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The interrelationship between ethnicity and obesity on obstetric outcomes.
Am J Obstet Gynecol 2005; 193(3 Pt 2):1089-93AJ

Abstract

OBJECTIVE

The purpose of this study was to evaluate the interrelationship between ethnicity and obesity on obstetric outcomes.

STUDY DESIGN

This was a retrospective study examining the interaction between ethnicity and obesity for obstetric outcomes. Statistical methods included univariate and multivariate regression models.

RESULTS

In this study population of 22,658 women, 2150 (9.4%) were obese (body mass index [BMI] >29). Obesity increased the rate of cesarean delivery, gestational diabetes, preeclampsia, and macrosomia in each ethnic group. When compared with obese white women, higher rates of cesarean delivery were noted in obese African American (odds ratio [OR] 1.50, P < .05) and Asian (OR 1.73, P < .05) women. Gestational diabetes was increased twofold in obese Latina (OR 1.94, P < .05) and Asian (OR 2.20, P < .05) women, while preeclampsia was increased only in obese Latina (1.93, P < .05) women.

CONCLUSION

Obesity increases the risk of cesarean delivery, gestational diabetes, preeclampsia, and macrosomia, but this effect varies among different ethnicities. The biometrics of different ethnicities and associated obstetric outcomes needs further exploration.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, USA. ramos2s@yahoo.comNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

16157117

Citation

Ramos, Gladys A., and Aaron B. Caughey. "The Interrelationship Between Ethnicity and Obesity On Obstetric Outcomes." American Journal of Obstetrics and Gynecology, vol. 193, no. 3 Pt 2, 2005, pp. 1089-93.
Ramos GA, Caughey AB. The interrelationship between ethnicity and obesity on obstetric outcomes. Am J Obstet Gynecol. 2005;193(3 Pt 2):1089-93.
Ramos, G. A., & Caughey, A. B. (2005). The interrelationship between ethnicity and obesity on obstetric outcomes. American Journal of Obstetrics and Gynecology, 193(3 Pt 2), pp. 1089-93.
Ramos GA, Caughey AB. The Interrelationship Between Ethnicity and Obesity On Obstetric Outcomes. Am J Obstet Gynecol. 2005;193(3 Pt 2):1089-93. PubMed PMID: 16157117.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The interrelationship between ethnicity and obesity on obstetric outcomes. AU - Ramos,Gladys A, AU - Caughey,Aaron B, PY - 2005/03/01/received PY - 2005/06/02/revised PY - 2005/06/07/accepted PY - 2005/9/15/pubmed PY - 2005/10/27/medline PY - 2005/9/15/entrez SP - 1089 EP - 93 JF - American journal of obstetrics and gynecology JO - Am. J. Obstet. Gynecol. VL - 193 IS - 3 Pt 2 N2 - OBJECTIVE: The purpose of this study was to evaluate the interrelationship between ethnicity and obesity on obstetric outcomes. STUDY DESIGN: This was a retrospective study examining the interaction between ethnicity and obesity for obstetric outcomes. Statistical methods included univariate and multivariate regression models. RESULTS: In this study population of 22,658 women, 2150 (9.4%) were obese (body mass index [BMI] >29). Obesity increased the rate of cesarean delivery, gestational diabetes, preeclampsia, and macrosomia in each ethnic group. When compared with obese white women, higher rates of cesarean delivery were noted in obese African American (odds ratio [OR] 1.50, P < .05) and Asian (OR 1.73, P < .05) women. Gestational diabetes was increased twofold in obese Latina (OR 1.94, P < .05) and Asian (OR 2.20, P < .05) women, while preeclampsia was increased only in obese Latina (1.93, P < .05) women. CONCLUSION: Obesity increases the risk of cesarean delivery, gestational diabetes, preeclampsia, and macrosomia, but this effect varies among different ethnicities. The biometrics of different ethnicities and associated obstetric outcomes needs further exploration. SN - 0002-9378 UR - https://www.unboundmedicine.com/medline/citation/16157117/The_interrelationship_between_ethnicity_and_obesity_on_obstetric_outcomes_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(05)00884-7 DB - PRIME DP - Unbound Medicine ER -