medigraphic.com
Instituto Nacional de Salud Pública

2024, Número 6

<< Anterior Siguiente >>

salud publica mex 2024; 66 (6)


Ganancia de peso en el embarazo y probabilidad de macrosomía en mujeres con diabetes gestacional

Parra-Cabrera MS, Delgado-Ramírez JZ, Ángeles-Llerenas AR, Hurtado-Salgado E, Méndez Gómez-Humarán I

Idioma: Ingles.
Referencias bibliográficas: 44
Paginas: 807-815
Archivo PDF: 358.67 Kb.


RESUMEN

Objetivo. Analizar la asociación entre ganancia de peso gestacional en mujeres con diabetes mellitus gestacional y riesgo de macrosomía. Material y métodos. Estudio de cohorte a 139 embarazadas tamizadas con curva de tolerancia oral a glucosa, de entre 24-28 semanas de gestación, que tuvieron confirmación de diabetes gestacional y fueron enviadas al hospital. El peso fue obtenido del expediente clínico y la talla se midió en cada consulta médica. La categoría de referencia fueron mujeres con índice de masa corporal (IMC) prenatal normal que ganaron peso apropiado. La terapia médica nutricia consistió en asesoramiento nutricional, plan de actividad física y terapia con insulina en cada visita. El cumplimiento de la terapia se calculó mediante mediciones de glucosa capilar tomadas por cada participante en casa. Resultados. 74.8% fueron primíparas y 28.8% presentaron IMC normal antes embarazo. El modelo de regresión logística no lineal mostró que las madres con IMC pregestacional normal tuvieron dos veces (RM= 2.08, IC95%: 1.07,4.05) la posibilidad de macrosomía, comparado con las madres con sobrepeso u obesidad, ajustando por índice de Capurro, número de hijos en familia y porcentaje en cumplimiento de TMN. Macrosomía fue la complicación infantil más prevalente (12.3%). Conclusiones. El aumento de peso fue determinante en la aparición de macrosomía. Mujeres con IMC normal antes del embarazo, que aumentaron más peso durante embarazo, tuvieron mayor riesgo de tener infantes macrosómicos.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Johns EC, Denison FC, Norman JE, Reynolds RM. Gestational diabetesmellitus: mechanisms, treatment, and complications. Trends EndocrinolMetab. 2018;29(11):743-54. https://doi.org/10.1016/j.tem.2018.09.004

  2. Kaaja R, Rönnemaa T. Gestational diabetes: pathogenesis and consequencesto mother and offspring. Rev Diabet Stud. 2008;5(4):194-202.https://doi.org/10.1900/rds.2008.5.194

  3. Brown J, Alwan NA, West J, Brown S, McKinlay CJD, Farrar D, et al.Lifestyle interventions for the treatment of women with gestationaldiabetes. Cochrane Database Syst Rev. 2017;5(5):Cd011970. https://doi.org/10.1002/14651858.CD011970.pub2

  4. Joshi NP, Mane AR, Sahay AS, Sundrani DP, Joshi SR, Yajnik CS. Role ofplacental glucose transporters in determining fetal growth. Reprod Sci.2022;29(10):2744-59. https://doi.org/10.1007/s43032-021-00699-9

  5. Blanco E, Marin M, Nuñez L, Retamal E, Ossa X, Woolley EK, et al.Adverse pregnancy and perinatal outcomes in Latin America and theCaribbean: systematic review and meta-analysis. Rev Pan Salud Publica.2022;46:e21. https://doi.org/10.26633/RPSP.2022.21

  6. Centers for Disease Control and Prevention. National Center forHealth Statistics. Birth Data. US: CDC, 2023 [cited December 2023].Available from: https://www.cdc.gov/nchs/nvss/births.htm

  7. Hernández-Higareda S, Pérez-Pérez OA, Balderas-Peña LMA, Martínez-Herrera BE, Salcedo-Rocha AL, Ramírez-Conchas RE. Maternal metabolicdiseases related to pre-pregnancy overweight and obesity in mexicanwomen with high risk pregnancy. Cir Cir. 2017;85(4):292-8. https://doi.org/10.1016/j.circir.2016.10.004

  8. Basto-Abreu A, López-Olmedo N, Rojas-Martínez R, Aguilar-Salinas CA,Moreno-Banda GL, Carnalla M, et al. Prevalencia de prediabetes y diabetesen México: Ensanut 2022. Salud Publica Mex. 2023;65(suppl 1):163-8.https://doi.org/10.21149/14832

  9. Barquera S, Véjar-Rentería LS, Aguilar-Salinas C, Garibay-Nieto N, García-García E, Bocecchio A, et al. Volviéndonos mejores: necesidad de accióninmediata ante el reto de la obesidad. Una postura de profesionales de lasalud. Salud Publica Mex. 2022;64(2):225-9. https://doi.org/10.21149/13679

  10. Dolatkhah N, Hajifaraji M, Shakouri SK. Nutrition therapy in managingpregnant women with gestational diabetes mellitus: a literature review. J FamilyReprod Health. 2018;12(2):57-72 [cited December 2023]. Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391302/pdf/JFRH-12-57.pdf

  11. Gilmore LA, Redman LM. Weight gain in pregnancy and applicationof the 2009 IOM guidelines: toward a uniform approach. Obesity (SilverSpring). 2015;23(3):507-11. https://doi.org/10.1002/oby.20951

  12. 12.Gibson KS, Waters TP, Catalano PM. Maternal weight gain inwomen who develop gestational diabetes mellitus. Obstet Gynecol.2012;119(3):560-5. https://doi.org/10.1097/AOG.0b013e31824758e0

  13. Goldstein RF, Abell SK, Ranasinha S, Misso M, Boyle JA, Black MH, et al.Association of gestational weight gain with maternal and infant outcomes:a systematic review and meta-analysis. Jama. 2017;317(21):2207-25. https://doi.org/10.1001/jama.2017.3635

  14. Ancira-Moreno M, Vadillo-Ortega F, Rivera-Dommarco J, Sánchez BN,Pasteris J, Batis C, et al. Gestational weight gain trajectories over pregnancyand their association with maternal diet quality: Results from thePRINCESA cohort. Nutrition. 2019;65:158-66. https://doi.org/10.1016/j.nut.2019.02.002

  15. Avilés-Santa ML, Colón-Ramos U, Lindberg NM, Mattei J, Pasquel FJ,Pérez CM. From sea to shining sea and the great plains to patagonia: areview on current knowledge of diabetes mellitus in Hispanics/Latinos inthe US and Latin America. Review. Frontiers in Endocrinology. 2017;8:298.https://doi.org/10.3389/fendo.2017.00298

  16. Voerman E, Santos S, Patro GB, Amiano P, Ballester F, Barros H, etal. Maternal body mass index, gestational weight gain, and the risk ofoverweight and obesity across childhood: An individual participant datameta-analysis. PLoS Med. 2019;16(2):e1002744. https://doi.org/10.1371/journal.pmed.1002744

  17. Gou BH, Guan HM, Bi YX, Ding BJ. Gestational diabetes: weightgain during pregnancy and its relationship to pregnancy outcomes.Chin Med J (Engl). 2019;132(2):154-60. https://doi.org/10.1097/cm9.0000000000000036

  18. Romero-Martínez M, Shamah-Levy T, Cuevas-Nasu L, Gómez-HumaránIM, Gaona-Pineda EB, Gómez-Acosta LM, et al. Methodological designof the National Health and Nutrition Survey 2016. Salud Publica Mex.2017;59(3):299-305. https://doi.org/10.21149/8593

  19. Diario Oficial de la Federación. NORMA Oficial Mexicana NOM-047-SSA2-2015, Para la atención a la salud del Grupo Etario de 10 a 19años de edad. México: DOF, 2015 [cited December 2023]. Available from:https://www.dof.gob.mx/nota_detalle.php?codigo=5403545&fecha=12/08/2015#gsc.tab=0

  20. American Diabetes Association. 2. Classification and Diagnosis ofDiabetes: Standards of Medical Care in Diabetes-2019. Diabetes Care.2019;42(suppl 1):13-28. https://doi.org/10.2337/dc19-S002

  21. International Diabetes Federation. Management of Gestational Diabetesin the Community: Training Manual for Community Health Workers.India: IDF, 2015 [cited December 2023]. Available from: https://idf.org/media/uploads/2023/05/attachments-58.pdf

  22. Diario Oficial de la Federación. NORMA Oficial Mexicana NOM-015-SSA2-2010, Para la prevención, tratamiento y control de la diabetes mellitus.México: DOF, 2010 [cited December 2023]. Available from: https://www.dof.gob.mx/normasOficiales/4215/salud/salud.htm

  23. Fundación para la Salud Novo Nordisk. ¿Qué riesgo tiene usted dedesarrollar diabetes tipo 2? Descúbralo con el test FINDRISC Madrid:Fundación para la Salud Novo Nordisk, 2023 [cited December 2023].Available from: https://www.fundaciondiabetes.org/prevencion/findrisk

  24. Gutiérrez JP, Hernández-Ávila M. Health protection coverage inMexico, and profile of unprotected population 2000-2012. Salud PublicaMex. 2013;55(suppl 2):83-90. https://doi.org/10.21149/spm.v55s2.5102

  25. Institute of Medicine, National Research Council Committee to ReexamineIOM Pregnancy Weight Guidelines. The National Academies Collec-tion: Reports funded by National Institutes of Health. In: Rasmussen KM,Yaktine AL, eds. Weight Gain During Pregnancy: Reexamining the Guidelines.US: National Academies Press, National Academy of Sciences, 2009.

  26. Heude B, Thiébaugeorges O, Goua V, Forhan A, Kaminski M, Foliguet B,et al. Pre-pregnancy body mass index and weight gain during pregnancy:relations with gestational diabetes and hypertension, and birth outcomes.Matern Child Health J. 2012;16(2):355-63. https://doi.org/10.1007/s10995-011-0741-9

  27. WHO Expert Consultation. Appropriate body-mass index for Asianpopulations and its implications for policy and intervention strategies.Lancet. 2004;363(9403):157-63. https://doi.org/10.1016/s0140-6736(03)15268-3

  28. Lowe WL, Scholtens DM, Kuang A, Linder B, Lawrence JM, LebenthalY, et al. Hyperglycemia and Adverse Pregnancy Outcome Follow-upStudy (HAPO FUS): maternal gestational diabetes mellitus and childhoodglucose metabolism. Diabetes Care. 2019;42(3):372-80. https://doi.org/10.2337/dc18-1646

  29. O’Brien TE, Ray JG, Chan WS. Maternal body mass index and the riskof preeclampsia: a systematic overview. Epidemiology. 2003;14(3):368-74.https://doi.org/10.1097/00001648-200305000-00020

  30. Bartsch E, Medcalf KE, Park AL, Ray JG. Clinical risk factors forpre-eclampsia determined in early pregnancy: systematic review andmeta-analysis of large cohort studies. BMJ. 2016;353:i1753. https://doi.org/10.1136/bmj.i1753

  31. Österroos A, Lindström L, Wikman P, Wikström AK, SundströmPoromaa I, Ahlsson F. Associations between capillary glucose during pregnancyand childhood growth to the age of five: a cohort study. Sci Rep.2022;12(1):1832. https://doi.org/10.1038/s41598-022-05821-8

  32. Pussick-Nunes MF, Conceição-Pinheiro SC, da Rocha-Medrado FE,Oliveira-Assis AM. Estimating gestational age and its relation to theanthropometric status of newborns: a study comparing the Capurroand ultrasound methods with last menstrual period. Rev Bras SaudeMater Infant. 2011;11(1):51-60. https://doi.org/10.1590/S1519-38292011000100006

  33. Capurro H, Konichezky S, Fonseca D, Caldeyro-Barcia R. A simplifiedmethod for diagnosis of gestational age in the newborn infant. J Pediatr.1978;93(1):120-2. https://doi.org/10.1016/s0022-3476(78)80621-0

  34. Quinn JA, Munoz FM, Gonik B, Frau G, Cutland C, Mallett-Moore T, etal. Preterm birth: Case definition & guidelines for data collection, analysis,and presentation of immunisation safety data. Vaccine. 2016;34(49):6047-56. https://doi.org/10.1016/j.vaccine.2016.03.045

  35. Ilanne-Parikka P, Eriksson JG, Lindström J, Hämäläinen H, Keinänen-Kiukaanniemi S, Laakso M, et al. Prevalence of the metabolic syndrome andits components: findings from a Finnish general population sample and theDiabetes Prevention Study cohort. Diabetes Care. 2004;27(9):2135-40.https://doi.org/10.2337/diacare.27.9.2135

  36. Solis-Paredes JM, Perichart-Perera O, Montoya-Estrada A, Reyes-Muñoz E, Espino y Sosa S, Ortega-Castillo V, et al. Gestational weight gaininfluences the adipokine-oxidative stress association during pregnancy.Obes Facts. 2021;14(6):604-12. https://doi.org/10.1159/000518639

  37. Santos-Monteiro S, Santos TS, Fonseca L, Saraiva M, Pichel F, Pinto C, etal. Inappropriate gestational weight gain impact on maternofetal outcomesin gestational diabetes. Ann Med. 2023;55(1):207-14. https://doi.org/10.1080/07853890.2022.2159063

  38. Horvath K, Koch K, Jeitler K, Matyas E, Bender R, Bastian H, etal. Effects of treatment in women with gestational diabetes mellitus:systematic review and meta-analysis. BMJ. 2010;340:c1395. https://doi.org/10.1136/bmj.c1395

  39. Yamamoto JM, Kellett JE, Balsells M, García-Patterson A, Hadar E, GichI, et al. Gestational diabetes mellitus and diet: a systematic review andmeta-analysis of randomized controlled trials examining the impact ofmodified dietary interventions on maternal glucose control and neonatalbirth weight. Diabetes Care. 2018;41(7):1346-61. https://doi.org/10.2337/dc18-0102

  40. Perichart-Perera O. Programa de terapia médica y nutricia paraembarazadas con diabetes: efectos sobre las complicaciones perinatales.México: Universidad Nacional Autónoma de México, 2013 [citedDecember 2023]. Available from: https://repositorio.unam.mx/contenidos/74418

  41. Xie X, Liu J, Pujol I, López A, Martínez MJ, García-Patterson A, etal. Inadequate weight gain according to the Institute of Medicine 2009Guidelines in Women with Gestational Diabetes: frequency, clinicalpredictors, and the association with pregnancy outcomes. J Clin Med.2020;9(10):3343. https://doi.org/10.3390/jcm9103343

  42. Koyanagi A, Zhang J, Dagvadorj A, Hirayama F, Shibuya K, Souza JP, etal. Macrosomia in 23 developing countries: an analysis of a multicountry,facility-based, cross-sectional survey. Lancet. 2013;381(9865):476-83.https://doi.org/10.1016/s0140-6736(12)61605-5

  43. Salas-Zapata L, Palacio-Mejía LS, Aracena-Genao B, Hernández-Ávila JE,Nieto-López ES. Direct service costs of diabetes mellitus hospitalisationsin the Mexican Institute of Social Security. Gac Sanit. 2018;32(3):209-15.https://doi.org/10.1016/j.gaceta.2016.06.015

  44. Campos-Nonato I, Galván-Valencia Ó, Hernández-Barrera L, Oviedo-Solís C, Barquera S. Prevalencia de obesidad y factores de riesgo asociadosen adultos mexicanos: resultados de la Ensanut 2022. Salud PublicaMex. 2023;65(suppl 1):238-47. https://doi.org/10.21149/14




2020     |     www.medigraphic.com