Objetivo: Descrever o conhecimento dos pediatras à respeito do aleitamento materno. Métodos: Trata-se de um estudo transversal, realizado no serviço público de saúde com uma amostra composta por 15 pediatras. Para a coleta de dados foi utilizado um formulário com perguntas assertivas acerca de aleitamento. Resultados: Em relação ao tipo de mamilo, 40% afirmaram a interferência do mesmo no processo de amamentação, outros 40% negaram e 20% não souberam responder. No que diz respeito a contra indicações do aleitamento materno, 53,33 afirmaram que mães infectadas com o vírus da hepatite B e C e portadoras de doenças graves e/ou crônicas não podem amamentar.Quanto aos direitos dos pais, 40% afirmaram que são concedidos dois períodos distintos de uma hora cada um para o aleitamento até que o bebe complete um ano de vida. Conclusão: Foi observada uma defasagem do conhecimento em relação a anatomia das mamas, às contra indicações do aleitamento materno e aos direitos da mãe e do pai durante o período de amamentação.
Glycated hemoglobin (HbA1c) is used to assess glycemic control in Type 1 diabetes (DM1) patients. Apolipoproteins play an essential role in DM1 pathophysiology and may be associated with complications, as well as HbA1c. This cross-sectional observational study consisting of 81 children and adolescents of both sexes diagnosed with DM1 investigated the relationship between body fat distribution and lean mass with HbA1C and apolipoprotein values analyzing biochemical and body composition measurements. Shapiro-Wilk test with Lilliefors correction, non-parametric Mann-Whitney test, and others were used with a significance level of 5%. The sample had a diagnosis time of 4.32 years and high blood glucose levels (mean 178.19 mg/dL) and HbA1c (mean 8.57%). Subjects also had a moderate level of adiposity, as indicated by arm and thigh fat areas. The study also found significant differences in the distribution of patients concerning levels of apolipoproteins A and B, with a smaller proportion of patients having undesirable levels. Finally, the study found a significant difference in the distribution of patients with estimated cardiovascular risk based on the ApoB/ApoA-1 ratio. Conclusively, visceral fat in children and adolescents with DM1 may increase the risk of DM1 long-term complications owing to its association with elevated HbA1C and apolipoprotein values.
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