RESUMEN Objetivo: Analizar la calidad del sueño y la asociación con ansiedad rasgo y estado en pacientes con diabetes mellitus. Método: Estudio transversal, cuantitativo y analítico realizado entre enero y abril de 2022, en el centro de referencia en hipertensión y diabetes de Rio Verde - Goiás, con 81 pacientes. Para recopilar datos se utilizaron el Índice de Calidad del Sueño de Pittsburgh y el Inventario de Ansiedad Estado-Rasgo. Los análisis incluyeron pruebas t de Student y regresión logística multivariada. Resultados: De los pacientes, el 64,2% refirió mala calidad del sueño. Hubo diferencias significativas en los niveles de ansiedad rasgo entre pacientes con buena y mala calidad del sueño. La ansiedad rasgo se asoció con la calidad del sueño, y un aumento en la puntuación de ansiedad rasgo aumenta las posibilidades de una mala calidad del sueño. Conclusión: Una proporción significativa de la muestra tenía mala calidad del sueño y la ansiedad rasgo se asoció con esta condición. Objetivo mellitus Método transversal 2022 Goiás 8 EstadoRasgo. EstadoRasgo Estado Rasgo. Rasgo Estado-Rasgo multivariada Resultados 642 64 2 64,2 Conclusión condición 202 6 64, 20

ABSTRACT Objective: To assess sleep quality and the association of trait and state anxiety in patients with diabetes mellitus. Method: A cross-sectional, quantitative, and analytical study was conducted between January and April 2022, at the reference center for hypertension and diabetes in Rio Verde, Goiás, with 81 patients. The Pittsburgh Sleep Quality Index and State-Trait Anxiety Inventory were used for data collection. Analyses included the Student’s t-test and multivariate logistic regression analysis. Results: Of patients, 64.2% reported poor sleep quality. There were significant differences in trait anxiety levels between patients with good and poor sleep quality. Trait anxiety was associated with sleep quality, with an increase in the trait anxiety score increasing the chances of poor sleep quality. Conclusion: A significant proportion of the sample had poor sleep quality, and trait anxiety was found to be associated with this condition. Objective mellitus Method crosssectional, crosssectional cross sectional, sectional cross-sectional quantitative 2022 Verde Goiás 8 StateTrait State collection Students Student s ttest t test analysis Results 642 64 2 64.2 Conclusion condition 202 6 64. 20

RESUMO Objetivo: Analisar a qualidade do sono e a associação com a ansiedade traço e estado em pacientes com diabetes mellitus. Método: Estudo transversal, quantitativo e analítico realizado entre janeiro e abril de 2022, no centro de referência em hipertensão e diabetes de Rio Verde - Goiás, com 81 pacientes. Utilizou-se o Índice de Qualidade do Sono de Pittsburgh e o Inventário de Ansiedade Traço-Estado para coleta de dados. Análises incluíram testes T de Student e regressão logística multivariada. Resultados: Dos pacientes, 64,2% relataram qualidade do sono ruim. Houve diferenças significativas nos níveis de ansiedade traço, entre pacientes com boa e ruim qualidade do sono. A ansiedade traço associou-se com a qualidade do sono, sendo que o aumento no escore de ansiedade traço aumentou as chances de qualidade do sono ruim. Conclusão: Uma proporção significativa da amostra apresentou qualidade do sono ruim, e a ansiedade traço associou-se com essa condição. Objetivo mellitus Método transversal 2022 Goiás 8 Utilizouse Utilizou se TraçoEstado Traço Estado dados multivariada Resultados 642 64 2 64,2 associouse associou Conclusão condição 202 6 64, 20

Abstract Exclusive maternal breastfeeding is recommended until the infant is six months old, with the subsequent introduction of food gradually. We investigated the prevalence of early complementary feeding in the first six months of life in a medium-sized city in the Midwest region of Brazil (Rio Verde, GO, Brazil). Of the 564 infants under six months of age, 81.2% of infants were breastfed in the last 24 hours, wherein 21.5% were exclusively breastfed, 15.9% received a complementary milk form, and 43.8% received another type of milk. When questioned if the infant had been introduced to complementary feeding at any point since birth, 49.3% of parents or guardians replied in the affirmative, of which 41.8% of infants received water, 21.5% received tea, and 12.1% were given natural fruit juice or coconut water. There was a positive correlation between the introduction of water or foods other than breast milk and the highest level of parental or guardian’s education. Our results demonstrate a persisting need to improve public policy programs that encourage breastfeeding.