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Erschienen in: Maternal and Child Health Journal 5/2009

01.09.2009

Prepregnancy Obesity Prevalence in the United States, 2004–2005

verfasst von: Susan Y. Chu, Shin Y. Kim, Connie L. Bish

Erschienen in: Maternal and Child Health Journal | Ausgabe 5/2009

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Abstract

Objective To provide a current estimate of the prevalence of prepregnancy obesity in the United States. Methods We analyzed 2004–2005 data from 26 states and New York City (n = 75,403 women) participating in the Pregnancy Risk Assessment Monitoring System, an ongoing, population-based surveillance system that collects information on maternal behaviors associated with pregnancy. Information was obtained from questionnaires self-administered after delivery or from linked birth certificates; prepregnancy body mass index was based on self-reported weight and height. Data were weighted to provide representative estimates of all women delivering a live birth in each particular state. Results In this study, about one in five women who delivered were obese; in some state, race/ethnicity, and Medicaid status subgroups, the prevalence was as high as one-third. State-specific prevalence varied widely and ranged from 13.9 to 25.1%. Black women had an obesity prevalence about 70% higher than white and Hispanic women (black: 29.1%; white: 17.4%; Hispanic: 17.4%); however, these race-specific rates varied notably by location. Obesity prevalence was 50% higher among women whose delivery was paid for by Medicaid than by other means (e.g., private insurance, cash, HMO). Conclusion This prevalence makes maternal obesity and its resulting maternal morbidities (e.g., gestational diabetes mellitus) a common risk factor for a complicated pregnancy.
Literatur
1.
Zurück zum Zitat American College of Obstetricians and Gynecologists. (2005). ACOG Committee opinion number 315, September 2005. Obesity in pregnancy. Obstetrics and Gynecology, 106, 671–675. American College of Obstetricians and Gynecologists. (2005). ACOG Committee opinion number 315, September 2005. Obesity in pregnancy. Obstetrics and Gynecology, 106, 671–675.
5.
Zurück zum Zitat Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. Journal of the American Medical Association, 295, 1549–1555. doi:10.1001/jama.295.13.1549.PubMedCrossRef Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. Journal of the American Medical Association, 295, 1549–1555. doi:10.​1001/​jama.​295.​13.​1549.PubMedCrossRef
6.
Zurück zum Zitat LaCoursiere, D. Y., Bloebaum, L., Duncan, J. D., & Varner, M. W. (2005). Population-based trends and correlates of maternal overweight and obesity, Utah 1991–2001. American Journal of Obstetrics and Gynecology, 192(3), 832–839. doi:10.1016/j.ajog.2004.11.034.PubMedCrossRef LaCoursiere, D. Y., Bloebaum, L., Duncan, J. D., & Varner, M. W. (2005). Population-based trends and correlates of maternal overweight and obesity, Utah 1991–2001. American Journal of Obstetrics and Gynecology, 192(3), 832–839. doi:10.​1016/​j.​ajog.​2004.​11.​034.PubMedCrossRef
8.
Zurück zum Zitat Lu, G. C., Rouse, D. J., DuBard, M., Cliver, S., Kimberlin, D., & Hauth, J. C. (2001). The effect of the increasing prevalence of maternal obesity on perinatal morbidity. American Journal of Obstetrics and Gynecology, 185(4), 845–849. doi:10.1067/mob.2001.117351.PubMedCrossRef Lu, G. C., Rouse, D. J., DuBard, M., Cliver, S., Kimberlin, D., & Hauth, J. C. (2001). The effect of the increasing prevalence of maternal obesity on perinatal morbidity. American Journal of Obstetrics and Gynecology, 185(4), 845–849. doi:10.​1067/​mob.​2001.​117351.PubMedCrossRef
10.
Zurück zum Zitat Kim, S. Y., Dietz, P. M., England, L., Morrow, B., & Callaghan, W. M. (2007). Trends in prepregnancy obesity in nine states, 1993–2003. Obesity (Silver Spring, MD), 15, 968–973. Kim, S. Y., Dietz, P. M., England, L., Morrow, B., & Callaghan, W. M. (2007). Trends in prepregnancy obesity in nine states, 1993–2003. Obesity (Silver Spring, MD), 15, 968–973.
11.
Zurück zum Zitat Shulman, H. B., Colley-Gilbert, B. C., & Lansky, A. (2006). The Pregnancy Risk Assessment Monitoring System (PRAMS): Current methods and evaluation of 2001 response rates. Public Health Reports, 121, 74–83.PubMed Shulman, H. B., Colley-Gilbert, B. C., & Lansky, A. (2006). The Pregnancy Risk Assessment Monitoring System (PRAMS): Current methods and evaluation of 2001 response rates. Public Health Reports, 121, 74–83.PubMed
12.
Zurück zum Zitat National Heart, Lung, and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the evidence report. Bethesda, MD: National Institutes of Health. National Heart, Lung, and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the evidence report. Bethesda, MD: National Institutes of Health.
13.
Zurück zum Zitat Martin, J. A., Hamilton, B. E., Sutton, P. D., Ventura, S. J., Menacker, F., & Kirmeyer, S. (2006). Births: Final data for 2004. National Vital Statistics Reports, 55, 1–101. Martin, J. A., Hamilton, B. E., Sutton, P. D., Ventura, S. J., Menacker, F., & Kirmeyer, S. (2006). Births: Final data for 2004. National Vital Statistics Reports, 55, 1–101.
15.
Zurück zum Zitat Galtier-Dereure, F., Boegner, C., & Bringer, J. (2000). Obesity and pregnancy: Complications and cost. The American Journal of Clinical Nutrition, 71(5, Suppl), 1242S–1248S.PubMed Galtier-Dereure, F., Boegner, C., & Bringer, J. (2000). Obesity and pregnancy: Complications and cost. The American Journal of Clinical Nutrition, 71(5, Suppl), 1242S–1248S.PubMed
16.
Zurück zum Zitat Chu, S. Y., Bachman, D. J., Callaghan, W. M., Whitlock, E. P., Dietz, P. M., Berg, C. J., et al. (2008). Increased health care utilization associated with obesity during pregnancy. The New England Journal of Medicine, 358, 1444–1453. doi:10.1056/NEJMoa0706786.PubMedCrossRef Chu, S. Y., Bachman, D. J., Callaghan, W. M., Whitlock, E. P., Dietz, P. M., Berg, C. J., et al. (2008). Increased health care utilization associated with obesity during pregnancy. The New England Journal of Medicine, 358, 1444–1453. doi:10.​1056/​NEJMoa0706786.PubMedCrossRef
17.
Zurück zum Zitat Plagemann, A., Harder, T., Kohlhoff, R., Rohde, W., & Dorner, G. (1997). Overweight and obesity in infants of mothers with long-term insulin-dependent diabetes or gestational diabetes. International Journal of Obesity and Related Metabolic Disorders, 21(6), 451–456. doi:10.1038/sj.ijo.0800429.PubMedCrossRef Plagemann, A., Harder, T., Kohlhoff, R., Rohde, W., & Dorner, G. (1997). Overweight and obesity in infants of mothers with long-term insulin-dependent diabetes or gestational diabetes. International Journal of Obesity and Related Metabolic Disorders, 21(6), 451–456. doi:10.​1038/​sj.​ijo.​0800429.PubMedCrossRef
19.
Zurück zum Zitat Boney, C. M., Verma, A., Tucker, R., & Vohr, B. R. (2005). Metabolic syndrome in childhood: Association with birth weight, maternal obesity, and gestational diabetes mellitus. Pediatrics, 115(3), e290–e296. doi:10.1542/peds.2004-1808.PubMedCrossRef Boney, C. M., Verma, A., Tucker, R., & Vohr, B. R. (2005). Metabolic syndrome in childhood: Association with birth weight, maternal obesity, and gestational diabetes mellitus. Pediatrics, 115(3), e290–e296. doi:10.​1542/​peds.​2004-1808.PubMedCrossRef
20.
21.
Zurück zum Zitat Dabelea, D., Hanson, R. L., Lindsay, R. S., Pettitt, D. J., Imperatore, G., Gabir, M. M., et al. (2000). Intrauterine exposure to diabetes conveys risks for type 2 diabetes and obesity: A study of discordant sibships. Diabetes, 49, 2208–2211. doi:10.2337/diabetes.49.12.2208.PubMedCrossRef Dabelea, D., Hanson, R. L., Lindsay, R. S., Pettitt, D. J., Imperatore, G., Gabir, M. M., et al. (2000). Intrauterine exposure to diabetes conveys risks for type 2 diabetes and obesity: A study of discordant sibships. Diabetes, 49, 2208–2211. doi:10.​2337/​diabetes.​49.​12.​2208.PubMedCrossRef
22.
Zurück zum Zitat Thorpe, K. E., & Howard, D. H. (2006). The rise in spending among Medicare beneficiaries: The role of chronic disease prevalence and changes in treatment intensity. Health Affairs (Millwood), 25, w378–w388. doi:10.1377/hlthaff.25.w378. Thorpe, K. E., & Howard, D. H. (2006). The rise in spending among Medicare beneficiaries: The role of chronic disease prevalence and changes in treatment intensity. Health Affairs (Millwood), 25, w378–w388. doi:10.​1377/​hlthaff.​25.​w378.
24.
Zurück zum Zitat American College of Obstetricians and Gynecologists. (2005). ACOG Committee Opinion No. 319. The role of the obstetrician-gynecologist in the assessment and management of obesity. Obstetrics and Gynecology, 106, 895–899. American College of Obstetricians and Gynecologists. (2005). ACOG Committee Opinion No. 319. The role of the obstetrician-gynecologist in the assessment and management of obesity. Obstetrics and Gynecology, 106, 895–899.
25.
26.
Zurück zum Zitat Catalano, P. M. (2007). Management of obesity in pregnancy. Obstetrics and Gynecology, 109, 419–433.PubMed Catalano, P. M. (2007). Management of obesity in pregnancy. Obstetrics and Gynecology, 109, 419–433.PubMed
27.
Zurück zum Zitat Institute of Medicine, National Academy of Sciences. (1990). Nutrition during pregnancy, Part I: Weight gain, Part II: Nutrient supplements. Washington, DC: National Academy Press. Institute of Medicine, National Academy of Sciences. (1990). Nutrition during pregnancy, Part I: Weight gain, Part II: Nutrient supplements. Washington, DC: National Academy Press.
28.
Zurück zum Zitat Institute of Medicine. (2007). Influence of pregnancy weight on maternal and child health: Workshop report. Washington, DC: National Academies Press. Institute of Medicine. (2007). Influence of pregnancy weight on maternal and child health: Workshop report. Washington, DC: National Academies Press.
29.
Zurück zum Zitat Viswanathan, M., Siega-Riz, A. M., Moos, M.-K., Deierlein, A., Mumford, S., Knaack, J., et al. (May 2008). Outcomes of maternal weight gain. Evidence Report/Technology Assessment No. 168. AHRQ Publication No. 08-E-09. Rockville, MD: Agency for Healthcare Research and Quality. Viswanathan, M., Siega-Riz, A. M., Moos, M.-K., Deierlein, A., Mumford, S., Knaack, J., et al. (May 2008). Outcomes of maternal weight gain. Evidence Report/Technology Assessment No. 168. AHRQ Publication No. 08-E-09. Rockville, MD: Agency for Healthcare Research and Quality.
30.
Zurück zum Zitat Kiel, D. W., Dodson, E. A., Artal, R., Boehmer, T. K., & Leet, T. L. (2007). Gestational weight gain and pregnancy outcomes in obese women. Obstetrics and Gynecology, 110, 752–758.PubMed Kiel, D. W., Dodson, E. A., Artal, R., Boehmer, T. K., & Leet, T. L. (2007). Gestational weight gain and pregnancy outcomes in obese women. Obstetrics and Gynecology, 110, 752–758.PubMed
31.
Zurück zum Zitat Cedergren, M. I. (2007). Optimal gestational weight gain for body mass index categories. Obstetrics and Gynecology, 110, 759–764.PubMed Cedergren, M. I. (2007). Optimal gestational weight gain for body mass index categories. Obstetrics and Gynecology, 110, 759–764.PubMed
32.
Zurück zum Zitat Dietz, P. M., Callaghan, W. M., Cogswell, M. E., Morrow, B., Ferre, C., & Schieve, L. A. (2006). Combined effects of prepregnancy body mass index and weight gain during pregnancy on the risk of preterm delivery. Epidemiology (Cambridge, MA), 17, 170–177. doi:10.1097/01.ede.0000198470.26932.9a. Dietz, P. M., Callaghan, W. M., Cogswell, M. E., Morrow, B., Ferre, C., & Schieve, L. A. (2006). Combined effects of prepregnancy body mass index and weight gain during pregnancy on the risk of preterm delivery. Epidemiology (Cambridge, MA), 17, 170–177. doi:10.​1097/​01.​ede.​0000198470.​26932.​9a.
33.
Zurück zum Zitat Catalano, P. M. (2007). Increasing maternal obesity and weight gain during pregnancy. Obstetrics and Gynecology, 110, 743–744.PubMed Catalano, P. M. (2007). Increasing maternal obesity and weight gain during pregnancy. Obstetrics and Gynecology, 110, 743–744.PubMed
35.
Zurück zum Zitat Schieve, L. A., Perry, G. S., Cogswell, M. E., et al. (1999). Validity of self-reported pregnancy delivery weight: An analysis of the 1988 National Maternal and Infant Health Survey. American Journal of Epidemiology, 150, 847–956. Schieve, L. A., Perry, G. S., Cogswell, M. E., et al. (1999). Validity of self-reported pregnancy delivery weight: An analysis of the 1988 National Maternal and Infant Health Survey. American Journal of Epidemiology, 150, 847–956.
36.
Zurück zum Zitat Lederman, S. A., & Paxton, A. (1998). Maternal reporting of prepregnancy weight and birth outcome: Consistency and completeness compared with the clinical records. Maternal and Child Health Journal, 2, 123–126. doi:10.1023/A:1022996924094.PubMedCrossRef Lederman, S. A., & Paxton, A. (1998). Maternal reporting of prepregnancy weight and birth outcome: Consistency and completeness compared with the clinical records. Maternal and Child Health Journal, 2, 123–126. doi:10.​1023/​A:​1022996924094.PubMedCrossRef
37.
Zurück zum Zitat Stevens-Simon, C., Roghmann, K. J., & McAnarney, E. R. (1992). Relationship of self-reported prepregnant weight and weight gain during pregnancy to maternal body habitus and age. Journal of the American Dietetic Association, 92, 85–87.PubMed Stevens-Simon, C., Roghmann, K. J., & McAnarney, E. R. (1992). Relationship of self-reported prepregnant weight and weight gain during pregnancy to maternal body habitus and age. Journal of the American Dietetic Association, 92, 85–87.PubMed
38.
Zurück zum Zitat Hillier, T. A., Pedula, K. L., Schmidt, M. M., Mullen, J. A., Charles, M. A., & Pettitt, D. J. (2007). Childhood obesity and metabolic imprinting. Diabetes Care, 30, 2287–2292. doi:10.2337/dc06-2361.PubMedCrossRef Hillier, T. A., Pedula, K. L., Schmidt, M. M., Mullen, J. A., Charles, M. A., & Pettitt, D. J. (2007). Childhood obesity and metabolic imprinting. Diabetes Care, 30, 2287–2292. doi:10.​2337/​dc06-2361.PubMedCrossRef
Metadaten
Titel
Prepregnancy Obesity Prevalence in the United States, 2004–2005
verfasst von
Susan Y. Chu
Shin Y. Kim
Connie L. Bish
Publikationsdatum
01.09.2009
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 5/2009
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-008-0388-3

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