Gestational Diabetes Mellitus: prevalence , associated factors and effect on anthropometry until two years of age

Autor: Dode, Maria Alice Souza de Oliveira
Přispěvatelé: Santos, Iná da Silva dos
Jazyk: portugalština
Rok vydání: 2008
Předmět:
Zdroj: Repositório Institucional da UFPEL
Universidade Federal de Pelotas (UFPEL)
instacron:UFPEL
Popis: Submitted by Aline Batista (alinehb.ufpel@gmail.com) on 2017-06-08T14:01:29Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Tese Maria Alice Dode.pdf: 1056807 bytes, checksum: 0274f65c609169fd8addbc5e5327ffbc (MD5) Approved for entry into archive by Aline Batista (alinehb.ufpel@gmail.com) on 2017-06-09T11:35:03Z (GMT) No. of bitstreams: 2 Tese Maria Alice Dode.pdf: 1056807 bytes, checksum: 0274f65c609169fd8addbc5e5327ffbc (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Approved for entry into archive by Aline Batista (alinehb.ufpel@gmail.com) on 2017-06-09T11:35:10Z (GMT) No. of bitstreams: 2 Tese Maria Alice Dode.pdf: 1056807 bytes, checksum: 0274f65c609169fd8addbc5e5327ffbc (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Made available in DSpace on 2017-06-09T11:35:18Z (GMT). No. of bitstreams: 2 Tese Maria Alice Dode.pdf: 1056807 bytes, checksum: 0274f65c609169fd8addbc5e5327ffbc (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2008-10-14 Sem bolsa Pesquisas baseadas no auto-relato de fatores de risco, ou morbidade são úteis em saúde pública, principalmente pelo baixo custo e facilidade de coleta, no entanto a acurácia dos dados coletados é importante para a validade interna da investigação. O objetivo deste estudo foi avaliar a concordância entre o auto-relato de diabete mellitus gestacional (DMG) e registros do cartão da gestante (padrão ouro). A concordância foi medida através da sensibilidade, especificidade, acurácia, estatística Kappa e intervalos de confiança (IC95%). De julho a dezembro de 2007, todas as mulheres que tiveram filhos em três maternidades de Pelotas, Rio Grande do Sul, Brasil, foram visitadas no pósparto imediato. Foram entrevistadas 1.047 mulheres, das quais 872 portavam a carteira de gestante; destas, 869 possuíam registro de glicemia. A média de idade foi 26,7 anos. A prevalência de DMG conforme padrão ouro foi 4,3% (IC95% 3,0-5,8) e auto-referida, 4 % (IC95% 2,8-5,5). A sensibilidade do autorelato de DMG foi 72,9% (IC95% 55,9-86,2), especificidade, 99,0% (IC95% 98,1-99,6), acurácia, 97,9% (IC95% 96,7-98,7), Kappa, 74%. Para esta população, auto-relato de DMG é uma informação válida e pode ser usada em estudos de base populacional. Researches based on self-report of risk factors or morbidity are useful in public health, mainly because they have low cost and are easy to collect. However, the accuracy of the data collected is important for the internal validity of the study. The aim of this study was to evaluate the agreement between selfreport gestational diabetes mellitus (GDM) and the medical record through the pregnancy card (gold standard). The agreement was measured by sensibility, specificity, accuracy, Kappa statistic and 95% confidence intervals (95%CIs). From July to December, 2007 all women that delivered in three of the hospitals of Pelotas, Rio Grande do Sul State, Brazil, were visited immediately post partum. A total of 1,047 women were interviewed: 872 had the pregnancy card and 869 pursued the register of glycemia. The mean age was 26.7. Prevalence of GDM according to gold standard was 4.3% (95%CI 3.0-5.8) and according to self report 4.0% (95%CI 2.8-5.5). Sensibility of self-reported DMG was 72.9% (95%CI 55.9-86.2), specificity 99% (95%CI 98.1-99.6), accuracy 97.9% (95%CI 96.7-98.7), and Kappa 74,0%. For this population, self-reported GDM is valid information and can be used in population-based studies.
Databáze: OpenAIRE
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