128 Low dietary calcium intake in pregnant with higher risk of preeclampsia: Obesity, nutrition, metabolic disease

详细信息    查看全文

• 作者：Esther Alves de Souza^a ; Carina Almeida Morais^a ; Luciana Pellegrini Pisani^a ; Ana Carolina Momentti^a ; Rafaela de Assis Neves^a ; Tatiana Palotta Minari^a ; Talita Penatti Minari^b ; Eder Viana de Souza^b ; Sé ; rgio Floriano de Toledo^b ; Francisco Lazaro Pereira de Sousa^b ; Daniel Henrique Bandoni^a
• 刊名：Pregnancy Hypertension: An International Journal of Women's Cardiovascular Health
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：6
• 期：3
• 页码：243
• 全文大小：37 K

文摘

Calcium supplementation in pregnant with low calcium intake as part of the care for the prevention of preeclampsia. The monitoring of daily calcium intake is inappropriate.

Objective

Investigate the dietary calcium intake in pregnant with higher risk of preeclampsia.

Methods

The study was performed involving pregnant women with chronic arterial hypertension (CAH), Diabetes Melittus (DM) and/or obesity (Ob) seen for their prenatal care at the Guilherme Alvaro Hospital, Santos, Brazil. Calcium intake was estimated through Food Frequency Questionnaire (FFQ) proposed by Fisberg et al. (2005) adapted. The Body Mass Index (BMI), calculated as kg/m², was classified according Atalah et al. (1997). Data were compared using Mann–Whitney U or Kruskal–Wallis test (post hoc Dunn), p < 0.05 was considered significant. Spearman correlations were used to measure associations among variables.

Results

We studied 55 pregnant, mean ve&_eid=1-s2.0-S2210778916302811&_mathId=si1.gif&_user=111111111&_pii=S2210778916302811&_rdoc=1&_issn=22107789&md5=91d2cbc849f2eb578553b821f4d23f78" title="Click to view the MathML source">± standard deviation age of 32,7 ve&_eid=1-s2.0-S2210778916302811&_mathId=si1.gif&_user=111111111&_pii=S2210778916302811&_rdoc=1&_issn=22107789&md5=91d2cbc849f2eb578553b821f4d23f78" title="Click to view the MathML source">± 6,0 years, gestational age of 26,5 ve&_eid=1-s2.0-S2210778916302811&_mathId=si1.gif&_user=111111111&_pii=S2210778916302811&_rdoc=1&_issn=22107789&md5=91d2cbc849f2eb578553b821f4d23f78" title="Click to view the MathML source">± 7,6 and BMI = 35,2 ve&_eid=1-s2.0-S2210778916302811&_mathId=si1.gif&_user=111111111&_pii=S2210778916302811&_rdoc=1&_issn=22107789&md5=91d2cbc849f2eb578553b821f4d23f78" title="Click to view the MathML source">± 5,8kg/m² that characterizes 63,4% the sample as obesity pattern and 29,3% as overweight. Mean daily calcium intake from food records was low (672,2 ve&_eid=1-s2.0-S2210778916302811&_mathId=si1.gif&_user=111111111&_pii=S2210778916302811&_rdoc=1&_issn=22107789&md5=91d2cbc849f2eb578553b821f4d23f78" title="Click to view the MathML source">± 352,3 mg/day), 90,9% had lower average consumption that the WHO recommendation.The relationship between risk factors of preeclampsia (CAH, DM or CAH/DM) or BMI classification and calcium intake not differed. It was found that milk was the most common (60%) among pregnant women with adequate dietary calcium intake (9,1%; 1383,5 ve&_eid=1-s2.0-S2210778916302811&_mathId=si1.gif&_user=111111111&_pii=S2210778916302811&_rdoc=1&_issn=22107789&md5=91d2cbc849f2eb578553b821f4d23f78" title="Click to view the MathML source">± 117,5 mg/day). Calcium supplementation with or without vitamin D was reported by 12,7% (n = 7). The calcium intake from the group calcium supplementation (1000 mg elemental calcium/day) said use was higher (median 1691,4 mg/day; p < 0,001) than the not used supplement (526,2 mg/day) and not exceed UL.

Conclusion

In this study it was highly inadequate dietary calcium consumption. Calcium supplementation was critical to the adequacy of calcium intake in this group of pregnant women, it is could contributes with reduced preeclampsia development.