Maternal obesity and ethnic groups: trends in 552 303 births over 13 years in England, UK

Heslehurst, Nicola; Sattar, Naveed; Rajasingham, Daghni; Rankin, Judith; Batterham, A. M.; Wilkinson, Jr. Robert S.; Summerbell, Carolyn

doi:10.1136/adc.2010.189753.4

Cited by 4 publications

(4 citation statements)

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“…In the UK, half of all pregnant women enter pregnancy with a BMI in the overweight or obese range [ 11 ]. Evidence suggests that South Asian women have the highest odds of first trimester obesity compared to White British women [ 12 ], and an increased risk of obesity-related complications, e.g. Gestational Diabetes Mellitus [ 7 ] during pregnancy at a lower BMI than White British women.…”

Section: Introductionmentioning

confidence: 99%

Antenatal depression and anxiety and early pregnancy BMI among White British and South Asian women: retrospective analysis of data from the Born in Bradford cohort

Insan

Slack

Heslehurst

et al. 2020

BMC Pregnancy Childbirth

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Background: Maternal obesity has severe physical impacts such as increased chances of pre-eclampsia and gestational diabetes. However, mental health impacts are given less attention within antenatal care. Evidence suggests that women with obesity carry increased risk of maternal depression and anxiety, however, this association is not well researched amongst South Asian women in the UK who are vulnerable to both. The aim of this study was to investigate the association between antenatal depression and anxiety and early pregnancy BMI, within and between White British and South Asian women, using data from the Born in Bradford cohort. Methods: Depression and anxiety were assessed using the General Health Questionnaire (GHQ); a GHQ score of > 0 for the depression subscale and > 6 for anxiety. Mother's BMI was stratified into six World Health Organisation BMI categories (underweight, recommended, overweight or obese class 1-3). To determine associations, univariate and multivariate logistic regression models (adjusting for maternal age, education, deprivation and smoking) were used. Results: There were 7824 women included (3514 White British and 4310 South Asian). South Asian women were more likely to have depression than White British (43.3% vs 36.1% p < 0.0001) and less likely to have anxiety (45.3% vs 48.4% p < 0.01). There were no significant associations between BMI and depression or anxiety in South Asian women. White British women with an overweight BMI had higher odds of anxiety compared with women with a recommended BMI (Adjusted Odds Ratio 1.25, 95% Confidence Interval 1.05-1.47). No significant associations were observed for other BMI categories. Smoking was a risk factor for antenatal depression (AOR 1.32, 95% CI 1.12-1.56; AOR 2.08, 95% CI 1.49-2.91) and anxiety (AOR 1.34, 95% CI 1.14-1.57; (AOR 2.87, 95% CI 2.02-4.07) in both White British and South Asian women, respectively. Conclusions: Although South Asian women have a higher prevalence of depression than White women in this cohort, the known associations between maternal obesity and anxiety do not appear to be present. More studies are needed using validated depression tools for South Asian pregnant women. Mental health screening during antenatal care is important for South Asian women, with factors such as smoking considered.

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Section: Introductionmentioning

confidence: 99%

Antenatal depression and anxiety and early pregnancy BMI among White British and South Asian women: retrospective analysis of data from the Born in Bradford cohort

Insan

Slack

Heslehurst

et al. 2020

BMC Pregnancy Childbirth

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“…This finding was supported in a large longitudinal study of English maternities. British Black and South Asian women had a significantly higher incidence of obesity in the first trimester than white British, white Irish and other white women with the highest odds observed in Pakistani women (OR 2.19, 95% CI 2.08–2.31, following adjustment for other population demographics) 46 …”

Section: Risk Factors For Adverse Pregnancy Outcomes and Their Links ...mentioning

confidence: 92%

“…British Black and South Asian women had a significantly higher incidence of obesity in the first trimester than white British, white Irish and other white women with the highest odds observed in Pakistani women (OR 2.19, 95% CI 2.08-2.31, following adjustment for other population demographics). 46 Maternal micronutrient deficiency is associated with low birth weight, fetal growth restriction and stillbirth. Although a causal relationship between this, social determinants and maternal mortality has not been established, low maternal calcium, vitamin D and zinc all appear to be associated with pregnancy disorders such as gestational hypertension, small-for-gestational-age fetuses and preterm birth.…”

Section: Body-mass Indexmentioning

confidence: 99%

Understanding the relationship between social determinants of health and maternal mortality

Jones

Mitchell

Hirst

et al. 2022

BJOG

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Within this document we use the terms pregnant woman and women's health. However, it is important to acknowledge that it is not only people who identify as women for whom it is necessary to access care. Obstetric and gynaecology services and delivery of care must therefore be appropriate, inclusive and sensitive to the needs of those individuals whose gender identity does not align with the sex they were assigned at birth.

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“…This includes breast and cervical cancer (Anderson de Cuevas et al, 2018 ), depression in pregnancy (Insan et al, 2022 ), and disproportionately high rates of obesity including in pregnancy (Garcia et al, 2017 ). Evidence suggests that first trimester obesity is more likely in British Pakistani women than white British women (Heslehurst et al, 2010 ), leading to obesity related complications including gestational diabetes at a lower body mass index that white British women (Ruhstaller et al, 2017 ). Maternal diet is a critical lifestyle-related factor that influences foetal development and health in early life (Jama et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Identifying the Health Concerns of Pregnant British Pakistani Women Living in Deprived Areas: A Qualitative Study

Iqbal,

West,

McEachan

et al. 2023

Matern Child Health J

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Introduction Pregnant British Pakistani women have disproportionately poorer health than the wider population. Bradford has a strong Pakistani presence and a wide range of public health problems including high levels of gestational diabetes, high obesity rates and a high infant mortality rate, which is highest for babies of Pakistani origin. For women to be healthy, we need to know what concerns they have about their health so they can be addressed appropriately. The aim of this study, therefore, was to explore the health concerns of pregnant British Pakistani women living in deprived areas. Methods Semi-structured qualitative interviews were conducted with 21 pregnant Pakistani women in a hospital setting. Data were analysed using thematic analysis. Results Pakistani women identified safety issues, barriers to undertaking physical activity in the areas where they live, concerns surrounding exercising during pregnancy and cultural and religious constraints that prevented them from engaging in physical activity. They reported issues around food, concerns around a lack of culturally appropriate diet information, the cost of unhealthy food locally, and the lack of healthy food options in their residences. Women were unsure on where to obtain health promotion information and reported a lack of access in obtaining that information. Language barriers in accessing health promotion information were further reported as a concern. Discussion Researchers, midwives, health providers, local authority and policy makers interested in improving the health of pregnant Pakistani women may use these findings to develop further research and interventions to improve the poor health of this population.

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Maternal obesity and ethnic groups: trends in 552 303 births over 13 years in England, UK

Cited by 4 publications

References 1 publication

Antenatal depression and anxiety and early pregnancy BMI among White British and South Asian women: retrospective analysis of data from the Born in Bradford cohort

Antenatal depression and anxiety and early pregnancy BMI among White British and South Asian women: retrospective analysis of data from the Born in Bradford cohort

Understanding the relationship between social determinants of health and maternal mortality

Identifying the Health Concerns of Pregnant British Pakistani Women Living in Deprived Areas: A Qualitative Study

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