[Nutritional status of lactanting adolescents in different postpartum weeks].

Autor:	Azeredo VB; Departamento de Nutrição e Dietética, Universidade Federal Fluminense, Niterói, RJ, Brasil., Pereira KB, Silveira CB, Dos Santos AM, Pedruzzi LM
Jazyk:	portugalština
Zdroj:	Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia [Rev Bras Ginecol Obstet] 2011 Apr; Vol. 33 (4), pp. 176-81.
Abstrakt:	Purpose: to evaluate changes in the nutritional status of lactating adolescents in different postpartum weeks. Method: this is an analytical, observational, longitudinal study. Lactating adolescents were followed-up from the 5th to the 15th postpartum week (PPW). The nutritional status was evaluated in the 5th, 10th and 15th PPW by the Body Mass Index (BMI/age). A colorimetric method was used to determine hemoglobin level and microcentrifugation to define hematocrit. ANOVA with repeated measures was used to compare means, followed by the Tukey post-test. The level of significance was 5%. Results: modification in nutritional status was observed from the pregestational period to the 15th PPW, with a reduction in the frequency of lactating adolescents with low weight (from 21% to 9%) and a rise in the frequency of overweight (21% to 27%) and eutrophic (58% to 64%) adolescents. Although mean hemoglobin (12.3 ± 1.7 g/dL) and hematocrit (39.0 ± 4.0%) levels were normal, a high frequency of anemia (30%) was observed throughout the study period. Conclusion: the present results show that the body weight of lactating adolescents rises during the lactation period and could lead to a higher frequency of obesity among adolescents. Anemia is still a nutritional problem, not only during pregnancy, but also during the postpartum period. It is necessary to prevent and treat probable subclinical nutritional deficiencies at this biological time.
Databáze:	MEDLINE
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