Department of Medical Laboratory Science, College of Applied Medical Science, University of Ha'il, Ha'il 8227, Saudi Arabia.
Department of Diagnostic Radiology, College of Applied Medical Sciences, University of Ha'il, Ha'il 8227, Saudi Arabia.
Nutrients. 2023 Aug 9;15(16):3508. doi: 10.3390/nu15163508.
The level of association between hemoglobin level/anemia and obesity during pregnancy is not yet fully understood. A cross-sectional study was conducted in Hail Maternity Hospital in northern Saudi Arabia from March to May 2023 to assess the associations between hemoglobin levels, anemia, and obesity among pregnant women. Reproductive history was gathered through a questionnaire. Body mass index (BMI) was calculated/computed from the women's weight and height. Linear and binary regression analyses were performed. A total of 334 pregnant women were enrolled. The median (interquartile range (IQR)) age and parity were 33.2 (27.4-37.8) years and 3 (1-5), respectively. Of the 334 women, 52 (15.6%) were normal weight, while 87 (26.0%) were overweight and 195 (58.4%) were obese. In the multiple linear regression, parity (coefficient = -0.121, = 0.001) and BMI (coefficient = 0.030, = 0.006) were negatively associated with the hemoglobin level. Ninety-nine (26.9%) women had anemia. In the multivariate analysis, primiparity (adjusted odds ratio (AOR) = 0.54, 95% confidence interval (CI) = 0.30-0.97), increasing BMI (AOR = 0.93, 95% CI = 0.89-0.97), and obesity (AOR = 0.31, 95% CI = 0.16-0.61) were associated with decreased ORs of anemia. Increasing parity was associated with increased ORs of anemia (AOR = 1.18, 95% CI = 1.05-1.32). Being overweight was not associated with anemia (AOR = 0.56, 95% CI = 0.27-1.16). In the current study, a high hemoglobin level and lower prevalence of anemia were observed among obese pregnant women.
怀孕期间血红蛋白水平/贫血与肥胖之间的关联程度尚不完全清楚。2023 年 3 月至 5 月，在沙特阿拉伯北部的海尔妇产医院进行了一项横断面研究，以评估孕妇血红蛋白水平、贫血与肥胖之间的关系。通过问卷收集了生殖史。体重指数（BMI）由女性的体重和身高计算得出。进行了线性和二元回归分析。共纳入 334 名孕妇。中位数（四分位距（IQR））年龄和产次分别为 33.2（27.4-37.8）岁和 3（1-5）。在 334 名女性中，52 名（15.6%）为正常体重，87 名（26.0%）为超重，195 名（58.4%）为肥胖。在多元线性回归中，产次（系数=-0.121， =0.001）和 BMI（系数=0.030， =0.006）与血红蛋白水平呈负相关。99 名（26.9%）女性患有贫血。在多变量分析中，初产妇（调整优势比（AOR）=0.54，95%置信区间（CI）=0.30-0.97）、BMI 增加（AOR=0.93，95%CI=0.89-0.97）和肥胖（AOR=0.31，95%CI=0.16-0.61）与贫血的降低 OR 相关。产次增加与贫血的 OR 增加相关（AOR=1.18，95%CI=1.05-1.32）。超重与贫血无关（AOR=0.56，95%CI=0.27-1.16）。在当前研究中，肥胖孕妇的血红蛋白水平较高，贫血患病率较低。
