Adeoye Ikeola A, Bamgboye Elijah A, Omigbodun Akinyinka O
Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Consortium of Advanced Research for Africa (CARTA), Nairobi, Kenya.
Sci Rep. 2025 Apr 1;15(1):11129. doi: 10.1038/s41598-025-90079-z.
Maternal obesity is a neglected but modifiable maternal health threat in Nigeria associated with adverse pregnancy outcomes. We investigated maternal obesity, lifestyle factors, and pregnancy outcomes in Ibadan, Nigeria. We used the Ibadan Pregnancy Studtudy (IbPCS) data. Maternal obesity (BMI ≥ 30.0 kg/m) was the primary outcome variable, and pregnancy outcomes were secondary. Information on lifestyle characteristics, i.e. diet and physical activity in pregnancy, were obtained using standardised instruments. We constructed bivariate, multivariate logistic and Poisson models at < 0.05 significance. The prevalence of maternal obesity was 19.3%: 95% CI (17.5 - 21.3). Maternal age, parity and income were associated (p < 0.05) with maternal obesity. Regular physical activity was associated with decreased odds of maternal obesity. Maternal obesity was directly related to experiencing any adverse pregnancy outcome by twofold [Adjusted Odds Ratio: 1.87, 95% CI (1.36 - 2.57). The relative risk (RR) of macrosomia: RR 1.83, 95% CI (1.08 - 3.08)], caesarean section: [RR: 1.41, 95% CI (1.09 - 1.81)], and birth asphyxia at 1 min [RR: 1.50, 95% CI (1.01 - 2.37)], GDM [RR 1.74 (95% CI): (1.15 - 2.62). Maternal obesity is prevalent in Ibadan and increases the risk of adverse perinatal events. Maternal services should emphasise physical activity and a healthy diet to reduce maternal obesity.
在尼日利亚，孕产妇肥胖是一个被忽视但可改变的孕产妇健康威胁，与不良妊娠结局相关。我们在尼日利亚伊巴丹调查了孕产妇肥胖、生活方式因素和妊娠结局。我们使用了伊巴丹妊娠研究（IbPCS）的数据。孕产妇肥胖（BMI≥30.0kg/m）是主要结局变量，妊娠结局是次要变量。使用标准化工具获取了关于生活方式特征的信息，即孕期饮食和身体活动情况。我们构建了双变量、多变量逻辑回归和泊松模型，显著性水平为<0.05。孕产妇肥胖的患病率为19.3%：95%置信区间（17.5 - 21.3）。孕产妇年龄、产次和收入与孕产妇肥胖相关（p<0.05）。规律的身体活动与孕产妇肥胖几率降低相关。孕产妇肥胖与发生任何不良妊娠结局直接相关，风险增加两倍[调整后的优势比：1.87，95%置信区间（1.36 - 2.57）]。巨大儿的相对风险（RR）：RR 1.83，95%置信区间（1.08 - 3.08），剖宫产：[RR：1.41，95%置信区间（1.09 - 1.81）]，以及1分钟时的新生儿窒息[RR：1.50，95%置信区间（1.01 - 2.37）]，妊娠期糖尿病[RR 1.74（95%置信区间）：（1.15 - 2.62）]。孕产妇肥胖在伊巴丹很普遍，并增加了围产期不良事件的风险。孕产妇服务应强调身体活动和健康饮食，以减少孕产妇肥胖。
