ASPECTS OF CONTRACEPTION AND REPRODUCTIVE HEALTH IN OBESE ADOLESCENT GIRLS

Unintended pregnancies are a serious problem in terms of morbidity during the adolescent years, the use of contraceptives being an important element of prevention at this age. Obese adolescent girls tend to use fewer contraceptive methods compared to normal-weight girls, excess weight being a frequent argument against the use of contraception. These girls have a high probability of carrying unintended pregnancies associated with all the risks of pregnancy and childbirth at very young ages, while also needing safer and more effective contraceptive methods. Reducing the number of pregnancies in this category is a public health priority and requires the identification of adolescent girls included in this risk category. Although there are several voices opposing contraceptive methods on account of their adverse effects, the World Health Organization champions the idea that adolescents can use any contraceptive method due to the benefit of avoided unintended pregnancies, which outbalance the risks associated with the use thereof.

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AB0421 EFFECT OF BODY WEIGHT ON COMPLEMENT LEVELS IN SYSTEMIC LUPUS ERYTHEMATOSUS

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.4097 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 1510.3-1510

Author(s):

L. Kondrateva ◽

T. Popkova ◽

E. Nasonov ◽

A. Lila

Keyword(s):

Systemic Lupus Erythematosus ◽

Disease Activity ◽

Lupus Erythematosus ◽

Disease Duration ◽

Normal Weight ◽

World Health ◽

Systemic Lupus ◽

Obesity Status ◽

Health Organization ◽

The Complement System

Background:The complement system is a recognized biomarker for diagnosis or monitoring of disease activity in systemic lupus erythematosus (SLE) patients (pts). But on the other hand, it has been linked to insulin resistance and obesity in general population.Objectives:To find out whether overweight/obesity can modify C3 or C4 levels in SLE pts.Methods:A total of 92 SLE pts (83 women, 9 men, 39 [34;47] years old) were enrolled in the study. Median disease duration was 6[2;14] years, and SLE activity using SLEDAI-2K was 4[2;8]. SLE pts were treated with glucocorticoids (89%), hydroxychloroquine (78%), immunosuppressants (28%), biologics (10%). The overweight/obesity status was determined by World Health Organization criteria in patients with body mass index (BMI) ≥25kg/m2.Results:Overweight/obesity were established in 46% SLE pts. Overweight/obese SLE pts were older than pts with normal BMI (40[36;48] vs 37[31;44] years, р=0,02), and had lower SLEDAI-2K (3[2;6] vs 6[4;8], p<0,01). Lower C3 concentrations were found in 36% overweight/obese pts vs 68% pts with normal weight (р<0,01), decreased C4 levels - in 19% vs 30% pts (p=0,33), median C3 concentrations were 0,98[0,81;1,14] g/l vs 0,84[0,69;0;96] g/l (р<0,01), and C4 levels were 0,15[0,10;0,19] g/l vs 0,12[0,09;0,16] g/l, respectively (p=0,03). C3 and C4 levels negatively correlated with SLEDAI-2K (r=-0,5, p<0,01 for both), the effect was more strongly pronounced in patients with BMI≥25kg/m2 (r=-0,6, p<0,01 for both) than in those with normal weight (r=-0,2, p=0,09 for C3, r=-0,3, p=0,04 for C4).Conclusion:Overweight/obesity status in SLE pts was associated with increased levels of complement proteins, therefore decreased C3 or C4 levels in patients with BMI≥25kg/m2 are more likely related to disease activity and, can potentially induce SLE flares.Disclosure of Interests: :None declared

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Prevalence of and factors associated with insufficient physical activity among adolescents: evidence from a nationwide survey in Bangladesh

Journal of Biosocial Science ◽

10.1017/s0021932021000316 ◽

2021 ◽

pp. 1-14

Author(s):

Md Mokbul Hossain ◽

Fahmida Akter ◽

Abu Abdullah Mohammad Hanif ◽

Md Showkat Ali Khan ◽

Abu Ahmed Shamim ◽

...

Keyword(s):

Physical Activity ◽

Risk Factors ◽

World Health Organization ◽

Adolescent Girls ◽

World Health ◽

Factors Associated ◽

Adolescent Girls And Boys ◽

The World ◽

Insufficient Physical Activity ◽

Health Organization

Abstract The World Health Organization set a target of a 15% relative reduction in the prevalence of insufficient physical activity (IPA) by 2025 among adolescents and adults globally. In Bangladesh, there are no national estimates of the prevalence of IPA among adolescents. The aim of this study was to estimate the prevalence of and risk factors associated with IPA among adolescent girls and boys. Data for 4865 adolescent girls and 4907 adolescent boys, collected as a part of a National Nutrition Surveillance in 2018–19, were analysed for this study. A modified version of the Global Physical Activity Questionnaire (GPAQ) was used to collect physical activity data. The World Health Organization recommended cut-off points were used to estimate the prevalence of IPA. Bivariate and multivariable logistic regression was performed to identify factors associated with IPA. Prevalences of IPA among adolescent girls and boys were 50.3% and 29.0%, respectively, and the prevalence was significantly higher among early adolescents (10–14 years) than late adolescents (15–19 years) among both boys and girls. The IPA prevalence was highest among adolescents living in non-slum urban areas (girls: 77.7%; boys: 64.1%). For both boys and girls, younger age, non-slum urban residence, higher paternal education and increased television viewing time were significantly associated with IPA. Additionally, residing in slums was significantly associated with IPA only among the boys. Higher maternal education was associated with IPA only among the girls. This study identified several modifiable risk factors associated with IPA among adolescent boys and girls in Bangladesh. These factors should be addressed through comprehensive public health interventions to promote physical activity among adolescent girls and boys.

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Prevalência de sobrepeso e obesidade entre mulheres eutróficas

Revista de Ciências Médicas e Biológicas ◽

10.9771/cmbio.v11i2.6682 ◽

2012 ◽

Vol 11 (2) ◽

pp. 184

Author(s):

Marcela Ribeiro da Costa ◽

Durval Sobreiro Júnior ◽

Crésio Alves

Keyword(s):

Normal Weight ◽

The Body ◽

World Health ◽

Font Size ◽

Percentage Body Fat ◽

Obesity And Overweight ◽

Skin Fold ◽

Methods Of Evaluation ◽

Health Organization ◽

Body Compositions

Introdução - Apesar da ampla utilização e significativa correlação do IMC (Índice de Massa Corporal) com o diagnóstico de sobrepeso e obesidade, estudos recentes sugerem pouca associação dos valores intermediários de sobrepeso com o percentual de gordura corporal, o que pode subestimar a prevalência de elevada adiposidade e seus riscos à saúde. Métodos - Este estudo comparou o diagnóstico de mulheres consideradas eutróficas pelo critério de IMC preconizado pela OMS (Organização Mundial de Saúde) com a avaliação segundo o cálculo do percentual de gordura corporal aferido por pregas cutâneas. Foram analisadas as fichas de avaliação física de duzentas e quatro alunas matriculadas em uma academia exclusiva para mulheres de Salvador, Bahia, em 2010. Foram analisados peso, altura, prega cutânea tricipital, supra-ilíaca e coxa, além dos cálculos de IMC e percentual de gordura corporal através do programa EVO®. Resultados - Foi observado que apenas 25,95% das mulheres eutróficas pelo valor do IMC permaneceram com mesmo diagnóstico nutricional após avaliação do percentual de gordura corporal. A prevalência de obesidade, segundo o IMC, foi de 6,37% da amostra total, enquanto essa prevalência entre mulheres eutróficas pelo IMC, após avaliação da composição corporal, foi de 38,17%, 6 vezes maior. Observou-se, também, influência da idade na adequação do IMC e percentual de gordura corporal. Discussão - Os achados deste estudo foram compatíveis com outros resultados encontrados na literatura, sugerindo subdiagnóstico do sobrepeso e da obesidade através da classificação do IMC e a necessidade da associação de métodos para uma avaliação clínica mais adequada e um diagnóstico do estado nutricional mais preciso. Abstract Introduction: The BMI (Body Mass Index) is the major parameter currently recommended by the WHO (world health organization) to determine the diagnosis and the treatment to obesity and overweight. The intermediate BMI classification could underestimate the diagnosis when is compared with other evaluation methods. Methods: the aim of this paper is show the relationship between normal BMI and the high percentage body fat evaluated by skin fold thicknesses protocol (Pollock, 1984) in woman from Salvador, Bahia, Brazil in 2010. We compared the classification diagnosis based in BMI and skin fold thicknesses in 204 women age between 20 to 59 years. Results: in our sample, according with the classification based in BMI 74% of subjects was considered normal weight. When we analyzed the skin fold classification only 26% remain with the same diagnosis. Conclusions: Our outcome shows the role of the BMI in the diagnosis of the obesity and overweight must to be considerated and added to other methods of evaluation of the body compositions a skin fold protocols.

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Edukasi dan Deteksi Dini Komplikasi Kehamilan dengan Pemeriksaan Laboratorium

Poltekita: Jurnal Pengabdian Masyarakat ◽

10.33860/pjpm.v1i2.98 ◽

2020 ◽

Vol 1 (2) ◽

pp. 43-49

Author(s):

Rochany Septiyaningsih ◽

Dhiah Dwi Kusumawati ◽

Frisca Dewi Yunadi ◽

Septiana Indratmoko

Keyword(s):

Pregnant Women ◽

Health Workers ◽

World Health ◽

Maternal Deaths ◽

Middle Income ◽

Pregnancy And Childbirth ◽

Delivery Assistance ◽

The World ◽

Laboratory Examinations ◽

Health Organization

The World Health Organization (WHO) states that maternal mortality worldwide due to complications during pregnancy and childbirth in 2017 is estimated at around 810 cases. Between 2000 and 2017 there was a decline in the ratio of MMR around the world by 38%. WHO also states that 94% of global maternal deaths occur in low and middle income countries. In Indonesia, maternal deaths due to complications from pregnancy or childbirth every year are estimated at 20,000 mothers died from five million births. Delivery assistance by trained health workers in health facilities can be an effort to reduce MMR and IMR. In addition, awareness of pregnant women is also important for the importance of having a pregnancy with a health worker. This community service aims to increase the knowledge of pregnant women about anemia and to detect early pregnancy complications by laboratory examinations. The target of this activity is 15 pregnant women. The dedication activity is conducting educational activities, laboratory examinations in Tambakreja Village, Cilacap Regency. Based on the results of this activity it was concluded that there was an increase in knowledge of pregnant women about anemia and found 2 pregnant women experiencing anemia from 15 pregnant women and urine examination found all negative pregnant women

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Prevalence of Overweight and Obesity Amongst Bahraini Adolescents Aged 12-15 years Attending Primary Care Health Centers

Journal of the Bahrain Medical Society ◽

10.26715/jbms.2019.1_26022019b ◽

2019 ◽

pp. 37-43

Keyword(s):

Normal Weight ◽

Overweight And Obesity ◽

World Health ◽

Morbidly Obese ◽

Electronic File ◽

Final Sample ◽

Younger Age ◽

Primary Care Health ◽

Care Health ◽

Health Organization

Background and objective: The increase in obesity amongst adolescents is one of the most important public health concerns in many countries, including the Kingdom of Bahrain. The objective of the current study was to measure the prevalence of overweight and obesity among Bahraini adolescents. This study will aid in a better understanding of the issue and in pursuing preventive measures and campaigns to alleviate the problem. Methods: The weight, height, and body mass index of 9057 Bahraini adolescents was obtained from the Ministry of Health via the nation-wide health electronic file—I-Seha. The final sample consisted of 8463 adolescents; of which 4687 and 3776 were female and males, respectively. References standards from the World Health Organization were used to qualify the adolescents into normal weight, underweight, overweight, obese, and morbidly obese. Results: The overall prevalence of overweight and obesity was 42.3%. Among females the prevalence of overweight and obesity was 21.5% and 20.8%, respectively, whereas in males. the prevalence was 18% and 24.3%, respectively. The lowest prevalence of overweight and obesity was among males aged 15 years (36.4%) and highest among males aged 12 years (47.4%). While in females the prevalence of overweight and obesity was lowest and highest amongst 15-year-olds (38.3%) and 12-year-olds (48.5%). Conclusion: The prevalence of overweight and obesity is high in adolescents in the Kingdom of Bahrain, especially in the younger age group. This increases the urgency to undertake measures to control the problem in the younger population, in order to reduce serious outcomes.

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Characterisation and correlates of stunting among Malaysian children and adolescents aged 6–19 years

Global Health Epidemiology and Genomics ◽

10.1017/gheg.2019.1 ◽

2019 ◽

Vol 4 ◽

Cited By ~ 1

Author(s):

Uttara Partap ◽

Elizabeth H. Young ◽

Pascale Allotey ◽

Manjinder S. Sandhu ◽

Daniel D. Reidpath

Keyword(s):

Children And Adolescents ◽

Normal Weight ◽

World Health ◽

Sensitivity Analyses ◽

Protective Effects ◽

Older Children ◽

Normal Height ◽

Cross Sectional ◽

Control And Prevention ◽

Health Organization

AbstractBackgroundDespite emerging evidence regarding the reversibility of stunting at older ages, most stunting research continues to focus on children below 5 years of age. We aimed to assess stunting prevalence and examine the sociodemographic distribution of stunting risk among older children and adolescents in a Malaysian population.MethodsWe used cross-sectional data on 6759 children and adolescents aged 6–19 years living in Segamat, Malaysia. We compared prevalence estimates for stunting defined using the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) references, using Cohen's κ coefficient. Associations between sociodemographic indices and stunting risk were examined using mixed-effects Poisson regression with robust standard errors.ResultsThe classification of children and adolescents as stunted or normal height differed considerably between the two references (CDC v. WHO; κ for agreement: 0.73), but prevalence of stunting was high regardless of reference (crude prevalence: CDC 29.2%; WHO: 19.1%). Stunting risk was approximately 19% higher among underweight v. normal weight children and adolescents (p = 0.030) and 21% lower among overweight children and adolescents (p = 0.001), and decreased strongly with improved household drinking water sources [risk ratio (RR) for water piped into house: 0.35, 95% confidence interval (95% CI) 0.30–0.41, p < 0.001). Protective effects were also observed for improved sanitation facilities (RR for flush toilet: 0.41, 95% CI 0.19–0.88, p = 0.023). Associations were not materially affected in multiple sensitivity analyses.ConclusionsOur findings justify a framework for strategies addressing stunting across childhood, and highlight the need for consensus on a single definition of stunting in older children and adolescents to streamline monitoring efforts.

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Severely obese adolescent girls rely earlier on carbohydrates during walking than normal-weight matched girls

Journal of Sports Sciences ◽

10.1080/02640414.2015.1021274 ◽

2015 ◽

Vol 33 (18) ◽

pp. 1871-1880 ◽

Cited By ~ 1

Author(s):

Olivier Gavarry ◽

Celine Aguer ◽

Anne Delextrat ◽

Gregory Lentin ◽

Karine Ayme ◽

...

Keyword(s):

Adolescent Girls ◽

Normal Weight ◽

Obese Adolescent ◽

Severely Obese

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Anthropometrically Determined Undernutrition among the Adolescent Girls in Kathmandu Valley

Kathmandu University Medical Journal ◽

10.3126/kumj.v13i3.16812 ◽

2017 ◽

Vol 13 (3) ◽

pp. 224-229 ◽

Cited By ~ 1

Author(s):

B. Shrestha

Keyword(s):

Private Schools ◽

Adolescent Girls ◽

Cross Sectional Study ◽

World Health ◽

Kathmandu Valley ◽

Cross Sectional ◽

Government School ◽

High Prevalence ◽

Study Population ◽

Health Organization

Background No information exists regarding the health of the adolescent girls residing in Kathmandu valley in urban setup.Objective To evaluate the prevalence of undernutrition among the adolescent girls living in Kathmandu valley. It also aims to know the distribution of weight, height and body mass index of adolescent girls in relation to the different adolescent age groups.Method A cross sectional study was conducted in one government and two private schools in Kathmandu valley from 16th April to 15th September 2010. Anthropometric measurements were recorded using standardized methodology as recommended by World Health Organization (WHO). Standard operational definitions like percentiles, mean, standard deviation and proportions were used for analysis.Result Four hundred adolescent girls were enrolled randomly, out of which 111 girls (27.8%) were from government school and 289 girls (72.2 %) were from private schools. Maximum were of 16 years of age and the least were of 19 years of age, mean age being 15.4 years of age. Of them, early, mid and late adolescents were 41%, 35% and 24% respectively. Around one third of the study population were stunted (32%), one fourth were underweight (24%) and one tenth of them were thin (9.5%) based on National Center for Health Statistics (NCHS )standard.Both underweight and stunted girls were significantly more during the late adolescence period (P<0.001). However, thinness was not significant in any of the three adolescent age groups.Conclusion A high prevalence of undernutrition in terms of stunting, underweight and thinness exists among the adolescent girls in Kathmandu valley.

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Manejo de las complicaciones del embarazo y el parto. Guía para obstetrices y médicos

10.37774/9789275321935 ◽

2020 ◽

Keyword(s):

World Health Organization ◽

World Health ◽

Pregnancy And Childbirth ◽

Health Organization ◽

In Pregnancy

[Prólogo de la segunda edición]. La primera edición de en español del manual Manejo de las complicaciones del embarazo y de la infancia (MCPC, por sus siglas del inglés) fue publicado en 2003. Desde ese entonces ha servido de herramienta de apoyo a obstetras y médicos de hospitales de distrito en la atención de aquellas mujeres que presentan complicaciones durante su embarazo, parto o postparto. Esta es la traducción de la segunda edición en inglés, publicada en 2017, e incluye la actualización de las recomendaciones de la Organización Mundial de la Salud (OMS), las sugerencias y cambios planteados por parte de usuarios y expertos externos al grupo de editores y el capítulo Craneotomía y craneocentesis ausente en la primera edición en español. Es texto fue traducido en el Departamento de Traducciones y revisado por los consultores de salud materna del Centro Latinoamericano de Perinatología, Salud de la Mujer y Reproductiva (CLAP) del Departamento de Familia, Promoción de la Salud y Curso de Vida (FPL) de la Organización Panamericana de la Salud (OPS). Esta edición en español se le incorporaron índices específicos para las figuras, cuadros y recuadros con sus números correlativos en cada sección, título y página con el fin de facilitar su utilización. Versión oficial en español de la obra original en inglés:Managing complications in pregnancy and childbirth: a guide for midwives and doctors – 2nd ed. © World Health Organization 2017. ISBN: 978-92-4-156549-3.

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Perceived Barriers to Contraceptive Use: An Exploratory Study of Women Living in Rural Haiti

10.28971/532017dj112 ◽

2017 ◽

Author(s):

Jocelyne de Gouvenain

Keyword(s):

Family Planning ◽

Maternal Health ◽

Contraceptive Use ◽

Ecological Model ◽

Health Assessment ◽

World Health ◽

Childbearing Age ◽

Unintended Pregnancies ◽

Community Roles ◽

Health Organization

Maternal health is defined by the World Health Organization (WHO) as the health of women during pregnancy, childbirth, and the postpartum period (WHO, 2016). Maternal health is a very important determinant of Haiti’s familial, educational, economic, and environmental development. One key to maternal health is family planning which can empower women to fulfill their familial and community roles. Family planning through contraception offers women the opportunity to gain time between child births by deciding when to get pregnant in relation to their other life obligations. Having fewer children and longer spacing between births provides women and children a better quality of life and an opportunity to be more productive members of their communities. A maternal health assessment for women of childbearing age in rural Beaulieu, Haiti and surrounding villages was conducted to investigate factors leading to unintended pregnancies among women receiving contraceptives at the Erline et Armelle Clinic using the Social Ecological Model as a framework. Implications for advanced practice public health nursing practice, policy, and research were identified and recommendations provided.

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