Banca de DEFESA: AMANDA GABRIELA ARAUJO DA SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : AMANDA GABRIELA ARAUJO DA SILVA
DATE: 29/11/2023
TIME: 14:00
LOCAL: Gerência de Ensino e Pesquisa - GEP/MEJC
TITLE:

ASSOCIATION BETWEEN THE CONSUMPTION OF ULTRA-PROCESSED FOODS AND THE GLYCEMIC PROFILE OF WOMEN WITH GESTATIONAL DIABETES MELLITUS AND THEIR NEWBORN

KEY WORDS:

Pregnancy. Maternal and Child Health. Maternal Nutrition. Infant, Newborn.

PAGES: 81
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUMMARY:

The high consumption of ultra-processed foods (UPF) has caused unfavorable effects on the health of the population and on the nutritional quality of the diet, however, there are still few studies that evaluate the impact of this consumption on metabolic outcomes of mother-child pairs in Gestational Diabetes Mellitus (DMG). Thus, the objective of the study was to evaluate the association between UPF consumption and the glycemic profile of women with GDM followed at a high-risk prenatal clinic and the occurrence of hypoglycemia in their newborns. The study was observational, longitudinal, prospective, cohort, with women diagnosed with GDM and their newborns. Data collection took place at least two times during prenatal care (during the 2nd and 3rd trimester of pregnancy) and immediately after birth. The assessment of food consumption was carried out according to the NOVA classification, with pairs grouped according to tertiles of energy contribution of UPF in the diet. The glycemic profile was assessed by fasting blood glucose, self-monitoring of capillary blood glucose (fasting, one hour after breakfast, one hour after lunch and one hour after dinner) in pregnant women, and according to capillary blood glucose levels in their newborns in the first 48 hours of life. Binary logistic regression analyzes were performed to evaluate the relationship between the increase in UPF participation, considering the highest tertile of UPF consumption as a reference category, in the control of glycemia in women with GDM at the time of the research and the occurrence of hypoglycemia in their neonates (<50 mg/dL). 94 couples participated in the study, whose average caloric intake for women was 1,936 Kcal (1228 – 3124 Kcal), with 15% of the energy coming from UPF. Regarding the glycemic profile, 33.3% (n=30) and 52.3% (n=45) of them presented hyperglycemia in the second and third trimester of pregnancy, respectively. It was observed that UPF consumption had no significant association with maternal glycemic control, but showed a positive association with the occurrence of neonatal hypoglycemia (OR: 1.14; 95% CI: 1.037-1.262; p=0.007). Thus, the data suggest that the consumption of UPF can impact the occurrence of neonatal hypoglycemia in newborns of high-risk pregnant women, reinforcing the inclusion of guidelines for promoting healthy eating during pregnancy in nutritional assistance protocols for pregnant women with GDM.

COMMITTEE MEMBERS:
Externa à Instituição - FERNANDA RAUBER - FMUSP
Externa ao Programa - 1837366 - DANIELLE SOARES BEZERRA - nullPresidente - 2578592 - KARLA DANIELLY DA SILVA RIBEIRO RODRIGUES