Lin, C. H. (2019). Overweight and obesity are associated with clustering of metabolic risk factors in early pregnancy and the risk of GDM. Plos One, 14(12), 225-978.

https://doi.org/10.1371/journal.pone.0225978

Zaman, F., Nouhjah, S., Shahbazian, H., Shahbazian, N., Latifi, S. M., & Jahanshahi, Al. (2018). Risk factors of gestational diabetes mellitus using results of a prospective population-based study in Iranian pregnant women. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 12(5), 721-725. https://doi.org/10.1016/j.dsx.2018.04.014

Published

23/03/2021

How to Cite

NERIS, V. A.; SILVA , T. V. N. da; ALBUQUERQUE, M. N. de L. .; AUGUSTO, F. D. R.; GOMES, A. C. B. .; SILVA , S. A. da; MAIO , R. .; BURGOS, M. G. P. de A. . Weight gain and nutritional status of women with gestational diabetes mellitus. Research, Society and Development, [S. l.], v. 10, n. 3, p. e48510313565, 2021. DOI: 10.33448/rsd-v10i3.13565. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/13565. Acesso em: 19 apr. 2024.

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Section

Health Sciences