Ali Elrazi A, Almugabil Abdelmageed, Salim Ala, Rayis Duria A, Adam Ishag
Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
Faculty of Medicine, El Imam El Mahdi University, Kosti, Sudan.
Int J Gynaecol Obstet. 2017 Sep;138(3):320-324. doi: 10.1002/ijgo.12222. Epub 2017 Jun 17.
To determine the effect of interpregnancy interval (IPI) on obesity/overweight among pregnant Sudanese women in early pregnancy.
A cross-sectional study was conducted at Saad Abu-Alela Hospital, Khartoum, Sudan, from January to December 2015. Women with a singleton pregnancy and at least one previous pregnancy were enrolled in the first trimester. A questionnaire was used to collect clinical and sociodemographic data from the participants, and current body mass index (BMI) was calculated as weight in kilograms divided by the square of height in meters.
Among 1045 participants, 344 (32.9%), 424 (40.6%), and 277 (26.5%) women had short (<18 months), normal (18-30 months), and long IPIs (>30 months), respectively. BMI indicated 18 (1.7%), 408 (39.0%), 381 (36.5%), and 238 (22.8%) women were underweight (<18.5), normal weight (18.5-24.9), overweight (25.0-29.9), and obese (≥30.0), respectively. Age and proportion using contraceptives were increased among women with long IPI (both P<0.001). When compared with women of normal weight, overweight women and obese women were more likely to have a long IPI (odds ratio 1.72, 95% confidence interval 1.08-2.93; and 1.71, 1.05-2.94, respectively).
Long IPI was associated with obesity and overweight, which were prevalent among pregnant Sudanese women.
确定妊娠间隔（IPI）对苏丹早孕女性肥胖/超重情况的影响。
2015年1月至12月在苏丹喀土穆的萨阿德·阿布-阿莱拉医院开展了一项横断面研究。单胎妊娠且既往至少有过一次妊娠的女性在孕早期入组。采用问卷调查收集参与者的临床和社会人口学数据，并计算当前体重指数（BMI），即体重（千克）除以身高（米）的平方。
在1045名参与者中，分别有344名（32.9%）、424名（40.6%）和277名（26.5%）女性的妊娠间隔短（<18个月）、正常（18 - 30个月）和长（>30个月）。BMI显示，分别有18名（1.7%）、408名（39.0%）、381名（36.5%）和238名（22.8%）女性体重过轻（<18.5）、体重正常（18.5 - 24.9）、超重（25.0 - 29.9）和肥胖（≥30.0）。妊娠间隔长的女性年龄和使用避孕药具的比例均增加（均P<0.001）。与体重正常的女性相比，超重和肥胖女性更有可能妊娠间隔长（优势比分别为1.72，95%置信区间1.08 - 2.93；以及1.71，1.05 - 2.94）。
妊娠间隔长与肥胖和超重相关，这在苏丹孕妇中很普遍。
