Katharina Reiss1, Jürgen Breckenkamp2, Theda Borde3, Silke Brenne4, Matthias David4, Oliver Razum1. 1. 1 Department of Epidemiology & International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany. 2. 1 Department of Epidemiology & International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, Bielefeld, Germany juergen.breckenkamp@uni-bielefeld.de. 3. 2 Alice Salomon Hochschule Berlin, University of Applied Sciences, Berlin, Germany. 4. 3 Department of Gynecology, Campus Virchow-Klinikum, Charité Universitätsmedizin Berlin, Berlin, Germany.
Abstract
BACKGROUND: Maternal excessive weight and smoking are associated with an increased risk of pregnancy complications and adverse pregnancy outcomes. In Germany, immigrant women have a higher prevalence of pre-pregnancy overweight/obesity compared with autochthonous women. We compared the contribution of pre-pregnancy overweight/obesity to adverse pregnancy outcomes among immigrant and autochthonous women in Berlin/Germany. METHODS: Data from 2586 immigrant women (from Turkey, Lebanon, other countries of origin) and 2676 autochthonous women delivering in three maternity hospitals of Berlin within 12 months (2011/2012) was used. Cox regression models were applied to estimate the association between overweight/obesity and smoking with the outcomes large-for-gestational-age (LGA), small-for-gestational-age (SGA), preterm birth (PTB) and extreme preterm-birth (E-PTB). Population attributive fractions (PAF) were calculated to quantify the proportion of the outcomes attributable to overweight/obesity and smoking, respectively. RESULTS: Prevalence of overweight and obesity was 33.4% among autochthonous and 53.6% among Turkish women. Prevalence risk ratios of excessive weight were highest for LGA infants among immigrant and autochthonous women. The PAFs were -11.8% (SGA), +16.3% (LGA), +3.6% (PTB) and +16.5% (E-PTB) for the total study population. CONCLUSIONS: Overweight/obesity is strongly associated with an increased risk of delivering an LGA infant among both immigrant and autochthonous women. Compared with autochthonous women, the contribution of excessive weight to LGA is even higher among immigrant women, in whom PAFs of overweight/obesity even exceed those of smoking for some outcomes.
BACKGROUND: Maternal excessive weight and smoking are associated with an increased risk of pregnancy complications and adverse pregnancy outcomes. In Germany, immigrant women have a higher prevalence of pre-pregnancy overweight/obesity compared with autochthonous women. We compared the contribution of pre-pregnancy overweight/obesity to adverse pregnancy outcomes among immigrant and autochthonous women in Berlin/Germany. METHODS: Data from 2586 immigrant women (from Turkey, Lebanon, other countries of origin) and 2676 autochthonous women delivering in three maternity hospitals of Berlin within 12 months (2011/2012) was used. Cox regression models were applied to estimate the association between overweight/obesity and smoking with the outcomes large-for-gestational-age (LGA), small-for-gestational-age (SGA), preterm birth (PTB) and extreme preterm-birth (E-PTB). Population attributive fractions (PAF) were calculated to quantify the proportion of the outcomes attributable to overweight/obesity and smoking, respectively. RESULTS: Prevalence of overweight and obesity was 33.4% among autochthonous and 53.6% among Turkish women. Prevalence risk ratios of excessive weight were highest for LGA infants among immigrant and autochthonous women. The PAFs were -11.8% (SGA), +16.3% (LGA), +3.6% (PTB) and +16.5% (E-PTB) for the total study population. CONCLUSIONS: Overweight/obesity is strongly associated with an increased risk of delivering an LGA infant among both immigrant and autochthonous women. Compared with autochthonous women, the contribution of excessive weight to LGA is even higher among immigrant women, in whom PAFs of overweight/obesity even exceed those of smoking for some outcomes.
Authors: Katharina Reiss; Jürgen Breckenkamp; Theda Borde; Silke Brenne; Wolfgang Henrich; Matthias David; Oliver Razum Journal: Int J Public Health Date: 2016-05-10 Impact factor: 3.380
Authors: Samira Behboudi-Gandevani; Razieh Bidhendi-Yarandi; Mohammad Hossein Panahi; Abbas Mardani; Piret Paal; Christina Prinds; Mojtaba Vaismoradi Journal: Ann Glob Health Date: 2022-06-28 Impact factor: 3.640
Authors: Aynaz Tajaddini; Michael D Kendig; Kelly V Prates; R Frederick Westbrook; Margaret J Morris Journal: Int J Mol Sci Date: 2022-01-27 Impact factor: 5.923
Authors: Fatou Jatta; Johanne Sundby; Siri Vangen; Benedikte Victoria Lindskog; Ingvil Krarup Sørbye; Katrine Mari Owe Journal: Int J Environ Res Public Health Date: 2021-06-01 Impact factor: 3.390
Authors: Katherine Smith; Lori Dorfman; Nicholas Freudenberg; Benjamin Hawkins; Shona Hilton; Oliver Razum; Heide Weishaar Journal: Front Public Health Date: 2016-04-11
Authors: Pontus Henriksson; Johanna Sandborg; Marie Blomberg; Paulina Nowicka; Kerstin Petersson; Marcus Bendtsen; Magdalena Rosell; Marie Löf Journal: PLoS One Date: 2020-10-29 Impact factor: 3.240