Obesidade e sobre peso pré-gestacionais: prevalência e principais complicações maternas

Objetive: The goal of this review is to present up-to-date information on the prevalence of overweight and obesity and to discuss the evidence regarding the impact of these conditions on the health of mother.Data Collection Method: We conducted a search for articles in the Medline, PubMed and Scielo databases covering the past 5 years, and reviewed the bibliographical references contained in the articles selected. Articles were selected by subjective evaluation in terms of methodology, sample size and year of publication. Summary of evidence: Current information points to a high and growing prevalence of overweight and obesity. We found strong evidence linking excess weight before pregnancy with the development of pregnancy-induced hypertension, gestational diabetes, pregnancy at 41 weeks or over, thromboembolism, cesarean section and puerperal infection. Conclusions: Excess weight in the pre-pregnancy is one of the most important risk factors of maternal health, whose importance increases because it is a modifiable risk factor. The obese pregnant woman should be considered at high risk and it is recommended that women be with the weight as close to normal as possible before conception.

Mulheres com síndrome dos ovários policísticos apresentam maior frequência de síndrome metabólica independentemente do índice de massa corpóreo

OBJETIVO: Avaliar a prevalência de síndrome metabólica e dos seus critérios definidores em mulheres com síndrome dos ovários policísticos do Sudeste brasileiro, estratificadas de acordo com o índice de massa corpóreo e comparadas com controles ovulatórias. MÉTODOS: Estudo transversal, realizado com 332 mulheres em idade reprodutiva, que foram divididas em dois grupo: Controle, constituído por 186 mulheres com ciclos menstruais regulares, sintomas ovulatórios e sem diagnóstico de síndrome dos ovários policísticos ou outra anovulação crônica; e Síndrome dos ovários policísticos, composto por 146 mulheres com o diagnóstico de síndrome dos ovários policísticos - Consenso de Rotterdam ASRM/ESHRE. Cada um destes grupos foi estratificado de acordo com o índice de massa corpóreo (<25 ≥ 25 e < 30 e ≥ 30 kg/m²). Foram analisadas as frequências da síndrome metabólica e de seus critérios definidores, características clínicas e hormonais (hormônio folículo estimulante, testosterona total, sulfato de dehidroepiandrostenediona). RESULTADOS: A frequência da síndrome metabólica foi seis vezes maior no Grupo Síndrome dos ovários policísticos obesa em relação às mulheres controles de mesmo índice de massa corpóreo (Controle com 10,5 versus Síndrome dos ovários policísticos com 67,9%, p<0,01). Essa frequência foi duas vezes mais elevada entre as mulheres do Grupo Síndrome dos ovários policísticos com índice de massa corpóreo ≥ 25 e <30 kg/m² (Controle com 13,2 versus Síndrome dos ovários policísticos com 22,7%, p<0,01) e três vezes maior em portadoras de síndrome dos ovários policísticos com índice de massa corpóreo < 25 kg/m² (Controle com 7,9 versus Síndrome dos ovários policísticos com 2,5%, p<0,01), em relação às mulheres controles pareadas para o mesmo índice de massa corpóreo. Independente do índice de massa corpóreo, as mulheres com síndrome dos ovários policísticos apresentaram maior frequência dos critérios definidores da síndrome metabólica. CONCLUSÃO: Mulheres com síndrome dos ovários policísticos apresentam maior frequência de síndrome metabólica e de seus critérios definidores, independentemente do índice de massa corpóreo. A hiperinsulinemia e o hiperandrogenismo são características importantes na origem destas alterações em mulheres na terceira década de vida com síndrome dos ovários policísticos.

Diversity and faunal composition of benthic foraminifera in Hole 44-390A on the Blake Nose Plateau

Benthic foraminiferal assemblages are a widespread tool to understand changes in organic matter flux and bottom-water oxygenation and their relation to paleoceanographic changes in the Upper Cretaceous oceans. In this study, assemblage data (diversity, total number, and number per species and gram) from Deep Sea Drilling Project (DSDP) Site 390 (Blake Nose, western North Atlantic) were processed for the lower Maastrichtian (Globotruncana falsostuarti - Gansserina gansseri Planktic Foraminiferal Zone). These data document significant changes in nutrient flux to the sea floor as well as bottom-water oxygenation during this time interval. Parallel to the observed changes in the benthic foraminiferal assemblages the number of inoceramid shells decreases, reflecting also a significant increase in bottom-water oxygenation. We speculate, that these data could reflect the onset of a shift from warmer low-latitude to cooler high-latitude deep-water sources. This speculation will predate the major reorganization of the oceanic circulation resulting in a circulation mode similar to today at the Early/Late Maastrichtian boundary by ~1 Ma and therefore improves our understanding of Late Cretaceous paleoceanography.

Neogene planktonic foraminifera of ODP Site 130-806

The Neogene biostratigraphy presented here is based on the study of 230 samples through 737 m of pelagic sediment in Hole 806B. Sediment accumulation is interrupted only once in the uppermost lower Miocene (Zone N6), apparently coincident with a widespread deep-sea hiatus. Preservation of planktonic foraminifers through the section ranges from good to moderately poor. One hundred and ten species of planktonic foraminifers were identified; taxonomic notes on most species are included. All of the standard low-latitude Neogene foraminiferal zones are delineated, with the exceptions of Zones N8 and N9 because of a high first occurrence of Orbulina, and Zones N18 and N19 because of a high first occurrence of Sphaeroidinella dehiscens. Good agreement exists between the published account of the variation in planktonic foraminiferal species richness and the rates of diversification and turnover, and measurements of these evolutionary indexes in the record of Hole 806B. The global pattern of change in tropical/transitional species richness is paralleled in Hole 806B, with departures caused by either ecological conditions peculiar to the western equatorial Pacific or by inexactness in the estimation of million-year intervals in Hole 806B. Temporal changes in the relative abundance of taxa in the sediment assemblages, considered in light of their depth habitats, reveal a detailed picture of historical change in the structure of the upper water column over the Ontong Java Plateau. The dominance of surface dwellers (Paragloborotalia kugleri, P. mayeri, Dentoglobigerina altispira, Globigerinita glutinata, and Globigerinoides spp.) throughout the lower and middle Miocene is replaced by a more equitable distribution of surface (D. altispira and Globigerinoides spp.), intermediate (Globorotalia menardii plexus), and deep (Streptochilus spp.) dwellers in the late Miocene, following the closing of the Indo-Pacific Seaway and the initiation of large-scale glaciation in the Antarctic. The shoaling of the thermocline along the equator engendered by these climatic and tectonic events persisted through the Pliocene, when initial increases in the abundance of a new set of shallow, intermediate, and deep dwelling species of planktonic foraminifers coincide with the closing of the Panamanian Seaway.

Cenozoic planktonic foraminifera in the Goban Spur Region

Cenozoic planktonic foraminiferal biostratigraphy at DSDP-IPOD Leg 80 sites documents the existence of regionwide stratigraphic gaps in the Paleocene and middle Miocene. Episodes of carbonate dissolution also occurred during the Paleocene at several sites, particularly at Site 549, where destruction of foraminiferal tests may obscure evidence of an unconformity. The middle Miocene hiatus is apparent at each site where Neogene sediments were continuously cored. Upper Miocene sediments at Site 550 (the only abyssal site) are characterized by moderate to extensive dissolution of planktonic foraminifers, but they contain abundant specimens of Bolboforma that mark this stratigraphic interval (von Daniels and Spiegler, 1974, doi:10.1007/BF02986990; Roegl, 1976, doi:10.2973/dsdp.proc.35.133.1976; Murray, 1979, doi:10.2973/dsdp.proc.48.116.1979; Müller et al., 1985, doi:10.2973/dsdp.proc.80.117.1985). Although foraminiferal evidence is not conclusive, nannofossils indicate a widespread Oligocene unconformity (Müller, 1985). Several oceanographic factors, not just simple sea-level change, probably interacted to produce these regional unconformities. There are also dramatic differences in the Cenozoic sedimentary record among Leg 80 sites, indicating that each has had a distinct geologic history. The thickness of the Cenozoic section varies from 100 m at Site 551 to 471 m at Site 548. The thickness of individual chronostratigraphic units also varies, as do the number and stratigraphic position of unconformities other than those mentioned. Differences in the stratigraphic record from site to site across the continental slope result from (1) location in separate half-graben structures, (2) varying location across the developing margin, and (3) difference in position relative to the seaward edge of the enclosing half-graben. Except for turbidites, deposition at Site 550 (abyssal) was largely independent of developments on the continental slope; but it was affected by oceanographic events widespread in the North Atlantic.

Eocene-Oligocene planktonic foraminifera of ODP Hole 135-841B

A middle Eocene to lower Oligocene sedimentary sequence was drilled at Site 841 in the Tonga forearc region during Ocean Drilling Program Leg 135. A 56-m-thick sequence of volcanic sandstone, spanning from Cores 135-841B-4IR to -47R (549.1 to 605 mbsf), unconformably overlies rhyolitic volcanic basement. The middle Eocene planktonic foraminifer assemblages (P Zone?), which occur in association with larger benthic foraminifers, include spinose species of Acarinina, Morozovella, and Truncorotaloides, but their abundance is low. Late Eocene and early Oligocene faunas are abundant and show the highest diversity of the Paleogene sequence drilled at this site. They have been assigned to Zones P15-16 and P18, respectively. The Eocene/Oligocene boundary was not recognized because of a hiatus in which Zone P17 (37.2-36.6 Ma) was missing. Another hiatus is recorded in the interval between the middle and late Eocene, spanning at least 1.8 Ma. Paleogene assemblages of Site 841 contain equal numbers of warm- and cool-water species, an attribute of the warm middle-latitude Paleogene fauna of the Atlantic Ocean. In particular, common to high abundances of cool-water taxa, such as Globorotaloides, Catapsydrax, Tenuitella, and small globigerinids, may be related to the opening of a shallow seaway south of Tasmania permitting the influx of cool Indian Ocean waters into the South Pacific before the late Eocene (approximately 37 Ma).