Maternal obesity in Africa: a systematic review and meta-analysis

Onubi, Ojochenemi Joy; Marais, Debbi; Aucott, Lorna; Okonofua, Friday; Poobalan, Amudha

doi:10.1093/pubmed/fdv138

Cited by 75 publications

(104 citation statements)

References 85 publications

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“…A recent meta-analysis showed that the prevalence of maternal obesity across Africa ranged from 6.5 to 50.7% [4]. The current study found a high (29.9%) prevalence of obesity among pregnant women (especially women with high parity) in their early pregnancy independent of their residence, education and occupation.…”

Section: Discussionsupporting

confidence: 47%

High Level of Hemoglobin, White Blood Cells and Obesity Among Sudanese Women in Early Pregnancy: a Cross-Sectional Study

et al. 2017

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Aim:To investigate the association between obesity and anemia/hemoglobin levels.Material & methods:A cross-sectional study was conducted at Khartoum, Sudan. Obstetric data were collected from 388 pregnant women at mean (standard deviation) of 10.5 (3.1) weeks of gestation using questionnaires. Weight and height were determined, and BMI was calculated.Results:There were 15 (4.4%), 95 (28.1%), 127 (37.6) and 101 (29.9%) women who were underweight, normal weight, (18.5–24.9 kg/m2), overweight (25–29.9 kg/m2) and obese (≥30 kg/m2), respectively. Hemoglobin levels and white blood cell counts were significantly higher in obese than nonobese groups. Compared with normal BMI, overweight and obesity were associated with higher hemoglobin level.Conclusion:Obese women had higher white blood cell count and hemoglobin level.

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Section: Discussionsupporting

confidence: 47%

High Level of Hemoglobin, White Blood Cells and Obesity Among Sudanese Women in Early Pregnancy: a Cross-Sectional Study

et al. 2017

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“…Data on overweight/obesity among women of reproductive age in Africa are rare; however, this study found that the prevalence of obesity among of similar age group is comparatively lower in Uganda than other countries in East Africa including Kenya (20.3%) . The lower burden of overweight/obesity should be interpreted with caution as it can confound the magnitude of nutritional problems of the population.…”

Section: Discussionmentioning

confidence: 58%

Trend in overweight and obesity among women of reproductive age in Uganda: 1995–2016

Yaya

Bishwajit

2019

Obesity Science & Practice

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Summary Countries in Sub‐Saharan Africa (SSA) are experiencing rising burdens of overweight/obesity and associated non‐communicable diseases. As in other developing regions, this epidemiological transition in African countries is believed to be resulting from changes in dietary, sociodemographic structure and lifestyle factors. To date, not much is known about the prevalence and sociodemographic patterns of overweight/obesity in Uganda, especially among women of reproductive age. Therefore, this study aimed to address this research gap by using nationally representative data on women of this age group in Uganda. Methods This study involved analysis of cross‐sectional data on 19,395 women aged between 15 and 49 years from Uganda Demographic and Health Survey for the years 1995–2016. Overweight/obesity was measured using body mass index as per World Health Organization guidelines, and logistic regression methods were used to identify the sociodemographic predictors. Results There has a been significant rise in the prevalence of overweight (9.77% in 1995 vs. 16.21% in 2016) and obesity (1.99% in 1995 vs. 6.21% in 2016) since the first survey in 1995, with the most noticeable increase occurring in the central region that accounted for a combined prevalence of 17.22% in 1995 compared with 37. 21% in 2016. Multivariate analysis showed an increased likelihood of having overweight/obesity among women who live in the urban areas, have primary and above primary education, from non‐poor households and users of radio and TV. Conclusion During the last two decades, there has been a slow but steady rise in the prevalence of overweight and obesity among women of reproductive age in Uganda. The present findings highlight the need for an enhanced attention on growing overweight/obesity within the broader goal improving maternal and child health in the country.

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“…In WHtR; the level of risk is in the order 3 rd ; 2 nd ; 1 st trimester with slight lower percentage value as compared to BMI [16][17][18][19].…”

Section: Insights In Biomedicine Issn 2572-5610mentioning

confidence: 99%

Evaluation of Basal Metabolic Index and Waist to Height Ratio as Anthropometric Indicators of Obesity Among Pregnant Women in Port Harcourt, Nigeria

Wb¹,

Wadioni²

2018

Insights Biomed

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Excess body fat deposition is known to be unhealthy. There have been several discourses on defined anthropometric indices for the assessment and a better prediction of obesity in pregnant women. This is because certain cut-off values relating to obesity in pregnant subjects are highly influenced by age, sex, ethnicity and trimesters of pregnancy. This study is aimed at investigating the use of two basic anthropometric indices to measure obesity and evaluate its prevalence in the different trimesters of pregnancy. The research is a prospective study involving 460 pregnant women in the sample proportion of 110, 110, 240 in the 1 st , 2 nd , 3rd trimesters respectively chosen randomly from antenatal clinic of the Rivers State Primary Health care centre, Rumukuta, Port Harcourt, Nigeria. Measurements of height, weight, hip circumference (HP) were obtained. Body mass index (BMI) was calculated from values of height and weight. Waist to height ratio (WHtR) was also calculated from waist and hip values. The result showed a BMI prevalence of 3.6%, 7.3% and 0.8%; WHtR prevalence of 56.4%, 51.8% and 40% all in the 1 st , 2 nd and 3 rd trimesters respectively. A negative linear correlation was shown between the other indices and BMI as an independent variable in first trimester with value (r= -0.015) against a (r= 0.165) in WHtR. There was an association of WHtR against BMI with no statistically significant difference at level of 95% (p<0.05). Generally, the study provides a low prevalence of BMI and a high prevalence of WHtR in relation to WHO values as well as establishing 1 st trimester as a good indicator of obesity in pregnant women and WHtR as a better predictor of obesity in pregnant women in the population studied. The results of this study are therefore recommended as a guide for clinical judgement in preventive comprehensive health care services on obesity management.

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Maternal obesity in Africa: a systematic review and meta-analysis

Cited by 75 publications

References 85 publications

High Level of Hemoglobin, White Blood Cells and Obesity Among Sudanese Women in Early Pregnancy: a Cross-Sectional Study

High Level of Hemoglobin, White Blood Cells and Obesity Among Sudanese Women in Early Pregnancy: a Cross-Sectional Study

Trend in overweight and obesity among women of reproductive age in Uganda: 1995–2016

Evaluation of Basal Metabolic Index and Waist to Height Ratio as Anthropometric Indicators of Obesity Among Pregnant Women in Port Harcourt, Nigeria

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