PMID- 32894592
OWN - NLM
STAT- MEDLINE
DCOM- 20201130
LR  - 20201130
IS  - 1879-3479 (Electronic)
IS  - 0020-7292 (Print)
IS  - 0020-7292 (Linking)
VI  - 151 Suppl 1
IP  - Suppl 1
DP  - 2020 Sep
TI  - Population estimates, consequences, and risk factors of obesity among pregnant 
      and postpartum women in India: Results from a national survey and policy 
      recommendations.
PG  - 57-67
LID - 10.1002/ijgo.13319 [doi]
AB  - 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.
CI  - (c) 2020 The Authors. International Journal of Gynecology & Obstetrics published by 
      John Wiley & Sons Ltd on behalf of International Federation of Gynecology and 
      Obstetrics.
FAU - Chopra, Mansi
AU  - Chopra M
AD  - National Centre of Excellence and Advanced Research on Diets, Department of Food 
      and Nutrition, Lady Irwin College, University of Delhi, New Delhi, India.
FAU - Kaur, Naman
AU  - Kaur N
AD  - National Centre of Excellence and Advanced Research on Diets, Department of Food 
      and Nutrition, Lady Irwin College, University of Delhi, New Delhi, India.
FAU - Singh, Konsam Dinachandra
AU  - Singh KD
AD  - National Centre of Excellence and Advanced Research on Diets, Department of Food 
      and Nutrition, Lady Irwin College, University of Delhi, New Delhi, India.
FAU - Maria Jacob, Chandni
AU  - Maria Jacob C
AD  - Institute of Developmental Sciences, University of Southampton, Southampton, UK.
AD  - NIHR Southampton Biomedical Research Centre, University Hospital Southampton, 
      Southampton, UK.
FAU - Divakar, Hema
AU  - Divakar H
AD  - Divakars Specialty Hospital, Bengaluru, India.
FAU - Babu, Giridhara R
AU  - Babu GR
AD  - Department of Epidemiology, Indian Institute of Public Health, Public Health 
      Foundation of India, Bengaluru, India.
FAU - Hong Nguyen, Phuong
AU  - Hong Nguyen P
AD  - International Food Policy Research Institute, New Delhi, India.
FAU - Bhanot, Arti
AU  - Bhanot A
AD  - National Centre of Excellence and Advanced Research on Diets, Department of Food 
      and Nutrition, Lady Irwin College, University of Delhi, New Delhi, India.
FAU - Sabharwal, Manisha
AU  - Sabharwal M
AD  - National Centre of Excellence and Advanced Research on Diets, Department of Food 
      and Nutrition, Lady Irwin College, University of Delhi, New Delhi, India.
FAU - Deb, Sila
AU  - Deb S
AD  - Ministry of Health and Family Welfare, New Delhi, India.
FAU - Baswal, Dinesh
AU  - Baswal D
AD  - Ministry of Health and Family Welfare, New Delhi, India.
FAU - Louise Killeen, Sarah
AU  - Louise Killeen S
AD  - UCD Perinatal Research Centre, School of Medicine, National Maternity Hospital, 
      University College Dublin, Dublin, Ireland.
FAU - McAuliffe, Fionnuala M
AU  - McAuliffe FM
AD  - UCD Perinatal Research Centre, School of Medicine, National Maternity Hospital, 
      University College Dublin, Dublin, Ireland.
FAU - Hanson, Mark A
AU  - Hanson MA
AD  - Institute of Developmental Sciences, University of Southampton, Southampton, UK.
AD  - NIHR Southampton Biomedical Research Centre, University Hospital Southampton, 
      Southampton, UK.
FAU - Sethi, Vani
AU  - Sethi V
AD  - Nutrition Section, United Nations Children's Fund, New Delhi, India.
LA  - eng
GR  - UNICEF/
PT  - Journal Article
PL  - United States
TA  - Int J Gynaecol Obstet
JT  - International journal of gynaecology and obstetrics: the official organ of the 
      International Federation of Gynaecology and Obstetrics
JID - 0210174
SB  - IM
MH  - Adult
MH  - Body Mass Index
MH  - Female
MH  - Health Policy
MH  - Health Surveys
MH  - Humans
MH  - India/epidemiology
MH  - Obesity/*epidemiology/therapy
MH  - Postpartum Period
MH  - Pregnancy
MH  - Pregnancy Complications/*epidemiology/therapy
MH  - Prevalence
MH  - Risk Factors
MH  - Spatial Analysis
MH  - Young Adult
PMC - PMC7590096
OTO - NOTNLM
OT  - India
OT  - Obesity
OT  - Policy
OT  - Postpartum
OT  - Pregnancy
OT  - Prevalence
OT  - Risk factors of obesity
COIS- The authors have no conflict of interest.
EDAT- 2020/09/08 06:00
MHDA- 2020/12/01 06:00
PMCR- 2020/10/27
CRDT- 2020/09/07 12:13
PHST- 2020/09/07 12:13 [entrez]
PHST- 2020/09/08 06:00 [pubmed]
PHST- 2020/12/01 06:00 [medline]
PHST- 2020/10/27 00:00 [pmc-release]
AID - IJGO13319 [pii]
AID - 10.1002/ijgo.13319 [doi]
PST - ppublish
SO  - Int J Gynaecol Obstet. 2020 Sep;151 Suppl 1(Suppl 1):57-67. doi: 
      10.1002/ijgo.13319.