RESUMO
This study aimed to assess the frequency and severity of depressive symptoms and their relationship with sociodemographic characteristics in women with gestational diabetes mellitus (GDM) who participated in the LINDA-Brazil study. We conducted cross-sectional analyses of 820 women with GDM who were receiving prenatal care in the public health system. We conducted structured interviews to obtain clinical and sociodemographic information and applied the Edinburgh Postnatal Depression Scale (EPDS) to assess depressive symptoms. We classified the presence and severity of depressive symptoms using scores of ≥12 and ≥18, respectively. We used Poisson regression to estimate prevalence ratios (PR). Most of the women lived with a partner (88%), 50% were between 30 and 39 years old, 39% had finished high school, 39% had a family income of 1-2 minimum wages, and 47% were obese before their pregnancies. The presence of depressive symptoms was observed in 31% of the women, and severe depressive symptoms were observed in 10%; 8.3% reported self-harm intent. Lower parity and higher educational levels were associated with lower EPDS score. Depressive symptoms were common and frequently severe among women with GDM, indicating the need to consider this situation when treating such women, especially those who are more socially vulnerable. This trial is registered with NCT02327286, registered on 23 December 2014.
Assuntos
Depressão/diagnóstico , Diabetes Gestacional/psicologia , Complicações na Gravidez/diagnóstico , Adolescente , Adulto , Brasil/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Depressão/psicologia , Feminino , Humanos , Gravidez , Complicações na Gravidez/epidemiologia , Complicações na Gravidez/psicologia , Prevalência , Índice de Gravidade de Doença , Adulto JovemRESUMO
This study aimed to evaluate: the coverage of the Food and Nutritional Surveillance System (SISVAN) in the State of Rio Grande do Sul, Brazil, and it Regional Health Offices in 2006; the nutritional status of children 0-10 years of age; and the reliability of data on nutritional status recorded in the system. A cross-sectional descriptive study was conducted with secondary data on 63,320 children. Coverage was defined as the proportion of children younger than 10 years covered by the Family Health Strategy in the State's various municipalities (counties). Height-for-age (H/A) and body mass index for age (BMI/A) were classified according to World Health Organization (WHO) criteria. Agreement between the nutritional classifications recorded in the system and those calculated in this study was evaluated with the weighted kappa coefficient (at 5%). The system's coverage in the State of Rio Grande do Sul was 10.5%. Low height-for-age was found in 7.1% of children and overweight in 8.4%. Agreement between the classifications showed a kappa coefficient of 0.43. The system's coverage and agreement between classifications were both low, and the study showed the coexistence of high overweight and stunting rates in this age group.
Assuntos
Avaliação Nutricional , Distúrbios Nutricionais/epidemiologia , Estado Nutricional/fisiologia , Antropometria , Brasil/epidemiologia , Criança , Pré-Escolar , Estudos Transversais , Bases de Dados como Assunto , Feminino , Humanos , Lactente , Masculino , Atenção Primária à SaúdeRESUMO
Este estudo objetivou avaliar: cobertura do Sistema de Vigilância Alimentar e Nutricional (SISVAN) no Rio Grande do Sul e suas Coordenadorias Regionais de Saúde em 2006; estado nutricional das crianças de 0-10 anos e a confiabilidade dos dados sobre estado nutricional registradas no sistema. Realizou-se estudo transversal descritivo de base secundária com 63.320 crianças. A cobertura baseou-se no número de menores de 10 anos cobertos pela Estratégia Saúde da Família nos municípios. Os índices estatura/idade (E/I) e de massa corporal/idade (IMC/I) foram classificados com base na Organização Mundial da Saúde (OMS). A concordância entre classificações nutricionais registradas no sistema e as geradas neste estudo foi avaliada pelo teste kappa ponderado (nível de 5 por cento). No Rio Grande Sul, a cobertura do sistema foi de 10,5 por cento e encontraram-se frequências de déficit de E/I de 7,1 por cento e de excesso de peso de 8,4 por cento. A concordância entre classificações teve kappa = 0,43. Apontaram-se baixas cobertura do sistema e concordâncias de classificações e a coexistência de excesso de peso e déficit estatural entre os acompanhados.
This study aimed to evaluate: the coverage of the Food and Nutritional Surveillance System (SISVAN) in the State of Rio Grande do Sul, Brazil, and it Regional Health Offices in 2006; the nutritional status of children 0-10 years of age; and the reliability of data on nutritional status recorded in the system. A cross-sectional descriptive study was conducted with secondary data on 63,320 children. Coverage was defined as the proportion of children younger than 10 years covered by the Family Health Strategy in the State's various municipalities (counties). Height-for-age (H/A) and body mass index for age (BMI/A) were classified according to World Health Organization (WHO) criteria. Agreement between the nutritional classifications recorded in the system and those calculated in this study was evaluated with the weighted kappa coefficient (at 5 percent). The system's coverage in the State of Rio Grande do Sul was 10.5 percent. Low height-for-age was found in 7.1 percent of children and overweight in 8.4 percent. Agreement between the classifications showed a kappa coefficient of 0.43. The system's coverage and agreement between classifications were both low, and the study showed the coexistence of high overweight and stunting rates in this age group.