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Maternal obesity and its associated factors and outcomes in Klang Valley, Malaysia: Findings from National Obstetric Registry

Maternal obesity presents significant health risks to mothers and their fetuses. This study aimed to determine the proportion, associated factors and outcomes of maternal obesity among pregnant women in Klang Valley, Malaysia. Methods: A retrospective cross-sectional study was conducted between Janu...

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Main Authors: Shahrir, Nurul Farehah, Jalil, Rohana Abdul, Jeganathan, J Ravichandran R., Karalasingam, Shamala Devi, Nordin, Noraihan Mohd, Abdullah, Mohamad Farouk, Sa’at, Nadiah
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Published: Academy of Family Physicians of Malaysia 2021
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HM Sociology
R Medicine
Online Access:http://eprints.um.edu.my/36075/
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85125230131&doi=10.51866%2foa1138&partnerID=40&md5=a994257effe3cbd5f7d38d32bdcaefdd
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spelling my.um.eprints.360752022-11-03T06:28:20Z http://eprints.um.edu.my/36075/ Maternal obesity and its associated factors and outcomes in Klang Valley, Malaysia: Findings from National Obstetric Registry Shahrir, Nurul Farehah Jalil, Rohana Abdul Jeganathan, J Ravichandran R. Karalasingam, Shamala Devi Nordin, Noraihan Mohd Abdullah, Mohamad Farouk Sa’at, Nadiah HM Sociology R Medicine Maternal obesity presents significant health risks to mothers and their fetuses. This study aimed to determine the proportion, associated factors and outcomes of maternal obesity among pregnant women in Klang Valley, Malaysia. Methods: A retrospective cross-sectional study was conducted between January 2018 and March 2018 using secondary data from the Malaysian National Obstetric Registry (NOR) for the year 2015. All pregnant women with first-trimester booking at 12 weeks and below that were registered with the NOR and met the inclusion and exclusion criteria were included in the study. Descriptive statistics and multiple logistic regression analysis were used. Data were analysed using SPSS version 22.0. A total of 2113 respondents were included in this study to determine the proportion, associated factors and outcomes of maternal obesity. Regarding the univariate and multivariate analyses, respondents were classified into two groups: normal and obese. The obese group comprised overweight and obese mothers. The underweight group was excluded in the subsequent analysis. Results: Out of the 2113 respondents, 7.1 were underweight, 41.7 were of normal weight, 28.6 were overweight, 15.9 were in obese class I, 4.6 were in obese class II, and 2.1 were in obese class III according to the WHO (1995) reference. However, when the MOH (2003) cut-off point was used, there was a marked increase in the proportion of respondents in the overweight categories by 2.7 and obesity class I by 12.8. The Indian (AdjOR 2.06, 95 CI: 1.11, 3.83, p=0.021) and Malay (AdjOR 1.75, 95 CI: 1.02, 3.00, p=0.040) ethnicities, as well as both multiparity (AdjOR 1.46, 95 CI: 1.23, 1.73, p <0.001) and grand multiparity (AdjOR 2.41, 95 CI: 1.78, 3.26, p <0.001), were significantly associated with maternal obesity. There were significant association between maternal obesity with hypertensive disorder in pregnancy (p=0.025), caesarean section delivery (p=0.002) and macrosomic infant (p <0.001). Conclusion: The identification of risk factors for maternal obesity is important to facilitate intervention programmes focused on improving the pregnancy outcomes for a high-risk group of women. © 2021, Academy of Family Physicians of Malaysia. All rights reserved. Academy of Family Physicians of Malaysia 2021 Article PeerReviewed Shahrir, Nurul Farehah and Jalil, Rohana Abdul and Jeganathan, J Ravichandran R. and Karalasingam, Shamala Devi and Nordin, Noraihan Mohd and Abdullah, Mohamad Farouk and Sa’at, Nadiah (2021) Maternal obesity and its associated factors and outcomes in Klang Valley, Malaysia: Findings from National Obstetric Registry. Malaysian Family Physician, 16 (3). pp. 56-67. ISSN 1985-2274, DOI https://doi.org/10.51866/oa1138 <https://doi.org/10.51866/oa1138>. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85125230131&doi=10.51866%2foa1138&partnerID=40&md5=a994257effe3cbd5f7d38d32bdcaefdd 10.51866/oa1138
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic HM Sociology
R Medicine
spellingShingle HM Sociology
R Medicine
Shahrir, Nurul Farehah
Jalil, Rohana Abdul
Jeganathan, J Ravichandran R.
Karalasingam, Shamala Devi
Nordin, Noraihan Mohd
Abdullah, Mohamad Farouk
Sa’at, Nadiah
Maternal obesity and its associated factors and outcomes in Klang Valley, Malaysia: Findings from National Obstetric Registry
description Maternal obesity presents significant health risks to mothers and their fetuses. This study aimed to determine the proportion, associated factors and outcomes of maternal obesity among pregnant women in Klang Valley, Malaysia. Methods: A retrospective cross-sectional study was conducted between January 2018 and March 2018 using secondary data from the Malaysian National Obstetric Registry (NOR) for the year 2015. All pregnant women with first-trimester booking at 12 weeks and below that were registered with the NOR and met the inclusion and exclusion criteria were included in the study. Descriptive statistics and multiple logistic regression analysis were used. Data were analysed using SPSS version 22.0. A total of 2113 respondents were included in this study to determine the proportion, associated factors and outcomes of maternal obesity. Regarding the univariate and multivariate analyses, respondents were classified into two groups: normal and obese. The obese group comprised overweight and obese mothers. The underweight group was excluded in the subsequent analysis. Results: Out of the 2113 respondents, 7.1 were underweight, 41.7 were of normal weight, 28.6 were overweight, 15.9 were in obese class I, 4.6 were in obese class II, and 2.1 were in obese class III according to the WHO (1995) reference. However, when the MOH (2003) cut-off point was used, there was a marked increase in the proportion of respondents in the overweight categories by 2.7 and obesity class I by 12.8. The Indian (AdjOR 2.06, 95 CI: 1.11, 3.83, p=0.021) and Malay (AdjOR 1.75, 95 CI: 1.02, 3.00, p=0.040) ethnicities, as well as both multiparity (AdjOR 1.46, 95 CI: 1.23, 1.73, p <0.001) and grand multiparity (AdjOR 2.41, 95 CI: 1.78, 3.26, p <0.001), were significantly associated with maternal obesity. There were significant association between maternal obesity with hypertensive disorder in pregnancy (p=0.025), caesarean section delivery (p=0.002) and macrosomic infant (p <0.001). Conclusion: The identification of risk factors for maternal obesity is important to facilitate intervention programmes focused on improving the pregnancy outcomes for a high-risk group of women. © 2021, Academy of Family Physicians of Malaysia. All rights reserved.
format Article
author Shahrir, Nurul Farehah
Jalil, Rohana Abdul
Jeganathan, J Ravichandran R.
Karalasingam, Shamala Devi
Nordin, Noraihan Mohd
Abdullah, Mohamad Farouk
Sa’at, Nadiah
author_facet Shahrir, Nurul Farehah
Jalil, Rohana Abdul
Jeganathan, J Ravichandran R.
Karalasingam, Shamala Devi
Nordin, Noraihan Mohd
Abdullah, Mohamad Farouk
Sa’at, Nadiah
author_sort Shahrir, Nurul Farehah
title Maternal obesity and its associated factors and outcomes in Klang Valley, Malaysia: Findings from National Obstetric Registry
title_short Maternal obesity and its associated factors and outcomes in Klang Valley, Malaysia: Findings from National Obstetric Registry
title_full Maternal obesity and its associated factors and outcomes in Klang Valley, Malaysia: Findings from National Obstetric Registry
title_fullStr Maternal obesity and its associated factors and outcomes in Klang Valley, Malaysia: Findings from National Obstetric Registry
title_full_unstemmed Maternal obesity and its associated factors and outcomes in Klang Valley, Malaysia: Findings from National Obstetric Registry
title_sort maternal obesity and its associated factors and outcomes in klang valley, malaysia: findings from national obstetric registry
publisher Academy of Family Physicians of Malaysia
publishDate 2021
url http://eprints.um.edu.my/36075/
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85125230131&doi=10.51866%2foa1138&partnerID=40&md5=a994257effe3cbd5f7d38d32bdcaefdd
_version_ 1748703495154827264
score 13.211869

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