Skip to main content
Erschienen in: Journal of Community Health 2/2013

01.04.2013 | Original Paper

Knowledge of Obesity and Its Impact on Reproductive Health Outcomes Among Urban Women

verfasst von: Eden R. Cardozo, Tanaka J. Dune, Lisa M. Neff, Maureen E. Brocks, Geraldine E. Ekpo, Randall B. Barnes, Erica E. Marsh

Erschienen in: Journal of Community Health | Ausgabe 2/2013

Einloggen, um Zugang zu erhalten

Abstract

This prospective survey study assessed the knowledge of reproductive outcomes that are affected by obesity among women in an urban community. A total of 207 women attending a community fair on the south side of Chicago participated in the study. A survey assessing knowledge of BMI and of the effects of obesity on general, cardiometabolic and reproductive health outcomes was administered. Subjects ranged in age from 18 to 70 years (mean ± SD, 48.6 ± 12.9 years) and ranged in BMI from 17.3 to 52.1 kg/m2 (mean ± SD, 31.2 ± 6.7 kg/m2). The following percentages of women were aware that obesity increases the risk of miscarriage (37.5 %), irregular periods (35.8 %), infertility (33.9 %), cesarean section (30.8 %), breast cancer (28.0 %), birth defects (23.7 %), stillbirth (14.1 %), and endometrial cancer (18.1 %). This study found that while women in an urban community are aware of the cardiometabolic risks associated with obesity, they demonstrate limited knowledge of the effects of obesity on reproductive outcomes. Public education is needed to increase knowledge and awareness of the reproductive consequences of obesity. Women of reproductive age may be uniquely responsive to obesity education and weight loss intervention.
Literatur
2.
Zurück zum Zitat Siega-Riz, A. M., & King, J. C. (2009). Position of the American Dietetic Association and American Society for Nutrition: Obesity, reproduction, and pregnancy outcomes. Journal of the American Dietetic Association, 109(5), 918–927.PubMedCrossRef Siega-Riz, A. M., & King, J. C. (2009). Position of the American Dietetic Association and American Society for Nutrition: Obesity, reproduction, and pregnancy outcomes. Journal of the American Dietetic Association, 109(5), 918–927.PubMedCrossRef
4.
Zurück zum Zitat Ballard-Barbash, R., & Swanson, C. A. (1996). Body weight: Estimation of risk for breast and endometrial cancers. The American Journal of Clinical Nutrition, 63(3 Suppl), 437S–441S.PubMed Ballard-Barbash, R., & Swanson, C. A. (1996). Body weight: Estimation of risk for breast and endometrial cancers. The American Journal of Clinical Nutrition, 63(3 Suppl), 437S–441S.PubMed
5.
Zurück zum Zitat Modesitt, S. C., & van Nagell, J. R., Jr. (2005). The impact of obesity on the incidence and treatment of gynecologic cancers: A review. Obstetrical & Gynecological Survey, 60(10), 683–692.CrossRef Modesitt, S. C., & van Nagell, J. R., Jr. (2005). The impact of obesity on the incidence and treatment of gynecologic cancers: A review. Obstetrical & Gynecological Survey, 60(10), 683–692.CrossRef
8.
9.
Zurück zum Zitat Marsh, E., & Barnes, R. (2008). Obesity and conception. In M. Rees, M. Karoshi, & L. Keith (Eds.), Obesity and pregnancy (pp. 78–88). London, UK: Royal Society of Medicine Press Ltd. Marsh, E., & Barnes, R. (2008). Obesity and conception. In M. Rees, M. Karoshi, & L. Keith (Eds.), Obesity and pregnancy (pp. 78–88). London, UK: Royal Society of Medicine Press Ltd.
10.
Zurück zum Zitat Rich-Edwards, J. W., Goldman, M. B., Willett, W. C., et al. (1994). Adolescent body mass index and infertility caused by ovulatory disorder. American Journal of Obstetrics and Gynecology, 171(1), 171–177.PubMed Rich-Edwards, J. W., Goldman, M. B., Willett, W. C., et al. (1994). Adolescent body mass index and infertility caused by ovulatory disorder. American Journal of Obstetrics and Gynecology, 171(1), 171–177.PubMed
11.
Zurück zum Zitat Wang, X., Chen, C., Wang, L., Chen, D., Guang, W., & French, J. (2003). Conception, early pregnancy loss, and time to clinical pregnancy: A population-based prospective study. Fertility and Sterility, 79(3), 577–584.PubMedCrossRef Wang, X., Chen, C., Wang, L., Chen, D., Guang, W., & French, J. (2003). Conception, early pregnancy loss, and time to clinical pregnancy: A population-based prospective study. Fertility and Sterility, 79(3), 577–584.PubMedCrossRef
14.
Zurück zum Zitat Stothard, K. J., Tennant, P. W., Bell, R., & Rankin, J. (2009). Maternal overweight and obesity and the risk of congenital anomalies: A systematic review and meta-analysis. JAMA, 301(6), 636–650. doi:10.1001/jama.2009.113.PubMedCrossRef Stothard, K. J., Tennant, P. W., Bell, R., & Rankin, J. (2009). Maternal overweight and obesity and the risk of congenital anomalies: A systematic review and meta-analysis. JAMA, 301(6), 636–650. doi:10.​1001/​jama.​2009.​113.PubMedCrossRef
15.
Zurück zum Zitat Poobalan, A. S., Aucott, L. S., Gurung, T., Smith, W. C., & Bhattacharya, S. (2009). Obesity as an independent risk factor for elective and emergency caesarean delivery in nulliparous women–systematic review and meta-analysis of cohort studies. Obesity Reviews, 10(1), 28–35. doi:10.1111/j.1467-789X.2008.00537.x.PubMedCrossRef Poobalan, A. S., Aucott, L. S., Gurung, T., Smith, W. C., & Bhattacharya, S. (2009). Obesity as an independent risk factor for elective and emergency caesarean delivery in nulliparous women–systematic review and meta-analysis of cohort studies. Obesity Reviews, 10(1), 28–35. doi:10.​1111/​j.​1467-789X.​2008.​00537.​x.PubMedCrossRef
17.
Zurück zum Zitat Jungheim, E. S., Schoeller, E. L., Marquard, K. L., Louden, E. D., Schaffer, J. E., & Moley, K. H. (2010). Diet-induced obesity model: Abnormal oocytes and persistent growth abnormalities in the offspring. Endocrinology, 151(8), 4039–4046. doi:10.1210/en.2010-0098.PubMedCrossRef Jungheim, E. S., Schoeller, E. L., Marquard, K. L., Louden, E. D., Schaffer, J. E., & Moley, K. H. (2010). Diet-induced obesity model: Abnormal oocytes and persistent growth abnormalities in the offspring. Endocrinology, 151(8), 4039–4046. doi:10.​1210/​en.​2010-0098.PubMedCrossRef
18.
Zurück zum Zitat Li, M., Sloboda, D. M., & Vickers, M. H. (2011). Maternal obesity and developmental programming of metabolic disorders in offspring: Evidence from animal models. Experimental Diabetes Research, 2011, 592408. doi:10.1155/2011/592408.PubMedCrossRef Li, M., Sloboda, D. M., & Vickers, M. H. (2011). Maternal obesity and developmental programming of metabolic disorders in offspring: Evidence from animal models. Experimental Diabetes Research, 2011, 592408. doi:10.​1155/​2011/​592408.PubMedCrossRef
19.
Zurück zum Zitat Smith, J., Cianflone, K., Biron, S., et al. (2009). Effects of maternal surgical weight loss in mothers on intergenerational transmission of obesity. Journal of Clinical Endocrinology and Metabolism, 94(11), 4275–4283. doi:10.1210/jc.2009-0709.PubMedCrossRef Smith, J., Cianflone, K., Biron, S., et al. (2009). Effects of maternal surgical weight loss in mothers on intergenerational transmission of obesity. Journal of Clinical Endocrinology and Metabolism, 94(11), 4275–4283. doi:10.​1210/​jc.​2009-0709.PubMedCrossRef
20.
Zurück zum Zitat Whitaker, R. C. (2004). Predicting preschooler obesity at birth: The role of maternal obesity in early pregnancy. Pediatrics, 114(1), e29–e36.PubMedCrossRef Whitaker, R. C. (2004). Predicting preschooler obesity at birth: The role of maternal obesity in early pregnancy. Pediatrics, 114(1), e29–e36.PubMedCrossRef
21.
Zurück zum Zitat D’Angelo, D., Williams, L., Morrow, B., et al. (2007). Preconception and interconception health status of women who recently gave birth to a live-born infant–Pregnancy Risk Assessment Monitoring System (PRAMS), United States, 26 reporting areas, 2004. MMWR Surveillance Summary, 56(10), 1–35. D’Angelo, D., Williams, L., Morrow, B., et al. (2007). Preconception and interconception health status of women who recently gave birth to a live-born infant–Pregnancy Risk Assessment Monitoring System (PRAMS), United States, 26 reporting areas, 2004. MMWR Surveillance Summary, 56(10), 1–35.
24.
Zurück zum Zitat Dekker, N. M., Foxcroft, K. F., Lust, K., Fagermo, N., Lawlor, D. A., O'Callaghan, M., Mcintyre, H. D., & Callaway, L. K. (2011). Overweight and obesity knowledge prior to pregnancy: A survey study. BMC Pregnancy and Childbirth 11(1):96. doi:10.1186/1471-2393-11-96. Dekker, N. M., Foxcroft, K. F., Lust, K., Fagermo, N., Lawlor, D. A., O'Callaghan, M., Mcintyre, H. D., & Callaway, L. K. (2011). Overweight and obesity knowledge prior to pregnancy: A survey study. BMC Pregnancy and Childbirth 11(1):96. doi:10.​1186/​1471-2393-11-96.
25.
Zurück zum Zitat Ogden, C. L., Lamb, M. M., Carroll, M. D., & Flegal, K. M. (2010). Obesity and socioeconomic status in adults: United States, 2005–2008. NCHS Data Brief, 50, 1–8.PubMed Ogden, C. L., Lamb, M. M., Carroll, M. D., & Flegal, K. M. (2010). Obesity and socioeconomic status in adults: United States, 2005–2008. NCHS Data Brief, 50, 1–8.PubMed
26.
Zurück zum Zitat Phares, T. M., Morrow, B., Lansky, A., et al. (2004). Surveillance for disparities in maternal health-related behaviors–selected states, pregnancy risk assessment monitoring system (PRAMS), 2000–2001. MMWR Surveillance Summary, 53(4), 1–13. Phares, T. M., Morrow, B., Lansky, A., et al. (2004). Surveillance for disparities in maternal health-related behaviors–selected states, pregnancy risk assessment monitoring system (PRAMS), 2000–2001. MMWR Surveillance Summary, 53(4), 1–13.
27.
Zurück zum Zitat Suellentrop, K., Morrow, B., Williams, L., & D’Angelo, D. (2006). Monitoring progress toward achieving maternal and infant healthy people 2010 objectives–19 states, pregnancy risk assessment monitoring system (PRAMS), 2000–2003. MMWR Surveillance Summary, 55(9), 1–11. Suellentrop, K., Morrow, B., Williams, L., & D’Angelo, D. (2006). Monitoring progress toward achieving maternal and infant healthy people 2010 objectives–19 states, pregnancy risk assessment monitoring system (PRAMS), 2000–2003. MMWR Surveillance Summary, 55(9), 1–11.
28.
Zurück zum Zitat Chew, L. D., Griffin, J. M., Partin, M. R., et al. (2008). Validation of screening questions for limited health literacy in a large VA outpatient population. Journal of General Internal Medicine, 23(5), 561–566. doi:10.1007/s11606-008-0520-5.PubMedCrossRef Chew, L. D., Griffin, J. M., Partin, M. R., et al. (2008). Validation of screening questions for limited health literacy in a large VA outpatient population. Journal of General Internal Medicine, 23(5), 561–566. doi:10.​1007/​s11606-008-0520-5.PubMedCrossRef
35.
Zurück zum Zitat Callaway, L. K., O’Callaghan, M. J., & McIntyre, H. D. (2009). Barriers to addressing overweight and obesity before conception. The Medical journal of Australia, 191(8), 425–428.PubMed Callaway, L. K., O’Callaghan, M. J., & McIntyre, H. D. (2009). Barriers to addressing overweight and obesity before conception. The Medical journal of Australia, 191(8), 425–428.PubMed
Metadaten
Titel
Knowledge of Obesity and Its Impact on Reproductive Health Outcomes Among Urban Women
verfasst von
Eden R. Cardozo
Tanaka J. Dune
Lisa M. Neff
Maureen E. Brocks
Geraldine E. Ekpo
Randall B. Barnes
Erica E. Marsh
Publikationsdatum
01.04.2013
Verlag
Springer US
Erschienen in
Journal of Community Health / Ausgabe 2/2013
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-012-9609-1

Weitere Artikel der Ausgabe 2/2013

Journal of Community Health 2/2013 Zur Ausgabe