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Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study.
Eur J Obstet Gynecol Reprod Biol. 2015 Oct; 193:51-60.EJ

Abstract

OBJECTIVE

To examine ethnic disparities in maternal prepregnancy obesity and gestational weight gain, and to examine to which extent these differences can be explained by socio-demographic, lifestyle and pregnancy related characteristics.

METHODS

In a multi-ethnic population-based prospective cohort study among 6444 pregnant women in Rotterdam, the Netherlands, maternal anthropometrics were repeatedly measured throughout pregnancy. Ethnicity, socio-demographic, lifestyle and pregnancy related characteristics were assessed by physical examinations and questionnaires.

RESULTS

The prevalence of prepregnancy overweight and obesity was 23.1% among Dutch-origin women. Statistically higher prevalences were observed among Dutch Antillean-origin (40.8%), Moroccan-origin (49.9%), Surinamese-Creole-origin (38.6%) and Turkish-origin (41.1%) women (all p-values <0.05). Only Dutch Antillean-origin, Moroccan-origin, Surinamese-Creole-origin and Turkish-origin women had higher risks of maternal prepregnancy overweight and obesity as compared to Dutch-origin women (p-values <0.05). Socio-demographic and lifestyle related characteristics explained up to 45% of the ethnic differences in body mass index. Compared to Dutch-origin women, total gestational weight gain was lower in all ethnic minority groups, except for Cape Verdean-origin and Surinamese-Creole-origin women (p-values <0.05). Lifestyle and pregnancy related characteristics explained up to 33% and 40% of these associations, respectively. The largest ethnic differences in gestational weight gain were observed in late pregnancy.

CONCLUSION

We observed moderate ethnic differences in maternal prepregnancy overweight, obesity and gestational weight gain. Socio-demographic, lifestyle and pregnancy related characteristics partly explained these differences. Whether these differences also lead to ethnic differences in maternal and childhood outcomes should be further studied.

Authors+Show Affiliations

The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, The Netherlands; Department of Epidemiology, Erasmus MC, University Medical Center Rotterdam, The Netherlands.The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, The Netherlands; Department of Epidemiology, Erasmus MC, University Medical Center Rotterdam, The Netherlands; Department of Pediatrics, Erasmus MC, University Medical Center Rotterdam, The Netherlands.The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, The Netherlands; Department of Epidemiology, Erasmus MC, University Medical Center Rotterdam, The Netherlands; Department of Pediatrics, Erasmus MC, University Medical Center Rotterdam, The Netherlands.The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, The Netherlands; Department of Public Health, Erasmus MC, University Medical Center Rotterdam, The Netherlands.Department of Health Sciences, Section Prevention and Public Health, VU University Amsterdam, The Netherlands.Department of Epidemiology, Erasmus MC, University Medical Center Rotterdam, The Netherlands.Department of Obstetrics and Gynaecology, Erasmus MC, University Medical Center Rotterdam, The Netherlands.The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, The Netherlands; Department of Epidemiology, Erasmus MC, University Medical Center Rotterdam, The Netherlands; Department of Pediatrics, Erasmus MC, University Medical Center Rotterdam, The Netherlands. Electronic address: v.jaddoe@erasmusmc.nl.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26232727

Citation

Bahadoer, Sunayna, et al. "Ethnic Disparities in Maternal Obesity and Weight Gain During Pregnancy. the Generation R Study." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 193, 2015, pp. 51-60.
Bahadoer S, Gaillard R, Felix JF, et al. Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study. Eur J Obstet Gynecol Reprod Biol. 2015;193:51-60.
Bahadoer, S., Gaillard, R., Felix, J. F., Raat, H., Renders, C. M., Hofman, A., Steegers, E. A., & Jaddoe, V. W. (2015). Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 193, 51-60. https://doi.org/10.1016/j.ejogrb.2015.06.031
Bahadoer S, et al. Ethnic Disparities in Maternal Obesity and Weight Gain During Pregnancy. the Generation R Study. Eur J Obstet Gynecol Reprod Biol. 2015;193:51-60. PubMed PMID: 26232727.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ethnic disparities in maternal obesity and weight gain during pregnancy. The Generation R Study. AU - Bahadoer,Sunayna, AU - Gaillard,Romy, AU - Felix,Janine F, AU - Raat,Hein, AU - Renders,Carry M, AU - Hofman,Albert, AU - Steegers,Eric A P, AU - Jaddoe,Vincent W V, Y1 - 2015/07/08/ PY - 2015/02/06/received PY - 2015/06/12/revised PY - 2015/06/30/accepted PY - 2015/8/2/entrez PY - 2015/8/2/pubmed PY - 2016/6/21/medline KW - Ethnicity KW - Gestational weight gain KW - Maternal body mass index KW - Maternal obesity KW - Pregnancy outcomes SP - 51 EP - 60 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur J Obstet Gynecol Reprod Biol VL - 193 N2 - OBJECTIVE: To examine ethnic disparities in maternal prepregnancy obesity and gestational weight gain, and to examine to which extent these differences can be explained by socio-demographic, lifestyle and pregnancy related characteristics. METHODS: In a multi-ethnic population-based prospective cohort study among 6444 pregnant women in Rotterdam, the Netherlands, maternal anthropometrics were repeatedly measured throughout pregnancy. Ethnicity, socio-demographic, lifestyle and pregnancy related characteristics were assessed by physical examinations and questionnaires. RESULTS: The prevalence of prepregnancy overweight and obesity was 23.1% among Dutch-origin women. Statistically higher prevalences were observed among Dutch Antillean-origin (40.8%), Moroccan-origin (49.9%), Surinamese-Creole-origin (38.6%) and Turkish-origin (41.1%) women (all p-values <0.05). Only Dutch Antillean-origin, Moroccan-origin, Surinamese-Creole-origin and Turkish-origin women had higher risks of maternal prepregnancy overweight and obesity as compared to Dutch-origin women (p-values <0.05). Socio-demographic and lifestyle related characteristics explained up to 45% of the ethnic differences in body mass index. Compared to Dutch-origin women, total gestational weight gain was lower in all ethnic minority groups, except for Cape Verdean-origin and Surinamese-Creole-origin women (p-values <0.05). Lifestyle and pregnancy related characteristics explained up to 33% and 40% of these associations, respectively. The largest ethnic differences in gestational weight gain were observed in late pregnancy. CONCLUSION: We observed moderate ethnic differences in maternal prepregnancy overweight, obesity and gestational weight gain. Socio-demographic, lifestyle and pregnancy related characteristics partly explained these differences. Whether these differences also lead to ethnic differences in maternal and childhood outcomes should be further studied. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/26232727/Ethnic_disparities_in_maternal_obesity_and_weight_gain_during_pregnancy__The_Generation_R_Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0301-2115(15)00222-5 DB - PRIME DP - Unbound Medicine ER -