Covariates of maternal overweight and obesity and the risk of adverse pregnancy outcomes: findings from a nationwide cross sectional survey
Covariates of maternal overweight and obesity and the risk of adverse pregnancy outcomes: findings from a nationwide cross sectional survey
复制标题
DOI：
10.1007/s10389-011-0477-4
复制
发表时间：
2012-08-01
影响因子：
1.8
通讯作者：
Agrawal, Sutapa
中科院分区：
文献类型：
--
作者：
Agrawal, Praween;Mishra, Vinod;Agrawal, Sutapa
背景/目标印度目前正在目睹肥胖流行病的快速增长。我们研究了超重和肥胖的协变量，以及超重和肥胖与印度北部成年已婚妇女不良妊娠结局之间的关系。研究对象/方法对1998-1999年进行的印度第二次全国家庭健康调查（NFHS-2）中包括的德里和旁遮普邦5 273名育龄已婚妇女（15-49岁）进行了分析。体重指数（BMI）被用来定义术语超重（25 = 30.0 kg/m(2)）。不良妊娠结局定义为流产或死产。采用二元和多项logistic回归方法估计超重和肥胖协变量的影响以及超重和肥胖对不良妊娠结局的影响。结果年龄、城市居住、媒体习惯、贫血状况和经济生活水平是印度女性超重和肥胖最重要的协变量。一项针对女性年龄的独立分析发现，媒体习惯和生活水平对老年女性（3049）来说是更重要的协变量，而对年轻女性（15-29）来说，居住地和教育程度是更重要的协变量。该研究还发现，年龄在15-29岁之间的超重和肥胖女性在其一生中更有可能经历不良妊娠结果（流产或死胎）。这种关系在老年妇女中没有观察到。结论本研究结果有助于确定人群，开展公共卫生运动，促进适当的饮食和有效的生活方式，以预防肥胖流行和相关的不良妊娠结局。
Background/Objectives India is currently witnessing a rapid growth in obesity epidemic. We examined the covariates of overweight and obesity and the association between overweight and obesity and adverse pregnancy outcomes among adult married women in northern India.Subjects/Methods The analysis is based on 5,273 evermarried women of reproductive age (15-49) in the states of Delhi and Punjab, included in India's second National Family Health Survey (NFHS-2), conducted in 1998-1999. Body mass index (BMI) was used to define the terms overweight (25 = 30.0 kg/m(2)). Adverse pregnancy outcome was defined as a miscarriage or stillbirth. Binary and multinomial logistic regression methods were used to estimate the effects of the covariates ofn overweight and obesity and effects of overweight and obesity on adverse pregnancy outcomes.Results Age, urban residence, media habits, anemia status, and economic living standard are most important covariates of overweight and obesity among women in India. A separate analysis by women's age finds that media habits and living standard are more important covariates for older women (3049), whereas place of residence and education are more important covariates for younger women (15-29). The study also finds that overweight and obese women age 15-29 are significantly more likely to have experienced adverse pregnancy outcome (miscarriage or a stillbirth) in their lifetime. This relationship is not observed among older women.Conclusions The results are useful in identifying population groups for public health campaigns to promote appropriate diets and effective lifestyles to prevent the obesity epidemic and associated adverse pregnancy outcomes.