Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study.
Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study.
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DOI：
10.1016/j.ejogrb.2015.06.031
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发表时间：
2015-10
期刊：
影响因子：
--
通讯作者：
Jaddoe VW
中科院分区：
文献类型：
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作者：
Bahadoer S;Gaillard R;Felix JF;Raat H;Renders CM;Hofman A;Steegers EA;Jaddoe VW
研究孕妇孕前肥胖和孕期体重增加方面的种族差异，并研究社会人口、生活方式和与怀孕有关的特征在多大程度上可以解释这些差异。在荷兰鹿特丹的一项基于多种族人群的前瞻性队列研究中，6444名孕妇在整个怀孕期间重复测量了母亲的人体测量学。通过体检和问卷调查评估种族、社会人口、生活方式和怀孕相关特征。荷兰裔女性孕前超重和肥胖的患病率为23.1%。在荷兰安的列斯血统(40.8%)、摩洛哥血统(49.9%)、苏里南克里奥尔血统(38.6%)和土耳其血统(41.1%)妇女中观察到更高的患病率(P值均为0.05)。只有荷兰安的列斯血统、摩洛哥血统、苏里南克里奥尔血统和土耳其血统的妇女与荷兰血统的妇女相比，孕前超重和肥胖的风险较高(p<0.05)。与社会人口和生活方式相关的特征可以解释高达45%的体重指数种族差异。与荷兰裔妇女相比，除佛得角裔和苏里南裔克里奥尔裔妇女外，所有少数民族群体的总妊娠体重增加都较低(p<0.05)。生活方式和怀孕相关特征分别解释了高达33%和40%的这些关联。孕期体重增加的种族差异最大的是在妊娠晚期。我们观察到在母亲孕前超重、肥胖和妊娠体重增加方面存在适度的种族差异。社会人口统计、生活方式和与怀孕相关的特征部分解释了这些差异。这些差异是否也会导致母婴结局的种族差异，应该进一步研究。
To examine ethnic disparities in maternal prepregnancy obesity and gestational weight gain, and to examine to which extent these differences can be explained by socio-demographic, lifestyle and pregnancy related characteristics. In a multi-ethnic population-based prospective cohort study among 6,444 pregnant women in Rotterdam, the Netherlands, maternal anthropometrics were repeatedly measured throughout pregnancy. Ethnicity, socio-demographic, lifestyle and pregnancy related characteristics were assessed by physical examinations and questionnaires. The prevalence of prepregnancy overweight and obesity was 23.1% among Dutch-origin women. Statistically higher prevalences were observed among Dutch Antillean-origin (40.8%), Moroccan-origin (49.9%), Surinamese-Creole-origin (38.6%) and Turkish-origin (41.1%) women (all p-values <0.05). Only Dutch Antillean-origin, Moroccan-origin, Surinamese-Creole-origin and Turkish-origin women had higher risks of maternal prepregnancy overweight and obesity as compared to Dutch-origin women (p-values <0.05). Socio-demographic and lifestyle related characteristics explained up to 45% of the ethnic differences in body mass index. Compared to Dutch-origin women, total gestational weight gain was lower in all ethnic minority groups, except for Cape Verdean-origin and Surinamese-Creole-origin women (p-values <0.05). Lifestyle and pregnancy related characteristics explained up to 33% and 40% of these associations, respectively. The largest ethnic differences in gestational weight gain were observed in late pregnancy. We observed moderate ethnic differences in maternal prepregnancy overweight, obesity and gestational weight gain. Socio-demographic, lifestyle and pregnancy related characteristics partly explained these differences. Whether these differences also lead to ethnic differences in maternal and childhood outcomes should be further studied.