Repercussões do Diabete melito gestacional na função cardiopulmonar de gestantes
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Data
2012-02-23
Autores
Petek, Amanda Aparecida [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
A gestação, responsável por adaptações anatômicas e fisiológicas no organismo da mulher, e o diabete melito gestacional são apontados como fatores de risco para complicações cardíacas e pulmonares na gestante. Avaliar a função cardiopulmonar de gestantes com diabete melito gestacional e sua influência na capacidade funcional de exercício, comparadas com gestantes normoglicêmicas. Estudo transversal com 12 gestantes com diabete melito gestacional e 16 gestantes normoglicêmicas. Para a avaliação da função cardiopulmonar foram realizados os testes de espirometria, Doppler-ecocardiografia, caminhada de seis minutos e manovacuometria. As variáveis investigadas, quando contínuas, serão expressas em medianas e intervalos interquartílicos quando apresentarem distribuição não-normal e comparadas entre os grupos pelo teste de Mann-Whitney, e quando forem categóricas, serão expressas em proporções e comparadas pelo teste do Qui-quadrado. O grupo normoglicêmico apresentou idade materna (anos) estatisticamente menor [21,00 (19,25; 24,75) v 28,50 (21,50; 30,75) p=0,004],bem como IMC pré gestacional (kg/m2) [23,37 (18; 27,26) v 33,41 (28,25; 36,24) p=0,003], IMC gestacional (kg/m2) [27,98 (25,06; 31,93) v 38,05 (31,29; 40,13) p=0,002]. A idade gestacional (semanas) estatisticamente menor no grupo com diabete melito gestacional [35,00 (34,25; 36,00) v 33,50 (33,00; 35,50) p=0,033]. Não houve diferenças estatisticamente significativas para as variáveis espirométricas, pressões respiratórias máximas e teste de caminhada de seis minutos. Os valores do diâmetro do átrio esquerdo (cm) [3,95 (3,80; 4,10) v 3,70 (3,53; 3,80) p=0,001], diâmetro sistólico do ventrículo esquerdo (mm) [2,85 (2,73; 3,00) v 2,75 (2,70; 2,80) p=0,023], espessura diastólica do septo interventricular...
Gestation, responsible for anatomical and physiological adjustments in the woman´s organism, and the gestational diabetes mellitus are pointed as risk factors for cardiac and pulmonary complicationsin the pregnant woman. To evaluate the cardiopulmonary function of pregnant women who have gestational diabetes mellitus and its influence in the functional capacity of exercise, compared to normoglycaemic pregnant women. Transversal study with 12 pregnant women who have gestational diabetes mellitus 16 normoglycaemic pregnant women. For the cardiopulmonary function evaluation it was carried out spirometry tests, Doppler-echocardiography, a six-minute walk and manovacuometer measurement. The investigated variables, when they are continuous, will be expressed in medians and interquartile range when they present non-normal distribution and compared among the groups by Mann-Whitney test, and when they are categorical, they will be expressed in proportions and compared by Qui-square test. The normoglycaemic group presented maternal age (years) statistically lower [21,00 (19,25; 24,75) v 28,50 (21,50; 30,75) p=0,004], as well as the pre-gestational BMI (kg/m2) [23,37 (18; 27,26) v 33,41 (28,25; 36,24) p=0,003], gestational BMI (kg/m2) [27,98 (25,06; 31,93) v 38,05 (31,29; 40,13) p=0,002]. The gestational age (weeks) statistically lower in the gestational diabetes group [35,00 (34,25; 36,00) v 33,50 (33,00; 35,50) p=0,033]. There weren´t significant differences statistically for the spirometric variables, maxim respiratory pressures and a six-minute walk test. The left atrium diameter values (cm) [3,95 (3,80; 4,10) v 3,70 (3,53; 3,80) p=0,001], the left ventricle systolic diameter (mm) [2,85 (2,73; 3,00) v 2,75 (2,70; 2,80) p=0,023], diastolic length of the interventricular septum... (Complete abstract click electronic access below)
Gestation, responsible for anatomical and physiological adjustments in the woman´s organism, and the gestational diabetes mellitus are pointed as risk factors for cardiac and pulmonary complicationsin the pregnant woman. To evaluate the cardiopulmonary function of pregnant women who have gestational diabetes mellitus and its influence in the functional capacity of exercise, compared to normoglycaemic pregnant women. Transversal study with 12 pregnant women who have gestational diabetes mellitus 16 normoglycaemic pregnant women. For the cardiopulmonary function evaluation it was carried out spirometry tests, Doppler-echocardiography, a six-minute walk and manovacuometer measurement. The investigated variables, when they are continuous, will be expressed in medians and interquartile range when they present non-normal distribution and compared among the groups by Mann-Whitney test, and when they are categorical, they will be expressed in proportions and compared by Qui-square test. The normoglycaemic group presented maternal age (years) statistically lower [21,00 (19,25; 24,75) v 28,50 (21,50; 30,75) p=0,004], as well as the pre-gestational BMI (kg/m2) [23,37 (18; 27,26) v 33,41 (28,25; 36,24) p=0,003], gestational BMI (kg/m2) [27,98 (25,06; 31,93) v 38,05 (31,29; 40,13) p=0,002]. The gestational age (weeks) statistically lower in the gestational diabetes group [35,00 (34,25; 36,00) v 33,50 (33,00; 35,50) p=0,033]. There weren´t significant differences statistically for the spirometric variables, maxim respiratory pressures and a six-minute walk test. The left atrium diameter values (cm) [3,95 (3,80; 4,10) v 3,70 (3,53; 3,80) p=0,001], the left ventricle systolic diameter (mm) [2,85 (2,73; 3,00) v 2,75 (2,70; 2,80) p=0,023], diastolic length of the interventricular septum... (Complete abstract click electronic access below)
Descrição
Palavras-chave
Gravidez - Complicações, Diabetes na gravidez, Doppler, Ultrassonografia, Espirometria
Como citar
PETEK, Amanda Aparecida. Repercussões do Diabete melito gestacional na função cardiopulmonar de gestantes. 2012. 53 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, 2012.