Eating habits of pregnant women with Gestational Diabetes Mellitus: a pilot study
DOI:
https://doi.org/10.21527/2176-7114.2024.48.14669Keywords:
Pregnancy, Eating behavior, Healthy dietAbstract
The aim of this study was to evaluate the eating habits of pregnant women with Gestational Diabetes Mellitus (GDM). The sample was composed of 74 pregnant women with GDM; the majority with age between 20 and 40 years (92%) and with a family income of up to R$ 2090.00 (53%). Among the participants, 44.6% reported that they were diagnosed with GDM in the 1st trimester of pregnancy and 68% of the participants were not concerned about diet before the diagnosis. Fruits (88.3%) were the most consumed foods in the intervals of the large meals. Regarding the diet frequency, most pregnant women reported consuming fruits, vegetables and legumes, milk and dairy products, rice, beans and meat more than five times a week. Foods rich in sodium, sugar, fat and food additives such as fast foods, fried foods, sweets, soft drinks, artificial and in-dustrialized juices and embedded food products were consumed less than once a week, which may indicate an adequacy in food choices. Thus, we can conclude that there is a need for more actions focused on food and nutrition education intended for women with GDM.
References
Diabetes – PAHO/WHO. Pan American Health Organization. Access Jan. 31, 2023. Available at: https://www.paho.org/en/topics/diabetes
Zhou B, Lu Y, Hajifathalian K, et al. Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4·4 million participants. The Lancet. 2016;387(10027):1.513-1.530. DOI: 10.1016/S0140-6736(16)00618-8
Vigitel Brasil 2018 – Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Ministério da Saúde. Access Jan. 31, 2023. Available at: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/publicacoes-svs/vigitel/vigitel-brasil-2018.pdf/view
American Diabetes Association. Standards of Medical Care in Diabetes – 2016 Abridged for Primary Care Providers. Clin Diabetes. 2016;34(1):3-21. DOI: 10.2337/diaclin.34.1.3
Sousa M, Rego T, Armas JB. Insights into the Genetics and Signaling Pathways in Maturity-Onset Diabetes of the Young. Int J Mol Sci. 2022;23(21):12910. DOI: 10.3390/ijms232112910
Choudhury AA, Devi Rajeswari V. Gestational diabetes mellitus - A metabolic and reproductive disorder. Biomed Pharmacother. 2021;143:112183. DOI: 10.1016/j.biopha.2021.112183
Karami M, Mousavi SH, Rafiee M, Heidari R, Shahrokhi SZ. Biochemical and molecular biomarkers: unraveling their role in gestational diabetes mellitus. Diabetol Metab Syndr. 2023;15(1):5. DOI: 10.1186/s13098-023-00980-8
Fu J, Retnakaran R. The life course perspective of gestational diabetes: An opportunity for the prevention of diabetes and heart disease in women. eClinicalMedicine. 2022;45:101294. DOI: 10.1016/j.eclinm.2022.101294
International Diabetes Federation.IDF Diabetes Atlas, 10th edn. Brussels, Belgium: 2021. Published 2021. Access Jan. 31, 2023. Available at: https://diabetesatlas.org/citation-usage/
Massucatti LA, Pereira RA, Maioli TU. Prevalência de diabetes gestacional em unidades de saúde básica. Rev Enferm Atenção Saúde. 2012;1(1):70-79.
Bueno AA, Beserra JAS, Weber ML. Características da alimentação no período gestacional. Life Style. 2016;3(2):29-42.
Schwedhelm C, Lipsky LM, Temmen CD, Nansel TR. Eating Patterns during Pregnancy and Postpartum and Their Association with Diet Quality and Energy Intake. Nutrients. 2022;14(6):1167. DOI: 10.3390/nu14061167
Muniz N de A, Lilian Barros de Sousa Moreira Reis. Nutritional therapy in gestational Diabetes Mellitus. Com Ciênc Saúde. 2013;24(04):363-374.
Elvebakk T, Mostad IL, Mørkved S, Salvesen KÅ, Stafne SN. Dietary Intakes and Dietary Quality during Pregnancy in Women with and without Gestational Diabetes Mellitus – A Norwegian Longitudinal Study. Nutrients. 2018;10(11):1811. DOI: 10.3390/nu10111811
Vitolo MR. Nutrição – da gestação ao envelhecimento. Editora Rubio; 2014.
Santos ACB dos. Frequência de consumo de frutas, hortaliças e produtos ultraprocessados e estado nutricional de gestantes de Cruzeiro do Sul, Acre. Mestrado em Nutrição em Saúde Pública. Universidade de São Paulo; 2018. DOI: 10.11606/D.6.2018.tde-28112016-151830
Rasmussen L, Poulsen CW, Kampmann U, Smedegaard SB, Ovesen PG, Fuglsang J. Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus. Nutrients. 2020;12(10):3050. DOI: 10.3390/nu12103050
Malta MB, Gomes C de B, Barros AJD, et al. Effectiveness of an intervention focusing on diet and walking during pregnancy in the primary health care service. Cad Saúde Pública. 2021;37(5):e00010320. DOI: 10.1590/0102-311x00010320
Silva CAO e. Diabetes gestacional vs hábitos alimentares: impacto da diabetes gestacional nos hábitos alimentares das grávidas que recorreram à consulta externa do Hospital Pedro Hispano. bachelorThesis. [s.n]; 2009. Access Jan. 31, 2023. Available at: https://bdigital.ufp.pt/handle/10284/1600
Organização Pan-Americana da Saúde. Ministério da Saúde. Federação Brasileira das Associações de Ginecologia e Obstetrícia. Sociedade Brasileira de Diabetes. Tratamento do Diabetes Mellitus Gestacional no Brasil. Brasília (DF). Published on-line 2019. Available at: https://diabetes.org.br/wp-content/uploads/2021/06/ConsensoBrasileiroManejoDMG2019.pdf.
Xavier RB, Jannotti CB, Silva KS da, Martins A de C. Risco reprodutivo e renda familiar: análise do perfil de gestantes. Ciênc Saúde Coletiva. 2013;18(4):1.161-1.171. DOI: 10.1590/S1413-81232013000400029
Demétrio F, Teles CA de S, Santos DB dos, Pereira M. Food insecurity in pregnant women is associated with social determinants and nutritional outcomes: a systematic review and meta-analysis. Ciênc Saúde Coletiva. 2020;25(7):2.663-2.676. DOI: 10.1590/1413-81232020257.24202018
Avanzi SA, Dias CA, Silva LOL e, Brandão MBF, Rodrigues SM. Importância do apoio familiar no período gravídico-gestacional sob a perspectiva de gestantes inseridas no PHPN. Rev Saúde Coletiva UEFS. 2019;9:55-62. DOI: 10.13102/rscdauefs.v9i0.3739
Tabák ÁG, Tamás G, Péterfalvi A, et al. The effect of paternal and maternal history of diabetes mellitus on the development of gestational diabetes mellitus. J Endocrinol Invest. 2009;32(7):606-610. DOI: 10.1007/BF03346517
Shin JA, Yoon KH. The Effect of Parental Transmission of Diabetes on the Development of Gestational Diabetes Mellitus. Korean J Intern Med. 2010;25(3):237. DOI: 10.3904/kjim.2010.25.3.237
Lewandowska M. Gestational Diabetes Mellitus (GDM) Risk for Declared Family History of Diabetes, in Combination with BMI Categories. Int J Environ Res Public Health. 2021;18(13):6936. DOI: 10.3390/ijerph18136936
Bezerra CP, Romão P, dos Santos MM, Lourenço N, Gheller ACGV, Costa FM. Diabetes mellitus gestacional: a importância do diagnóstico na redução de riscos materno-fetal. Facider – Rev. Científica. 2018;0(11). Access Feb. 1, 2023. Available at: http://revista.sei-cesucol.edu.br/index.php/facider/article/view/168
Tavares M da GR, Lopes ÉS, Barros RA de JPA, Azulay RS de S, Faria M dos S. Profile of Pregnant Women with Gestational Diabetes Mellitus at Increased Risk for Large for Gestational Age Newborns. Rev Bras Ginecol E Obstetrícia RBGO Gynecol Obstet. 2019;41(05):298-305. DOI: 10.1055/s-0039-1687860
Erem C, Kuzu UB, Deger O, Can G. Clinical research Prevalence of gestational diabetes mellitus and associated risk factors in Turkish women: the Trabzon GDM Study. Arch Med Sci. 2015;4:724-735. DOI: 10.5114/aoms.2015.53291
Bozatski BL, Pinto MF, Lavado MM. Perfil epidemiológico de gestantes diabéticas no município de Itajaí, SC. Arq Catarin Med. 2019;48(2):34-55.
Chávez-Bosquez O, Pozos-Parra P. The Latin American laws of correct nutrition: Review, unified interpretation, model and tools. Comput Biol Med. 2016;70:67-79. DOI: 10.1016/j.compbiomed.2015.12.019
Silva MG da, Holanda VR de, Lima LSV de, Melo GP de. Estado Nutricional e Hábitos Alimentares de Gestantes Atendidas na Atenção Primária de Saúde. Rev Bras Ciênc Saúde. 2018;22:349-356.
Park H jin, Lee J, Kim JM, Lee HA, Kim SH, Kim Y. A Study of Snack Consumption, Night-Eating Habits, and Nutrient Intake in Gestational Diabetes Mellitus. Clin Nutr Res. 2013;2(1):42. DOI: 10.7762/cnr.2013.2.1.42
World Health Organization. Office of World Health Reporting. The World health report : 2002 : reducing risks, promoting healthy life : overview. World Health Organization; 2002. Access Sept. 17, 2023. Available at: https://apps.who.int/iris/handle/10665/67454
Philippi ST. Alimentação saudável e o redesenho da pirâmide dos alimentos. Editora Manole; 2014.
Archibald A, Dolinsky V, Azad M. Early-Life Exposure to Non-Nutritive Sweeteners and the Developmental Origins of Childhood Obesity: Global Evidence from Human and Rodent Studies. Nutrients. 2018;10(2):194. DOI: 10.3390/nu10020194
Organização Pan-Americana da Saúde. Ministério da Saúde. Federação Brasileira das Associações de Ginecologia e Obstetrícia. Sociedade Brasileira de Diabetes. Tratamento do Diabetes Mellitus Gestacional no Brasil. Brasília (DF); Published on-line 2019. Access Feb. 1, 2023. Available at: https://diabetes.org.br/wp-content/uploads/2021/06/ConsensoBrasileiroManejoDMG2019.pdf
Katzmarzyk PT, Friedenreich C, Shiroma EJ, Lee IM. Physical inactivity and non-communicable disease burden in low-income, middle-income and high-income countries. Br J Sports Med. 2022;56(2):101-106. DOI: 10.1136/bjsports-2020-103640
Laredo-Aguilera JA, Gallardo-Bravo M, Rabanales-Sotos JA, Cobo-Cuenca AI, Carmona-Torres JM. Physical Activity Programs during Pregnancy Are Effective for the Control of Gestational Diabetes Mellitus. Int J Environ Res Public Health. 2020;17(17):6151. DOI: 10.3390/ijerph17176151
Wang R, Yang Q, Sun T, et al. Physical Exercise is Associated with Glycemic Control among Women with Gestational Diabetes Mellitus: Findings from a Prospective Cohort in Shanghai, China. Diabetes Metab Syndr Obes Targets Ther. 2021;14:1949-1961. DOI: 10.2147/DMSO.S308287
Zakaria H, Abusanana S, Mussa BM, et al. The Role of Lifestyle Interventions in the Prevention and Treatment of Gestational Diabetes Mellitus. Medicina (Mex). 2023;59(2):287. DOI: 10.3390/medicina59020287
Ferrari N, Joisten C. Impact of physical activity on course and outcome of pregnancy from pre- to postnatal. Eur J Clin Nutr. 2021;75(12):1698-1709. DOI: 10.1038/s41430-021-00904-7
Nankervis A, Price S, Conn J. Gestational diabetes mellitus: A pragmatic approach to diagnosis and management. Aust J Gen Pract. 2018;47(7):445-449. DOI: 10.31128/AJGP-01-18-4479
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