Abstract
Pregnancy is a physiological process for human reproduction. However, there are some factors that hinder this gestational process, such as Gestational Diabetes Mellitus (GDM), which is defined as any degree of glucose intolerance, with the first recognition during pregnancy. This study aimed to identify the factors associated with Diabetes GDM in pregnant women. Through an integrative literature review, descriptive and exploratory based on scientific evidence. Confirming that GDM is associated with a sedentary lifestyle, poor diet and that it can trigger miscarriage and pre-eclampsia, in addition to causing problems for both mother and baby. The nursing diagnosis in prenatal care makes all the difference, for screening and early treatment, through interventions and health education. It is still of great importance that the nurse advises on the risk factors and thus contributes to the prevention of more pathologies such as GDM, which can be avoided.
Keywords: Gestational Diabetes Mellitus; Pregnancy; Risk factors
References
AMERICAN DIABETES ASSOCIATION. Management of Diabetes in Pregnancy: Satandards of Medical Care in Diabetes-2020. Diabetes Care, 43, (1), 2020.
BENNETT, G., KING. N., REDFERN, K. & BREESE, B.C. Atividade física supervisionada e a incidência de diabetes mellitus gestacional: uma revisão sistemática e meta-análise, The Journal of Maternal-Fetal & Neonatal Medicine, 36:1, 1-9, 2023.
BOATH, A., VALE, L., HAYES, L., ALLOTEY, J., & HESLEHURST, N. Differential effects of diet and physical activity interventions in pregnancy to prevent gestational diabetes mellitus and reduce gestational weight gain by level of maternal adiposity: a protocol for an individual patient data (IPD) meta-analysis of randomised controlled trials. BMJ Open, 2023.
BUCHANAN, T.A., XIANG, A.H. & PAGE, K.A. Diabetes mellitus gestacional: riscos e manejo durante e após a gravidez. Nature Reviews. Endocrinologia, v. 8, n. 11, p. 639–649, 2012.
DUKE, L., et al.IDF Diabetes Atlas 9ª edição 2019. Int Diabetes Fed Diabetes Atlas, Nona Ed. (2019).
FARHAT S, HEMMATABADI M, EJTAHED HS, SHIRZAD N, LARIJANI B. Microbiome alterations in women with gestational diabetes mellitus and their offspring: A systematic review. Front Endocrinol (Lausanne). 8;13, 2022.
FENGMING TU. Maternal and neonatal outcomes of singleton versus twin pregnancies complicated by gestational diabetes mellitus: A systematic review and meta-analysis. PLoS One. 25;18(1), 2023.
HASAIN, Z., MOKHTAR, N.M., KAMARUDDIN, N.A., ISMAIL, N.A.M., RAZALLI, N.H. & GNANOU, J.V. Microbiota intestinal e diabetes mellitus gestacional: uma revisão das interações da microbiota intestinal do hospedeiro e seu potencial terapêutico. Front Cell Infect Microbiol, 10 :188, 2020.
HELM, M.M., IZUORA, K. & BASU, A. Nutrition-Education-Based Interventions in Gestational Diabetes: A Scoping Review of Clinical Trials. Int J Environ Res Public Health. 9;19(19), 2022.
JUAN, J., SUN, Y., WEI, Y., WANG, S., SONG, G., YAN, J., ZHOU, P. & YANG, H. Progression to type 2 diabetes mellitus after gestational diabetes mellitus diagnosed by IADPSG criteria: Systematic review and meta-analysis. Front Endocrinol (Lausanne). 2022.
KAMPMANN, U., MADSEN, L.R., SKAJAA, G.O., IVERSEN, D.S., MOELLER, N. & OVESEN, P. Gestational diabetes: a clinic update. World Journal of Diabetes, v. 6, n. 8, p. 1065–1072, 2015.
METZGER, B.E., COUSTAN, D.R. & TRIMBLE, E.R. Hiperglicemia e resultados adversos da gravidez. Clinical Chemistry, v. 65, n. 7, p. 937-938, 2019.
PAGEL, K.A., HOYIN-CHU, B.S., RASHIKA, R.B.T., GUERRERO, R.F., JUDITH, H., CHUNG, M.D., PARRY, S.M.D., REDDY, M., SILVER, M.R., STELLER, J.G., YEE, L.M., WAPNER, R.J., HAHN, M.W., NATARAJAN, S., HAAS, D.V. & RADIVOJAC, P. Association of Genetic Predisposition and Physical Activity With Risk of Gestational Diabetes in Nulliparous Women. JAMA Netw Open. 1;5(8), 2022.
PEREIRA, A. S., SHITSUKA, D. M., PARREIRA, F. J. & SHITSUKA, R. Metodologia da pesquisa científica. 1ª Edição. Santa Maria: UAB/NTE/UFSM. 2018.
PLOWS, J.F., STANLEY, J.L., BAKER, P.N., REYNOLDS, C.M. & VICKERS, M.H. The Pathophysiology of Gestational Diabetes Mellitus. Int. J. Mol. Ciência,19 :3342, 2018.
QIGI, V., QINGGING, J., IRAKOZE, S., SHE, H., SHIGI, W. & SHIVI, C. Aborto espontâneo, natimorto e risco de diabetes em mulheres: uma revisão sistemática e meta-análise. Diabetes Research and Clinical Practice, v.195, 1-16, 2023.
SANTOS, W.M,S., JUNIOR, P.L.M., OLIVEIRA, J.P.P., HALBOTH, N.V., SANTOS, J.S. & ANDRADE, R.D. Medidas para proteger o feto de mãe diabética: revisão integrativa. Revista Brasileira de Pesquisa em Ciências da Saúde, 6(12): 35-41, 2019.
SHIVASHRI, C., HANNAH, W., DEEPA, M., GHEBREMICHAEL-WELDESELASSIE, Y., ANJANA, R.M., UMA, R., MOHAN, V. & SARAVANAN, P. Prevalence of prediabetes and type 2 diabetes mellitus in south and southeast Asian women with history of gestational diabetes mellitus: Systematic review and meta-analysis. PLoS One. 12;17(12), 2022.
SOUZA, W., CINTRA, K.C. & SANTOS, A.C. O acompanhamento multiprofissional da diabetes gestacional na unidade básica de saúde. Rev Inic Cient, 4(2): 676-84, 2021.
SUGAI, S., NISHIJIMA, K., HAINO, K. & YOSHIHARA. K. Resultados da gravidez na idade materna acima de 45 anos: uma revisão sistemática e meta-análise. Jornal Americano de Obstetrícia e Ginecologia MFM, v.4, 1-11, 2023.
SUN, J., WANG, J., MA, W., MIAO, M. & SUN, G. Effects of Additional Dietary Fiber Supplements on Pregnant Women with Gestational Diabetes: A Systematic Review and Meta- Analysis of Randomized Controlled Studies. Nutrients. 2;14(21):4626, 2022.
TSIRONIKOS, G.I., PERIVOLIOTIS, K., BARGIOTA, A., ZINTZARAS, E., DOXANI, C. & TATSIONI, A. Effectiveness of exercise intervention during pregnancy on high-risk women for gestational diabetes mellitus prevention: A meta-analysis of published RCTs. PLoS One. 5;17(8), 2022.
WANG, X.Y., YING, X.H. & JIANG, H.Y. Uso de antidepressivos durante a gravidez e o risco de diabetes gestacional: uma revisão sistemática e meta-análise, The Journal of Maternal- Fetal & Neonatal Medicine, 36:1, 2023.
XIE, W., WANG, Y., XIAO, S., QIU, L., YU, Y. & ZHANG, Z. Association of gestational diabetes mellitus with overall and type specific cardiovascular and cerebrovascular diseases: systematic review and meta-analysis. BMJ. 2022.
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Copyright (c) 2023 Josefa Gisele Lima da Silva, Wanessa Aparecida Silva de Queiroz, Allyson Rodrigo de Oliveira Lopes, Francisca Luana da Silva, Gabrielle Sousa Amorim, Raísa Barbosa de Andrade, Hemelyni Cecilia Gonçalves Lima de Medeiros, Danelle da Silva Nascimento, Adenilza da Silva Barbosa, Dallynne Bárbara Ramos Venancio, Bruno Basilio Cardoso de Lima