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Avaliação nutricional e bioquímica de filhos de mães que tiveram distúrbios glicêmicos na gestação

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Tabela 1&DUDFWHUtVWLFDV PDWHUQDV GXUDQWH D JHVWDomRDOYR VHJXQGR R JUXSR H[SUHVVDVFRPRPpGLD“GHVYLRSDGUmR

Grupo (n) Variável

G1 (27) G2 (23) G3 (23) P

Idade (anos) 31 ± 7 33 ± 10 32 ± 6 >0,05

IMC* Pré-Gestação (kg/m2) 23,4 ± 2,7 24,3 ± 2,5 25,3 ± 3,1 >0,05 Ganho Ponderal (kg) 12 ± 4 11 ± 5 13 ± 5 >0,05 Glicemia Jejum (mg/dL) 78 ± 10a 83 ± 5a 93 ± 10b <0,001

Glicemia Diária (mg/dL 85 ± 9a 93 ± 7b 104 ± 12c <0,001

*IMC: Índice de Massa Corporal

Tabela 2 'LVWULEXLomR GR WUDWDPHQWR FRP LQVXOLQD GXUDQWH D JHVWDomR DOYR VHJXQGRRJUXSR

Uso Insulina na Gestação Grupo

Não Sim Total

G1 1,000bB 0,000aA 27

G2 0,857abB 0,143abA 23

G3 0,692aB 0,308bA 23

Duas proporções seguidas de pelo menos uma letra minúscula igual não diferem quanto aos respectivos grupos, na categoria de resposta em consideração; duas proporções seguidas de pelo menos uma letra maiúscula igual não diferem quanto às respectivas categorias de resposta, dentro do grupo em consideração.

Tabela 3'LVWULEXLomRGRJUDXGHHVFRODULGDGHPDWHUQDVHJXQGRRJUXSR Escolaridade

Grupo

Analf. + 1ograu 2ograu Superior Total

G1 0,500aB 0,385aAB 0,115aA 27

G2 0,550aB 0,400aAB 0,050aA 23

G3 0,560aB 0,400aAB 0,040aA 23

Duas proporções seguidas de pelo menos uma letra minúscula igual não diferem quanto aos respectivos grupos, na categoria de resposta em consideração; duas proporções seguidas de pelo menos uma letra maiúscula igual não diferem quanto às respectivas categorias de resposta, dentro do grupo em consideração.

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Tabela 4'LVWULEXLomRGRWLSRGHSDUWRVHJXQGRRJUXSR Tipo de Parto

Grupo

Via Baixa Via Alta Total

G1 0,462aA 0,538aA 27

G2 0,429aA 0,571aA 23

G3 0,385aA 0,615aA 23

Duas proporções seguidas de pelo menos uma letra minúscula igual não diferem quanto aos respectivos grupos, na categoria de resposta em consideração; duas proporções seguidas de pelo menos uma letra maiúscula igual não diferem quanto às respectivas categorias de resposta, dentro do grupo em consideração.

Tabela 5'LVWULEXLomRGRVH[RGRVILOKRVVHJXQGRRJUXSR Sexo dos Filhos

Grupo

Feminino Masculino Total

G1 0,538aA 0,462aA 27

G2 0,571aA 0,429aA 23

G3 0,500aA 0,500aA 23

Duas proporções seguidas de pelo menos uma letra minúscula igual não diferem quanto aos respectivos grupos, na categoria de resposta em consideração; duas proporções seguidas de pelo menos uma letra maiúscula igual não diferem quanto às respectivas categorias de resposta, dentro do grupo em consideração.

Tabela 6&DUDFWHUtVWLFDV GRV ILOKRV QR SHUtRGR QHRQDWDO VHJXQGR R JUXSR H[SUHVVDVFRPRPpGLD“GHVYLRSDGUmRH[FHWRTXDQGRVLQDOL]DGR

Grupo (n) Variável

G1 (27) G2 (23) G3 (23) P Idade gestacional (sem) 39 ± 2 39 ± 2 38 ± 2 >0,05 Peso nascimento (g) 3282 ± 401a 3167 ± 565a 3667 ± 527b <0,05

Estatura nascimento (cm) 49 ± 3 49 ± 2 50 ± 2 >0,05 Duração amamentação (meses)* 4 ± 2 6 ± 1 6 ± 3 >0,05 Idade introdução alimentos (meses) 5 ± 1 5 ± 1 4 ± 1 >0,05

*Mediana ± semi-amplitude interquartílica

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Tabela 7'LVWULEXLomRGRSHVRGHQDVFLPHQWRHPUHODomRjLGDGHJHVWDFLRQDOGRV ILOKRVVHJXQGRRJUXSR

Peso Nascimento Segundo Idade Gestacional Grupo

AIG* PIG† GIG§ Total

G1 0,769aB 0,192aA 0,038aA 27

G2 0,571aB 0,381aB 0,048aA 23

G3 0,692aB 0,115aA 0,192aA 23

*AIG: adequado à idade gestacional;†PIG: pequeno para a idade gestacional; §GIG: grande para a idade

gestacional. Duas proporções seguidas de pelo menos uma letra minúscula igual não diferem quanto aos respectivos grupos, na categoria de resposta em consideração; duas proporções seguidas de pelo menos uma letra maiúscula igual não diferem quanto às respectivas categorias de resposta, dentro do grupo em consideração.

Tabela 8&DUDFWHUtVWLFDV GHPRJUiILFDV DWXDLV GRV ILOKRV VHJXQGR R JUXSR H[SUHVVDVFRPRPpGLD“GHVYLRSDGUmR

Grupo (n) Variável

G1 (27) G2 (23) G3 (23) P

Idade (anos) 15 ± 5b 16 ± 3b 12 ± 5a <0,05

Peso (kg) 50 ± 13 59 ± 15 50 ± 22 >0,05

Altura (cm) 156 ± 17 161 ± 13 148 ± 24 >0,05 IMC* (kg/m2)

20,3 ± 1,7a 22,5 ± 3,4b 23,1 ± 3,6b <0,05

Envergadura (cm) 155 ± 21b 162 ± 15b 146 ± 25a <0,05

Púbis-pé (cm) 81 ± 12 84 ± 9 76 ± 14 >0,05

PCT†(mm) 13,8 ± 5,7 14,9 ± 7,3 15,7 ± 5,8 >0,05 CMB§(cm) 20,1 ± 3,1 21,9 ± 3,8 19,7 ± 5,2 >0,05 CA#(cm) 66,2 ± 6,1 71,4 ± 9,3 70,4 ± 12,1 >0,05 PA•Sistólica (mmHg) 101 ± 11 107 ± 14 102 ± 13 >0,05

PA•Diastólica (mmHg) 68 ± 10 71 ± 7 68 ± 9 >0,05

FP‡(b.p.m) 68 ± 13 69 ± 14 70 ± 15 >0,05

*IMC: Índice de Massa Corporal;†PCT: Prega Cutânea Tricipital; §CMB: Circunferência Muscular Braquial;

#CA: Circunferência Abdominal;PA: Pressão Arterial;FP: Freqüência de Pulso.

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Tabela 9'LVWULEXLomRGDFODVVLILFDomRGRVILOKRVHPUHODomRDRSHVRDWXDOFRPR SRUFHQWDJHPGRSHVRLGHDO3,FRQVLGHUDQGRVHVH[RHLGDGHVHJXQGRR JUXSR

Peso Atual como % PI Grupo

Eutrófico Sobrepeso Obeso Total

G1 0,852bB 0,148aA 0,000aA 27

G2 0,652abB 0,348abB 0,000aA 23

G3 0,435aB 0,522bB 0,043aA 23

Duas proporções seguidas de pelo menos uma letra minúscula igual não diferem quanto aos respectivos grupos, na categoria de resposta em consideração; duas proporções seguidas de pelo menos uma letra maiúscula igual não diferem quanto às respectivas categorias de resposta, dentro do grupo em consideração.

Tabela 10 &DUDFWHUtVWLFDV VRFLRHFRQ{PLFD H QXWULFLRQDLV GRV ILOKRV VHJXQGR R JUXSR H[SUHVVDV FRPR PHGLDQD “ VHPLDPSOLWXGH LQWHUTXDUWtOLFD H[FHWRTXDQGRVLQDOL]DGR

Grupo (n) Variável

G1 (27) G2 (23) G3 (23) P

Renda per capita (R$) 363 ± 125 375 ± 155 325 ± 150 >0,05

Ingestão calórica/Dia* (kcal) 2151 ± 467 2142 ± 364 2410 ± 575 >0,05

Consumo familiar de açúcar (kg/pessoa.mês) 1,25 ± 0,42 1,40 ± 0,56 1,25 ± 0,60 >0,05 Consumo familiar de óleo (L/pessoa.mês) 0,88 ± 0,34 0,80 ± 0,24 0,80 ± 0,15 >0,05 *Média ± desvio-padrão

Tabela 11 'LVWULEXLomR GR FRQVXPR VHPDQDO GH GRFHV SHORV ILOKRV VHJXQGR R JUXSR

Consumo de Doces Grupo

Baixo Moderado Alto Total

G1 0,077aA 0,115aA 0,808aB 27

G2 0,048aA 0,190aA 0,762aB 23

G3 0,038aA 0,231aA 0,731aB 23

Duas proporções seguidas de pelo menos uma letra minúscula igual não diferem quanto aos respectivos grupos, na categoria de resposta em consideração; duas proporções seguidas de pelo menos uma letra maiúscula igual não diferem quanto às respectivas categorias de resposta, dentro do grupo em consideração.

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Tabela 12 'LVWULEXLomR GR FRQVXPR VHPDQDO GH IULWXUDV SHORV ILOKRV VHJXQGR R JUXSR

Consumo de Frituras Grupo

Baixo Moderado Alto Total

G1 0,308aAB 0,154aA 0,538aB 27

G2 0,143aA 0,381aAB 0,476aB 23

G3 0,346aAB 0,115aA 0,538aB 23

Duas proporções seguidas de pelo menos uma letra minúscula igual não diferem quanto aos respectivos grupos, na categoria de resposta em consideração; duas proporções seguidas de pelo menos uma letra maiúscula igual não diferem quanto às respectivas categorias de resposta, dentro do grupo em consideração.

Tabela 13 'LVWULEXLomR GR FRQVXPR VHPDQDO GH UHIULJHUDQWHV SHORV ILOKRV VHJXQGRRJUXSR

Consumo de Refrigerantes Grupo

Baixo Moderado Alto Total

G1 0,346aB 0,077aA 0,577aB 27

G2 0,190aA 0,238aAB 0,571aB 23

G3 0,346aA 0,192aA 0,462aA 23

Duas proporções seguidas de pelo menos uma letra minúscula igual não diferem quanto aos respectivos grupos, na categoria de resposta em consideração; duas proporções seguidas de pelo menos uma letra maiúscula igual não diferem quanto às respectivas categorias de resposta, dentro do grupo em consideração.

Tabela 14 'LVWULEXLomR GR FRQVXPR VHPDQDO GH ILEUDV SHORV ILOKRV VHJXQGR R JUXSR

Consumo de Fibras Grupo

Baixo Moderado Alto Total

G1 0,308aA 0,269aA 0,423aA 27

G2 0,190aA 0,429aA 0,381aA 23

G3 0,308aA 0,346aA 0,346aA 23

Duas proporções seguidas de pelo menos uma letra minúscula igual não diferem quanto aos respectivos grupos, na categoria de resposta em consideração; duas proporções seguidas de pelo menos uma letra maiúscula igual não diferem quanto às respectivas categorias de resposta, dentro do grupo em consideração.

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Tabela 15 'LVWULEXLomRGRJUDXGHDWLYLGDGHItVLFDKDELWXDOGRVILOKRVVHJXQGRR JUXSR

Atividade Física Grupo

Leve Moderado Intenso Total

G1 0,462aB 0,462aB 0,077aA 27

G2 0,333aAB 0,524aB 0,143aA 23

G3 0,346aAB 0,538aB 0,115aA 23

Duas proporções seguidas de pelo menos uma letra minúscula igual não diferem quanto aos respectivos grupos, na categoria de resposta em consideração; duas proporções seguidas de pelo menos uma letra maiúscula igual não diferem quanto às respectivas categorias de resposta, dentro do grupo em consideração.

Tabela 16 &DUDFWHUtVWLFDV ELRTXtPLFDV EDVDLV GRV ILOKRV VHJXQGR R JUXSR H[SUHVVDVFRPRPpGLD“GHVYLRSDGUmR

Grupo (n) Variável

G1 (27) G2 (23) G3 (23) P

Glicose sérica (mg/dL) 90 ± 7 91 ± 6 93 ± 7 >0,05 Colesterol total sérico (mg/dL) 156 ± 30 144 ± 28 156 ± 30 >0,05 LDL-C sérica (mg/dL) 87 ± 25 77 ± 27 86 ± 23 >0,05 HDL-C sérica (mg/dL) 51 ± 13 49 ± 16 53 ± 15 >0,05 Triglicérides séricos (mg/dL) 94 ± 42 84 ± 21 84 ± 33 >0,05

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Referências