Moreno Martinez Socorro, Tufiño Olivares Edith, Chávez Loya Vicente, Rodríguez Morán Martha, Guerrero Romero Fernando, Levario Carrillo Margarita
Unidad de Investigacioń Médica en Epidemiologiá Clińica, Chihuahua, México.
Ginecol Obstet Mex. 2009 Jun;77(6):270-6.
Several techniques have been used to determine body composition during pregnancy.
To determine the characteristics of body composition in women with gestational diabetes mellitus in comparison with women with normal glucose tolerance and pre-gestacional diabetes.
Pregnant women with gestational diabetes mellitus, pre-gestacional diabetes, and normal glucose tolerance, between 24 to 32 weeks of single gestation, were enrolled in a cross-sectional study. Screening of DMG was carried out using 50 g of glucose load; diagnosis was confirmed by oral glucose tolerance test. Evaluation of body composition was carried out by bioelectrical impedance. The Kruskal Wallis test was used for statistical analysis.
A total of 79 women were included; of these, diagnosis of gestational diabetes mellitus, pre-gestacional diabetes, and normal glucose tolerance was established in 14, 9, and 56 women, respectively. Pre-gestational body mass index was greater in women with diabetes (p < 0.01). Fat free mass and total body water were similar in the studied groups. Fat mass was greater in women with gestational diabetes mellitus (range 21.0-29.4 kg) and patients with pre-gestacional diabetes (range 26.4-32.7 kg) than in the women with normal glucose tolerance (range 150.8-25.9 kg), p < 0.01.
The body composition of women, between 24 to 32 weeks of single gestation, is different in the women with gestational diabetes mellitus compared with women with normal glucose tolerance. Women with gestational diabetes mellitus show a significant increase in fat mass without significant changes in the fat free mass and total body water.
已有多种技术用于测定孕期身体成分。
与糖耐量正常及孕前糖尿病女性相比，确定妊娠期糖尿病女性身体成分的特征。
单胎妊娠24至32周的妊娠期糖尿病、孕前糖尿病及糖耐量正常的孕妇纳入一项横断面研究。采用50克葡萄糖负荷进行妊娠期糖尿病筛查；通过口服葡萄糖耐量试验确诊。采用生物电阻抗法评估身体成分。采用Kruskal Wallis检验进行统计分析。
共纳入79名女性；其中，分别有14名、9名和56名女性被诊断为妊娠期糖尿病、孕前糖尿病和糖耐量正常。糖尿病女性的孕前体重指数更高（p<0.01）。研究组间的去脂体重和总体水相似。妊娠期糖尿病女性（范围21.0 - 29.4千克）和孕前糖尿病患者（范围26.4 - 32.7千克）的脂肪量高于糖耐量正常女性（范围15.8 - 25.9千克），p<0.01。
单胎妊娠24至32周的女性中，妊娠期糖尿病女性的身体成分与糖耐量正常女性不同。妊娠期糖尿病女性的脂肪量显著增加，而去脂体重和总体水无显著变化。
