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Population estimates, consequences, and risk factors of obesity among pregnant and postpartum women in India: Results from a national survey and policy recommendations

Population estimates, consequences, and risk factors of obesity among pregnant and postpartum women in India: Results from a national survey and policy recommendations
Population estimates, consequences, and risk factors of obesity among pregnant and postpartum women in India: Results from a national survey and policy recommendations
Objective To examine prevalence, risk factors, and consequences of maternal obesity; and provide evidence on current policies and programs to manage maternal obesity in India. Methods This is a mixed‐methods study. We analyzed the National Family Health Survey (NFHS)‐4 data (2015–16) to estimate the prevalence and risk factors of obesity, followed by a desk review of literature and stakeholder mapping with interviews to develop policy guidance. Results National prevalence of obesity (defined by WHO as body mass index ≥25) was comparable among pregnant (12%) and postpartum women (13%) ≥20 years of age. A high prevalence of obesity (>40%) was observed in over 30 districts in multiple states. Older maternal age, urban residence, increasing wealth quintile, and secondary education were associated with increased odds of obesity among pregnant and postpartum women; higher education increased odds among postpartum women only (OR 1.90; 95% CI, 1.44–2.52). Dietary variables were not associated with obesity. Several implementation challenges across healthcare system blocks were observed at policy level. Conclusion Overall prevalence of obesity in India during and after pregnancy is high, with huge variation across districts. Policy and programs must be state‐specific focusing on prevention, screening, and management of obesity among pregnant and postpartum women.
India, Obesity, Policy, Postpartum, Pregnancy, Prevalence, Risk factors of obesity
1879-3479
57-67
Chopra, Mansi
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Kaur, Naman
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Singh, Konsam Dinachandra
55a6ecef-1c00-444b-8f49-2a27a4ba1386
Jacob, Chandni Maria
f72c15ac-ef6b-4144-95b3-31194541fe00
Divakar, Hema
847ab2fc-4876-47b5-ba2a-77f2823fdc3f
Babu, Giridhara R.
9ddbf976-3b8c-4ee0-9d02-ec22f113392d
Nguyen, Phuong Hong
f911d29e-c857-4df5-a518-4c52bb2dbc18
Bhanot, Arti
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Sabharwal, Manisha
d17902ba-0774-4258-8b57-356fc871bea3
Deb, Sila
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Baswal, Dinesh
47581c46-25e0-4440-a84e-4c387b5bb841
Killeen, Sarah Louise
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McAuliffe, Fionnuala M.
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Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
Sethi, Vani
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Chopra, Mansi
7507494b-d006-4ed4-9a83-5546273e9b0b
Kaur, Naman
1bdf2ed9-3427-4366-8084-0ae548ff7ffd
Singh, Konsam Dinachandra
55a6ecef-1c00-444b-8f49-2a27a4ba1386
Jacob, Chandni Maria
f72c15ac-ef6b-4144-95b3-31194541fe00
Divakar, Hema
847ab2fc-4876-47b5-ba2a-77f2823fdc3f
Babu, Giridhara R.
9ddbf976-3b8c-4ee0-9d02-ec22f113392d
Nguyen, Phuong Hong
f911d29e-c857-4df5-a518-4c52bb2dbc18
Bhanot, Arti
439954a9-5367-4370-afaa-11e30fd4c1d6
Sabharwal, Manisha
d17902ba-0774-4258-8b57-356fc871bea3
Deb, Sila
5f5927b6-ce62-458c-b3aa-7c314d3daac2
Baswal, Dinesh
47581c46-25e0-4440-a84e-4c387b5bb841
Killeen, Sarah Louise
de21cc0f-7735-43c8-9960-c6ad70d333b9
McAuliffe, Fionnuala M.
4338a5d7-8afc-4565-8edc-6c9928311c47
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
Sethi, Vani
e36793e8-a35a-4f95-a9c9-b212818b7526

Chopra, Mansi, Kaur, Naman, Singh, Konsam Dinachandra, Jacob, Chandni Maria, Divakar, Hema, Babu, Giridhara R., Nguyen, Phuong Hong, Bhanot, Arti, Sabharwal, Manisha, Deb, Sila, Baswal, Dinesh, Killeen, Sarah Louise, McAuliffe, Fionnuala M., Hanson, Mark and Sethi, Vani (2020) Population estimates, consequences, and risk factors of obesity among pregnant and postpartum women in India: Results from a national survey and policy recommendations. International Journal of Gynecology & Obstetrics, 151 (S1), 57-67. (doi:10.1002/ijgo.13319).

Record type: Review

Abstract

Objective To examine prevalence, risk factors, and consequences of maternal obesity; and provide evidence on current policies and programs to manage maternal obesity in India. Methods This is a mixed‐methods study. We analyzed the National Family Health Survey (NFHS)‐4 data (2015–16) to estimate the prevalence and risk factors of obesity, followed by a desk review of literature and stakeholder mapping with interviews to develop policy guidance. Results National prevalence of obesity (defined by WHO as body mass index ≥25) was comparable among pregnant (12%) and postpartum women (13%) ≥20 years of age. A high prevalence of obesity (>40%) was observed in over 30 districts in multiple states. Older maternal age, urban residence, increasing wealth quintile, and secondary education were associated with increased odds of obesity among pregnant and postpartum women; higher education increased odds among postpartum women only (OR 1.90; 95% CI, 1.44–2.52). Dietary variables were not associated with obesity. Several implementation challenges across healthcare system blocks were observed at policy level. Conclusion Overall prevalence of obesity in India during and after pregnancy is high, with huge variation across districts. Policy and programs must be state‐specific focusing on prevention, screening, and management of obesity among pregnant and postpartum women.

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More information

Accepted/In Press date: 29 June 2020
e-pub ahead of print date: 7 September 2020
Published date: 2020
Keywords: India, Obesity, Policy, Postpartum, Pregnancy, Prevalence, Risk factors of obesity

Identifiers

Local EPrints ID: 443908
URI: http://eprints.soton.ac.uk/id/eprint/443908
ISSN: 1879-3479
PURE UUID: c01d2696-7d33-4f55-b9be-8a8fe9293860
ORCID for Chandni Maria Jacob: ORCID iD orcid.org/0000-0002-2024-0074
ORCID for Mark Hanson: ORCID iD orcid.org/0000-0002-6907-613X

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Date deposited: 16 Sep 2020 16:34
Last modified: 28 Apr 2022 02:18

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Contributors

Author: Mansi Chopra
Author: Naman Kaur
Author: Konsam Dinachandra Singh
Author: Hema Divakar
Author: Giridhara R. Babu
Author: Phuong Hong Nguyen
Author: Arti Bhanot
Author: Manisha Sabharwal
Author: Sila Deb
Author: Dinesh Baswal
Author: Sarah Louise Killeen
Author: Fionnuala M. McAuliffe
Author: Mark Hanson ORCID iD
Author: Vani Sethi

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