scholarly journals Maternal Body Mass Index and Breastfeeding Non-Initiation and Cessation: A Quantitative Review of the Literature

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2684
Author(s):  
Kyoko Nomura ◽  
Sachiko Minamizono ◽  
Kengo Nagashima ◽  
Mariko Ono ◽  
Naomi Kitano
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Normal Weight ◽  
Maternal Body Mass Index ◽  
Review Of The Literature ◽  
Maternal Body ◽  
Cross Sectional ◽  
Quantitative Review ◽  
Increased Risk ◽  
Meta Analyses

This study aims to investigate which maternal body mass index (BMI) categories are associated with the non-initiation or cessation of breastfeeding (BF) based on a quantitative review of the literature. We searched Ovid MEDLINE and EBSCO CINAHL for peer-reviewed articles published between 1946 (MEDLINE) or 1981 (CINAHL), and 2019. Selected studies were either cross-sectional or cohort studies, of healthy mothers and infants, that reported nutrition method (exclusive/full or any) and period (initiation/duration/cessation) of breastfeeding according to maternal BMI levels. Pairwise meta-analyses of 57 studies demonstrated that the pooled odds risks (OR) of not initiating BF among overweight and obese mothers compared to normal weight mothers were significant across 29 (OR 1.33, 95% confidence interval (CI), 1.15–1.54, I2 = 98%) and 26 studies (OR 1.61, 95% CI, 1.33–1.95, I2 = 99%), respectively; the pooled risks for BF cessation were inconsistent in overweight and obese mothers with substantial heterogeneity. However, we found that overweight mothers (n = 10, hazard ratio (HR) 1.16, 95% CI, 1.07–1.25; I2 = 23%) and obese mothers (n = 7, HR 1.45, 95% CI: 1.27–1.65; I2 = 44%) were both associated with an increased risk of not continuing any BF and exclusive BF, respectively. Overweight and obese mothers may be at increased risk of not initiating or the cessation of breastfeeding.

Exploratory Study of the Relationship Between Maternal Body Mass Index and Spontaneous Fetal Movements

2016 ◽  
Author(s):  
Wei Ning (Will) Jiang
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Interrater Reliability ◽  
Well Being ◽  
Normal Weight ◽  
Maternal Body Mass Index ◽  
Body Movements ◽  
Maternal Body ◽  
Fetal Movements ◽  
Maternal Bmi

Maternal body mass index (BMI) has been reported to be associated with the number of fetal body movements and the duration of fetal breathing movements in hypertensive pregnant women (Brown et al., 2008). However, whether a relationship exists in pregnancies classified as overweight or normal weight but not complicated by hypertension is unknown and the focus of this study. Forty-five maternal-fetal pairs (normotensive, normal weight=15; normotensive, overweight=15; hypertensive=15) who had participated in a study of fetal behavior which included a 20 min real-time ultrasound scan observation of fetal movements were randomly selected from the laboratory archival database. Gestational age at testing ranged from 33-39 weeks [M(SD)= 36.2 (1.4) weeks]. All infants were delivered healthy at term. Video-recordings of the ultrasound scans were scored for the number of fetal body movements (interrater reliability r=.97) and the cumulative duration of breathing (interrater reliability r=.94) movements. The number of fetal body movements differed between groups, F(2,38)=3.19, p=0.05, with fetuses of overweight mothers moving less frequently than those of normal weight mothers (M=9.7 vs 15.5, respectively). Maternal BMI prior to pregnancy, r=-0.43, p<0.01, and at time of observation, r=-0.44, p<0.01, was associated with the number of fetal body movements, but not with duration of breathing movements. As BMI increased, the number of fetal body movements decreased. It was concluded that maternal BMI may affect the number of spontaneous fetal movements. A prospective study is necessary to determine whether BMI should be considered when using body movement counts to assess well-being and/or neurodevelopment.

scholarly journals Body Mass Index and Total Symptom Burden in Myeloproliferative Neoplasms Discovery of a U-shaped Association

Cancers ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2202 ◽  
Author(s):  
Sarah Friis Christensen ◽  
Robyn Marie Scherber ◽  
Nana Brochmann ◽  
Martin Goros ◽  
Jonathan Gelfond ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Myeloproliferative Neoplasms ◽  
Philadelphia Chromosome ◽  
Myeloproliferative Neoplasm ◽  
Symptom Burden ◽  
Normal Weight ◽  
Analysis Of Covariance ◽  
Cross Sectional ◽  
Increased Risk

Elevated body mass index (BMI) is a global health problem, leading to enhanced mortality and the increased risk of several cancers including essential thrombocythemia (ET), a subtype of the Philadelphia-chromosome negative myeloproliferative neoplasms (MPN). Furthermore, evidence states that BMI is associated with the severity of symptom burden among cancer patients. MPN patients often suffer from severe symptom burden. The purpose of this study was to examine whether deviations from a normal BMI in an MPN population are associated with higher symptom burden and reduced quality of life (QoL). A combined analysis of two large cross-sectional surveys, the Danish Population-based Study, MPNhealthSurvey (n = 2044), and the international Fatigue Study (n = 1070), was performed. Symptoms and QoL were assessed using the validated Myeloproliferative Neoplasm Symptom Assessment Form (MPN-SAF). Analysis of covariance was used to estimate the effects of different BMI categories on symptom scores while adjusting for age, sex, and MPN subtype. A U-shaped association between BMI and Total Symptom Burden was observed in both datasets with significantly higher mean scores for underweight and obese patients relative to normal weight (mean difference: underweight 5.51 (25.8%), p = 0.006; obese 5.70 (26.6%) p < 0.001). This is an important finding, as BMI is a potentially modifiable factor in the care of MPN patients.

scholarly journals Maternal body mass index before pregnancy is associated with increased bronchodilator dispensing in early childhood: A cross-sectional study

2016 ◽  
Vol 51 (8) ◽  
pp. 803-811 ◽  
Author(s):  
Kelvin D. MacDonald ◽  
Kimberly K. Vesco ◽  
Kristine L. Funk ◽  
Jerena Donovan ◽  
Thuan Nguyen ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Early Childhood ◽  
Body Mass ◽  
Cross Sectional Study ◽  
Maternal Body Mass Index ◽  
Sectional Study ◽  
Maternal Body ◽  
Cross Sectional

Pre-gestational maternal body mass index predicts an increased risk of congenital malformations in infants of mothers with gestational diabetes

2005 ◽  
Vol 22 (6) ◽  
pp. 775-781 ◽  
Author(s):  
M. L. Martinez-Frias ◽  
J. P. Frias ◽  
E. Bermejo ◽  
E. Rodriguez-Pinilla ◽  
L. Prieto ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Gestational Diabetes ◽  
Body Mass ◽  
Congenital Malformations ◽  
Maternal Body Mass Index ◽  
Maternal Body ◽  
Increased Risk

scholarly journals Maternal body mass index, neonatal lung function and respiratory symptoms in childhood

2015 ◽  
Vol 46 (5) ◽  
pp. 1342-1349 ◽  
Author(s):  
Jacobien B. Eising ◽  
Cuno S.P.M. Uiterwaal ◽  
Cornelis K. van der Ent
Keyword(s):  
Body Mass Index ◽  
Lung Function ◽  
Body Mass ◽  
Maternal Obesity ◽  
First Year ◽  
Maternal Body Mass Index ◽  
Maternal Body ◽  
Increased Risk ◽  
Neonatal Lung ◽  
First Year Of Life

Recent studies have shown that maternal obesity is associated with increased risk of wheezing in the offspring. We assessed whether impaired neonatal lung function could explain this association.We measured neonatal lung function in 2606 children of our prospective birth cohort. Information about daily symptoms of wheezing was obtained using questionnaires. Consultations and prescriptions for wheezing illnesses were derived from general practitioner patient files.Higher maternal body mass index (BMI) was associated with increased risk of wheezing in the first year of life and more consultations and prescriptions for wheezing illnesses until the age of 5 years. Lung function could partially explain the association with wheezing in the first year of life. Adding respiratory resistance to the model decreased the incidence rate ratio from 1.023 (95% CI 1.008–1.039) to 1.015 (95% CI 0.998–1.032). Anthropometrics of the 5-year-olds largely explained the association with consultations. Intermediates or confounders could not explain the association with prescriptions.There is an association between higher maternal BMI and increased risk of wheezing illnesses. In the first year of life, it is largely explained by an impaired lung function in early life, especially in children of nonatopic mothers. At the age of 5 years, infant lung function is of minor influence in this association.

scholarly journals Relationship between Maternal Body Mass Index and Obstetric and Perinatal Complications

2020 ◽  
Vol 9 (3) ◽  
pp. 707 ◽  
Author(s):  
Ana Ballesta-Castillejos ◽  
Juan Gómez-Salgado ◽  
Julián Rodríguez-Almagro ◽  
Inmaculada Ortiz-Esquinas ◽  
Antonio Hernández-Martínez
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Maternal Body Mass Index ◽  
Perinatal Complications ◽  
Odds Ratios ◽  
Maternal Body ◽  
Type Iii ◽  
Increased Risk

Over the past few decades, overweight and obesity have become a growing health problem of particular concern for women of reproductive age as obesity in pregnancy has been associated with increased risk of obstetric and neonatal complications. The objective of this study is to describe the incidence of obstetric and perinatal complications in relation to maternal body mass index (BMI) at the time prior to delivery within the Spanish Health System. For this purpose, a cross-sectional observational study was conducted aimed at women who have been mothers between 2013 and 2018 in Spain. Data were collected through an online survey of 42 items that was distributed through lactation associations and postpartum support groups. A total of 5871 women answered the survey, with a mean age of 33.9 years (SD = 4.26 years). In the data analysis, crude odds ratios (OR) and adjusted odds ratios (AOR) were calculated through a multivariate analysis. A linear relationship was observed between the highest BMI figures and the highest risk of cephalopelvic disproportion (AOR of 1.79 for obesity type III (95% CI: 1.06–3.02)), preeclampsia (AOR of 6.86 for obesity type III (3.01–15.40)), labor induction (AOR of 1.78 for obesity type III (95% CI: 1.16–2.74)), emergency C-section (AOR of 2.92 for obesity type III (95% CI: 1.68–5.08)), morbidity composite in childbirth (AOR of 3.64 for obesity type III (95% CI: 2.13–6.24)), and macrosomia (AOR of 6.06 for obesity type III (95% CI: 3.17–11.60)), as compared with women with normoweight. Women with a higher BMI are more likely to develop complications during childbirth and macrosomia.

scholarly journals Overweight and obesity among staff of University of Calabar, Calabar, Nigeria

2020 ◽  
Vol 2 ◽  
pp. 9-20
Author(s):  
J Abuo ◽  
BN Ekpenyong ◽  
GME Nja ◽  
N Nwachuku ◽  
IB Williams
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Cross Sectional ◽  
Multi Stage ◽  
Increased Risk ◽  
The University

Introduction: Physical inactivity is reported among 41% of Nigerians and 73.8% of adults in Calabar have been reported to be either overweight or obese. Obesity is a chronic disorder marked by excessive generalized deposition and storage of fat in human body. It is indicated by a Body Mass Index of 30kg/m2 and above. The objective of this study was to determine the prevalence of overweight and obesity among the staff of the University of Calabar, Calabar, Nigeria.Methods: A total of 321 staff in University of Calabar participated in this cross sectional study. A multi-stage sampling technique was employed to select faculties, departments, offices and respondents. Data was collected using a semi-structured and self administered questionnaire, a well calibrated weighing scale, a calculator and a checklist. Data analysis was done using IBM Statistical Package for Social Sciences version 20.0.Results: Of the 321 respondents, 55.1% were males and 60.0% were non-teaching. One hundred and twenty nine (40.0%) of the staff were 31-40 years. A total of 43.6% had normal weight, 35.5% were overweight while 19.6% were obese. A total of 45.1% were estimated to be physically inactive and 24.0% did not intend to begin exercises within the next six months. Majority, 91.3% of respondents were knowledgeable about overweight/obesity and 60.4% correctly mentioned at least one possible health implication of overweight/obesity but only 24.3% could define overweight and obesity based on Body Mass Index and most staff (72.0%) believed they had normal weight. Conclusion: The percentage of those found to be either overweight or obese is remarkable and the need to educate staff of the implication and ways to avoid over-nutrition. To avoid the increased risk of developing diabetes and cardiovascular diseases including communicable diseases, preventive health education and regular health checks for staff are recommended.

scholarly journals Health Care Consumption during Pregnancy in relation to Maternal Body Mass Index: A Swedish Population Based Observational Study

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Elisabeth S. Lindholm ◽  
Daniel Altman ◽  
Margareta Norman ◽  
Marie Blomberg
Keyword(s):  
Health Care ◽  
Body Mass Index ◽  
Observational Study ◽  
Patient Care ◽  
Body Mass ◽  
Normal Weight ◽  
Maternal Body Mass Index ◽  
Obese Women ◽  
Health Care Consumption ◽  
Maternal Body

Objective. To assess whether antenatal health care consumption is associated with maternal body mass index (BMI).Design. A register based observational study.Methods. The Swedish Medical Birth Register, the Maternal Health Care Register, and the Inpatient Register were used to determine antenatal health care consumption according to BMI categories for primiparous women with singleton pregnancies, from 2006 to 2008,n=71,638. Pairwise comparisons among BMI groups are obtained post hoc by Tukey HSD test.Result. Obese women were more often admitted for in-patient care (p<0.001), had longer antenatal hospital stays (p<0.001), and were more often sick-listed by an obstetrician (p<0.001) during their pregnancy, compared to women with normal weight women. Preeclampsia was more than four times as common, hypertension five times as common, and gestational diabetes 11 times as common when comparing in-patient care, obese to normal weight women (p<0.001for all comparisons). Underweight mothers had longer stay in hospitals (p<0.05) and hydronephrosis and hyperemesis gravidarum were more than twice as common (bothp<0.001).Conclusion. Obese and underweight mothers consumed significantly more health care resources and obese women were significantly more often sick-listed during their pregnancy when compared to pregnant women of normal weight.

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