Article

Prepregnancy Obesity Prevalence in the United States, 2004–2005

Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
Maternal and Child Health Journal (Impact Factor: 2.24). 08/2008; 13(5):614-20. DOI: 10.1007/s10995-008-0388-3
Source: PubMed

ABSTRACT

To provide a current estimate of the prevalence of prepregnancy obesity in the United States.
We analyzed 2004-2005 data from 26 states and New York City (n = 75,403 women) participating in the Pregnancy Risk Assessment Monitoring System, an ongoing, population-based surveillance system that collects information on maternal behaviors associated with pregnancy. Information was obtained from questionnaires self-administered after delivery or from linked birth certificates; prepregnancy body mass index was based on self-reported weight and height. Data were weighted to provide representative estimates of all women delivering a live birth in each particular state.
In this study, about one in five women who delivered were obese; in some state, race/ethnicity, and Medicaid status subgroups, the prevalence was as high as one-third. State-specific prevalence varied widely and ranged from 13.9 to 25.1%. Black women had an obesity prevalence about 70% higher than white and Hispanic women (black: 29.1%; white: 17.4%; Hispanic: 17.4%); however, these race-specific rates varied notably by location. Obesity prevalence was 50% higher among women whose delivery was paid for by Medicaid than by other means (e.g., private insurance, cash, HMO).
This prevalence makes maternal obesity and its resulting maternal morbidities (e.g., gestational diabetes mellitus) a common risk factor for a complicated pregnancy.

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    • "The role of allied health professionals including dietitians, exercise physiologists and psychologists in providing education and guidance on achieving optimal preconception health behaviours was also highlighted. Their role is key in optimising preconception health given the health implications of excess weight on infertility and adverse obstetric and fetal outcomes[16], the increasing prevalence of overweight and obesity in women entering pregnancy17181920and the need for optimising diet and physical activity behaviours for prevention and management of overweight and obesity[21]. The role of stress preconception or during assisted reproduction is also recognised as being potentially deleterious to fertility and should be appropriately identified and managed[22]. "
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    • "1 in 5 women who deliver in the US are obese [1]. The offspring of these women have a higher risk of developing obesity and insulin resistance and dying of cardiovascular disease in later life [2e4]. "
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    • "The highest prevalence of pre-pregnancy obesity was found in Mississippi (24.2%) and West Virginia (25.1%) and the lowest prevalence was noted in Colorado (13.9%) and Utah (14.0%) [2]. The prevalence of pre-pregnancy obesity overall was 70% higher in non-Hispanic blacks compared to non- Hispanic whites and Hispanics [2]. Obesity in pregnancy has been associated with increased pregnancy complications. "

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