The prevalence and impact of overweight and obesity in an Australian obstetric population
The prevalence and impact of overweight and obesity in an Australian obstetric population
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DOI：
10.5694/j.1326-5377.2006.tb00115.x
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发表时间：
2006-01-16
影响因子：
11.4
通讯作者：
McIntyre, HD
中科院分区：
文献类型：
--
作者：
Callaway, LK;Prins, JB;McIntyre, HD
目的：评估澳大利亚产科人群中超重和肥胖的患病率及其影响。设计、环境和参与者：Mater Mother's Hospital （MMH）位于南布里斯班，是一家城市三级转诊妇产医院。我们回顾了1998年1月至2002年12月期间在MMH预约产前护理的18401名单胎妊娠妇女的数据。在这些妇女中，14230人在其记录中记录了孕前体重指数（BMI）；2978名女性BMI为40 kg/m(2))。主要结局指标：产科人群中超重和肥胖的患病率；孕产妇、围产期和新生儿结局与BMI升高相关。结果：14230名女性中，体重正常的有6443名（45%），超重、肥胖或病态肥胖的有4809名（34%）。超重、肥胖和病态肥胖妇女不良结局的风险增加（数字表示校正优势比[AOR] [95% Cl]）：妊娠期高血压疾病（超重1.74[1.45-2.15]，肥胖3.00[2.40-3.74]，病态肥胖4.87 [3.27-7.24]）；妊娠期糖尿病（超重1.78[1.25-2.52]，肥胖2.95[2.05-4.25]，病态肥胖7.44 [4.42-12.54]）；住院时间超过5天（超重1.36[1.13-1.63]，肥胖1.49[1.21-1.86]，病态肥胖3.18 [2.19-4.61]）；剖宫产（超重1.50[1.36-1.66]，肥胖2.02[1.79-2.29]，病态肥胖2.54[1.94-3.321]）。肥胖和病态肥胖妇女所生的新生儿出生缺陷的风险增加（肥胖1.58(1.02-2.46)，病态肥胖3.41 [1.67-6.94]）；低血糖（肥胖2.57[1.39-4.78]，病态肥胖7.14[3.04-16.74]）。病态肥胖妇女所生的新生儿进入重症监护的风险增加（2.77 [1.81-4.25]）；早产（< 34周）（2.13 [1.13-4.01]）；黄疸（1.44[1.09-1.89]）。结论：超重和肥胖在孕妇中很常见。体重指数的增加与孕产妇和新生儿的结局有关，可能会增加产科护理的费用。为了帮助规划保健服务的提供，我们认为BMI应该定期记录在围产期数据收集表上。
Objective: To assess the prevalence and impact of overweight and obesity in an Australian obstetric population.Design, setting and participants: The Mater Mother's Hospital (MMH), South Brisbane, is an urban tertiary referral maternity hospital. We reviewed data for the 18401 women who were booked for antenatal care at the MMH, delivered between January 1998 and December 2002, and had a singleton pregnancy. Of those women, 14 230 had an estimated pre-pregnancy body mass index (BMI) noted in their record; 2978 women with BMI 40 kg/m(2)).Main outcome measures: Prevalence of overweight and obesity in an obstetric population; maternal, peripartum and neonatal outcomes associated with raised BMI.Results: Of the 14230 women, 6443 (45%) were of normal weight, and 4809 (34%) were overweight, obese or morbidly obese. Overweight, obese and morbidly obese women were at increased risk of adverse outcomes (figures represent adjusted odds ratio [AOR] [95% Cl]): hypertensive disorders of pregnancy (overweight 1.74 [1.45-2.15], obese 3.00 [2.40-3.74], morbidly obese 4.87 [3.27-7.24]); gestational diabetes (overweight 1.78 [1.25-2.52], obese 2.95 [2.05-4.25], morbidly obese 7.44 [4.42-12.54]); hospital admission longer than 5 days (overweight 1.36 [1.13-1.63], obese 1.49 [1.21-1.86], morbidly obese 3.18 [2.19-4.61]); and caesarean section (overweight 1.50 [1.36-1.66], obese 2.02 [1.79-2.29], morbidly obese 2.54 [1.94-3.321). Neonates born to obese and morbidly obese women had an increased risk of birth defects (obese 1.58 (1.02-2.46], morbidly obese 3.41 [1.67-6.94]); and hypoglycaemia (obese 2.57 [1.39-4.78], morbidly obese 7.14 [3.04-16.74]). Neonates born to morbidly obese women were at increased risk of admission to intensive care (2.77 [1.81-4.25]); premature delivery (< 34 weeks' gestation) (2.13 [1.13-4.01]); and jaundice (1.44 [1.09-1.89]).Conclusions: Overweight and obesity are common in pregnant women. Increasing BMI is associated with maternal and neonatal outcomes that may increase the costs of obstetric care. To assist in planning health service delivery, we believe that BMI should be routinely recorded on perinatal data collection sheets.