Prevalence of Obesity in a Saudi Obstetric Population

El‐Gilany, Abdel‐Hady; El-Wehady, Adel

doi:10.1159/000226597

Cited by 16 publications

(31 citation statements)

References 14 publications

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“…The prevalence of maternal obesity in this study was 44% which is higher than that reported for Saudi obstetrics population but similar to at risk population of over weight and obese mothers from the same report [4]. Marked increase in the prevalence of maternal obesity in the last decade was reported from other developed countries and the region [6,37].…”

Section: Discussionsupporting

confidence: 83%

The independent effects of maternal obesity and gestational diabetes on the pregnancy outcomes

et al. 2014

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BackgroundObesity and gestational diabetes (GDM) in pregnancy are recognized risk factors for adverse outcomes, including cesarean section (CS), macrosomia and preeclampsia. The aim of this study was to investigate the independent effect of GDM and obesity on the adverse pregnancy outcomes at term.MethodsA retrospective cohort of postpartum women, in King Khalid University Hospital, were stratified according to body mass index (obese ≥30 kg/m2, non-obese <30 kg/m2) and the results of GDM screening into the following groups, women with no obesity and no GDM (reference group), women with no obesity but with GDM, women with obesity but no GDM and women with both GDM and obesity. Adverse pregnancy outcomes included high birth weight, macrosomia, CS delivery and preeclampsia. Multiple logistic regression used to examine independent associations of GDM and obesity with macrosomia and CS.Results2701 women were included, 44% of them were obese and 15% had GDM. 63% of the women with GDM were obese. There was significant increase in the percentage of macrosomia, P < 0.001, high birth weight, P < 0.001, CS, P < 0.001 and preeclampsia, P < 0.001 in women with GDM and obesity compared to the reference group. Obesity increased the estimated risk of CS delivery, odds ratio (OR) 2.16, confidence intervals (CI) 1.74-2.67. The combination of GDM and obesity increased the risk of macrosomia OR 3.45, CI 2.05-5.81 and the risk of CS delivery OR 2.26, CI 1.65-3.11.ConclusionMaternal obesity and GDM were independently associated with adverse pregnancy outcomes. The combination of both conditions further increase the risk.

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Section: Discussionsupporting

confidence: 83%

The independent effects of maternal obesity and gestational diabetes on the pregnancy outcomes

et al. 2014

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“…Of the 1089 women, 791 were included in the study. Details on the calculation of sample size and sampling methodology, as well as the exclusion criteria applied and causes for refusal to participate, have been reported in a previous article on the prevalence of obesity in this group of women 16. The women were followed up during their routine antenatal visits.…”

Section: Methodsmentioning

confidence: 99%

Body mass index and obstetric outcomes in Saudi Arabia: a prospective cohort study

El‐Gilany

Hammad

2010

Annals of Saudi Medicine

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BACKGROUND AND OBJECTIVES:We examined the effect of body mass index in early pregnancy on pregnancy outcome since no study in Saudi Arabia has addressed this question.METHODS:This prospective cohort study involved women registered for antenatal care during the first month of pregnancy at primary health care centers in Al-Hassa, Saudi Arabia. Data was collected from records and by direct interview.RESULTS:The study included 787 women. Compared to normal weight women (n=307), overweight (n=187) and obese (n=226) women were at increased risk for pregnancy-induced hypertension (RR=4.9 [95% CI 1.6-11.1] and 6.1 [95% CI 2.1-17.8], respectively), gestational diabetes (RR=4.4 [95% CI 1.2-16.3] and 8.6 [95% CI 2.6-28.8]), preeclamptic toxemia (RR=3.8 [95% CI 1.1-14.6] and 5.9 [95% CI 1.7-20.4]), urinary tract infections (RR=1.4 [95% CI 0.5-3.9] and 3.7 [95% CI 1.7-6.2]), and cesarean delivery (RR=2.0 [95% CI 1.3-3.0] in obese women). Neonates born to obese women had an increased risk for postdate pregnancy (RR=3.7 [95% CI 1.2-11.6]), macrosomia (RR=6.8 [95% CI 1.5-30.7]), low 1-minute Apgar score (RR=1.9 [95% CI 1.1-3.6]), and admission to neonatal care units (RR=2.1 [95% CI 1.2-2.7]). On the other hand, low birth weight was less frequent among obese women (RR=0.5 [95% CI 0.3-0.9]) while the risk was high among underweight women (RR=2.3 [95% CI 1.4-3.8])CONCLUSION:Even with adequate prenatal care, overweight and obesity can adversely affect pregnancy outcomes.

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“…In a study on more than 9,000 adolescents, depression was able to induce obesity, whereas obesity did not increase the risk of depression [5]. In a meta-analysis in adults depression was linked to the manifestation of T2DM [6]. Thus depression seems to be a major driving force at the beginning of the disease.…”

Section: Diabetes Obesity and Depressionmentioning

confidence: 97%

“…El-Gilany (Egypt) and El-Wehady [6] analyzed the prevalence of obesity in a Saudi obstetric population. The authors undertook their study in light of the known association of obesity and a higher risk of complications during pregnancy and more frequent health problems in the offspring.…”

Section: On the Contents Of This Issuementioning

confidence: 99%