2026, Número 1
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salud publica mex 2026; 68 (1)
Control de glucosa en mujeres con diabetes gestacional y crecimiento infantil
Parra-Cabrera MS, Hurtado-Salgado EM, Monterrubio-Flores E, Méndez-Gómez-Humarán I, Cupul-Uicab LA
Idioma: Ingles.
Referencias bibliográficas: 31
Paginas: 43-51
Archivo PDF: 319.75 Kb.
RESUMEN
Objetivo. Evaluar la asociación del control de glucosa en el embarazo con el crecimiento infantil.
Material y métodos. Estudio prospectivo de 130 mujeres con diabetes gestacional (DG) y sus productos. Crecimiento infantil determinado como puntuaciones-z de peso para la edad (PE), peso para la longitud (PL) y longitud para la edad (LE). La asociación del control adecuado (vs. inadecuado) de glucosa y crecimiento se evaluó con modelos lineales mixtos.
Resultados. El control de glucosa no se asoció con PE (βa= 0.089; IC95%: -0.248,0.426), PL (βa= 0.006; IC95%: -0.280,0.291) y LE (βa= 0.136; IC95%: -0.157,0.429). Se observó heterogeneidad de efectos por edad gestacional; aquellos con control adecuado comparado con inadecuado tuvieron PE reducido si nacieron a las ≥39 semanas.
Conclusión. El control de glucosa en mujeres con DG parece tener poco impacto en el crecimiento temprano de sus hijos; sin embargo, la edad gestacional parece ser relevante. Se requieren estudios para confirmar estos hallazgos.
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