Variación del perfil lipídico durante el embarazo y su relación con las enfermedades metabólicas
- Aguilar Cordero, María José 1
- Quirantes Morillas, María 2
- Rivero Blanco, Tania 3
- Rojas Carvajal, Ana María 3
- Pérez Castillo, Íñigo María 3
- Sánchez López, Antonio Manuel 3
- 1 Departamento de enfermería, Facultad de Ciencias de la Salud, Universidad de Granada. España. Grupo de investigación CTS 367 (PAI). España.
- 2 Hospital Príncipe de Asturias. Alcalá de Henares. Madrid. España.
- 3 Grupo de investigación CTS 367 (PAI). España.
ISSN: 2529-850X
Año de publicación: 2021
Volumen: 6
Número: 8
Páginas: 1064-1078
Tipo: Artículo
Otras publicaciones en: Journal of Negative and No Positive Results: JONNPR
Resumen
Introducción. En el embarazo se producen numerosos cambios fisiológicos en las gestantes los cuales pueden llegar a desencadenar potenciales complicaciones y enfermedades cardiovasculares o metabólicas tales como hipertensión gestacional, hiperlipidemia y diabetes mellitus gestacional. Objetivo. Realizar una revisión sistemática de la literatura con objeto de evaluar la relación entre las variaciones del perfil lipídico durante el embarazo y el riesgo de padecer enfermedades metabólicas y cardiovasculares. Métodos. Se ha llevado a cabo una revisión sistemática siguiendo las directrices del modelo PRISMA en la que se incluyeron 22 artículos. Los descriptores empleados incluyeron marcadores del perfil lipídico (HDL, LDL, TG y CT) y las principales patologías metabólicas y cardiovasculares. El idioma se restringió a español e inglés. La revisión fue llevada a cabo durante el año 2019. Resultados. Niveles elevados de colesterol total, LDL y triglicéridos durante el embarazo se asocian con un mayor riesgo de padecer preeclampsia y diabetes mellitus gestacional. Un mayor índice de masa corporal pre gestacional y una mayor ganancia ponderal se relacionan con mayor tasa hiperlipidemia lo cual conlleva a su vez alteraciones vasculares. Conclusiones. Se hace patente la necesidad de reforzar el control preventivo del peso materno trimestral y del perfil lipídico durante la gestación con objeto de prevenir complicaciones del embarazo. Son necesarios estudios centrados en determinados resultados adversos perinatales tales como la macrosomía del recién nacido.
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