RESUMO
Glycated hemoglobin (HbA1c) is used to assess glycemic control in Type 1 diabetes (DM1) patients. Apolipoproteins play an essential role in DM1 pathophysiology and may be associated with complications and HbA1c. This cross-sectional observational study of 81 children and adolescents of both sexes diagnosed with DM1 investigated the relationship between body fat distribution and lean mass with HbA1C and apolipoprotein values, analyzing biochemical and body composition measurements. A Shapiro-Wilk test with Lilliefors correction, a non-parametric Mann-Whitney test, and others were used with a significance level of 5%. The sample had a diagnosis time of 4.32 years and high blood glucose levels (mean 178.19 mg/dL) and HbA1c (mean 8.57%). Subjects also had a moderate level of adiposity, as indicated by arm and thigh fat areas. The study also found significant differences in the distribution of patients concerning levels of apolipoproteins A and B, with a smaller proportion of patients having undesirable levels. Finally, the study found a significant difference in the distribution of patients with estimated cardiovascular risk based on the ApoB/ApoA-I ratio. Conclusively, visceral fat in children and adolescents with DM1 may increase the risk of DM1 long-term complications owing to its association with elevated HbA1C and apolipoprotein values.
RESUMO
Objetivo: Verificar a capacitação dos profissionais de saúde quanto à prática do aleitamento materno. Método: Estudo de campo exploratório-descritivo. desenvolvido com 614 profissionais que faziam parte da equipe multiprofissional da rede de Atenção Básica e duas maternidades na cidade de Marília/SP. Os dados coletados foram armazenados e analisados, utilizando-se o software EPI INFO vs.6.02. Resultados: Identificou-se que 22,6% não receberam informações durante a formação profissional; 51,0% não realizaram curso de capacitação durante a atuação profissional. A maioria avalia a situação para identificar o problema vivenciado pela mulher, porém ainda há profissionais que apoiam a decisão da nutriz em interromper a amamentação e sugerem a introdução precoce de outros alimentos. Além disso, 50% dos profissionais consideram o conhecimento sobre aleitamento materno importante para tomarem decisões. Considerações finais: Evidencia-se a necessidade da formação permanente dos profissionais da equipe, por meio de capacitações, para o domínio e manejo da amamentação.
Objetivo: Evaluar la formación de los profesionales de la salud con respecto a la lactancia materna. Método: estudio exploratorio y descriptivo de campo realizado con 614 profesionales que formaban parte del equipo multidisciplinario de atención básica de la red y dos hospitales en la ciudad de Marília / SP. Los datos recogidos fueron almacenados y analizados utilizando el EPIINFO vs.6.02. Resultados: Se encontró que el 22,6% no recibió información durante el entrenamiento: 51,0% no tenía ningún curso de capacitación para el desempeño profesional. La mayoría evalúa la situación para identificar el problema experimentado por una mujer, pero todavía hay profesionales que apoyan la decisión de la madre que amamanta a interrumpir la lactancia materna y sugieren la introducción temprana de otros alimentos. Además, el 50,0% de los profesionales consideran importantes conocimientos sobre la lactancia materna para tomar decisiones. Conclusión: Esto confirma la necesidad de la formación permanente de nuestro equipo, a través de la capacitación para el dominio y manejo de la lactancia.
Objective: To evalúate the training of health professionals about breastfeeding. Method: Exploratory and descriptive field study with 614 professionals who were part of the multidisciplinary team of basic care network and two hospitals in the city of Marilia / SP. The collected data were stored and analyzed using the EPIINFO vs.6.02. Results: It was found that 22.6% received no information during training: 51.0% had no training for their professional performance. Most of the professionals assess the situation to identify the problem experienced by a woman. but there are still professionals who support the decisión of the breastfeeding mother to stop breastfeeding and suggest the early introduction of other foods. In addition. 50.0% of professionals consider the knowledge about breastfeeding for decisión making to be important. Conclusión: This confirms the need for ongoing instruction of our team, through training for the control and management of breastfeeding.