Effect of ultra-processed foods consumption on glycemic control and gestational weight gain in pregnant with pregestational diabetes mellitus using carbohydrate counting.

AIMS: The aims were to evaluate the consumption of ultra-processed foods by pregnant women with pre-existing diabetes mellitus (DM) using the carbohydrate counting method, in addition to investigating the association with total gestational weight gain and glycemic control. METHODS: A cohort study of adult Brazilian pregnant women with pre-existing DM. Dietary intake was evaluated adopting the NOVA classification to identify the reported consumption of ultra-processed foods. Weight was measured at all consultations and laboratory tests were evaluated at each gestational trimester. Multivariate linear regression was used in the analysis. RESULTS: Pregnant women (n = 42) presented mean total gestational weight gain of 12.02 ± 4.8 kg, 65.8% of them with inadequate weight gain. Daily consumption of ultra-processed foods was 272.37 ± 170.55 kcal. The increase of every 1 kcal in the calorie intake from ultra-processed foods in the third trimester increased glycated hemoglobin by 0.007% (ß = 0.007, p = 0.025), raised 1-h postprandial glucose by 0.14 mg/dL (ß = 0.143, p = 0.011), and added 0.11 kg to total gestational weight gain (ß = 0.11, p = 0.006). CONCLUSION: Ultra-processed food consumption influenced glycemic control and total gestational weight gain in pregnant women with DM.

The presence of heavy metals in Avicennia schaueriana Stapf & Leechman ex Moldenke leaf and epicuticular wax from different mangroves around Sepetiba Bay, Rio de Janeiro, Brazil.

This study aimed to investigate the leaf epicuticular wax and the presence of heavy metals in leaves of Avicennia shaueriana, a halophyte found in Brazilian mangroves. We evaluated plants collected in mangroves located around Sepetiba Bay, Rio de Janeiro State. Heavy metals were analyzed by energy dispersive X-ray spectroscopy (EDS or EDX) and inductively coupled plasma optical emission spectrometry (ICP-OES). Chemical analysis of epicuticular wax was made by gas chromatography-mass spectrometry (GC-MS). We also evaluated the micromorphology of leaf surface using scanning electronic and light microscopy. The leaves from each mangrove presented alterations in wax layer. Fagarasterol (lupeol) in high quantity was the main triterpene identified in the leaf wax from plants collected in all mangroves: Coroa Grande (76.43%), Pedra de Guaratiba (38.91%), and Marambaia (62.56%). Al, Fe, Mn, and Zn were the main heavy metals detected in leaves from the three mangroves by ICP-OES. Thus, we show that that plants able to survive in the mangrove swamp can adapt to the exposure of heavy metals, accumulate them in their leaves, and be used in coastal area recovery projects as a phytoremediator.