Abstract:
:Introducción: el sobrepeso y la obesidad se asocian a una mayor probabilidad de que el parto finalice en cesárea. Dado que dicho incremento del riesgo podría estar sesgado por variables de confusión como la diabetes o la hipertensión, en el presente trabajo pretendemos determinar si este riesgo persiste tras ser ajustado por numerosas variables de control.Objetivo: determinar si el sobrepeso y/o la obesidad son factores de riesgo independientes para que el parto finalice en cesárea.Métodos: estudio de cohortes retrospectivo. Se han incluido gestantes adscritas al Hospital Universitario de Puerto Real. Periodo de estudio: 2002-2011. Se incluyeron dos grupos de estudio: sobrepeso al inicio de la gestación (IMC entre 25 y 29,9) y obesidad al inicio de la gestación (IMC ≥ 30). Grupo ontrol: IMC al inicio de la gestación normal (entre 18,5 y 24,9). El riesgo de cesárea fue analizado mediante un estudio de regresión logística múltiple incluyendo como covariables: edad materna, parto inducido, diabetes gestacional, diabetes pregestacional, macrosomía, hipertensión arterial, nuliparidad, cesárea anterior, parto pretérmino y parto postérmino.Resultados: de los 18.243 partos registrados, el IMC al inicio de la gestación constaba en 4.711 casos (25,8%). El 26,1% presentaban sobrepeso, el 12,4% obesidad y el 58,9% IMC normal. Sin ajustar por variables control, se asociaron a un incremento del riesgo de cesárea: sobrepeso (OR 1,48; IC95% 1,27-1,73); obesidad grado 1 (OR 2,09; IC95% 1,66-2,64); obesidad grado 2 (OR 3,23; IC95% 2,31-4,53); obesidad grado 3 (OR 2,57; IC95% 1,56-4,22). El riesgo aumentado se mantuvo significativo en el análisis multivariante: sobrepeso (OR 1,51; IC95% 1,24-1,84); obesidad (OR 2,15; IC95% 1,67-2,76).Conclusiones: encontramos una asociación significativa e independiente entre el sobrepeso/obesidad maternos y la finalización del parto mediante cesárea incluso ajustando por numerosas variables de control como: edad materna, nuliparidad, cesárea anterior, hipertensión, diabetes, peso al nacer y edad gestacional al parto.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Fernández Alba JJ,Paublete Herrera MD,González Macías MD,Carral San Laureano F,Carnicer Fuentes C,Vilar Sánchez Á,Torrejón Cardoso R,Moreno Corral LJdoi
10.20960/nh.778subject
Has Abstractpub_date
2016-11-29 00:00:00pages
1324-1329issue
6eissn
0212-1611issn
1699-5198journal_volume
33pub_type
杂志文章abstract:INTRODUCTION:Obesity and overweight (O/OW) in children have reached epidemic character and both are a risk factor for chronic serious health problems. This study was perfomed in order to research the relationship between O/OW and dental caries. MATERIAL AND METHODS:[corrected] A SR was conducted between 2007-2011 in t...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2013.28.5.6674
更新日期:2013-09-01 00:00:00
abstract::In the present study the effects of two cycloxygenase-2 (COX-2) selective inhibitors, celecoxib and nimesulide as compared to a non-selective COX inhibitor, aspirin was studied in the rat intestine. Female Wistar rats weighing between 150-175 g were divided into four groups having 8 animals each as follows: Group 1(Co...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2006-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the differences in frequency of fat-soluble vitamin deficiencies if we adjust their levels by its main carriers in plasma in patients undergoing Biliopancreatic diversion (BPD) and Roux-en-Y gastric bypass (RYGB). RESEARCH METHODS & PROCEDURES:We recruited 178 patients who underwent RYGB (n = 116...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.1.7471
更新日期:2014-07-01 00:00:00
abstract::We conducted a prospective study of the incidence of malnutrition in the surgical departments of the Reina Sofia University Hospital, on a total of 329 patients at the time of admittance (154 women and 175 men). As was denounced by Bristian more than 20 years ago, more than 50% of the patients presented some form of m...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND:residents are vulnerable to suffer of dehydration due to physiological changes and the physical and cognitive limitations. AIM:to handle this situation, it has been decided to evaluate the interventions which are carried out for the management of dehydration and low fluid intake in older people living in nu...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.20960/nh.1885
更新日期:2018-12-03 00:00:00
abstract:BACKGROUND:The aim of the present study was to explore the relationship of resistin levels with inflammatory markers and anthropometric parameters in morbid obese patients. SUBJECTS:A population of 46 morbid obese was analyzed. A complete nutritional and biochemical evaluation was performed. Patients were divided in t...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract:INTRODUCTION:Few studies have evaluated the efficacy and reliability of weight loss-focussed prepared food dishes in obese post-menopausal women. OBJECTIVE:To compare the efficacy of a weight loss programme based on a balanced hypocaloric diet using prepared dishes* with that of a similar programme based on standard c...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112012000200038
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Mexico has a high rate of cervical cancer which represents an important public health issue. The treatment for this disease depends on the extension of the tumor; for the initial stages surgery is recommended, and for locally advanced tumors, a combination of chemotherapy and radiotherapy is used. All this p...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,随机对照试验
doi:10.1590/S0212-16112011000400023
更新日期:2011-07-01 00:00:00
abstract::The literature contains a large number of published articles indicating a strong relationship between obesity and morbidity-mortality due to different cause. There are also various short- to medium-term studies demonstrating the benefits of a moderate weight loss on the control of obesity-related risk factors. Nonethe...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2002-02-01 00:00:00
abstract:UNLABELLED:Nutritional support in the critically ill patient is an important mainstay within the specialty of intensive care medicine. Patients at the Intensive Care Unit (ICU) are usually hypercatabolic and require an adequate nutritional support. Usually, the intensive care physician prescribes nutrition type, its am...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2005-09-01 00:00:00
abstract:INTRODUCTION:Food-Based Dietary Guidelines (FBDGs) are an initiative by the United Nations Food and Agriculture Organization (FAO) and the World Health Organization (WHO) designed to help countries establish their own nutrition education principles. Such principles should be expressed through clear and specific message...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2015.32.3.9362
更新日期:2015-09-01 00:00:00
abstract::The cardiovascular diseases (CVD) are the principal reasons of morbidity and mortality in the world. The cardiac rehabilitation is a program of secondary prevention to complement the effects of the cardiological treatment with the participation of the patient in the control of their habits of life, as a way of promoti...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.6.7897
更新日期:2014-12-01 00:00:00
abstract:Introduction:The infl uence of exercise in trained subjects has beneficial effects in the physical fi tness and body composition; however, detraining has an unfavorable effect in all of them. Objective:The current study was designed to ascertain the infl uence of a six week-detraining period on body composition in bot...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.618
更新日期:2017-06-05 00:00:00
abstract::Resection of long segments of the small bowel may cause variable degrees of malabsorption. Therefore, the results of the resection will depend on the length and location of the resected segment, and on the age of the patient and the underlying disease that motivated the resection. The implementation of Nutritional Sup...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2006-09-01 00:00:00
abstract::Over the last few years, a considerable amount of studies have focused on the effect of undernutrition and overnutrition during critical periods of offspring development and their risk of developing metabolic diseases later in life. Additionally, inadequate maternal diets have been involved in the malprogramming of br...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2015.32.6.9716
更新日期:2015-12-01 00:00:00
abstract::Recent studies of dietary habits in children and adolescents performed in Spain show that a high percentage of the daily energy intake corresponds to fat (42.0-43.0%). These findings show an excessive contribution of saturated fatty acids and also a considerable supply of trans fatty acids. These compounds are formed ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2009-09-01 00:00:00
abstract:INTRODUCTION:Cancer of the oral cavity ranks twelfth worldwide. This type of cancer is usually managed surgically followed by radiotherapy, which may be indicated alone or with chemotherapy; this type of therapies have significant functional side effects on the nutritional status of the patient. OBJECTIVE:The aim of t...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.5.6591
更新日期:2013-09-01 00:00:00
abstract:PURPOSE:to determine the diagnostic accuracy of seric creatinine in the depletion of the somatic compartment and in adult malnutrition. DESIGN:a prospective study. PLACE:a tertiary care centre. PATIENTS:140 subjects evaluated by the nutritional support group. EXCLUSION CRITERIA:kidney insufficiency, immune-suppress...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
abstract::Identifying hyponutrition is essential at the hospital setting to avoid or minimize the impact on the patients' clinical course and its association with more severe complications, longer hospital staying, and increased mortality, and all of this is associated with increased costs for the institution and the society. T...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.1590/S0212-16112011000200003
更新日期:2011-03-01 00:00:00
abstract:INTRODUCTION:Food craving consists of a strong motivational state whereby a person is driven to seek and ingest a specifically desired food. OBJECTIVES:To explore the influence of mental imagery on the food craving experience as well as to analyse the role of different psychological variables. METHODS:Participants co...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2012.27.6.6043
更新日期:2012-11-01 00:00:00
abstract:Introduction:Objective: to evaluate a healthy food program for teachers and their educational transfer through an action plan for 3rd to 5th primary students, to improve their food habits and culinary skills. Methodology: a four months quasi-experimental prospective study was carried out, with qualitative measurements ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.2190
更新日期:2019-04-10 00:00:00
abstract:INTRODUCTION:apart from the known effects of vitamin D on phospho-calcium homeostasis, in recent years there is great interest in its extrabone effects. OBJECTIVES:to know the concentration of 25-hydroxyvitamin D (25[OH] D) in newly diagnosed patients of cancer and to verify if there are differences between the differ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1675
更新日期:2018-04-05 00:00:00
abstract:BACKGROUND:Changing lifestyle habits is considered the principal measure for the control of blood pressure and obesity. The aim of this study was to characterize the eating habits, anthropometric characteristics, physical fitness and blood pressure of students of health science degrees during the first three academic y...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.5.7833
更新日期:2014-11-01 00:00:00
abstract::The importance of the treatment of diabetes mellitus in the diet, is well known. Given that the glycemic response of the foods can not be predicted simply based on their chemical composition, prior to advising diabetics, one must have comparative data on the physiologic effects of the different foods. In this work we ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract:OBJECTIVE:To design a self-reported semi-quantitative questionnaire of frequency of food intake (QFFI) to assess the usual intake of foods and macronutrients of the academic community from the University of Antioquia (UoA). METHODOLOGY:The design of the questionnaire was done by reviewing and analyzing previous studie...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112011000600021
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:the aging population has been accompanied by epidemiological changes of the Brazilian population, with the highlight being the continued growth of the prevalence of non-communicable chronic diseases especially cardiovascular or artery-coronary, resulting from changes in the lipid profile of the elderly. OBJ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.2.8875
更新日期:2015-08-01 00:00:00
abstract::The term conjugated linoleic acid (CLA) refers to a series of linoleic acid isomers present in meat and diary products from ruminants that have their double bonds in a conjugated position. The aim of the present work was to study the effects of a CLA isomer, trans-10,cis-12, on cholesterolemia and biliary lithiasis ri...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2005-05-01 00:00:00
abstract:Introduction:Introduction: adolescents' health and nutritional status is demonstrated in the quality of their growth and development. Bone age (BA) is the skeletal development index, which reflects an individual's maturation and is considered as the best expression of human development. Poor nutritional conditions, whi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02068
更新日期:2019-10-17 00:00:00
abstract:Introduction:Background: the legislation currently regulating the inclusion of Food for Special Medical Purposes (FSMP) among the benefits of the National Health System (SNS) was made approximately 15 years ago. The evolution of the technical characteristics of the FSMP justifies an analysis of the current regulation a...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03082
更新日期:2020-12-16 00:00:00
abstract:OBJECTIVE:The present study is a literature review to identify the effects of a very low birth weight newborn on family. This is an important instrument to clarify epidemiological issues and to suggest the directions for health policy efforts. METHOD:A three-step review was carried out using databases of journals inde...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2007-03-01 00:00:00