Taha Zainab, Hassan Ahmed Ali, Papandreou Dimitrios
College of Natural and Health Sciences, Zayed University, Abu Dhabi, United Arab Emirates.
Abu Dhabi Public Health Centre, Abu Dhabi, United Arab Emirates.
Front Glob Womens Health. 2022 Sep 13;3:893808. doi: 10.3389/fgwh.2022.893808. eCollection 2022.
Pre-pregnancy obesity is a risk factor for several health problems such as gestational diabetes, preeclampsia, labor induction, postpartum hemorrhage, and neonatal hypoglycemia. Being underweight is a risk factor for fetal growth restriction. Despite the negative impact of abnormal pre-pregnancy body mass index (BMI) (over and underweight) on pregnancy outcomes, a limited amount of studies has been conducted on the prevalence of pre-pregnancy over and underweight and associated factors in the United Arab Emirates (UAE). Thus, the aim of this study was to investigate the prevalence and factors associated with underweight, overweight, and obesity among mothers with children under the age of 2 years in Abu Dhabi, the UAE. A cross-sectional multicenter study was conducted in 2017 and included data from seven government health care centers in Abu Dhabi. Maternal pre-pregnancy BMI was calculated as the weight in kilograms (kg) divided by the square of the height in meters (m), (kg/m). A total of 1,622 mother-child pairs were included in this study. Out of the 1,622 mothers, 43 (2.7%) were underweight, 1,068 (65.8%) were normal weight, 412 (25.4%) were overweight, and 99 (6.1%) were obese. Mothers with advanced maternal age (AMA) (≥35 years) were more likely to be overweight, odds ratio [OR] = 1.93, (95% confidence interval [CI] 1.52-2.3), ≤ 0.001, and obese OR = 2.15 (95% CI 1.32-3.39), = 0.001. Mothers with lower family income were more likely to be obese OR = 2.72 (95% CI 1.44-5.93), = 0.002. Mothers with high parity (≥2) were more likely to be overweight OR = 1.91 (95% CI 1.49-2.50), ≤ 0.001; obese OR = 1.76 (95% CI 1.06-2.92), = 0.024; and less likely to be underweight OR = 0.52 (95% CI 0.27-0.94), = 0.037. Obese mothers were more likely to deliver via cesarean section (CS) OR = 1.95 (95% CI 1.27-2.96), = 0.002. This study provides valuable baseline information on the epidemiology of pre-pregnancy BMI in the UAE. The sociodemographic factors identified in the study can be used to target at-risk women. The study findings can also be used to develop contextualized strategies to prevent and manage complications associated with abnormal pre-pregnancy BMI in Emirati women.
孕前肥胖是多种健康问题的危险因素，如妊娠期糖尿病、先兆子痫、引产、产后出血和新生儿低血糖。体重过轻是胎儿生长受限的危险因素。尽管孕前体重指数（BMI）异常（超重和体重过轻）对妊娠结局有负面影响，但关于阿联酋（UAE）孕前超重和体重过轻的患病率及相关因素的研究较少。因此，本研究的目的是调查阿联酋阿布扎比2岁以下儿童母亲中体重过轻、超重和肥胖的患病率及相关因素。2017年进行了一项横断面多中心研究，纳入了阿布扎比七个政府医疗中心的数据。孕前母亲的BMI计算方法为体重（千克，kg）除以身高（米，m）的平方，即kg/m²。本研究共纳入1622对母婴。在1622名母亲中，43名（2.7%）体重过轻，1068名（65.8%）体重正常，412名（25.4%）超重，99名（6.1%）肥胖。高龄产妇（≥35岁）的母亲超重的可能性更大，比值比[OR]=1.93，（95%置信区间[CI]1.52 - 2.3），P≤0.001，肥胖的OR = 2.15（95%CI 1.32 - 3.39），P = 0.001。家庭收入较低的母亲肥胖的可能性更大，OR = 2.72（95%CI 1.44 - 5.93），P = 0.002。多胎妊娠（≥2次）的母亲超重的可能性更大，OR = 1.91（95%CI 1.49 - 2.50），P≤0.001；肥胖的OR = 1.76（95%CI 1.06 - 2.92），P = 0.024；体重过轻的可能性较小，OR = 0.52（95%CI 0.27 - 0.94），P = 0.037。肥胖母亲剖宫产（CS）分娩的可能性更大，OR = 1.95（95%CI 1.27 - 2.96），P = 0.002。本研究提供了关于阿联酋孕前BMI流行病学的宝贵基线信息。研究中确定的社会人口学因素可用于针对高危女性。研究结果还可用于制定情境化策略，以预防和管理阿联酋女性孕前BMI异常相关的并发症。
