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dc.contributor.authorGarcia, Rebeccaen
dc.contributor.authorAli, Nasreenen
dc.contributor.authorGuppy, Andyen
dc.contributor.authorGriffiths, Malcolmen
dc.contributor.authorRandhawa, Gurchen
dc.date.accessioned2017-09-14T10:43:27Z
dc.date.available2017-09-14T10:43:27Z
dc.date.issued2017-04-11
dc.identifier.citationGarcia R, Ali N, Guppy A, Griffiths M, Randhawa G (2017) 'A comparison of antenatal classifications of 'overweight' and 'obesity' prevalence between white British, Indian, Pakistani and Bangladeshi pregnant women in England; analysis of retrospective data', BMC Public Health, 17.en
dc.identifier.issn1471-2458
dc.identifier.pmid28399916
dc.identifier.doi10.1186/s12889-017-4211-1
dc.identifier.urihttp://hdl.handle.net/10547/622190
dc.description.abstractBackground: Maternal obesity increases women's risk of poor birth outcomes, and statistics show that Pakistani and Bangladeshi women (who are born or settled) in the UK experience higher rates of perinatal mortality and congenital anomalies than white British or white Other women. This study compares the prevalence of maternal obesity in Indian, Pakistani, Bangladeshi and white British women using standard and Asian-specific BMI metrics.Method: Retrospective cross-sectional analysis using routinely recorded secondary data in Ciconia Maternity information System (CMiS), between 2008 and 2013. Mothers (n = 15,205) whose ethnicity was recorded as white British, Bangladeshi, Pakistani or Indian. Adjusted standardised residuals and Pearson Chi-square. Main outcome measures: Percentage of mothers stratified by ethnicity (Indian, Pakistani, Bangladeshi and white British) who are classified as overweight or obese using standard and revised World Health Organisation BMI thresholds.Results: Compared to standard BMI thresholds, using the revised BMI threshold resulted in a higher prevalence of obesity: 22.8% of Indian and 24.3% of Bangladeshi and 32.3% of Pakistani women. Pearson Chi-square confirmed that significantly more Pakistani women were classified as `obese' compared with white British, Indian or Bangladeshi women (X-2 = 499,88 df = 9, p < 0.001).Conclusions: There are differences in the prevalence of obese and overweight women stratified by maternal ethnicity of white British, Indian, Pakistani and Bangladeshi. Using revised anthropometric measures in Indian, Pakistani and Bangladeshi women has clinical implications for identifying risks associated with obesity and increased complications in pregnancy.
dc.description.sponsorshipThe Steel Trust has provided funding to the University of Bedfordshire for RG to undertake research at Institute for Health Research, University of Bedfordshire, under the direction of NA and GR. The funders have no involvement in the research or publication.en
dc.language.isoenen
dc.publisherBIOMED CENTRAL LTDen
dc.relation.urlhttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-017-4211-1en
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5387224/
dc.rightsGreen - can archive pre-print and post-print or publisher's version/PDF
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectWhite Britishen
dc.subjectIndian Bangladeshien
dc.subjectBMIen
dc.subjectMaternal obesityen
dc.subjectSouth Asianen
dc.subjectPakistanien
dc.titleA comparison of antenatal classifications of 'overweight' and 'obesity' prevalence between white British, Indian, Pakistani and Bangladeshi pregnant women in England; analysis of retrospective dataen
dc.typeArticleen
dc.contributor.departmentUniversity of Bedfordshireen
dc.contributor.departmentLuton & Dunstable University Hospital NHS Foundation Trusten
dc.identifier.journalBMC Public Healthen
dc.identifier.pmcidPMC5387224
dc.date.updated2017-09-14T10:10:53Z
html.description.abstractBackground: Maternal obesity increases women's risk of poor birth outcomes, and statistics show that Pakistani and Bangladeshi women (who are born or settled) in the UK experience higher rates of perinatal mortality and congenital anomalies than white British or white Other women. This study compares the prevalence of maternal obesity in Indian, Pakistani, Bangladeshi and white British women using standard and Asian-specific BMI metrics.Method: Retrospective cross-sectional analysis using routinely recorded secondary data in Ciconia Maternity information System (CMiS), between 2008 and 2013. Mothers (n = 15,205) whose ethnicity was recorded as white British, Bangladeshi, Pakistani or Indian. Adjusted standardised residuals and Pearson Chi-square. Main outcome measures: Percentage of mothers stratified by ethnicity (Indian, Pakistani, Bangladeshi and white British) who are classified as overweight or obese using standard and revised World Health Organisation BMI thresholds.Results: Compared to standard BMI thresholds, using the revised BMI threshold resulted in a higher prevalence of obesity: 22.8% of Indian and 24.3% of Bangladeshi and 32.3% of Pakistani women. Pearson Chi-square confirmed that significantly more Pakistani women were classified as `obese' compared with white British, Indian or Bangladeshi women (X-2 = 499,88 df = 9, p < 0.001).Conclusions: There are differences in the prevalence of obese and overweight women stratified by maternal ethnicity of white British, Indian, Pakistani and Bangladeshi. Using revised anthropometric measures in Indian, Pakistani and Bangladeshi women has clinical implications for identifying risks associated with obesity and increased complications in pregnancy.


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