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Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study
OBJECTIVE: To examine ethnic disparities in maternal prepregnancy obesity and gestational weight gain, and to examine to which extent these differences can be explained by socio-demographic, lifestyle and pregnancy related characteristics. METHODS: In a multi-ethnic population-based prospective coho...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5408938/ https://www.ncbi.nlm.nih.gov/pubmed/26232727 http://dx.doi.org/10.1016/j.ejogrb.2015.06.031 |
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author | Bahadoer, Sunayna Gaillard, Romy Felix, Janine F. Raat, Hein Renders, Carry M. Hofman, Albert Steegers, Eric A.P. Jaddoe, Vincent W.V. |
author_facet | Bahadoer, Sunayna Gaillard, Romy Felix, Janine F. Raat, Hein Renders, Carry M. Hofman, Albert Steegers, Eric A.P. Jaddoe, Vincent W.V. |
author_sort | Bahadoer, Sunayna |
collection | PubMed |
description | OBJECTIVE: To examine ethnic disparities in maternal prepregnancy obesity and gestational weight gain, and to examine to which extent these differences can be explained by socio-demographic, lifestyle and pregnancy related characteristics. METHODS: In a multi-ethnic population-based prospective cohort study among 6,444 pregnant women in Rotterdam, the Netherlands, maternal anthropometrics were repeatedly measured throughout pregnancy. Ethnicity, socio-demographic, lifestyle and pregnancy related characteristics were assessed by physical examinations and questionnaires. RESULTS: The prevalence of prepregnancy overweight and obesity was 23.1% among Dutch-origin women. Statistically higher prevalences were observed among Dutch Antillean-origin (40.8%), Moroccan-origin (49.9%), Surinamese-Creole-origin (38.6%) and Turkish-origin (41.1%) women (all p-values <0.05). Only Dutch Antillean-origin, Moroccan-origin, Surinamese-Creole-origin and Turkish-origin women had higher risks of maternal prepregnancy overweight and obesity as compared to Dutch-origin women (p-values <0.05). Socio-demographic and lifestyle related characteristics explained up to 45% of the ethnic differences in body mass index. Compared to Dutch-origin women, total gestational weight gain was lower in all ethnic minority groups, except for Cape Verdean-origin and Surinamese-Creole-origin women (p-values <0.05). Lifestyle and pregnancy related characteristics explained up to 33% and 40% of these associations, respectively. The largest ethnic differences in gestational weight gain were observed in late pregnancy. CONCLUSION: We observed moderate ethnic differences in maternal prepregnancy overweight, obesity and gestational weight gain. Socio-demographic, lifestyle and pregnancy related characteristics partly explained these differences. Whether these differences also lead to ethnic differences in maternal and childhood outcomes should be further studied. |
format | Online Article Text |
id | pubmed-5408938 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
record_format | MEDLINE/PubMed |
spelling | pubmed-54089382017-04-28 Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study Bahadoer, Sunayna Gaillard, Romy Felix, Janine F. Raat, Hein Renders, Carry M. Hofman, Albert Steegers, Eric A.P. Jaddoe, Vincent W.V. Eur J Obstet Gynecol Reprod Biol Article OBJECTIVE: To examine ethnic disparities in maternal prepregnancy obesity and gestational weight gain, and to examine to which extent these differences can be explained by socio-demographic, lifestyle and pregnancy related characteristics. METHODS: In a multi-ethnic population-based prospective cohort study among 6,444 pregnant women in Rotterdam, the Netherlands, maternal anthropometrics were repeatedly measured throughout pregnancy. Ethnicity, socio-demographic, lifestyle and pregnancy related characteristics were assessed by physical examinations and questionnaires. RESULTS: The prevalence of prepregnancy overweight and obesity was 23.1% among Dutch-origin women. Statistically higher prevalences were observed among Dutch Antillean-origin (40.8%), Moroccan-origin (49.9%), Surinamese-Creole-origin (38.6%) and Turkish-origin (41.1%) women (all p-values <0.05). Only Dutch Antillean-origin, Moroccan-origin, Surinamese-Creole-origin and Turkish-origin women had higher risks of maternal prepregnancy overweight and obesity as compared to Dutch-origin women (p-values <0.05). Socio-demographic and lifestyle related characteristics explained up to 45% of the ethnic differences in body mass index. Compared to Dutch-origin women, total gestational weight gain was lower in all ethnic minority groups, except for Cape Verdean-origin and Surinamese-Creole-origin women (p-values <0.05). Lifestyle and pregnancy related characteristics explained up to 33% and 40% of these associations, respectively. The largest ethnic differences in gestational weight gain were observed in late pregnancy. CONCLUSION: We observed moderate ethnic differences in maternal prepregnancy overweight, obesity and gestational weight gain. Socio-demographic, lifestyle and pregnancy related characteristics partly explained these differences. Whether these differences also lead to ethnic differences in maternal and childhood outcomes should be further studied. 2015-07-08 2015-10 /pmc/articles/PMC5408938/ /pubmed/26232727 http://dx.doi.org/10.1016/j.ejogrb.2015.06.031 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Article Bahadoer, Sunayna Gaillard, Romy Felix, Janine F. Raat, Hein Renders, Carry M. Hofman, Albert Steegers, Eric A.P. Jaddoe, Vincent W.V. Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study |
title | Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study |
title_full | Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study |
title_fullStr | Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study |
title_full_unstemmed | Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study |
title_short | Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study |
title_sort | ethnic disparities in maternal obesity and weight gain during pregnancy. the generation r study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5408938/ https://www.ncbi.nlm.nih.gov/pubmed/26232727 http://dx.doi.org/10.1016/j.ejogrb.2015.06.031 |
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