Military maternal weight trends and perinatal outcomes

Obesity is epidemic in the United States and the prevalence is increasing. We sought to determine if the prevalence of obesity in women eligible for health care at military treatment facilities, specifically, active duty (AD) women, is increasing similar to national trends. Our retrospective cohort...

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Bibliographic Details
Published in:Military medicine 2013-08, Vol.178 (8), p.880-886
Main Authors: Hill, Christina C, Gloeb, Donald J
Format: Article
Language:English
Subjects:
Adolescent
Adult
Body Mass Index
Cohort analysis
Ethnicity
Female
Gestational diabetes
Health care access
Humans
Hypertension
Middle Aged
Military Personnel - statistics & numerical data
Obesity
Obesity - epidemiology
Obesity - ethnology
Obstetrics
Overweight
Patients
Population
Pregnancy
Pregnancy Complications - epidemiology
Prevalence
Retrospective Studies
Trends
United States - epidemiology
Weight control
Weight Gain
Womens health
Young Adult
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Summary:Obesity is epidemic in the United States and the prevalence is increasing. We sought to determine if the prevalence of obesity in women eligible for health care at military treatment facilities, specifically, active duty (AD) women, is increasing similar to national trends. Our retrospective cohort study evaluated selected outcomes in women delivering in 1999 and 2006. Women delivering living, singleton, term, nonanomalous neonates in 1999 and 2006 were eligible. Prepregnancy weight and weight gain during pregnancy were compared between the two populations, and data were stratified by AD status, age, and ethnicity. Obstetric outcomes were evaluated based on body mass index (BMI). There were 1,543 and 1,745 mother-infant pairs available, respectively, for analysis. Prepregnancy BMI for all women evaluated increased significantly from 1999 to 2006 (25.0 vs. 25.6, p < 0.05). Prepregnancy BMI increased significantly for AD women between 1999 and 2006 (24.3 vs. 25.4, p < 0.05). The prevalence of overweight and obese women increased from 1999 to 2006 in the population evaluated (41.2% vs.46.2%, respectively), and this was demonstrated among all ethnicities. Obesity was associated with increased adverse obstetric outcomes. We demonstrated increasing maternal obesity in a military population over time and associated adverse perinatal outcomes.
ISSN:0026-4075
1930-613X
DOI:10.7205/MILMED-D-13-00031