Assessment of Obesity Among Pregnant Women in the Volta Region of Ghana
DOI:
https://doi.org/10.29169/1927-5951.2024.14.06Keywords:
Obesity, Pregnant Women, Gestational Weight Gain, Age, Food Intake, Physical ActivityAbstract
Background: Obesity remains a rising challenge in both developed and developing countries, and maternal obesity has become one of the most occurring risk factors, which can lead to gestational diabetes, pre-eclampsia and prematurity in obstetric practice for both the mother and the child.
Pregnancy is a timeline where obesity cannot be effectively worked on as the mother is more likely to live unhealthy lifestyle such as unhealthy diet, binge eating and less physical activity, which would most likely affect foetal health. This is an issue as most pregnant women in Volta Region are either overweight or obese. This research assessed the prevalence of obesity among pregnant women in the Volta Region of Ghana.
Material and Method: A full structured questionnaire was administered to 220 participants based on their knowledge of obesity and its effect on pregnancy, food choices, mealtimes and portion sizes, as well as physical activity during pregnancy. Body weight and height were measured using standardized procedures and body mass index (BMI) was calculated. Overweight and obesity were defined based on WHO criteria. Data analysis was performed using SPSS version 20.0.
Results: Based on excessive gestational weight gain, prevalence of obesity among the pregnant women was 54% (119). Majority of respondents had poor knowledge of obesity and its effect on the mother and the foetus, which represented a significant correlation (p< 0.0001) between their caloric intake and high gestational weight gain. Physical activity showed no significant effect (p = 0.2) on gestational weight gain. However, pre-pregnancy BMI of the expectant mothers was directly linked to high gestational weight gain with age being the significant risk factor (p<0.02) for obesity before pregnancy.
Conclusion: This research found limited awareness of excessive gestational weight gain and its health consequences among pregnant women and the unborn baby. Therefore, monitoring gestational weight gain using diverse approaches to integrate and manage the condition in routine antenatal care needs consideration.
References
Safaei M, Sundararajan EA, Driss M, Boulila W, Shapi’I A. A systematic literature review on obesity: Understanding the causes & consequences of obesity and reviewing various machine learning approaches used to predict obesity. Computers in Biology and Medicine 2021; 136. https://doi.org/10.1016/j.compbiomed.2021.104754
Lin X, Li H. Obesity: Epidemiology, Pathophysiology, and Therapeutics. Frontiers in Endocrinology 2021; 12. https://doi.org/10.3389/fendo.2021.706978
WHO. Obesity and Overweight 2016; http://www.who.int/ mediacentre/factsheets/fs311/en/
Moschonis G, Trakman GL. Overweight and Obesity: The Interplay of Eating Habits and Physical Activity. Nutrients 2023; 15(13): 2896. https://doi.org/10.3390/nu15132896
Boutari C, Mantzoros CS. A 2022 update on the epidemiology of obesity and a call to action: as its twin COVID-19 pandemic appears to be receding, the obesity and dysmetabolism pandemic continues to rage on. Metabolism 2022; 133: 155217. https://doi.org/10.1016/j.metabol.2022.155217
Amugsi DA, Mittelmark MB, Oduro A. Association between Maternal and Child Dietary Diversity: An Analysis of the Ghana Demographic and Health Survey. PLoS One 2015; 10(8): e0136748. https://doi.org/10.1371/journal.pone.0136748
Poston L, Caleyachetty R, Cnattingius S, Corvalan C, Uauy R, Herring R, Gillman MW. Preconception and maternal obesity: epidemiology and health consequences. Lancet Diabetes Endocrinol 2016; 4: 1025-1036. https://doi.org/10.1016/S2213-8587(16)30217-0
Tuoyire DA, Kumi-Kyereme A, Doku DT. Socio-demographic trends in overweight and obesity among parous and nulliparous women in Ghana. BMC Obesity 2016; 1-14. https://doi.org/10.1186/s40608-016-0124-2
Mogre V. Factors associated with central overweight and obesity in students attending the University for Development Studies in Tamale, Ghana: a cross-sectional study 2014; 27(2): 69-74. https://doi.org/10.1080/16070658.2014.11734490
Duda RB, Darko R, Seffah J, Adanu RMK, Anarfi JK, Hill A. G. Prevalence of Obesity in Women of Accra, Ghana 2007; 14(3): 154-159. https://doi.org/10.4314/ajhs.v14i3.30855
Menting MD, Beek C, Van De Rooij SR De, Painter RC, Vrijkotte TGM, Roseboom TJ. The association between pre-pregnancy overweight/obesity and offspring’s behavioral problems and executive functioning. Early Human Development 2018; 122: 32-41. https://doi.org/10.1016/j.earlhumdev.2018.05.009
Middendorp D, Van AA, Bio FY, Edusei A, Meijjer L, Newton S, Agyemang C. Rural and urban differences in blood pressure and pregnancy-induced hypertension among pregnant women in Ghana 2013; 1-8.
Rowlands I, Graves N, Mcintyre HD, Callaway L. Obesity in pregnancy : outcomes and economics. Seminars in Fetal and Neonatal Medicine 2010; 15(2): 94-99. https://doi.org/10.1016/j.siny.2009.09.003
Addo VN. Body Mass Index, Weight Gain during Pregnancy and Obstetric Outcomes. Ghana Med J 2010; 44(2): 64-9. https://doi.org/10.4314/gmj.v44i2.68886
Siega-Riz AM, Viswanathan M, Moos MK, Deierlein A, Mumford S, Knaack J, Thieda P, Lux LJ, Lohr KN. A systematic review of outcomes of maternal weight gain according to the Institute of Medicine recommendations: birthweight, fetal growth, and postpartum weight retention. Am J Obstet Gynecol 2009; 201(4): 339.e1-14. https://doi.org/10.1016/j.ajog.2009.07.002
Heslehurst N, Simpson H, Ells L, Al E. The impact of maternal BMI status on pregnancy outcomes with immediate short-term obstetric resource implications: a meta-analysis. Obes Rev 2008; 9: 635-683. https://doi.org/10.1111/j.1467-789X.2008.00511.x
Thangaratinam S, Rogozinska E, Jolly K, et al. Effects of interventions in Pregnancyon maternal weight and obstetric outcomes: meta-analysis of randomised evidence. BMJ 2012; 344: e2088. https://doi.org/10.1136/bmj.e2088
Callaway L, Prins J, Chang A, Al E. The prevalence and impact of overweight and obesity in an Australian obstetric population. Med J Aust 2006; 184: 56-59. https://doi.org/10.5694/j.1326-5377.2006.tb00115.x
Dodd H, Williams S, Brown R, Venn B. Calculating meal glycemic index by using measured and published food values compared with directly measured meal glycemic index. Am J Clin Nutr 2011; 94(4): 992-996. https://doi.org/10.3945/ajcn.111.012138
Jefferson SM, Rice LJ, Kemi C, Pierce H, Riley J, Hughes-Halbert C. Abstract A49: Shared decision-making about weight loss and weight maintenance among a diverse sample of obese primary care patients. Cancer Epidemiology Biomarkers & Prevention 2017; 26: A49-A49. https://doi.org/10.1158/1538-7755.DISP16-A49
USDA Nutrient Database 2009. Retrieved from https://www. ars.usda.gov/arsuserfiles/80400535/data/sr21/sr21_doc.pdf
Abdulai A. Socio-economic characteristics and obesity in under-developed economies: does income really matters? Appl Econ 2010; 42: 157-12. https://doi.org/10.1080/00036840701604313
Abram B, Davis E, Heggeseth B, Rehkopf D. Parity and body mass index in U.S women: a prospective 25 years study obesity (Silver Spring) 2013; 21(8): 1518. https://doi.org/10.1002/oby.20503
Wolfe WS, Sobal J, Olson CM, Frongillo EA, Williamson DF. Parity-associated weight gain and its modification by sociodemographic and behavioral factors: a prospective analysis in USwomen. Int J Obes 1997; 21: 802-8. https://doi.org/10.1038/sj.ijo.0800478
Abrams B, Heggeseth B, Rehkopf D, Davis E. Parity and body mass index in U.S. women: A prospective 25-year study. Obesity 2013; 21(8): 1514-1521. https://doi.org/10.1002/oby.20503
Martorell R, Khan LK, Hughes ML, Grummer-Strawn LM. Obesity in women from developing Countries. Eur J Clin Nutr 2000; 54: 247-5. https://doi.org/10.1038/sj.ejcn.1600931
Al-Hazzaa HM, Al-Nuaim AA, Al-Nakeeb Y, Collins P, Duncan MJ, Lyons M, Nevill A. The Prevalence of Physical Activity and Sedentary Behaviours Relative to Obesity among Adolescents from Al-Ahsa, Saudi Arabia: Rural versus Urban Variations. Journal of Nutrition and Metabolism 2012; 417589. https://doi.org/10.1155/2012/417589
Sui Z, Grivell RM, Dodd JM. Antenatal exercise to improve outcomes in overweight or obese women: a systematic review. Acta Obstet Gynecol Scand 2012; 91(5): 538-545. https://doi.org/10.1111/j.1600-0412.2012.01357.x
Campbell F, Johnson M, Messina J, Guillaume L, Goyder E. Behavioural interventions for weight management in pregnancy: a systematic review of quantitative and qualitative data. BMC Public Health 2011; 11: 491. https://doi.org/10.1186/1471-2458-11-491
Gaston A, Cramp A. Exercise during pregnancy: a review of patterns and determinants. J Sci Med Sport 2011; 14(4): 299-305. https://doi.org/10.1016/j.jsams.2011.02.006
Pobee R, Plahar W, Owusu W. The prevalence of obesity among female teachers of child-bearing age in Ghana. Annals of Nutrition and Metabolism, Conference 2013; 1248.
Yahia N, Achkar A, Abdallah A, Rizk S. Eating habits and obesity among Lebanese university students. Nutrition Journal 2008; 32. https://doi.org/10.1186/1475-2891-7-32
Tetens I, Alinia S. The role of fruit consumption in the prevention of obesity. J Hortic Sci Biotechnol 2009; 84(6): 47-51. https://doi.org/10.1080/14620316.2009.11512594
Gaudet LM, Gruslin A, Magee LA. Weight in pregnancy and its implications: what women report. J Obstet Gynaecol Can 2011; 33: 227-234. https://doi.org/10.1016/S1701-2163(16)34823-X
Sui Z, Dodd JM. Exercise in obese pregnant women: positive impart and current perceptions; Int J Women Health 2013; 5: 389-398. https://doi.org/10.2147/IJWH.S34042
Beyerlein A, Lack N, Won KR. Within population average ranges compared with Institute of Medicine recommendation for gestational weight gain. Obstet Gynecol 2011; 116: 1111-8. https://doi.org/10.1097/AOG.0b013e3181f1ad8b
Vesco KK, Dietz PM, Rizzo J, Stevens VJ, Perrin NA, Bachman DJ, Callaghan WM, Bruce FC. Excessive gestational weight gain and postpartum weight retention among obese women. Obstetrics & Gynecology 2009; 114(5): 1069-1075. https://doi.org/10.1097/AOG.0b013e3181bdc0d3
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