Predictive factors of weight at birth of newborns of adult women with pregestational Diabetes Mellitus : A retrospective observational study.

AIMS: To identify predictive factors of birth weight (BW) of newborns of women with pregestational diabetes mellitus (DM). METHODS: Retrospective observational study with data from pregnant women who started prenatal nutritional monitoring up to 28 weeks, single pregnancy, and BW information. Quantitative variables were analyzed, and mean and standard deviation (SD) measures or medians and interquartile ranges (IQR) were calculated. Predictive factors were identified using multivariate linear regression. RESULTS: Eighty-six pregnant women were analyzed, 50% were diagnosed with type 1 DM, 46.5% with type 2 DM, and 3.5% with unclassified DM; 41% were mixed black and white, 35.6% had overweight and 33.3% had pregestational obesity. The mean BW was 3313.93 g (SD = 696.08). The predictive factors identified were: gestational weight gain (GWG) at the 3rd trimester (ß=60.42; p = 0.04), and gestational age at delivery (ß=194.03; p < 0.001); adjusted by time of diagnosis of DM (p = 0.07) and 1st-trimester glycated hemoglobin (p = 0.71). CONCLUSION: The best predictors of BW were gestational age at birth and maternal anthropometric gestational characteristics, which are modifiable variables. The results may contribute to a review of the prenatal routines of pregnant women with DM.

Laguncularia racemosa leaves indicate the presence of potentially toxic elements in mangroves.

Brazilian mangroves have been severely impacted by metallurgical, petrochemical, pyrometallurgical smelters and other industrial activities. In Rio de Janeiro, mangroves are part of the Atlantic Rainforest now under the stress of high levels of industrial waste. Therefore, this work aimed to detect potentially toxic elements (PTEs) by evaluating the leaves of Laguncularia racemosa (L.) Gaertn. f. collected from three mangroves with different levels of pollution. To gain further insight toward an accurate diagnosis of the effects of anthropogenic pollution on mangrove stands, we evaluated leaf epicuticular wax composition, as well as morphological and anatomical traits. Samples were analyzed using inductively coupled plasma-optical emission spectroscopy (ICP-OES), gas chromatography (GC) and microscopy. Results revealed variation in the contents of PTEs among the three mangroves from lowest to highest concentration, as follows: Al (0.30-0.73), Pb (0.095-0.325) and Zn (0.25-0.30) mg/kg. Zn was detected in sclerenchyma tissues. Leaf epicuticular wax contained more than 50% of triterpenes, in particular, the pentacyclic triterpenes lupeol (41.61-55.63%) and ß-amyrin (8.81-16.35%). Such high concentrations promote the increase in leaf permeability to salts and PTEs. Micromorphology of leaf epicuticular wax in L. racemosa also varied among the three evaluated sites, especially around stomatal openings, but no harmful changes were noted. L. racemosa plays a key role in the rich diversity of mangrove ecosystems. As such, this species could, by the presence of PTEs in its leaves, be a suitable biomonitor of toxic substances in coastal environments of the world and used accordingly in strategies designed for eco-sustainable technologies.

Impact of the Dietary Approaches to Stop Hypertension (DASH) diet on glycaemic control and consumption of processed and ultraprocessed foods in pregnant women with pre-gestational diabetes mellitus: a randomised clinical trial.

The aim of this study was to evaluate the impact of the Dietary Approaches to Stop Hypertension (DASH) diet on glycaemic control and consumption of processed (PF) and ultraprocessed (UPF) foods in pregnant women with pre-gestational diabetes mellitus (PGDM). This is a randomised, controlled, single-blind clinical trial with forty-nine adult women with PGDM, followed at a public maternity hospital in Rio de Janeiro, Brazil. The control group (CG) received a standard diet consisting of 45-55 % of the total energy intake of carbohydrates, 15-20 % of proteins and 25-30 % of lipids. The DASH group (DG) received an adapted DASH diet, which did not differ from the standard diet in the percentage of macronutrients, but had higher contents of fibre, unsaturated fats and minerals such as Ca, Mg and K; and lower contents of Na and saturated fats than the standard diet. In the analysis by protocol, the DG presented a higher incidence of glycaemic control after 12 weeks of intervention (57·1 v. 8·3 %, P = 0·01, moderate effect size) and a lower mean consumption of UPF (-9·9 %, P = 0·01) compared with the CG. There was no statistically significant difference in fasting and postprandial blood glucose concentrations, or in the consumption of PF between the groups (P > 0·05). The DASH diet may be a strategy for glycaemic control in pregnant women with PGDM, favouring the adoption of a nutritionally adequate diet with lower consumption of UPF. Further studies are needed to investigate the effect of the DASH diet on glycaemic profile, and maternal and perinatal outcomes in women with PGDM.