70 Anthropometric measurements differs among preeclampsia patients with and without comorbidities

Abstract

Introduction The onset of preeclampsia is related to nutritional status. Anthropometric measurements can indicate prognosis and underlie different directions. Objectives To assess the anthropometry of preeclampsia patients with and without comorbidities. Methods A transversal study, developed at the Guilherme Alvaro Hospital, located at Santos/Brazil. The anthropometric data from 72 women in the mediate postpartum was collected from January 2015 to May 2016. Inclusion criteria: mothers with PE according to the criteria of NHBPEP (2000). After recruitment and acceptance to participate in the study, the patients signed an informed consent. Data analyzed: body mass index (BMI-kg/m2), waist circumference (WC, cm) – with reference to the distance from the last rib to the iliac crest, divided by two, and comorbidities associated: diabetes mellitus (DM) and systemic arterial hypertension (SAH). The frequency was calculated by Fisher’s exact test and comparisons between groups, by the Mann-Whitney test (significance value of p Results In the table are expressed the mean values of BMI and WC after patients have been separated into groups: PE (total), PE + DM, PE + SAH, PE + DM + SAH and PE without comorbidities (pure). There was a significant difference in mean BMI when the groups were compared (PE + DM vs PE without comorbidities, p = 0.038; PE + SH vs PE without comorbidities, p = 0.027, and PE + DM + SAH vs PE without comorbidities, p = 0.012). Regarding the waist circumference values, it was only significant difference when the PE group + DM + SAH was compared with PE group without comorbidity (p = 0.007). Download : Download high-res image (116KB) Download : Download full-size image Conclusions It can be concluded that the more comorbidities are associated with PE, more changes are observed in anthropometric parameters. It means that a multidisciplinary team monitoring the anthropometric data of these patients is essential to an early observation of comorbidities development that compromises the health status of patients with PE.