Prevalence and outcomes of overweight and obesity among pregnant women in rural Queensland

Cochrane, L.; Brumpton, Kay; S, Winter; Bell, K.; Burnham, Harriet; Wadwell, Kristen; Kitchener, Scott

doi:10.1111/ajr.12495

Cited by 6 publications

(6 citation statements)

References 18 publications

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“…Our findings indicate that over 50% of pregnant women who presented to antenatal clinic were overweight and almost 30% obese. Both values are consistent with national rates and a similar audit of pregnant women presenting in rural Queensland [14].…”

Section: Discussionsupporting

confidence: 87%

An Audit of Pre-Pregnancy Maternal Obesity and Diabetes Screening in Rural Regional Tasmania and Its Impact on Pregnancy and Neonatal Outcomes

Luccisano

Weber

Murfet

et al. 2021

IJERPH

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Maternal obesity in pregnancy, a growing health problem in Australia, adversely affects both mothers and their offspring. Gestational diabetes mellitus (GDM) is similarly associated with adverse pregnancy and neonatal complications. A low-risk digital medical record audit of antenatal and postnatal data of 2132 pregnant mothers who gave birth between 2016–2018 residing in rural-regional Tasmania was undertaken. An expert advisory group guided the research and informed data collection. Fifty five percent of pregnant mothers were overweight or obese, 43.6% gained above the recommended standards for gestational weight gain and 35.8% did not have an oral glucose tolerance test. The audit identified a high prevalence of obesity among pregnant women and low screening rates for gestational diabetes mellitus associated with adverse maternal and neonatal pregnancy outcomes. We conclude that there is a high prevalence of overweight and obesity among pregnant women in rural regional Tasmania. Further GDM screening rates are low, which require addressing.

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Section: Discussionsupporting

confidence: 87%

An Audit of Pre-Pregnancy Maternal Obesity and Diabetes Screening in Rural Regional Tasmania and Its Impact on Pregnancy and Neonatal Outcomes

Luccisano

Weber

Murfet

et al. 2021

IJERPH

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“…This is slightly higher than the study group and may be because the study focused on women of reproductive age rather than the population. Approximately 50% of pregnant women in rural Queensland are overweight or obese, which is consistent with the 46% in this study 32 . Women in age groups <20 (OR = 2.93, p = 0.001) and 21–25 (OR = 2, p = 0.012) were both at higher risk of developing anaemia than women aged 31–35.…”

Section: Discussionsupporting

confidence: 87%

Incidence of iron deficiency Anaemia during pregnancy in Far North Queensland

Carter

Lane

Ryan³

et al. 2022

Australian J Rural Health

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Introduction:The WHO estimates the incidence of iron deficiency anaemia in Australia is 25%. However there is considerable variation during pregnancy and in regional areas. Objective:The aim of this investigation is to quantify the incidence of iron deficiency anaemia during pregnancy within Far North Queensland.Design: This is a single-centre retrospective cohort study. Cairns Hospital is the main referral centre for complex maternity care in Far North Queensland with an estimated population of 280-000, which includes many people from rural and remote communities and a high proportion who identify as Aboriginal or Torres Strait Islander. This study included all births at the Cairns Hospital in 2018, a total of 2190 deliveries. Findings:The study randomly sampled 551 mothers from the cohort, and the incidence of iron deficiency anaemia was 34.9%. 48.7% of women who identified as Aboriginal or Torres Strait Islander within the region were anaemic. This was significantly higher than an incidence of 28.9% for the rest of the population.Other risk factors include booking appointment after 28-weeks, Asian ethnicity and age less than 25-years. A BMI greater than 35 was protective Discussion: This study will inform antenatal care providers within the region and improve obstetric outcomes by increasing awareness. Identifying risk factors will also facilitate prompt treatment and improve maternity care for vulnerable patient groups. On a broader level, the study provides new data to inform population health estimates both nationally and internationally. Conclusion:The incidence of iron deficiency anaemia during pregnancy in Far North Queensland is significantly higher than previous estimates.

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“…We are in the midst of a global obesity pandemic ( 28 ) that correlates with a high prevalence of maternal obesity ( 29 ). The last few decades have witnessed a significant rise in childhood and adolescent obesity ( 30 ).…”

Section: Metabolic Influences In the Perinatal Period And The Risk On The Offspringmentioning

confidence: 99%

Young-Onset Carcinogenesis – The Potential Impact of Perinatal and Early Life Metabolic Influences on the Epigenome

Barreto

Pandol

2021

Front. Oncol.

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The last decade has witnessed a significant rise in cancers in young adults. This spectrum of solid organ cancers occurring in individuals under the age of 40 years (some reports extending the age-group to <50 years) in whom aetiology of cancer cannot be traced back to pre-existing familial cancer syndromes, is referred to as termed young-, or early- onset cancers. The underlying causes for young-onset carcinogenesis have remained speculative. We recently proposed a hypothesis to explain the causation of this entity. We propose that the risk for young-onset cancer begins in the perinatal period as a result of the exposure of the foetus to stressors, including maternal malnutrition, smoking or alcohol, with the consequent epigenomic events triggered to help the foetus cope/adapt. Exposure to the same stressors, early in the life of that individual, facilitates a re-activation of these ‘responses designed to be protective’ but ultimately resulting in a loss of regulation at a metabolic and/or genetic level culminating in the evolution of the neoplastic process. In this manuscript, we will provide a rationale for this hypothesis and present evidence to further support it by clarifying the pathways involved, including elucidating a role for Acetyl-CoA and its effect on the epigenome. We present strategies and experimental models that can be used to test the hypothesis. We believe that a concerted effort by experts in different, but complementary fields, such as epidemiology, genetics, and epigenetics united towards the common goal of deciphering the underlying cause for young-onset cancers is the urgent need. Such efforts might serve to prove, or disprove, the presented hypothesis. However, the more important aim is to develop strategies to reverse the disturbing trend of the rise in young-onset cancers.

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Prevalence and outcomes of overweight and obesity among pregnant women in rural Queensland

Cited by 6 publications

References 18 publications

An Audit of Pre-Pregnancy Maternal Obesity and Diabetes Screening in Rural Regional Tasmania and Its Impact on Pregnancy and Neonatal Outcomes

An Audit of Pre-Pregnancy Maternal Obesity and Diabetes Screening in Rural Regional Tasmania and Its Impact on Pregnancy and Neonatal Outcomes

Incidence of iron deficiency Anaemia during pregnancy in Far North Queensland

Young-Onset Carcinogenesis – The Potential Impact of Perinatal and Early Life Metabolic Influences on the Epigenome

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