Elaboração de ferramenta para avaliação de consumo de cálco e identificação de gestantes com risco para pré-eclâmpsia

Abstract

Preeclampsia (PE) is a multisystemic disorder specific to human pregnancy and is associated with preterm births and high rates of perinatal mortality. Calcium (Ca) supplementation, in populations with low intake of this mineral, reduces the incidence of PE, regardless of the presence of maternal risk factors, the time of initiation of supplementation or interventions with other nutrients. The objective of the study is to create a tool for food anamnesis to be adopted in prenatal care and in the nutrition outpatient clinic of the Maternity School of the Federal University of Rio de Janeiro (ME/UFRJ), focusing on the assessment of Ca consumption, aiming to identify pregnant women at risk of PE. Methodology: this is a methodological study. The Ca consumption assessment tool will be an instrument with data on the chemical composition of the Ca source foods most consumed by Brazilian pregnant women, containing the amount of the nutrient per portion and grouped by categories. The construction of the tool was based on a literature review and food chemical composition tables. Results: Based on the application of the tool, the nutritionist will be able to count the total Ca consumption and define the best approach for each pregnant woman, if there is a need to adjust the dietary plan, including more foods that are sources of Ca, or supplement this nutrient accordingly. with the ME/UFRJ assistance protocol. The proposed tool was presented to nutritionists, who work in the aforementioned maternity ward, who contributed to the final creation of the proposal. As a by-product of the tool, educational material was created with guidance on the importance of adequate Ca consumption during pregnancy and suggestions for combinations of food sources with the aim of achieving recommended daily consumption goals during pregnancy.