Is obesity still increasing among pregnant women? Prepregnancy obesity trends in 20 states, 2003–2009

Details

• Alternative Title:
  Prev Med
• Personal Author:
  Fisher, S.C. ; Kim, S.Y. ; Sharma, A.J. ; Rochat, R. ; Morrow, B.
• Description:
  Objective ; To estimate trends in prepregnancy obesity prevalence among women who delivered live births in the US during 2003–2009, by state, age, and race–ethnicity. ; Methods ; We used Pregnancy Risk Assessment Monitoring System (PRAMS) data from 2003, 2006, and 2009 to measure prepregnancy obesity (body mass index BMI ≥ 30 kg/m2) trends in 20 states. Trend analysis included 90,774 records from 20 US states with data for all 3 study years. We used a chi-square test for trend to determine the significance of actual and standardized trends, standardized to the age and race–ethnicity distribution of the 2003 sample. ; Results ; Prepregnancy obesity prevalence increased by an average of 0.5 percentage points per year, from 17.6% in 2003 to 20.5% in 2009 (P < 0.001). Obesity increased among women aged 20–24 (P < 0.001), 30–34 (P = 0.001) and 35 years or older (P = 0.003), and among non-Hispanic white (P < .001), non-Hispanic black (P = 0.02), Hispanic (P = 0.01), and other women (P = 0.03). ; Conclusion ; Overall, prepregnancy obesity prevalence continues to increase and varies by race–ethnicity and maternal age. These findings highlight the need to address obesity as a key component of preconception care, particularly among high-risk groups.
• Keywords:
  • PRAMS
  • Pregnancy
  • Body mass index
  • Obesity
  • Adult
  • Age Factors
  • Female
  • Humans
  • Obesity
  • Pregnancy
  More +
• Source:
  Prev Med. 56(6):372-378
• Pubmed ID:
  23454595
• Pubmed Central ID:
  PMC4424789
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  56
• Issue:
  6
• Download URL:
  https://stacks.cdc.gov/view/cdc/30882/cdc_30882_DS1.pdf
• File Type:
  [PDF - 481.87 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:cf90ec7ea9f0943f458ae35c697b79e4ee3cb27e27d30d74092e7f5391657aff