scholarly journals Preconception Lifestyle and Weight-Related Behaviors by Maternal Body Mass Index: A Cross-Sectional Study of Pregnant Women

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 759 ◽  
Author(s):  
Adina Lang ◽  
Cheryce Harrison ◽  
Jacqueline Boyle

Obesity is a rising global health challenge, particularly for reproductive-aged women. Our cross-sectional study of pregnant women (n = 223) examined associations between preconception body mass index (BMI) and socio-demographics, weight perceptions and lifestyle behaviors. Over half of women were overweight (33.2%) or obese (22.0%), 49.6% of which perceived their weight as normal. High proportions of women reported planning their pregnancies (70.0%) and were actively trying to lose or maintain their weight preconception (72.7%). Weight management approaches varied from reducing discretionary foods (63.7%) to professional support (8.1%). Obese women had significantly greater odds of reducing discretionary foods (odds ratio (OR) = 6.69 95% confidence interval (CI) 2.13–21.00, p = 0.001) and using structured diets (adjusted odds ratio (AOR) = 9.13 95% CI 2.90–28.81, p < 0.001) compared to normal-weight women. After adjusting for socio-demographics, compared to normal-weight women, overweight (AOR = 5.24 95% CI 2.19–12.56, p < 0.001) and obese (AOR = 2.85 95% CI 1.06–7.67, p = 0.04) women had significantly increased odds of exercising for weight management and significantly lower odds of taking folic-acid preconception (overweight: AOR = 0.40 95% CI 0.18–0.90, p = 0.01, obese: AOR = 0.38 95% CI 0.16–0.91, p = 0.03). Large proportions of women planning a pregnancy have an overweight/obese BMI, with associated suboptimal health behaviors and reduced health professional engagement preconception. Further research exploring women’s perspectives regarding preconception lifestyles is needed to inform effective preconception health promotion strategies.

Author(s):  
Carolina Leão de Moraes ◽  
Carolina Rodrigues Mendonça ◽  
Natália Cruz e Melo ◽  
Waldemar Naves do Amaral

Objective To evaluate and compare the prevalence of structural congenital anomalies (CAs) according to maternal body mass index (BMI). Methods The present cross-sectional study involved pregnant women with fetuses diagnosed with structural CAs through morphological ultrasonography between November 2014 and January 2016. The nutritional status of the pregnant women was classified according to the gross value of the body mass index. The pregnant women were categorized into four groups: low weight, adequate weight, overweight, and obesity. Statistical analysis was performed using Stata/SE version 12.0 (Stata Corporation, College Station, TX), with values of p ≤ 0.05 considered statistically significant. Results A total of 223 pregnant women had fetuses diagnosed with CAs. The prevalence of structural CAs in pregnant women with low weight was of 20.18%, of 43.50% in pregnant women with adequate weight, of 22.87% in pregnant women with overweight, and of 13.45% in pregnant women with obesity. The prevalence of central nervous system (CNS) anomalies and of genitourinary system anomalies was high for the four groups of pregnant women. A positive association was observed between multiple anomalies in pregnant women with adequate weight (prevalence ratio [PR] = 1.65; p ≤ 0.004) and between anomalies of the lymphatic system in obese pregnant women (PR = 4.04, p ≤ 0.000). Conclusion The prevalence of CNS and genitourinary system anomalies was high in all of the BMI categories. Obese pregnancies were associated with lymphatic system anomalies. Therefore, screening and identification of the risk factors for CAs are important, regardless of the maternal BMI. Our findings reinforce the importance of discussing with pregnant women maternal nutrition and its effect on fetal development and on neonatal outcome.


2016 ◽  
Vol 51 (8) ◽  
pp. 803-811 ◽  
Author(s):  
Kelvin D. MacDonald ◽  
Kimberly K. Vesco ◽  
Kristine L. Funk ◽  
Jerena Donovan ◽  
Thuan Nguyen ◽  
...  

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Resmiye Özdilek ◽  
Yılda Arzu Aba ◽  
Sena Dilek Aksoy ◽  
Bulat Aytek Şık ◽  
Yaşam Kemal Akpak

Objective: To investigate the adaptation of pregnant women to the recommended weight gain range according to body mass index (BMI) and to determine the factors affecting them. Methods: This cross-sectional study was performed in a university hospital’s obstetrics and gynecology unit (tertiary center) in Turkey. This study was conducted between March 2018 and August 2018 (6 months) in pregnant women. Pregnant women with chronic disease and receiving treatment during antenatal follow-up, with twin pregnancy, with a fetus with a congenital abnormality, and nutritional disturbance were excluded from the study. Eight hundred twelve pregnant women with normal antenatal follow-up and who volunteered to participate were included in the study. Results: The mean age of the participants was 27.66±5.05 years. The mean weight and BMI before pregnancy were near standard in all participants. The group with the highest rate of recommended weight gain according to BMI before pregnancy was the group with low weight pregnant women. The ideal weight gain rate in all groups was 32%. Conclusions: The groups with overweight and obese pregnant women according to BMI before pregnancy had the highest rates of weight gain, above the recommended limits. BMI before pregnancy directly affects weight gain during pregnancy and the importance of pre-pregnancy counseling and weight loss is emphasized once again. doi: https://doi.org/10.12669/pjms.35.5.133 How to cite this:Ozdilek R, Aba YA, Aksoy SD, Sik BA, Akpak YK. The relationship between body mass index before pregnancy and the amount of weight that should be gained during pregnancy: A cross-sectional study. Pak J Med Sci. 2019;35(5):---------.  doi: https://doi.org/10.12669/pjms.35.5.133 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2017 ◽  
Vol 5 (1) ◽  
pp. 134
Author(s):  
Chaitanya R. Patil ◽  
Sushama S. Thakre ◽  
Subhash B. Thakre ◽  
Prithvi B. Petkar

Background: Childhood obesity is a serious public health concern in both developed and developing countries. The children share food habits, physical activity habits etc. with their parents either in term of genetic or environmental influences, which affects the body mass index of the children. The objective of this study was to study the association of parental overweight/obesity with overweight/obesity in the children.Methods: A cross-sectional study was conducted in a government aided school in Nagpur during January 2016 to April 2016. Data was collected by a self-administered questionnaire which had information regarding the socio demographic characteristics like age, sex, socio economic status etc. Anthropometric measurements like height and weight of the children and their parents were measured. Necessary permissions were sought before the start of the study.Results: We found a significant association (p<0.01) between the obesity and overweight status of father and mother with the body mass index of their children with an odds ratio of 2.49 (1.69 to 3.66) and 2.90 (1.98 to 4.25) respectively. If both the parents are overweight/obese then the odds of their being overweight/obese is 3.00 (1.93-4.68). If either of parents is overweight/ obese, then the odds ratio is 3.10 (2.12-4.54).Conclusions: Stronger and significant associations were found between the overweight and obesity of the parents and their children. A significantly positive correlation was found between the body mass index of parents and body mass index of their children.


2016 ◽  
Vol 17 (9) ◽  
pp. 750-754 ◽  
Author(s):  
Zeeshan H Ahmad ◽  
Sukumaran Anil ◽  
Sham S Bhat ◽  
K Sundeep Hegde ◽  
Faizal C Peedikayil ◽  
...  

ABSTRACT Introduction Overweight and obesity are growing healthrelated problems worldwide, and it is currently the most prevalent nutritional disorder among children and adolescents. The objective of this study was to assess the association between overweight and dental caries among 12- to 15-year-old schoolchildren in Mangaluru district, Karnataka, India. Materials and methods Data were obtained from 2000 schoolgoing children aged 12 to 15 years. The children were categorized as overweight and normal-weight group by assessing the body mass index (BMI). Body mass index was categorized using the classification system given by the International Obesity Task Force (IOTF) and obtained in units of kg/m2. The dental caries was assessed by detection and was performed according to decayed, missing, and filled teeth (DMFT) index. Results Of the 2000 children examined, the mean BMI recorded was 26.87 ± 2.26 for the overweight children and 20.82 ± 1.48 for the normal-weight children. Even though the DMFT (3.90 ± 2.95) in the overweight children was slightly higher than the control group (3.36 ± 2.73), it was not statistically significant. Conclusion Within the confines of the present study, it can be concluded that there is no significant association between overweight and dental caries among the schoolchildren of Mangaluru district in Karnataka. Longitudinal studies are necessary to substantiate the possible relationships between dental caries and overweight in children. Knowledge of these relationships could lead to preventive health measures designed to reduce the prevalence of both obesity and dental caries. How to cite this article Kottayi S, Bhat SS, Hegde KS, Peedikayil FC, Chandru TP, Anil S. A Cross-sectional Study on the Prevalence of Dental Caries among 12- to 15-year-old Overweight Schoolchildren. J Contemp Dent Pract 2016;17(9): 750-754.


Author(s):  
Prithvi B. Petkar ◽  
Sushama S. Thakre ◽  
Subhash B. Thakre ◽  
Chaitanya R. Patil

Background: Overweight and obesity has become an important public health problem in both developed and developing nations. This is even more alarming as obese children are likely to become obese adults. Methods: A cross sectional study was conducted in a government aided school in urban area of Nagpur, Maharashtra during January 2016 to April 2016. This study was conducted in students of age group of 9 to 15 years to assess the association of birth weight and body mass index of school children. Height and weight of the children were measured according to standard guidelines. BMI was calculated and classified using the percentile charts according to age and gender. Data was collected using EPI Info version 7.2. Descriptive statistics using frequencies and percentages were used. Chi square test was used to indicate the differences between two proportions. Odds ratio was used to define the strength of the association. Results: The mean age of children was 11.92±1.27 and 11.31±1.27 in males and females respectively. In our study, there was a significant positive association between the birth weight and body mass index of the children. Conclusions: We found that the children whose birth weight was lower than 2500 grams were having decreased risk of being overweight/ obese in their later life with an odds ratio of 0.55 (0.34 to 0.90). But, the correlation between the birth weight and body mass index is weakly positive (r=0.063).


2018 ◽  
Vol 26 (8) ◽  
pp. 603-607
Author(s):  
Nurul Atiqah Abu Bakar ◽  
Nazar Luqman ◽  
Essam Shaaban ◽  
Hanif Abdul Rahman

Background Existing evidence, predominantly from Western countries, has demonstrated that athletes’ hearts undergo structural, physiological, and electrical changes, leading to abnormal electrocardiogram readings that are said to be training-related. Athletes with non-training-related electrocardiographic abnormalities risk developing sudden cardiac death. The lack of studies on this issue in the Asian population warrants further exploration. Therefore, the aim of this study was to estimate the prevalence and predictive factors contributing to electrocardiogram abnormalities among athletes in Brunei. Methods A descriptive cross-sectional study was conducted on 100 athletes (median age 25.2 years) in 10 sporting disciplines, whose electrocardiogram readings and essential information was obtained. Results The prevalence of an abnormal electrocardiogram was 52% (95% confidence interval: 42.0%–62.0%), comprising training-related changes in 49% (95% confidence interval: 39.0%–59.0%) and non-training-related changes in 3% (95% confidence interval: 0.4%–6.4%). Athletes with a higher body mass index were 3.3-times (95% confidence interval: 1.47–9.58) more likely to have abnormal electrocardiogram readings. Athletes <25-years old (odds ratio = 0.25, 95% confidence interval: 0.07–0.81) and those who trained with low dynamic intensity (odds ratio = 0.33, 95% confidence interval: 0.12–0.93) were significantly less likely to have electrocardiogram abnormalities. Conclusions This is the first study reporting abnormal electrocardiograms among athletes in Brunei, which provides important information to relevant agencies involved in the preparation of Asian athletes for domestic or international competitions, particularly those with a higher body mass index and low dynamic training intensity.


2020 ◽  
Vol 70 (6) ◽  
pp. 1880-84
Author(s):  
Minal Akram ◽  
Shahnai Basharat ◽  
Muhammad Mustafa Qamar ◽  
Ayesha Basharat ◽  
Tanveer Ahmed ◽  
...  

Objective: To determine whether the body mass index (BMI) and hemoglobin (HB) level are associated withsocioeconomic strata among pregnant women belonging to different socioeconomic strata. Study Design: A cross-sectional study. Place and Duration of Study: Sheikh Zayed Hospital, National Hospital & Medical Center, and Hameed LatifHospital Lahore (Punjab; Pakistan), from Mar to Dec 2018. Methodology: A cross-sectional study was conducted on 300 pregnant women of lower, middle and upper class; age range from 15-39 years. Women from all trimesters were included in the study. A self-structured questionnaire was used to collect socio-demographic data about participants of the study. Anthropometric measurements, body mass index (BMI), and hemoglobin (HB) level were evaluated in participants belonging to different socioeconomic status. Results: The study determined that 3% of participants were underweight, 29% had average weight, 45% belong to an overweight category, and 23% were obese as assessed based on BMI values. Hemoglobin level varied from 9.1 mg/dl to 11 mg/dl among participants of different socioeconomic strata. A significant association was observed between BMI, HB level, and socioeconomic status (p=0.000). However, there was no significant association observed between BMI and hemoglobin. Conclusion: It was concluded that the body mass index (BMI) and hemoglobin (HB) were significantly associated with socioeconomic conditions of pregnant women but showed no association with each other. This provided the potential for new avenues to improve health status during pregnancy.


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