Abstract
International Journal of Medicine and Public Health,2022,12,1,20-23.DOI:10.5530/ijmedph.2022.1.4Published:January 2022Type:Original ArticleMaternal Outcome in Overweight and Obese Women: A Comparison between Revised Consensus Body Mass Indices (BMI) for Asian Indians and WHO CriteriaAncy T Jacob, Deepu Rajendran, Anaswara T, and Sheela Jacob Ancy T Jacob1, Deepu Rajendran2,*, Anaswara T3, Sheela Jacob4 1Department of Obstetrics and Gynaecology, Travancore Medical College, Kollam, Kerala, INDIA. 2Consultant, Interventional Cardiologist and Assistant Professor in Department of General Medicine, Travancore Medical College, Kollam, Kerala, INDIA. 3Department of Obstetrics and Gynaecology, ESI Super Speciality Hospital, Asramom, Kollam, Kerala, INDIA. 4Department of Obstetrics and Gynaecology, Travancore Medical College, Kollam, Kerala, INDIA. Abstract:Background: Overweight or obesity is a major risk factor for maternal complications. Most western countries adhere to WHO guidelines for classifying obesity. In India, revised consensus Body Mass Indices (BMI) for Asian Indians are used for BMI classification. The present study aims to compare WHO and revised consensus BMI criteria for Asian Indians on the maternal outcome in overweight and obese women. Methodology: This was a retrospective study done in 399 women with singleton deliveries during a period of six months in a tertiary care center in South India. Data were gathered from medical records in accordance with the inclusion and exclusion criteria. Two proportion Z-test and Independent t test were used for the comparison between the WHO and revised consensus BMI for Asian Indian criteria. Results: Overweight/obesity prevalence was 40.60% as per WHO criteria and 63.91% as per Asian Indian criteria. Proportionate difference was significant for the parameters GDM, PIH, and preterm labor between obese and nonobese women in Asian Indian criteria. WHO criteria showed significant difference in GDM and PIH only (p <0.05). Preterm labor was found to be insignificant between both criteria among non-obese women (p>0.05). Conclusion: The study could not find statistically significant differences between the two criteria. As the body fat distribution in Asian Indians differs considerably from other ethnic groups, we recommend the use of revised consensus BMI for Asian Indians for BMI classification to prevent maternal morbidity and mortality. Keywords:Obesity, Overweight, Pregnancy., Revised Consensus BMI for Asian Indians, WHO BMI guidelineView:PDF (178.45 KB)
Highlights
Overweight and obesity increase worldwide in all age groups and populations
The maternal outcome variables included in the study were antenatal complications like pregnancy-induced hypertension (PIH), gestational diabetes mellitus (GDM), preterm labor, LSCS, urinary tract infection (UTI), and postpartum hemorrhage (PPH)
All data were entered in Microsoft Excel and analyzed using SPSS version 20.00. This observational study was conducted among 399 women to assess the maternal outcome among overweight and obese women based on Asian Indian and WHO Body Mass Indices (BMI) criteria
Summary
Overweight and obesity increase worldwide in all age groups and populations It is a significant risk factor for maternal and neonatal morbidity and mortality.[1] Prepregnancy obesity may cause polycystic ovary syndrome, disrupting normal ovulation and menstruation, leading to amenorrhea and infertility. In India, revised consensus Body Mass Indices (BMI) for Asian Indians are used for BMI classification. The present study aims to compare WHO and revised consensus BMI criteria for Asian Indians on the maternal outcome in overweight and obese women. Proportionate difference was significant for the parameters GDM, PIH, and preterm labor between obese and nonobese women in Asian Indian criteria.
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