Implications of the Revised Consensus Body Mass Indices for Asian Indians on Clinical Obstetric Practice
Background: The body mass index (BMI) categories for Asian Indians has been revised based on consensus guidelines. The revised guidelines categorize overweight as a BMI of 23.0 – 24.9 and obesity as a BMI≥25. Aim: To determine the change in prevalence of overweight and obese pregnant women, and...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2014-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/4212/8062_291213_8062_CE[Ra]_PF1(PAK)_PFA(AK)_E(V)_PF2(PAG)p.pdf |
| Summary: | Background: The body mass index (BMI) categories for Asian
Indians has been revised based on consensus guidelines. The
revised guidelines categorize overweight as a BMI of 23.0 – 24.9
and obesity as a BMI≥25.
Aim: To determine the change in prevalence of overweight and
obese pregnant women, and maternal and fetal associations
with overweight and obese pregnant women classified using the
revised consensus guidelines for BMI in Asian Indians.
Materials and Methods: A retrospective analysis of case records
of pregnant women between January 2010 and December 2012
at a tertiary care institute in India. BMI was classified using the
revised consensus guidelines for Asian Indians and the World
Health Organization (WHO) criteria. The strength and direction of
associations with maternal and fetal outcomes was explored with
a multivariate regression model.
Results: The prevalence of obesity increased from 11.81% with
the WHO criteria to 43.11% with the revised consensus guidelines
and led to the re-classification of 1,345 (18.47%) pregnant women
from a low risk category to a high risk category.Gestational
hypertension, gestational diabetes and large for gestational age
babies was associated with overweight or obesity (both Indian
and WHO guidelines). Obesity (both Indian and WHO guidelines)
was also significantly associated with caesarean sections
(adjusted OR 1.23 and 1.51 respectively).
Conclusion: The use of the revised guidelines led to a larger
classification of high risk Asian Indian pregnant women. Retention
of adverse associations of overweight and obesity support
adoption of the revised guidelines in obstetric management of
Asian Indians. |
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| ISSN: | 2249-782X 0973-709X |