THE PREVALENCE OF UNDERWEIGHT, OVERWEIGHT AND OBESITY IN A ROMANIAN POPULATION IN THE FIRST TRIMESTER OF PREGNANCY -
A M Panaitescu1,2, D Rotaru3, I Ban4
1Filantropia Hospital, "Carol Davila" University of Medicine and Pharmacy, Dept. of Obstetrics and Gynaecology, Bucharest, Romania.
Insights
Most Romanian pregnant women have a normal body mass index (BMI), but overweight and obesity are prevalent. Higher BMI correlated with blood pressure and birth weight in this obstetric population.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Maternal-Fetal Medicine
Background:
- Underweight, overweight, and obesity are significant global public health concerns.
- These weight categories are recognized risk factors for adverse perinatal outcomes.
Purpose of the Study:
- To determine the body mass index (BMI) distribution in the Romanian first-trimester obstetric population.
- To analyze the correlation between BMI and pregnancy outcomes, including blood pressure (BP) and birth weight.
- To examine the distribution of blood pressure parameters and their relationship with BMI.
Main Methods:
- A retrospective analysis of 9,064 women in their first trimester of pregnancy.
- Data collected included maternal characteristics, BMI, blood pressure (from 3,650 women), and fetal ultrasound parameters.
- Pregnancy outcomes from 1,607 deliveries were analyzed using Pearson correlation, ANOVA, and linear regression.
Main Results:
- 66.37% of pregnant women had a normal BMI, 19.29% were overweight, and 7.56% were obese.
- A weak-to-medium positive correlation was observed between BMI and blood pressure parameters across all weight categories.
- Maternal BMI showed a positive correlation with birth weight in normal and overweight groups.
Conclusions:
- The study highlights the prevalence of overweight and obesity in the Romanian obstetric population.
- Findings underscore the need for enhanced health strategies to address weight-related issues in women of childbearing age.
- Early assessment of BMI and BP in pregnancy is crucial for managing potential adverse outcomes.
Context:
Underweight, overweight and obesity are important global public health issues and risk factors for adverse perinatal outcomes.
Objective:
To assess the distribution of the body mass index (BMI) in the Romanian obstetric population in the first trimester of pregnancy and its correlation with pregnancy outcomes. We also report the distribution of blood pressure (BP) parameters and their correlation with BMI.
Design:
This retrospective study includes 9,064 women attending routine first trimester visit and ultrasound scan at 12.8(±0.6) gestational weeks. Characteristics, parity, method of conception, blood pressure (from 3,650 women), maternal weight and height, BMI and foetal ultrasound were recorded. Pregnancy outcomes were available for 1,607 deliveries. The Pearson correlation coefficient was assessed for each BMI group vs. blood pressure parameters, gestational age and birth weight. ANOVA analysis and post hoc tests were used to determine group differences. Linear regression was applied to estimate the contribution of BMI and gestational age to birth weight variance.
Results:
In our population, 66.37% pregnant women had a normal BMI, 19.29% were overweight, and 7.56% were obese. There was a weak-to-medium positive correlation between BMI and blood pressure parameters, for all weight categories. The correlation between maternal BMI and birth weight was positive for normal and overweight.
Conclusions:
Our findings highlight the need for more effective health strategies targeting reduction of weight-related problems in women of childbearing age.
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