A nationally representative study of maternal obesity in England, UK: trends in incidence and demographic inequalities in 619 323 births, 1989-2007

Hdl Handle:
http://hdl.handle.net/10149/91714
Title:
A nationally representative study of maternal obesity in England, UK: trends in incidence and demographic inequalities in 619 323 births, 1989-2007
Authors:
Heslehurst, N. (Nicola); Rankin, J. (Judith); Wilkinson, J. R. (John); Summerbell, C. D. (Carolyn)
Affiliation:
Teesside University. School of Health and Social Care. Health and Social Care Research Institute.
Citation:
Heslehurst, N. et al. (2010) 'A nationally representative study of maternal obesity in England, UK: trends in incidence and demographic inequalities in 619 323 births, 1989-2007', International Journal of Obesity, 34, pp.420-428.
Publisher:
Nature Publishing Group
Journal:
International Journal of Obesity
Issue Date:
Mar-2010
URI:
http://hdl.handle.net/10149/91714
DOI:
10.1038/ijo.2009.250
Abstract:
Background: There is an absence of national statistics for maternal obesity in the UK. This study is the first to describe a nationally representative maternal obesity research data set in England. Design: Retrospective epidemiological study of first trimester obesity. Methods: Data from 34 maternity units were analysed, including 619 323 births between 1989 and 2007. Data analysis included trends in first trimester maternal body bass index status over time, and geographical distribution of maternal obesity. Population demographics including maternal age, parity, ethnic group, deprivation and employment were analysed to identify any maternal obesity-associated health inequalities. All demographics were tested for multicollinearity. Logistic regression analyses were adjusted for all demographics as confounders. Results: First trimester maternal obesity is significantly increasing over time, having more than doubled from 7.6% to 15.6% over 19 years (P<0.001), and shows geographic variation in incidence. There are also demographic health inequalities associated with maternal obesity, including increased odds of being obese with increasing age, parity, Black ethnic group and deprivation. There is also an association between morbid obesity and increased levels of unemployment. Conclusions: The increase in maternal obesity has serious implications for the health of mothers, infants and service providers, yielding an additional 47 500 women per year requiring high dependency care in England. The demography of women most at risk of first trimester obesity highlights health inequalities associated with maternal obesity, which urgently needs to be addressed.
Type:
Article
Language:
en
Keywords:
maternal obesity; England; UK; demographic; inequalities; age; ethnicity; deprivation; employment
ISSN:
0307-0565
Rights:
Subject to restrictions, author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 10/02/2010]
Citation Count:
0 [Scopus, 10/02/2010]

Full metadata record

DC FieldValue Language
dc.contributor.authorHeslehurst, N. (Nicola)en
dc.contributor.authorRankin, J. (Judith)en
dc.contributor.authorWilkinson, J. R. (John)en
dc.contributor.authorSummerbell, C. D. (Carolyn)en
dc.date.accessioned2010-02-10T10:09:52Z-
dc.date.available2010-02-10T10:09:52Z-
dc.date.issued2010-03-
dc.identifier.citationInternational Journal of Obesity; 34:420-428-
dc.identifier.issn0307-0565-
dc.identifier.doi10.1038/ijo.2009.250-
dc.identifier.urihttp://hdl.handle.net/10149/91714-
dc.description.abstractBackground: There is an absence of national statistics for maternal obesity in the UK. This study is the first to describe a nationally representative maternal obesity research data set in England. Design: Retrospective epidemiological study of first trimester obesity. Methods: Data from 34 maternity units were analysed, including 619 323 births between 1989 and 2007. Data analysis included trends in first trimester maternal body bass index status over time, and geographical distribution of maternal obesity. Population demographics including maternal age, parity, ethnic group, deprivation and employment were analysed to identify any maternal obesity-associated health inequalities. All demographics were tested for multicollinearity. Logistic regression analyses were adjusted for all demographics as confounders. Results: First trimester maternal obesity is significantly increasing over time, having more than doubled from 7.6% to 15.6% over 19 years (P<0.001), and shows geographic variation in incidence. There are also demographic health inequalities associated with maternal obesity, including increased odds of being obese with increasing age, parity, Black ethnic group and deprivation. There is also an association between morbid obesity and increased levels of unemployment. Conclusions: The increase in maternal obesity has serious implications for the health of mothers, infants and service providers, yielding an additional 47 500 women per year requiring high dependency care in England. The demography of women most at risk of first trimester obesity highlights health inequalities associated with maternal obesity, which urgently needs to be addressed.en
dc.language.isoenen
dc.publisherNature Publishing Groupen
dc.rightsSubject to restrictions, author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 10/02/2010]en
dc.subjectmaternal obesityen
dc.subjectEnglanden
dc.subjectUKen
dc.subjectdemographicen
dc.subjectinequalitiesen
dc.subjectageen
dc.subjectethnicityen
dc.subjectdeprivationen
dc.subjectemploymenten
dc.titleA nationally representative study of maternal obesity in England, UK: trends in incidence and demographic inequalities in 619 323 births, 1989-2007en
dc.typeArticleen
dc.contributor.departmentTeesside University. School of Health and Social Care. Health and Social Care Research Institute.en
dc.identifier.journalInternational Journal of Obesityen
ref.citationcount0 [Scopus, 10/02/2010]en
or.citation.harvardHeslehurst, N. et al. (2010) 'A nationally representative study of maternal obesity in England, UK: trends in incidence and demographic inequalities in 619 323 births, 1989-2007', International Journal of Obesity, 34, pp.420-428.-
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