Weight Implications on Pregnancy Outcomes

2016 ◽  
Vol 3 (1) ◽  
Author(s):  
Lindsay Elizabeth Carter

The incidence of rising weight in reproducing women has potential for adverse maternal and fetal outcomes, both short and long term. The purpose of the project was to identify the extent of potential implications resulting from maintaining a body mass index larger than 25 throughout a pregnancy. Select authors have conducted quantitative, retrospective cohort studies by requesting participants to complete a questionnaire during pregnancy providing information on variables of social determinants of health with a control study of woman with a BMI under 25 and excluding mothers without a recorded BMI in antenatal records and mothers with pre-existing diabetes. Research resulted in overarching implications for both maternal and fetal well-being with added potential burden on the health care system. Neonate’s born under influence of a maternal BMI larger than 25 risk complications including preterm birth, congenital anomalies, fetal macrosomia, and death. Mothers are at increased risk for preeclampsia, gestational diabetes, postpartum hemorrhage, caesarian section and require more healthcare services. Continued longitudinal studies may provide greater insight into the life course trajectories of children born under such circumstances, and offer interventions appropriate to aid consequences of weight implications on pregnancy outcomes. Furthermore, additional studies on appropriate and safe interventions throughout the pregnancy may minimize potential risks on maternal and fetal well-being. This discussion is designed to explain the gravity of weight juxtaposed with pregnancy, and provide strategies aimed at optimizing health outcomes. 

2021 ◽  
Vol 18 (1) ◽  
pp. 97-111
Author(s):  
Elisabetta Biffi ◽  
Maria Benedetta Gambacorti-Passerini ◽  
Daniela Bianchi

This paper explores aspects of parenting during COVID-19 lockdown, analyzing the international literature and presenting a study conducted in Italy during the initial period of social isolation (March-May 2020). The pandemic has made childcare challenging for parents globally, compromising the well-being and mental health of caregivers themselves (Brooks et al., 2020), and creating a potentially highly vulnerable situation for children (Gromada, Richardson, Rees, 2020). The COVID-19 emergency and the restrictions it has entailed bear short- and long-term implications for families, including the potential impact of delaying implementation of the Sustainable Development Goals (United Nations, 2015) and increased risk of children witnessing or experiencing violence and abuse (End Violence Against Children, 2020). Given this background, we investigated the family ecosystem, exploring both individual and parental factors in parents’ relationships with their children, during lockdown.


2020 ◽  
Vol 26 (40) ◽  
pp. 5128-5133
Author(s):  
Kate Levenberg ◽  
Wade Edris ◽  
Martha Levine ◽  
Daniel R. George

Epidemiologic studies suggest that the lifetime prevalence of bipolar spectrum disorders ranges from 2.8 to 6.5 percent of the population. To decrease morbidity and mortality associated with disease progression, pharmacologic intervention is indicated for the majority of these patients. While a number of effective treatment regimens exist, many conventional medications have significant side effect profiles that adversely impact patients’ short and long-term well-being. It is thus important to continue advancing and improving therapeutic options available to patients. This paper reviews the limitations of current treatments and examines the chemical compound Linalool, an alcohol found in many plant species, that may serve as an effective mood stabilizer. While relatively little is known about Linalool and bipolar disorder, the compound has been shown to have antiepileptic, anti-inflammatory, anxiolytic, anti-depressive, and neurotrophic effects, with mechanisms that are comparable to current bipolar disorder treatment options.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Julie Maslowsky ◽  
C. Emily Hendrick ◽  
Haley Stritzel

Abstract Background Early childbearing is associated with adverse health and well-being throughout the life course for women in the United States. As education continues to be a modifiable social determinant of health after a young woman gives birth, the association of increased educational attainment with long-term health for women who begin childbearing as teenagers is worthy of investigation. Methods Data are from 301 mothers in the National Longitudinal Survey of Youth 1979 who gave birth prior to age 19. We estimated path models to assess women’s incomes, partner characteristics, and health behaviors at age 40 as mediators of the relationship between their educational attainment and self-rated general health at age 50. Results After accounting for observed background factors that select women into early childbearing and lower educational attainment, higher levels of education (high school diploma and GED attainment vs. no degree) were indirectly associated with higher self-rated health at age 50 via higher participant income at age 40. Conclusions As education is a social determinant of health that is amenable to intervention after a teen gives birth, our results are supportive of higher educational attainment as a potential pathway to improving long-term health outcomes of women who begin childbearing early.


Author(s):  
Jan Vagedes ◽  
Silja Kuderer ◽  
Eduard Helmert ◽  
Katrin Vagedes ◽  
Matthias Kohl ◽  
...  

Objective: Warm footbaths infused with Sinapis nigra (mustard, or MU) or Zingiber officinale (ginger, or GI) are used for various thermoregulatory conditions, but little is known about how they are perceived by individuals, both short- and long-term. We analyzed the immediate and long-term effects of MU and GI on warmth and stimulus perception in healthy adults. Methods: Seventeen individuals (mean age 22.1±2.4 years; 11 female) received three footbaths (mean temperature was 40 ± 0.2 ℃, administered between 1:30-6:30pm) in a randomized order with a cross-over design: 1. with warm water only (WA), 2. with warm water and MU and 3. with warm water and GI. Warmth and stimulus perception at the feet were assessed at the 1st, 5th, 10th, 15th, and 20th minute of the footbaths, in the late evening (EVE), and the following morning (MG). We further assessed well-being (at EVE and MG) and sleep quality (at MG). The primary outcome measure was the warmth perception at the feet at the 10th minute of the footbath. Results: At the 10th minute of the footbath, warmth perception at the feet was significantly higher with MU and GI compared to WA. The immediate thermogenic effects pointed to a quick increase in warmth and stimulus perception with MU, a slower increase with GI, and a gradual decrease with WA. Regarding the long-term effects, warmth and stimulus perception were still higher after GI compared to WA at EVE and MG. No differences were seen for general well-being and sleep quality. Conclusion: Thermogenic substances can significantly alter the dynamics of warmth and stimulus perception when added to footbaths. The different profiles in the application of GI and MU could be relevant for a more differentiated and specific use of both substances in different therapeutic indications.


Out in Time ◽  
2019 ◽  
pp. 67-90
Author(s):  
Perry N. Halkitis

Gay men experience the process of coming out to various groups of individuals, in myriad contexts, and throughout the course of their lives. For many gay men, telling one’s parents and families represents the most significant act of disclosure. Methods used for coming out to parents, circumstances by which the men came out, and reactions of their families in both the short and long term are explored. A variety of different approaches are evidenced in the life stories. The impact of these critical life events is considered in relation to the well-being and health of each of the men. Coming out to parents and family is challenging in every generation, but the circumstances related to coming out are influenced and shaped by both the sociopolitical contexts of the time and the crisis of each generation.


EP Europace ◽  
2019 ◽  
Vol 21 (9) ◽  
pp. 1325-1333 ◽  
Author(s):  
Friederike Cordes ◽  
Christian Ellermann ◽  
Dirk G Dechering ◽  
Gerrit Frommeyer ◽  
Simon Kochhäuser ◽  
...  

Abstract Aims Cryoballoon ablation is safe and efficient for achieving pulmonary vein isolation (PVI) in atrial fibrillation. Structural oesophago-mediastinal lesions, which seem to be associated with an increased risk of the lethal complication of an atrio-oesophageal fistula, have been described. MADE-PVI (Mediastino-oesophageal Alterations Detected by Endosonography after PVI) aimed at evaluating safety of cryoballoon PVI in relation to two different freeze protocols. As time-to-isolation-(TTI)-guided protocol has been reported to be as effective as conventional ‘two freeze protocol’, we hypothesized a TTI-guided protocol causes less oesophago-mediastinal lesions. Methods and results Seventy consecutive patients were scheduled for cryoballoon (2nd generation) PVI employing either a conventional protocol (n = 35: 2 × 180 s per vein) or a TTI-guided approach (n = 35: TTI + 120 s per vein or 1 × 180 s in case TTI could not be measured). Oesophagogastroduodenoscopy and endoscopic ultrasound, assessing oesophago-mediastinal alterations (e.g. ulceration, oedema) were performed blinded prior and post-ablation. Post-interventional mediastinal oedematous alterations were detected in 70% with a mean diameter of 14 mm (±0.9 mm), while only 15% revealed large mediastinal oedema >20 mm. Oesophageal lesions due to PVI occurred in 5%. Freeze protocols had a distinct impact on oesophago-mediastinal alterations as mean diameter and frequency of large oedema were significantly increased in patients after conventional protocol PVI (17 mm vs. 11 mm; 26% vs. 6%). Furthermore, every oesophageal lesion was detected in patients with conventional protocol (9%). No major complication occurred in either group. Conclusion The present prospective study demonstrates a significant impact of freeze protocol on oesophago-mediastinal alterations. A TTI-guided protocol reduces mediastino-oesophageal lesions and may reduce short- and long-term complications of cryoballoon PVI.


PLoS ONE ◽  
2019 ◽  
Vol 14 (4) ◽  
pp. e0214838 ◽  
Author(s):  
Wai-Man Liu ◽  
Liz Forbat ◽  
Katrina Anderson

2007 ◽  
Vol 35 (1) ◽  
pp. 148-153 ◽  
Author(s):  
Terry T-K Huang ◽  
Mary N. Horlick

Childhood obesity continues to rise in the United States, with now over 17% of children and adolescents considered overweight. Childhood obesity predisposes an entire generation to increased risk of chronic diseases and disabilities and is a severe threat to the economic well-being of the nation. At first thought, the solution to the obesity epidemic may seem simple: encourage people to eat less and exercise more. However, the reality is that behavioral change is difficult to achieve without also considering the interplay of genetics, biological processes, and social and environmental mechanisms. As such, investment in obesity research has been considered an important tool to combat obesity and obesity-related diseases. Childhood obesity research, in particular, has drawn considerable attention, given the lower cost of prevention relative to treatment and the high potential for long-term benefits at a population level.


2019 ◽  
Vol 47 (6) ◽  
pp. 605-622
Author(s):  
Valérie Hémar-Nicolas ◽  
Pascale Ezan

Purpose The purpose of this paper is to provide a better understanding of what well-being means to children in the food context and to formulate recommendations about the way food retailers may take actions to promote children’s food well-being (FWB). Design/methodology/approach A qualitative study based on a child-centric perspective is conducted with 25 French children aged 6–11 years. The data collection and analysis use both verbal and graphic data methods including focus groups and drawings in order to help children express their feelings and thoughts. Findings The findings put forward that according to children, the concept of FWB relies on five dimensions: sensory taste, health, commensality, empowerment and altruistic behaviours. Their discourses suggest that food practices contributes to objective, hedonic, eudaemonic and social well-being on the short and long term. Practical implications Based on children’s intrinsic needs for pleasure and empowerment, our recommendations highlight how food retailers might rethink their own-label offering, retail environment and communication to take into account young consumers’ FWB. Originality/value Drawing upon the concept of FWB and positive psychology, the authors do not only examine children’s food representations through a nutritional lens, but enlarge the scope to show how physical, emotional, psychological and social factors, involved in food context, contribute to different aspects of well-being.


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