scholarly journals Effect of obesity on pregnancy, childbirth and postpartum among Moroccan women

Author(s):  
Saloua Lamtali ◽  
Samia Boussaa

Background:  Overweight and obesity among Moroccan adults is continually growing affecting one in three adults from which 63.1% are women. Obesity during pregnancy increases the risk of maternal and fetal complications. The conditions of delivery are also more difficult.  Objective:  we aimed to describe the complications of obesity occurring in pregnancy, childbirth and postpartum among obese women in Morocco. Material and methods: It is a cross-sectional study conducted, in 2017, in two Hospital maternities in Marrakech. A sample of 200 women, who had just given birth, and have a Body Mass Index more than 30 was recruited. Women sociodemographic conditions and data about complications occurring during pregnancy, childbirth and postpartum, were collected meaning a structured interview and from participants' birth records. We used The SPSS software to realize descriptive analysis of data. Results: we noticed more than 37% of severe obesity and morbid obesity among participants.  Several complications were noticed. Gestational diabetes occurs first (23%), followed by preeclampsia (14%). More than 38% of women gave birth by cesarean section. Almost 33% of participants had postpartum complications, the most common being infection (13%) and hemorrhage (12%). Conclusion: the high incidence of complications in obese women during pregnancy, childbirth and post partum emphasizes the need of a women nutritional management in preconception and during pregnancy to minimize complications.

2017 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Eman Ali Abd El Moaty Sheha ◽  
Hanan Elzeblawy Hassan ◽  
Wafaa Mostafa Ahmed Gamel

Background: Obesity is considered а noteworthy public health issue in both developed & developing countries. Among the 1.5 billion overweight individuals worldwide, 300 million of them were obese women. In the general, the prevalence of maternal obesity has increased 60% in the previous two decades with nearly 1 in 3 women now entering pregnancy obese. Also, the periodontаl disease has been observed to be prevalent in pregnant women with the prevalence ranging from 20% to more than 50%, especially economically disadvantaged women.Aim: explore the relation between pre-pregnant overweight and obesity with periodontal disease during pregnancy.Subjects & Methods: cross-sectional study among 400 pregnant women were booked in the high-risk obstetric departments and the antenatal outpatient clinics at governmental general hospitals in El-Fayoum City and governmental university hospital in El-Mansoura city.Results: The mean age of pregnant women was 29.9 ± 6.2 with increase the prevalence of periodontal disease in pregnant women (83.5%). Statistically significant correlation was found between prenatal weight and periodontаl disease during pregnancy (p ≤ 0.0001) with increasing the prevalence of periodontal disease in prenatal obese women (53.2%) and over weight (39.7%) were observed in women who were in their 3rd trimester (р = 0.011). Increase prevalence of periodontal with poor oral hygiene and sedentary activity.Conclusion: increased pre-pregnancy obesity & overweight are positively correlated with periodontal disease prevalence among pregnant women, and Pregnancy itself may also be associated with аn increased risk of periodontal disease.Recommendations: Activating the role of the maternity and community health nurse in branches of Obstetrics and antenatal clinics to enhance pregnant women's knowledge regarding oral health risks of obesity & overweight.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Atefeh Tavakoli ◽  
Atieh Mirzababaei ◽  
Hanieh Moosavi ◽  
Sanaz Mehranfar ◽  
Seyed-Ali Keshavarz ◽  
...  

Abstract Objective Recent studies have shown that increased dietary inflammatory index (DII) score or consumption of pro-inflammatory foods can lead to increased waist circumference (WC) as well as triglyceride (TG) concentrations in obese people. The purpose of this study is to examine the association between DII and hypertriglyceridemic waist circumference phenotype (HTGWCP) in women with overweight and obesity. Results There was a positive significant correlation between DII and HTGWCPs. In other words, with an increase in DII score or higher consumption of pro-inflammatory foods, the odds of having abnormal phenotypes including; enlarged waist normal TG (EWNT) (OR = 2.85, 95% CI 1.02 to 7.98, P for trend = 0.04), normal waist enlarged TG (NWET) (OR = 5.85, 95% CI 1.1 to 31.11, P for trend = 0.03) and enlarged waist enlarged TG (EWET) (OR = 3.13, 95% CI 0.95 to 10.27, P for trend = 0.05) increase compared to normal waist normal TG (NWNT) phenotype. In conclusion; increasing DII scores can increase abnormal phenotypes and therefore may increase WC and TG levels in overweight and obese women.


2021 ◽  
Author(s):  
Atieh Mirzababaei ◽  
Elnaz Daneshzad ◽  
Farideh Shiraseb ◽  
Sanaz Pourreza ◽  
Leila Setayesh ◽  
...  

Abstract Background: Previous studies have shown that the minor allele (C allele) for Cry 1 rs2287161, may be associated with increased risk of cardiovascular diseases (CVDs). Low resting metabolic rate (RMR) caused by the diet has been shown to have, potentially, unfavorable effects on obesity. This study sought to investigate the interactions between the Cry 1 Gene and fat intake on RMR in overweight and obese women.Methods: This comparative cross-sectional study was conducted on 377 Iranian women with overweight and obesity. A food frequency questionnaire (FFQ), with 147 items, was used to assess dietary intake. Individuals were categorized into two groups based on the rs2287161 genotype. Body composition, dietary intake, and RMR were assessed for all participants.Results: There was a significant difference between genotypes for FBS (P=0.04), fat free mass (FFM) (P=0.0009), RMR per FFM (P =0.05), RMR per body mass index (BMI) (P=0.02), and RMR deviation (P=0.01). Our findings also showed significant interactions between total fat and C allele carrier group on RMR per kg, RMR per body surface area (BSA), RMR per FFM, and RMR deviation (P for interaction <0.1), in addition to a significant interaction between CC+CG group genotype and PUFA intake on RMR per BMI (P for interaction =0.009) and RMR per kg (P for interaction=0.02) and RMR per BSA (P=0.07), compared to the GG group, after control for confounder factors.Conclusion: These results highlight that dietary compositions, gene variants, and their interaction, should be acutely considered in lower RMR.


2017 ◽  
Vol 24 (11) ◽  
pp. 1635-1646
Author(s):  
Rukiya Tariq ◽  
Kalsoom Tariq

Introduction: The upsurge in occurrence of overweight and obesity is exploredwith the passage of time as the corresponding diseases are increasing rapidly. Objectives:The main objectives of this instant research study were to explore the comorbidities and theirassociation with overweight and obesity among 25 to 60 years old women. Study Design andSetting: Descriptive cross sectional study was carried out in Lahore, Pakistan from January2016 to May 2016. Material and Methods: All the non-pregnant and non-lactating women 25to 60 years of age belonging to different socio-economic groups were included in our study.Results: Based on cluster sampling technique and sample size, there were 1555 women in 20clusters in which 1106 overweight and 449 obese women were found for the further research.IBM SPSS statistics version 21 was used to analyze our research findings. Conclusion:The study leads to the interesting exposition of the various overwhelming diseases relatedto overweight and obesity. Significant achievements were obtained by considering differentcomorbidities with respect to which the topic can be easily summarized to some extent.


2017 ◽  
Vol 27 (1) ◽  
pp. 10 ◽  
Author(s):  
Manalde Ferreira da Silva ◽  
Danilo Rafael Da Silva Fontinele ◽  
Alex Vandro Silva de Oliveira ◽  
Maria Augusta Rocha Bezerra ◽  
Silvana Santiago da Rocha

Introduction: Domestic accidents are one of the main causes of death among children, characterized by an event that involves multiple determinants, emphasizing, among others, intrapersonal, interpersonal, cultural and institutional factors. Objective: To analyse the determinants of domestic accidents in early childhood. Methods: This is an exploratory, descriptive, and cross-sectional study carried out in the Emergency Hospital of Teresina city, Piauí, Brazil, between January and March 2016. The population was composed of 21 caregivers of children under five years old, hospitalized between January and March 2016. For data collection, a structured interview was conducted on aspects related to the risk factors associated with the incidence of domestic accidents involving children. A descriptive analysis was performed, with absolute and relative frequencies for the variables. The Human Research Ethics Committee approved the research with Protocol No. 1324184. Results: In relation to intrapersonal factors, pre-school children were the main victims (57.2%). For interpersonal factors, it was observed that most of participants (85.7%) considered the household unsafe for children. The evaluation of institutional factors showed that most caregivers (52.4%) had not been advised about the prevention of accidents at home. In terms of cultural factors, most participants (81%) had not heard news about domestic accidents. Conclusion: Parents and caregivers have very limited knowledge about the prevention of childhood accidents at home, with male pre-schoolers the main  victims of domestic accidents.


Author(s):  
Ruth Abraham ◽  
Ruth Abraham ◽  
Sajna Mathumkunnath Vijayan

Background: Rapid unplanned industrialization is creating serious problems for the human environment. Worse and directly affected in this process are the industrial workers. The purpose of the study is to assess the health profile of workers in an Industrial area of Thrissur district and to compare the morbidity profile of industrial workers from native Kerala and migrants.Methods: A cross-sectional study was conducted in the industrial area of Thrissur district for a period of six months. Cluster sampling was done. Among the total industries in the industrial area of Thrissur, one industry was selected using the lottery method. All the workers in that industry were included in the study. After establishing a rapport, data was collected using a semi-structured interview schedule from the participant using questionnaires.Results: Among 246 workers interviewed, 79.3% were males. 43.9% of participants were from Kerala, 37.4% Orissa, 10.4% Bihar and the rest from other states of India. 30.9% of participants were obese, 17.9% overweight and 8.5% underweight. Other morbidities were refractory error (46.7%) and hypertension (30.5%). Overweight and obesity were significantly more among workers from native Kerala compared to migrants (p=0.001). History of injuries was reported by 10.6% of workers.Conclusions: The high proportion of obesity and hypertension detected among workers was alarming. Interventions at various levels (host, vector, and environment) are likely to produce a lasting impact on industrial worker's health.


2009 ◽  
Vol 66 (9) ◽  
pp. 705-710 ◽  
Author(s):  
Vera Grujic ◽  
Mirjana Martinov-Cvejin ◽  
Erzebet Ac-Nikolic ◽  
Natasa Dragnic ◽  
Vesna Mijatovic-Jovanovic ◽  
...  

Background/Aim. The prevalence of overweight and obesity is increasing at an alarming rate and it is a manifestation of the epidemics of a sedentary lifestyle and excessive energy intake. The aim of this study was to determine the prevalence of overweight and obesity in the population of the Province of Vojvodina, Serbia, and to examine the association between obesity and socioeconomic and lifestyle factors. Methods. A cross-sectional study conducted in the Province of Vojvodina in 2006 involved 3 854 participants aged 20 years and over (1 831 men and 2 023 women). The study was a countinuation of the baseline study conducted in 2000 (n = 2 840, 1 255 men and 1 585 women). The main outcome measures were overweight and obesity (Body Mass Index - BMI ? 25 kg/m2), sociodemographic factors, including nutrition habits - having breakfast everyday and television watching frequency. Results. The prevalence of overweight and obesity in both sexes in 2006 was 57.4% (35.7% were overweight and 21.7% obese). The prevalence of overweight was higher in men (41.1%) than in women (30.9%) (p < 0.001) while obesity was higher in women (23.1%) as compared to men (20.2%) (p = 0.035). For both sexes, overweight rates were highest at the age 60-69 (men 44.8% and women 39.1%) while obesity rates were peaked to men aged 50-59 (25.1%) and women aged 60-69 years (37.8%). Increasing ageing, males, rural population, single examinees, lower educational level, improved income, examinees that never/sometimes have breakfast and frequently watch TV were associated with obesity. Conclusions. The population of Vojvodina, with 23.1% obese women and 20.2% obese men is one of severely affected European populations. High prevalence of obesity requires urgent public health action. Healthy lifestyle, balanced nutrition with low energy intake and increased physical activity have to be promoted within a prevention strategy and obesity management.


2020 ◽  
Vol 8 (12) ◽  
pp. 1114-1119
Author(s):  
Masoud Ahmad Al-Ghamdi ◽  
◽  
Hoda Jehad Abousada ◽  
Isa Saleh Alsuwat ◽  
Anan Ibrahim Alturkustani ◽  
...  

Coronavirus disease 2019 (COVID-19) has spread globally to more than 62 million persons with overwhelming impact to the healthcare systems and chronic ill patients worldwide. In this study, our aim was to assess the satisfaction of surgical patients regarding their routine clinic visits during the COVID-19 pandemic in the Kingdom of Saudi Arabia.We conducted a descriptive cross-sectional study using a structured interview with questionnaire in the Kingdom of Saudi Arabia with a sample size of 518. Descriptive analysis was performed by using IBM SPSS version 17 (Chicago: SPSS Inc.). The results showed thatmost of the participants did not visit their scheduled surgical clinics during the COVID-19 pandemic and most of the ones who visited were very dissatisfied with the services they received. Accordingly, approaches to implement precautionary measures against COVID-19 and long-distance communication such as telemedicine, when properly instituted, can have a wider impact during this pandemic and in the future ones.


2021 ◽  
Author(s):  
Zahra Salehi ◽  
Farideh Shiraseb ◽  
Niloufar Rasaei ◽  
Khadijeh Mirzaei

Abstract Background Mental health and obesity have a bilateral relationship with each other. No study has been done on the relation between mental health and the ENRF9.3 index so far. Therefore, for the first time, we examined the relationship between the ENRF9.3 index and mental health in women with overweight and obesity. Methods In this cross-sectional study, 124 overweight and obese women were selected. Food intakes in the last 1 year were collected with 147 items of semi-quantitative food frequency. Then, the ENRF9.3 index score was calculated for all individuals. Mental health was assessed with a 21-item Depression Anxiety Stress Scales (DASS) questionnaire. Results In the present study, before adjusting for potential confounders the total DASS score was marginal significance(P = 0.05), that after the adjustment, it became insignificant(P > 0.05), after adjusting for confounders stress also became significant(P = 0.04). But no significant relationship was observed between depression and anxiety, even after adjustment(P > 0.05). Conclusions The present study showed that a nutritious diet is not associated with overall mental health score, among subgroups of the DASS total score, the relationship was seen only for the stress subgroup.


Author(s):  
Habib Yarizadeh ◽  
Leila Setayesh ◽  
Caroline Roberts ◽  
Mir Saeed Yekaninejad ◽  
Khadijeh Mirzaei

Abstract. Objectives: Obesity plays an important role in the development of chronic diseases including cardiovascular disease and diabetes. A low resting metabolic rate (RMR) for a given body size and composition is a risk factor for obesity, however, there is limited evidence available regarding the association of nutrient patterns and RMR. The aim of this study was to determine the association of nutrient patterns and RMR in overweight and obese women. Study design: This cross-sectional study was conducted on 360 women who were overweight or obese. Method: Dietary intake was assessed using a semi-quantitative standard food frequency questionnaire (FFQ). Nutrient patterns were also extracted by principal components analysis (PCA). All participants were evaluated for their body composition, RMR, and blood parameters. Result: Three nutrient patterns explaining 64% of the variance in dietary nutrients consumption were identified as B-complex-mineral, antioxidant, and unsaturated fatty acid and vitamin E (USFA-vit E) respectively. Participants were categorized into two groups based on the nutrient patterns. High scores of USFA-vit E pattern was significantly associated with the increase of RMR (β = 0.13, 95% CI = 0.79 to 68.16, p = 0.04). No significant associations were found among B-complex-mineral pattern (β = −0.00, 95% CI = −49.67 to 46.03, p = 0.94) and antioxidant pattern (β = 0.03, 95% CI −41.42 to 22.59, p = 0.56) with RMR. Conclusion: Our results suggested that the “USFA-vit E” pattern (such as PUFA, oleic, linoleic, vit.E, α-tocopherol and EPA) was associated with increased RMR.


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