The Neglected Problem of Obesity during Pregnancy in Mexico: Secondary Data Analysis of the 2018 National Survey of Health and Nutrition.

Tytuł:: The Neglected Problem of Obesity during Pregnancy in Mexico: Secondary Data Analysis of the 2018 National Survey of Health and Nutrition.
Autorzy:: Doubova SV; Epidemiology and Health Services Research Unit CMN Siglo XXI, Mexican Institute of Social Security, Av Cuauhtémoc 330. Col. Doctores, 06720, Mexico City, Mexico. .
Ortiz-Panozo E; Center for Population Health Research, National Institute of Public Health, Avenida Universidad 655, Santa María Ahuacatitlán, 62100, Cuernavaca, Morelos, Mexico.
Pérez-Cuevas R; Division of Social Protection and Health, Jamaica Country Office, Interamerican Development Bank, 6 Montrose Ave, Kingston 6, Kingston, Jamaica.
Źródło:: Maternal and child health journal [Matern Child Health J] 2023 Jan; Vol. 27 (1), pp. 70-81. Date of Electronic Publication: 2022 Oct 06.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: 1999- : New York, NY : Kluwer Academic/Plenum Publishers
Original Publication: New York : Plenum Press, c1997-
MeSH Terms:: Secondary Data Analysis*
Pregnancy Complications*/epidemiology
Pregnancy Complications*/etiology
Female ; Pregnancy ; Humans ; Mexico/epidemiology ; Obesity/complications ; Obesity/epidemiology ; Nutritional Status ; Live Birth
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Contributed Indexing:: Keywords: Antenatal care; Mexico; Obesity; Pregnancy complications
Entry Date(s):: Date Created: 20221006 Date Completed: 20230124 Latest Revision: 20230201
Update Code:: 20240105
DOI:: 10.1007/s10995-022-03504-4
PMID:: 36201120
: Czasopismo naukowe

Pełny tekst

Objectives: To compare sociodemographic and clinical characteristics among obese and non-obese women in Mexico and analyze the association between obesity and pregnancy complications.
Methods: We conducted a secondary data analysis of the 2018-2019 Mexican National Survey of Health and Nutrition. We included women aged 20-49 years who had at least one live birth in the five years preceding the survey (n = 1573). We performed a double-weighted (by IP-weights and survey-weights) multilevel multiple logistic regression analysis.
Results: Obesity was prevalent in 32% of pregnant women. Obese and non-obese women received similar antenatal care. 42.6% of obese women, compared to 33.6% of non-obese had one or more pregnancy or labor complications. Compared with non-obese women, obese women were older and had more chronic diseases. Obesity was associated with a 48% increase in the probability of complications.
Conclusion: Due to the high prevalence of obesity among Mexican women of reproductive age and given the independent association between obesity and complications during pregnancy and labor, the development and implementation of specific clinical guidelines on weight management before conception, during pregnancy, and post-partum for women who are obese is an unmet need in Mexico.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

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