Comparação do consumo alimentar em gestantes com diabetes mellitus gestacional com e sem doença hepática gordurosa não alcoólica
Data
2021-08-23
Autores
Chagas, Lucas Almeida das 
Orientadores
Mattar, Rosiane
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivo: Avaliar consumo alimentar de gestantes com Diabetes Mellitus Gestacional (DMG) e sua relação com Doença Hepática Gordurosa não Alcoólica (DHGNA). Métodos: Estudo descritivo transversal, realizado entre junho de 2018 e abril de 2019, no Centro de Diabetes-Unifesp, composto por 60 gestantes entre 24 e 34 semanas de gestação com DMG segundo critérios da International Association for Diabetes and Pregnancy Study Group (IADSPG), 30 com e 30 sem diagnóstico DHGNA. O consumo alimentar foi aferido mediante aplicação do Recordatório Alimentar 24 horas (R24) referente aos alimentos ingeridos pelas gestantes nas últimas 24 horas anteriores à consulta de pré-natal e pelo Questionário Quantitativo de Frequência Alimentar (QQFA) para avaliar o consumo dos últimos seis meses, com ajustes posteriores através do método Estimativa de Requerimento Médio. Dados foram analisados no Software SPSS utilizando Teste t de Student, Teste de Mann Whitney e Intervalo interquartil. Resultados: O consumo médio de calorias totais obtido pelo R24 foi significativamente maior (P=0,045) nas gestantes com DHGNA do que as sem DHGNA, assim como o consumo de carboidrato (P=0,001). Contudo, quando comparado a Reference Intakes Dietary (DRIs) estavam dentro do recomendado para gestação. O consumo de proteína medido pelo R24 foi menor no grupo com DHGNA (P=0,001), porém, dentro do recomendado pela DRIS. O consumo de fibra alimentar se mostrou abaixo do recomendado em ambos os grupos e menor nas gestantes com DHGNA (P=0,005). Nas últimas 24h o consumo de lipídios e a ingestão dos micronutrientes antioxidantes foi semelhante em ambos os grupos. Em relação ao consumo de calorias totais e de lipídeos medidos pelo QQFA, foi semelhante nos dois grupos e estavam dentro do recomendado pela DRIS, entretanto, as gestantes com DHGNA tiveram consumo de carboidratos maior (P=0,003) e consumo menor de proteínas (P=0,005) do que as sem DHGNA. O consumo de fibras foi abaixo do recomendado em ambos os grupos e menor (0,010) nas gestantes com DHGNA. Não houve diferença entre consumo de micronutrientes em ambos os grupos, exceto, pelo consumo menor de vitamina C nas gestantes com DHGNA (P=0,008). Conclusão: Gestantes com diagnóstico da DHGNA referiram maior consumo de carboidratos e menor teor de fibra alimentar quando comparadas às sem DHGNA.
Objective: To evaluate food consumption of pregnant women with Gestational Diabetes Mellitus (DMD) and its relationship with Non-Alcoholic Fatty Liver Disease (NAFLD). Methods: Descriptive cross-sectional study, carried out between June 2018 and April 2019, at the Diabetes Center-Unifesp, composed of 60 pregnant women between 24 and 34 weeks of gestation with DMG according to the criteria of the International Association for Diabetes and Pregnancy Study Group (IADSPG), 30 with and 30 without NAFLD diagnosis. Food consumption was measured using the 24-hour Food Record (R24) for the food eaten by pregnant women in the last 24 hours prior to the prenatal consultation and the Quantitative Food Frequency Questionnaire (QQFA) to assess consumption in the last six months, with subsequent adjustments using the Average Requirement Estimation method. Data were analyzed using SPSS Software using Student's t-test, Mann Whitney test and Interquartile range. Results: The average consumption of total calories obtained by R24 was significantly higher (P=0.045) in pregnant women with NAFLD than those without NAFLD, as well as carbohydrate consumption (P=0.001). However, when compared to Reference Intakes Dietary (DRIs) they were within the recommended for pregnancy. The protein consumption measured by R24 was lower in the group with NAFLD (P=0.001), however, within the recommendation by DRIS. The consumption of dietary fiber was lower than recommended in both groups and lower in pregnant women with NAFLD (P=0.005). In the last 24 h the consumption of lipids and the intake of antioxidant micronutrients was similar in both groups. Regarding the consumption of total calories and lipids measured by the QQFA, it was similar in both groups and were within the recommendation by DRIS, however, pregnant women with NAFLD had higher carbohydrate consumption (P=0.003) and lower protein consumption (P=0.005) than those without NAFLD. Fiber consumption was lower than recommended in both groups and lower (0.010) in pregnant women with NAFLD. There was no difference between the consumption of micronutrients in both groups, except for the lower consumption of vitamin C in pregnant women with NAFLD (P=0.008). Conclusion: Pregnant women diagnosed with NAFLD reported higher carbohydrate consumption and lower dietary fiber content when compared to those without NAFLD.
Objective: To evaluate food consumption of pregnant women with Gestational Diabetes Mellitus (DMD) and its relationship with Non-Alcoholic Fatty Liver Disease (NAFLD). Methods: Descriptive cross-sectional study, carried out between June 2018 and April 2019, at the Diabetes Center-Unifesp, composed of 60 pregnant women between 24 and 34 weeks of gestation with DMG according to the criteria of the International Association for Diabetes and Pregnancy Study Group (IADSPG), 30 with and 30 without NAFLD diagnosis. Food consumption was measured using the 24-hour Food Record (R24) for the food eaten by pregnant women in the last 24 hours prior to the prenatal consultation and the Quantitative Food Frequency Questionnaire (QQFA) to assess consumption in the last six months, with subsequent adjustments using the Average Requirement Estimation method. Data were analyzed using SPSS Software using Student's t-test, Mann Whitney test and Interquartile range. Results: The average consumption of total calories obtained by R24 was significantly higher (P=0.045) in pregnant women with NAFLD than those without NAFLD, as well as carbohydrate consumption (P=0.001). However, when compared to Reference Intakes Dietary (DRIs) they were within the recommended for pregnancy. The protein consumption measured by R24 was lower in the group with NAFLD (P=0.001), however, within the recommendation by DRIS. The consumption of dietary fiber was lower than recommended in both groups and lower in pregnant women with NAFLD (P=0.005). In the last 24 h the consumption of lipids and the intake of antioxidant micronutrients was similar in both groups. Regarding the consumption of total calories and lipids measured by the QQFA, it was similar in both groups and were within the recommendation by DRIS, however, pregnant women with NAFLD had higher carbohydrate consumption (P=0.003) and lower protein consumption (P=0.005) than those without NAFLD. Fiber consumption was lower than recommended in both groups and lower (0.010) in pregnant women with NAFLD. There was no difference between the consumption of micronutrients in both groups, except for the lower consumption of vitamin C in pregnant women with NAFLD (P=0.008). Conclusion: Pregnant women diagnosed with NAFLD reported higher carbohydrate consumption and lower dietary fiber content when compared to those without NAFLD.