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1.
Environ Toxicol Pharmacol ; 107: 104435, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38588759

RESUMO

This study investigated the impact of neonatal exposure to endocrine-active compounds (EACs): flutamide (antiandrogen), 4-tert-octylphenol (an estrogenic compound), and methoxychlor (an organochlorine insecticide exhibiting estrogenic, antiestrogenic and antiandrogenic activities) on androgen production within porcine adrenal glands. The expression of genes related to androgen synthesis and the level of androgen production were analyzed (i) in the adrenal glands of piglets exposed to EACs during the first 10 days of life (in vivo study), and (ii) in adrenal explants from sow-fed or formula-fed 10-day-old piglets incubated with EACs (ex vivo study). EACs affected the expression of genes linked to adrenal androgen biosynthesis. The prominent effect of methoxychlor on downregulation of StAR, CYP11A1 and HSD3B and upregulation of CYP17A1 and SULT2A1 were demonstrated. Furthermore, our study revealed divergent response to EACs between sow-fed and formula-fed piglets, suggesting that natural feeding may provide protection against adverse EACs effects, particularly those interfering with estrogens action.


Assuntos
Androgênios , Metoxicloro , Animais , Feminino , Suínos , Metoxicloro/metabolismo , Sistema Endócrino , Estrogênios , Antagonistas de Androgênios/toxicidade
2.
Ann Agric Environ Med ; 30(3): 455-461, 2023 Sep 28.
Artigo em Inglês | MEDLINE | ID: mdl-37772520

RESUMO

INTRODUCTION AND OBJECTIVE: The identification and understanding of interactions between contaminants present in sediments from stormwater and combined sewer systems is a prerequisite for their proper management, and provides a basis for developing effective strategies to minimize their negative impact on humans and the environment. The studypresents the method described in PN-EN 12457-2:2006 as a possible technique for studying the mobility of heavy metals in sediments from stormwater and combined sewer systems. MATERIAL AND METHODS: The presented PN-EN 12457-2:2006 method is a relatively simple technique for preparing extracts for the determination of heavy metals in sediments from stormwater and combined sewer systems, consisting of one-step leaching, which is quick to perform. In addition, it allows determination of the characteristics of the samples to be analyzed, and indicates procedures and tests for evaluating hazardous substances released from solid waste. RESULTS: The results of the concentrations of leached heavy metals: chromium, copper, nickel, lead and zinc, obtained in the study, corresponded to the concentrations of the exchange fraction of sludge when using the recommended method with sequential extraction (Student's t-test, p=0.263). In the literature review conducted, no papers were found on the application of the leaching method to prepare extracts for the determination of heavy metals in sediments from stormwater and combined sewer systems. CONCLUSIONS: The PN-EN 12457-2:2006 method is capable of providing important data on the potential risks to humans and the environment from the presence of contaminants in sewage sludge.

3.
Discov Oncol ; 14(1): 98, 2023 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-37314524

RESUMO

Every year, approximately 400 00 children worldwide are diagnosed with cancer. Although treatment results in most types of childhood neoplasms are excellent with survival more than 80%, there are some with poor prognosis. Also recurrent and resistant to treatment childhood cancer remain a therapeutic challenge. Besides chemotherapy, which has been the basis of cancer therapy for years, molecular methods and precisely targeted therapies have recently found their usage. As a result of that, survival has improved and has positively impacted the rate of toxicities associated with chemotherapy (Butler et al. in CA Cancer J Clin 71:315-332, 2021). These achievements have contributed to better quality of patients' lives. Current methods of treatment and ongoing trials give hope for patients with relapses and resistance to conventional chemotherapy. This review focuses on the most recent progress in pediatric oncology treatments and discusses specific therapy methods for particular cancers types of cancer. Targeted therapies and molecular approaches have become more beneficial but research need to be continued in this field. Despite significant breakthroughs in pediatric oncology in the last few years, there is still a need to find new and more specific methods of treatment to increase the survival of children with cancer.

4.
Artigo em Inglês | MEDLINE | ID: mdl-36901007

RESUMO

INTRODUCTION: Online dating is a common phenomenon. The manageability and access of the application allows people to quickly reach many potential partners, which can increase risky sexual behaviors. The Problematic Tinder Use Scale (PTUS) was developed and validated in a Polish population by analyzing the reliability, validity, and factor structure of the responses given by Polish-speaking participants. METHODS: Two samples of adult Tinder users were recruited online. The first study aimed to perform the reliability coefficient Cronbach's, interrater analysis, exploratory, and confirmatory factor analysis. The second sample was recruited to investigate the factor structure by combining it with the Safe Sex Behavior Questionnaire (SSBQ). The sociodemographic data, such as hours of use and number of dates, were also investigated. RESULTS: The Polish participants' responses to the PTUS (sample 1: N = 271, sample 2: N = 162) revealed the one-factor structure of the tool. The reliability of the measurement was α = 0.80. The construct validity was confirmed. The results showed a significant, negative, and weak correlation between the PTUS and SSBQ scores and their subscales: risky sexual behaviors (r = -0.18), condom use (r = -0.22), and avoidance of body fluids (r = -0.17). Moreover, the number of partners met in the real world had a statistically significant, moderate relationship with the PTUS scores. CONCLUSIONS: The PTUS measurement is valid and reliable for the Polish population. The findings highlight the need for harm prevention strategies related to potentially addictive Tinder use, as well as the possible risky sexual behaviors associated with dating app use.


Assuntos
Sexo Seguro , Comportamento Sexual , Adulto , Humanos , Polônia , Reprodutibilidade dos Testes , Assunção de Riscos , Inquéritos e Questionários , Psicometria
5.
Nutrients ; 14(7)2022 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-35406050

RESUMO

Flavonols are one of the most plentiful flavonoid subclasses found in natural products and are extensively used as dietary supplements. Numerous in vitro and in vivo studies have shown the cardioprotective properties of flavonols, especially quercetin. This group of substances exerts positive impacts primarily due to their antiatherogenic, antithrombotic, and antioxidant activities. The potential of flavonols to promote vasodilation and regulation of apoptotic processes in the endothelium are other beneficial effects on the cardiovascular system. Despite promising experimental findings, randomized controlled trials and meta-analyses have yielded inconsistent results on the influence of these substances on human cardiovascular parameters. Thus, this review aims to summarize the most recent clinical data on the intake of these substances and their effects on the cardiovascular system. The present study will help clinicians and other healthcare workers understand the value of flavonol supplementation in both subjects at risk for cardiovascular disease and patients with cardiovascular diseases.


Assuntos
Doenças Cardiovasculares , Antioxidantes/farmacologia , Antioxidantes/uso terapêutico , Doenças Cardiovasculares/tratamento farmacológico , Doenças Cardiovasculares/prevenção & controle , Flavonoides , Flavonóis/farmacologia , Flavonóis/uso terapêutico , Humanos , Quercetina/farmacologia , Quercetina/uso terapêutico
6.
Microsc Microanal ; : 1-8, 2022 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-35105419

RESUMO

Advanced High-Strength Steels (AHSSs) are one of the most rapidly developing group of Fe-based metallic materials. Their excellent combination of high strength, ductility and formability is due to their complex microstructure and strain-induced martensitic transformation of metastable retained austenite (RA), which favors extra ductility of the sheet steels. A deformation temperature is one of the most important factors affecting the phase transformation behavior in these Fe­C­Mn­Al­Si systems. Therefore, the present study aimed at understanding the temperature-dependent phase transformations and structural phenomena in an advanced medium-Mn­Al-alloyed steel. The 3Mn steel was thermomechanically processed and subjected to tensile testing in a temperature range from 20°C to 200°C. The different extent of the strain-induced martensitic transformation and some softening phenomena of bainitic ferrite matrix were revealed using transmission electron microscopy and electron backscatter diffraction techniques. It was found that the thermal stability of RA is strongly dependent on the deformation temperature. Moreover, the dynamic recovery and carbide precipitation play a key role when the deformation temperature is increased to 140°C and higher temperatures.

7.
Molecules ; 26(14)2021 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-34299655

RESUMO

Low-grade chronic inflammation (LGCI) and oxidative stress act as cooperative and synergistic partners in the pathogenesis of a wide variety of diseases. Polyphenols, including anthocyanins, are involved in regulating the inflammatory state and activating the endogenous antioxidant defenses. Anthocyanins' effects on inflammatory markers are promising and may have the potential to exert an anti-inflammatory effect in vitro and in vivo. Therefore, translating these research findings into clinical practice would effectively contribute to the prevention and treatment of chronic disease. The present narrative review summarizes the results of clinical studies from the last 5 years in the context of the anti-inflammatory and anti-oxidative role of anthocyanins in both health and disease. There is evidence to indicate that anthocyanins supplementation in the regulation of pro-inflammatory markers among the healthy and chronic disease population. Although the inconsistencies between the result of randomized control trials (RCTs) and meta-analyses were also observed. Regarding anthocyanins' effects on inflammatory markers, there is a need for long-term clinical trials allowing for the quantifiable progression of inflammation. The present review can help clinicians and other health care professionals understand the importance of anthocyanins use in patients with chronic diseases.


Assuntos
Antocianinas/uso terapêutico , Anti-Inflamatórios/uso terapêutico , Antioxidantes/uso terapêutico , Estresse Oxidativo/efeitos dos fármacos , Antocianinas/química , Anti-Inflamatórios/química , Antioxidantes/química , Doença Crônica , Humanos , Inflamação/tratamento farmacológico , Inflamação/metabolismo , Inflamação/patologia , Oxirredução/efeitos dos fármacos
8.
Materials (Basel) ; 13(22)2020 Nov 22.
Artigo em Inglês | MEDLINE | ID: mdl-33266420

RESUMO

The influence of elevated deformation temperatures on the relationships between the microstructure and mechanical properties in a hot-rolled Si-Al-alloyed transformation-induced plasticity (TRIP)-aided steel was studied in a static tensile test. The morphological features of specimens deformed at the different temperatures were characterized by different microstructural techniques: optical microscopy (OM), scanning electron microscopy (SEM), X-ray diffraction (XRD), and transmission electron microscopy (TEM). An increase in the deformation temperature from 20 to 200 °C resulted in the reduced effectiveness of the TRIP effect, due to the increasing mechanical stability of the γ phase. The gradual transformation of retained austenite into martensite expressed by a progressive increase in the work hardening exponent (n) led to a beneficial balance of strength, uniform elongation and total elongation. The best product of UTS × TEl = 17,805 MPa% showed the sample deformed at 20 °C with a peak n value amounting to 0.3.

9.
Materials (Basel) ; 13(24)2020 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-33419322

RESUMO

The kinetics of ferritic transformation and the corresponding microstructural evolution in 0.17C-3.1Mn-1.6Al-0.04Nb-0.22Mo-0.22Si medium-Mn steel during isothermal annealing was investigated in dilatometric studies. The material was subjected to thermal and thermo-mechanical treatments aimed at obtaining, by the austenite → ferrite transformation, a sufficient fraction of ferrite to stabilize the retained austenite by C and eventual Mn partitioning. The samples were isothermally held for 5 h in a temperature range from 600 to 750 °C to simulate simplified temperature conditions of an industrial coiling process following hot rolling. Some of the samples were plastically deformed at a temperature of 900 °C before isothermal holding in order to study the effect of hot deformation on the kinetics of phase transformations. After the dilatometric investigations the material was subjected to light and scanning electron microscopy to reveal relationships between the holding temperature, deformation and microstructure evolution. Hardness tests were performed to assess the mechanical behavior. A significant effect of manganese in slowing down diffusional transformations during the cooling of steel was found. The influence of austenite deformation on the kinetics of austenite to ferrite transformation was noted. The plastically deformed samples showed an accelerated start of ferritic transformation and the extension of its range. During dilatometric tests, low-range dynamic ferritic transformation was recorded, which was also confirmed by the microscopic tests.

10.
Materials (Basel) ; 12(24)2019 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-31842321

RESUMO

The paper reviews the recent works concerning the Portevin-Le Chatelier (PLC) effect in Advanced High-Strength Steels (AHSSs) with a special attention to high-strength medium-manganese steels. Theories explaining the mechanism of the plastic instability phenomenon in steels with medium- and high-Mn contents were discussed. The relationships between microstructural effects such as TRIP (Transformation-Induced Plasticity), TWIP (Twinning-Induced Plasticity) and the PLC effect were characterized. The effects of processing conditions including a deformation state (hot-rolled and cold-rolled) and strain parameters (deformation temperature, strain rate) were addressed. Factors affecting the value of critical strain for the activation of serrated flow behavior in particular in medium-manganese steels were described.

11.
Materials (Basel) ; 12(24)2019 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-31842476

RESUMO

The study addressed the microstructure and mechanical properties of hot-rolled advanced high-strength medium manganese steel. Some of the curves that were obtained in static tensile tests at deformation temperatures of 20-200°C showed the occurrence of the heterogeneous plastic deformation phenomenon, called the Portevin-Le Chatelier (PLC) effect. The deformation temperature significantly influenced a serration character. The correlations between the deformation temperature, serration range, microstructural features, and fracture behavior were investigated. The curves showed no Lüders elongation as a result of the thermomechanical processing applied. The serrated flow phenomenon was observed at 60 and 140 °C. The serration type was different and the most enhanced at 140 °C, where the PLC effect was present in both uniform and post-uniform elongation ranges. The disappearance of serrations at 200 °C was related to the increased diffusion intensity.

12.
Materials (Basel) ; 12(18)2019 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-31546804

RESUMO

The temperature-dependent microstructure evolution and corresponding mechanical stability of retained austenite in medium-Mn transformation induced plasticity (TRIP) 0.17C-3.1Mn-1.6Al type steel obtained by thermomechanical processing was investigated using scanning electron microscopy (SEM), electron backscatter diffraction (EBSD), and X-ray diffraction (XRD) techniques. Specimens were deformed up to rupture in static tensile tests in the temperature range 20-200 °C. It was found that an increase in deformation temperature resulted in the reduced intensity of TRIP effect due to the higher stability of retained austenite. The kinetics of strain-induced martensitic transformation was affected by the carbon content of retained austenite (RA), its morphology, and localization in the microstructure.

13.
Pol Merkur Lekarski ; 47(277): 31-34, 2019 Jul 29.
Artigo em Polonês | MEDLINE | ID: mdl-31385945

RESUMO

Age-related macular degeneration (AMD) is the leading cause of blindness in the world and may affect about 30-50 million people. Due to prevalence of this disease and the progressive population aging in recent years, in addition to conventional methods of treatment of AMD, there are more preventive and treatment support factors that can be used. An adequate diet, especially rich in antioxidant compounds, seems to play an important role in this case. Available scientific data suggest that an important role in AMD prevention and / or delay may play the appropriate selection of macronutrients, in particular fats and carbohydrates. In this work, based on the available data, the study reviews the relationship between the intake of selected nutrients and age-related macular degeneration.


Assuntos
Dieta , Degeneração Macular , Antioxidantes , Cegueira , Humanos , Prevalência
14.
Pol Merkur Lekarski ; 47(277): 35-39, 2019 Jul 29.
Artigo em Polonês | MEDLINE | ID: mdl-31385946

RESUMO

Age-related macular degeneration (AMD) is a progressively degenerative disease at the central area of the retina, which results in severe visual impairment. It is the leading cause of irreversible blindness among people aged over 65 in developed countries. Therapies that focus on prevention through optimization of modifiable risk factors such as diet and nutritional status are key approaches to reducing the burden of disease. An adequate diet, especially rich in antioxidant compounds, seems to play an important role in this case. Available scientific data suggest that vitamins A, E, C and carotenoids, in particular lutein and zeaxantine and some minerals, may play an important role in the prevention and / or delay of AMD. There are also new data on the importance of other ingredients such as flavonoids in the AMD development. In this work, based on the available data, the study reviews the relationship between the intake of selected antioxidant nutrients and age-related macular degeneration.


Assuntos
Antioxidantes , Degeneração Macular , Vitamina A , Vitaminas , Antioxidantes/uso terapêutico , Suplementos Nutricionais , Humanos , Degeneração Macular/terapia , Vitamina A/uso terapêutico , Vitaminas/uso terapêutico
15.
Adv Exp Med Biol ; 1176: 89-99, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31134553

RESUMO

Birth weight is a key determinant of perinatal outcomes which affect physical development and metabolic function. In this study, we evaluated the potential role of maternal body composition and nutritional status in programing fetal birth weight. This was a longitudinal study that included 29 pregnant women and their full-term newborns. Maternal dietary energy and fluid intake and body adipose tissue were assessed. In addition, we measured the serum content of copeptin, aldosterone, and angiotensin II in maternal and umbilical cord blood. The measurements were done across the three trimesters of pregnancy, on average, at 11.6 weeks, 18.3 weeks, and 30.2 weeks. Each newborn's birth weight was determined at the percentile line, using the World Health Organization (WHO) standards based on the gestational age, gender, and weight. We found no appreciable relation of fetal birth weight to the maternal dietary and fluid intakes, and the content of angiotensin II, aldosterone, or copeptin. However, birth weight correlated with increases in body adipose tissue in early pregnancy stages. Further, birth weight correlated positively with copeptin and adversely with angiotensin II in cord blood. We conclude that the present findings may be helpful in the assessment of a critical level of body adipose tissue in women of child-bearing age, above which the potential risk of macrosomia appears. The female population of child-bearing age needs a continual update on the nutritional knowledge to prevent modifiable maternal and fetal perinatal complications.


Assuntos
Peso ao Nascer , Sangue Fetal , Homeostase , Fenômenos Fisiológicos da Nutrição Materna , Parto , Peso ao Nascer/fisiologia , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Estudos Longitudinais , Gravidez
16.
Materials (Basel) ; 12(3)2019 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-30736369

RESUMO

A microstructure evolution of the thermomechanically processed 3Mn-1.5Al type steel and mechanical stability of retained austenite were investigated during interrupted tensile tests. The microstructural details were revealed using scanning electron microscopy (SEM), electron backscatter diffraction (EBSD), and transmission electron microscopy (TEM) techniques. It was found that the strain-induced martensitic transformation began in central regions of the largest blocky-type grains of retained austenite and propagated to outer areas of the grains as the deformation level increased. At rupture, the mechanical stability showed only boundaries of fine blocky grains of γ phase and austenitic layers located between bainitic ferrite laths. The effects of various carbon enrichment, grain size, and location in the microstructure were considered. The martensitic transformation progress was the highest at the initial stage of deformation and gradually decreased as the deformation level increased.

17.
Adv Exp Med Biol ; 1133: 49-54, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30362028

RESUMO

This study seeks to evaluate the metabolic parameters such as body mass index (BMI), percentage of total body fat percentage (%BF), blood glucose, homeostatic index for quantification of insulin resistance and beta-cell function (HOMA-IR), sleep efficiency, and physical activity in liver transplant patients. The study group consisted of 24 male and 18 female patients, which enabled the inter-gender comparison. We found that a majority of patients had exceeded the norms for BMI and %BF. The excessive weight was distinctly accentuated in male patients. Only 40.5% of patients have a correct BMI and 21.4% of patients have a correct %BF. The indices of glucose metabolism were increased, pointing to enhanced insulin resistance. Resting energy expenditure and metabolic equivalent of task were characteristic of sedentary lifestyle, and they were lower in female patients. Almost 65% of patients had sleep efficiency below the desired 85% cut-off level. Further, sleep efficiency was decreasing with increasing BMI, %BF, and blood glucose level. In conclusion, liver transplant patients are characterized by excessive body mass and less physical activity and have a shortened sleep duration, all of which may lead to a worse glucose metabolism and increased disease risk and may also have an impact on quality of life.


Assuntos
Índice de Massa Corporal , Resistência à Insulina , Transplante de Fígado , Qualidade de Vida , Glicemia , Exercício Físico , Feminino , Humanos , Masculino , Obesidade , Sono
18.
Adv Exp Med Biol ; 1113: 75-82, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29516309

RESUMO

Overweight and obesity, a cluster of multiple risk factors for atherosclerosis such as elevated blood pressure, elevated glucose level, and dyslipidemia, increase the risk of all-cause mortality and cardiovascular morbidity and mortality. Physical activity and a proper diet are essential preventive measures. The aim of the study was to evaluate the effects of a two-month intervention program consisting of a low-caloric diet (1,500 kcal) and increased physical activity on the anthropometric parameters, body composition, resting metabolic rate, and maximum oxygen uptake. The study was conducted in 22 women aged 20-38 with diagnosed overweight or obesity. We found that after completing the eight-week-long intervention program, there were significant changes in body composition, consisting of a smaller proportion of body fat and increased lean body mass. Further, we observed a decrease in body weight by 4.3 ± 2.5 kg (p < 0.01), a reduction in waist and hip circumference of 2.6 ± 4.5 cm (p < 0.01) and 4.4 ± 2.9 cm (p < 0.01), respectively, and an increase in maximum oxygen uptake by about 5.2 ± 8.4 ml/kg/min (p < 0.01). We conclude that the intervention program consisting of counseling on diet and physical activity may be highly motivational for patients with excess body weight and care givers should give it a try before commencing more aggressive psychopharmacological therapies.


Assuntos
Estilo de Vida , Obesidade/terapia , Sobrepeso/terapia , Adulto , Metabolismo Basal , Composição Corporal , Índice de Massa Corporal , Feminino , Humanos , Consumo de Oxigênio , Redução de Peso , Adulto Jovem
19.
Ginekol Pol ; 89(11): 581-586, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30508208

RESUMO

OBJECTIVES: Maintaining proper nutrition during pregnancy is crucial for pregnant women and especially for who have been diagnosed with type 1 diabetes mellitus (T1DM) or who develop gestational diabetes mellitus (GDM). MATERIAL AND METHODS: To measure differences in vitamin and mineral intakes among women with normal pregnancies, pregnant women with GDM, and pregnant women with pre-gestational T1DM; and to assess the women's dietary intakes in comparison with Polish nutritional guidelines. The analysis was conducted among 83 pregnant women (29 GDM patients, 26 T1DM patients and 28 normal pregnancy participants) from whom we collected seven-day 24-hour dietary records during the second part of their pregnancies. RESULTS: There were no statistically significant differences observed for most of the vitamin and mineral intakes across the three groups. However, we did observe a significant difference in the vitamin C and calcium intakes between groups. The mean vitamin C and calcium intakes were significantly higher in the control group than among the diabetic patients. Insufficient dietary calcium intakes were found among 52.3% of the GDM patients and 61.6% of the T1DM participants, while only 28.6% of the normal pregnancy patients experienced a calcium deficiency. The highest incidence of inadequate intake in each of the GDM, T1DM and control groups was observed for vitamin D (100%, 100%, 100%), folate (97.7%, 100%, 100%), iron (97.7%, 100%, 100%), and iodine (97.7%, 92.4%, 85.7%), respectively. CONCLUSIONS: Diet alone may not be enough to provide adequate levels of vitamins and minerals for most micronutrients. Supplement use reduces the risk of inadequate intake for many micronutrients, but diet-related issues during pregnancy and pregnancy diagnosed with diabetes remain, and they deserve to be addressed during public health interventions.


Assuntos
Diabetes Mellitus Tipo 1 , Diabetes Gestacional , Dieta , Política Nutricional , Gravidez em Diabéticas , Oligoelementos , Vitaminas , Adulto , Ácido Ascórbico , Cálcio da Dieta , Estudos de Casos e Controles , Cobre , Feminino , Ácido Fólico , Humanos , Iodo , Ferro da Dieta , Niacina , Polônia , Gravidez , Riboflavina , Sódio na Dieta , Tiamina , Vitamina B 12 , Vitamina B 6 , Vitamina D , Vitamina E , beta Caroteno
20.
Ginekol Pol ; 89(12): 659-666, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30618032

RESUMO

OBJECTIVES: Pregnancy is a critical period during which environmental factors such as nutrition can affect development. Maintaining proper nutrition becomes even more significant when pregnant women have diabetes. The aim of this study was to measure changes in energy and macronutrient intakes among pregnant women and patients diagnosed either with gestational diabetes mellitus (GDM) during pregnancy, or, type 1 diabetes mellitus (T1DM) before pregnancy, and to assess the pregnant women's dietary intakes in comparison with Polish Institute of Food and Nutrition nutritional guidelines. MATERIAL AND METHODS: The analysis was conducted among 83 pregnant women (29 GDM patients, 26 T1DM patients and 28 normal pregnancy patients - the control group) from whom we gathered nutritional data during the second part of their pregnancies. Data on each woman's diet during pregnancy was collected is self-completed dietary records during seven consecutive 24-hour periods. RESULTS: The mean macronutrient intake of the GDM patients was 32.1% fat, 19.5% protein, and 48.3% carbohydrates; in the T1DM group the results were 34.2%, 19.4% and 46.4% respectively; and in control group they were 31.8%, 17.6% and 50.5% respectively. This study showed that many of the pregnant women did not reach the recommended level of energy intake during pregnancy. Moreover, most of the women exceeded their fat requirements, and fat intake as a proportion of energy intakes also exceeded the guidelines in more than 60% of the women across all groups. CONCLUSIONS: The implications and possible causes of excessive fat intake during pregnancy and pregnancies complicated by diabetes are underestimated and undertreated by obstetricians and warrant further investigation, especially in association with gestational weight gain, maternal and fetal perinatal complications, and post-gestational diabetes.


Assuntos
Diabetes Mellitus Tipo 1/epidemiologia , Diabetes Gestacional/epidemiologia , Dieta/estatística & dados numéricos , Comportamento Alimentar , Avaliação Nutricional , Adulto , Estudos de Casos e Controles , Carboidratos da Dieta/administração & dosagem , Gorduras na Dieta/administração & dosagem , Fibras na Dieta/administração & dosagem , Proteínas na Dieta/administração & dosagem , Feminino , Humanos , Fenômenos Fisiológicos da Nutrição Materna , Valor Nutritivo , Polônia , Guias de Prática Clínica como Assunto , Gravidez , Recomendações Nutricionais , Adulto Jovem
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