Population-based trends and correlates of maternal overweight and obesity, Utah 1991-2001
Population-based trends and correlates of maternal overweight and obesity, Utah 1991-2001
复制标题
DOI：
10.1016/j.ajog.2004.11.034
复制
发表时间：
2005-03-01
影响因子：
9.8
通讯作者：
Varner, MW
中科院分区：
文献类型：
--
作者：
LaCoursiere, DY;Bloebaum, L;Varner, MW
目的：本研究旨在确定最近以人群为基础的孕产妇超重和肥胖趋势及其不良后果。研究设计：对犹他州1991年至2001年间活产单胎妇女的出生证明数据进行回顾性队列研究。结果：孕前超重和肥胖从1991年的25.1%增加到2001年的35.2%，增加了40.2%（患病率[PR] 1.40[1.37 ~ 1.43]），而产妇分娩时肥胖从28.7%增加到39.1%（患病率[PR] 1.36[1.33 ~ 1.39]），增加了36.2%。超重和肥胖妇女剖宫产的归因分数为0.388（0.369-0.407）。在全州范围内，2001年所有剖宫产的妇女中，七分之一是由于超重和肥胖。结论：这是第一个全州范围的孕产妇肥胖趋势分析，显示了孕产妇超重和肥胖的显著增加。超重和肥胖的女性剖腹产、先兆子痫、子痫、难产和巨大儿的风险增加，这些风险随着体重指数的上升而增加。(C) 2005爱思唯尔公司版权所有。
Objective: This study aims to identify recent population- based trends in maternal overweight and obesity and adverse outcomes.Study design: Statewide retrospective cohort study of birth certificate data for live singleton births to women in Utah between 1991 and 2001.Results: Prepregnancy overweight and obesity increased from 25.1% in 1991 to 35.2% in 2001, a 40.2% increase (prevalence ratio [PR] 1.40 [1.37-1.43]), whereas maternal obesity at delivery rose 36.2% from 28.7% to 39.1% (PR 1.36 [1.33-1.39]). The attributable fraction of cesarean delivery in overweight and obese women was 0.388 (0.369-0.407). Statewide, among all women having a cesarean delivery in 2001, 1 in 7 is attributable to overweight and obesity.Conclusion: This is the first state-wide analysis of maternal obesity trends demonstrating a significant increase in maternal overweight and obesity. Overweight and obese women are at increased risk of cesarean delivery, preeclampsia, eclampsia, dystocia, and macrosomia, risks that increase as the body mass index rises. (C) 2005 Elsevier Inc. All rights reserved.