Nutritional management and suitable weight control during pregnancy are very important. However, in clinical practice, it is difficult to determine in detail precisely what pregnant women are eating. We investigated n...Nutritional management and suitable weight control during pregnancy are very important. However, in clinical practice, it is difficult to determine in detail precisely what pregnant women are eating. We investigated nutritional balance and nutritional requirements in pregnant women and their relationship to the course of pregnancy. A Food Frequency Questionnaire Based on Food Groups (FFQg) was distributed to 223 women at 12 weeks gestation attending one obstetrics clinic. We observed the women’s statuses until delivery and obtained information on pregnancy, delivery, and newborn from their medical records. One hundred and forty-seven (65.9%) of the subjects had problem-free pregnancies. Only 2 (0.9%) subjects developed pregnancy-induced hypertension syndrome. Participants were classified by pre-pregnancy BMI (body mass index;kg/m2) as follows: 44 (19.7%) were underweight (BMI the three groups. However, the underweight group consumed significantly more fat than the normal group and gained significantly more weight before delivery than the others. Blood pressure was significantly higher in the overweight group than in the other groups at some points of gestation, although it remained within the normal range. Fat intake overall was more than the recommended value, especially in the underweight group. The relationship between course of pregnancy and nutritional intake was unclear. However, pre-pregnancy BMI may influence the course of pregnancy in terms of infant weight, gestational weight gain, and blood pressure.展开更多
Objective: To assess the associations between body mass index (BMI), waist circumference (WC), and cardiometabolic risk factors in young and middle-aged Chinese women. Methods: A total of 3011 women (1938 young women,...Objective: To assess the associations between body mass index (BMI), waist circumference (WC), and cardiometabolic risk factors in young and middle-aged Chinese women. Methods: A total of 3011 women (1938 young women, 1073 middle-aged women), who visited our health care center for a related health checkup, were eligible for study. BMI and WC were measured. The subjects were divided into normal and overweight/obesity groups based on BMI, and normal and abdominal obesity groups based on WC. Cardiometabolic variables included triglyceride (TG), high density lipoprotein cholesterol (HDL-C), fasting blood glucose (FBG), homeostasis model assessment of insulin resistance (HOMA-IR), and blood pressure (BP). Results: The prevalence of overweight/obesity was significantly higher in middle-aged women (32.4%) than in young women (12.0%). The prevalence of abdominal obesity was also higher in middle-aged women (60.3%) than in young women (36.2%). There were significant differences in the comparison of all related cardiometabolic variables between different BMI (or WC) categories in young and middle- aged women groups, respectively. After adjustment for age, partial correlation analysis indicated that both BMI and WC were correlated significantly with all related cardiometabolic variables. After adjustment for age and WC, although the correlation coefficient r′was attenuated, BMI was still correlated significantly with all related cardiometabolic variables in young and middle-aged women. After adjustment for age and BMI, partial correlation analysis showed that WC was correlated significantly with TG, FBG, HOMA-IR, and HDL-C in young women and significantly with TG, HOMA-IR, and HDL-C in middle-aged women. Conclusions: The prevalence of overweight/obesity and abdominal obesity was high in Chinese young and middle-aged women. BMI was a better predictor of cardiovascular disease and diabetes than WC in young and middle-aged women, and moreover, measurement of both WC and BMI may be a better predictor of cardiovascular disease and diabetes mellitus than BMI or WC alone.展开更多
Associations between depressive symptoms, dysfunctional eating behaviors and attitudes, higher food intake and body mass index (BMI) have been previously observed. However, few studies have assessed these variables in...Associations between depressive symptoms, dysfunctional eating behaviors and attitudes, higher food intake and body mass index (BMI) have been previously observed. However, few studies have assessed these variables in the same study. The first objective is to compare, in a natural setting environment, the profile of women reporting lower or higher levels of depressive symptoms in terms of food intake, eating behaviors and attitudes, and BMI. The second objective is to test mediational models for which the link between depressive symptoms and food intake would be mediated by eating behaviors and attitudes or BMI. Weight-preoccupied women were recruited (n = 323), and their level of depressive symptoms was assessed using the Beck Depression Inventory. The median score was used to create two groups (lower ≤ 13;higher > 13). A web-based food-frequency questionnaire, the Three-Factor Eating Questionnaire, and the Intuitive Eating Scale were completed. BMI was calculated from reported body weight and height. Compared to women with a lower level of depressive symptoms, those with a higher level of depressive symptoms reported a higher energy intake (p = 0.02), and a higher consumption of savoury foods (p = 0.02). These women also had higher scores of disinhibition (p p = 0.0002), ate less intuitively (p p = 0.005). Association between depressive symptoms and energy intake was mediated by disinhibition, susceptibility to hunger and eating for physical rather than emotional reasons, while the role of BMI was less clear. Regarding another component of food intake, association between depressive symptoms and consumption of savoury foods was mediated by disinhibition and eating for physical rather than emotional reasons. In summary, it seems essential to be aware of the presence of depressive symptoms and to pay attention to eating behaviors and attitudes in interventions among weight-preoccupied women.展开更多
Introduction:Although the prevalence of underweight is declining among Indian women,the prevalence of overweight/obesity is increasing.This study examined the prevalence and factors associated with underweight and ove...Introduction:Although the prevalence of underweight is declining among Indian women,the prevalence of overweight/obesity is increasing.This study examined the prevalence and factors associated with underweight and overweight/obesity among reproductive-aged(i.e.,15-49 years)women in India.Methods:This cross-sectional study analyzed data from the 2015-16 National Family Health Survey.The Asian and World Health Organization(WHO)recommended cutoffs for body mass index(BMI)were used to categorize body weight.The Asian and WHO BMI cutoffs for combined overweight/obesity were≥23 and≥25 kg/m2,respectively.Both recommendations had the same cutoff for underweight,<18.5 kg/m2.After prevalence estimation,logistic regression was applied to investigate associated factors.Results:Among 647,168 women,the median age and BMI was 30 years and 21.0 kg/m2,respectively.Based on the Asian cutoffs,the overall prevalence of underweight was 22.9%,overweight was 22.6%,and obesity was 10.7%,compared to 15.5%overweight and 5.1%obesity as per WHO cutoffs.The prevalence and odds of underweight were higher among young,nulliparous,contraceptive non-user,never-married,Hindu,backward castes,less educated,less wealthy,and rural women.According to both cutoffs,women who were older,ever-pregnant,evermarried,Muslims,castes other than backwards,highly educated,wealthy,and living in urban regions had higher prevalence and odds of overweight/obesity.Conclusion:The prevalence of both non-normal weight categories(i.e.,underweight and overweight/obesity)was high.A large proportion of women are possibly at higher risks of cardiovascular and reproductive adverse events due to these double nutrition burdens.Implementing large-scale interventions based on these results is essential to address these issues.展开更多
文摘Nutritional management and suitable weight control during pregnancy are very important. However, in clinical practice, it is difficult to determine in detail precisely what pregnant women are eating. We investigated nutritional balance and nutritional requirements in pregnant women and their relationship to the course of pregnancy. A Food Frequency Questionnaire Based on Food Groups (FFQg) was distributed to 223 women at 12 weeks gestation attending one obstetrics clinic. We observed the women’s statuses until delivery and obtained information on pregnancy, delivery, and newborn from their medical records. One hundred and forty-seven (65.9%) of the subjects had problem-free pregnancies. Only 2 (0.9%) subjects developed pregnancy-induced hypertension syndrome. Participants were classified by pre-pregnancy BMI (body mass index;kg/m2) as follows: 44 (19.7%) were underweight (BMI the three groups. However, the underweight group consumed significantly more fat than the normal group and gained significantly more weight before delivery than the others. Blood pressure was significantly higher in the overweight group than in the other groups at some points of gestation, although it remained within the normal range. Fat intake overall was more than the recommended value, especially in the underweight group. The relationship between course of pregnancy and nutritional intake was unclear. However, pre-pregnancy BMI may influence the course of pregnancy in terms of infant weight, gestational weight gain, and blood pressure.
文摘Objective: To assess the associations between body mass index (BMI), waist circumference (WC), and cardiometabolic risk factors in young and middle-aged Chinese women. Methods: A total of 3011 women (1938 young women, 1073 middle-aged women), who visited our health care center for a related health checkup, were eligible for study. BMI and WC were measured. The subjects were divided into normal and overweight/obesity groups based on BMI, and normal and abdominal obesity groups based on WC. Cardiometabolic variables included triglyceride (TG), high density lipoprotein cholesterol (HDL-C), fasting blood glucose (FBG), homeostasis model assessment of insulin resistance (HOMA-IR), and blood pressure (BP). Results: The prevalence of overweight/obesity was significantly higher in middle-aged women (32.4%) than in young women (12.0%). The prevalence of abdominal obesity was also higher in middle-aged women (60.3%) than in young women (36.2%). There were significant differences in the comparison of all related cardiometabolic variables between different BMI (or WC) categories in young and middle- aged women groups, respectively. After adjustment for age, partial correlation analysis indicated that both BMI and WC were correlated significantly with all related cardiometabolic variables. After adjustment for age and WC, although the correlation coefficient r′was attenuated, BMI was still correlated significantly with all related cardiometabolic variables in young and middle-aged women. After adjustment for age and BMI, partial correlation analysis showed that WC was correlated significantly with TG, FBG, HOMA-IR, and HDL-C in young women and significantly with TG, HOMA-IR, and HDL-C in middle-aged women. Conclusions: The prevalence of overweight/obesity and abdominal obesity was high in Chinese young and middle-aged women. BMI was a better predictor of cardiovascular disease and diabetes than WC in young and middle-aged women, and moreover, measurement of both WC and BMI may be a better predictor of cardiovascular disease and diabetes mellitus than BMI or WC alone.
文摘Associations between depressive symptoms, dysfunctional eating behaviors and attitudes, higher food intake and body mass index (BMI) have been previously observed. However, few studies have assessed these variables in the same study. The first objective is to compare, in a natural setting environment, the profile of women reporting lower or higher levels of depressive symptoms in terms of food intake, eating behaviors and attitudes, and BMI. The second objective is to test mediational models for which the link between depressive symptoms and food intake would be mediated by eating behaviors and attitudes or BMI. Weight-preoccupied women were recruited (n = 323), and their level of depressive symptoms was assessed using the Beck Depression Inventory. The median score was used to create two groups (lower ≤ 13;higher > 13). A web-based food-frequency questionnaire, the Three-Factor Eating Questionnaire, and the Intuitive Eating Scale were completed. BMI was calculated from reported body weight and height. Compared to women with a lower level of depressive symptoms, those with a higher level of depressive symptoms reported a higher energy intake (p = 0.02), and a higher consumption of savoury foods (p = 0.02). These women also had higher scores of disinhibition (p p = 0.0002), ate less intuitively (p p = 0.005). Association between depressive symptoms and energy intake was mediated by disinhibition, susceptibility to hunger and eating for physical rather than emotional reasons, while the role of BMI was less clear. Regarding another component of food intake, association between depressive symptoms and consumption of savoury foods was mediated by disinhibition and eating for physical rather than emotional reasons. In summary, it seems essential to be aware of the presence of depressive symptoms and to pay attention to eating behaviors and attitudes in interventions among weight-preoccupied women.
文摘Introduction:Although the prevalence of underweight is declining among Indian women,the prevalence of overweight/obesity is increasing.This study examined the prevalence and factors associated with underweight and overweight/obesity among reproductive-aged(i.e.,15-49 years)women in India.Methods:This cross-sectional study analyzed data from the 2015-16 National Family Health Survey.The Asian and World Health Organization(WHO)recommended cutoffs for body mass index(BMI)were used to categorize body weight.The Asian and WHO BMI cutoffs for combined overweight/obesity were≥23 and≥25 kg/m2,respectively.Both recommendations had the same cutoff for underweight,<18.5 kg/m2.After prevalence estimation,logistic regression was applied to investigate associated factors.Results:Among 647,168 women,the median age and BMI was 30 years and 21.0 kg/m2,respectively.Based on the Asian cutoffs,the overall prevalence of underweight was 22.9%,overweight was 22.6%,and obesity was 10.7%,compared to 15.5%overweight and 5.1%obesity as per WHO cutoffs.The prevalence and odds of underweight were higher among young,nulliparous,contraceptive non-user,never-married,Hindu,backward castes,less educated,less wealthy,and rural women.According to both cutoffs,women who were older,ever-pregnant,evermarried,Muslims,castes other than backwards,highly educated,wealthy,and living in urban regions had higher prevalence and odds of overweight/obesity.Conclusion:The prevalence of both non-normal weight categories(i.e.,underweight and overweight/obesity)was high.A large proportion of women are possibly at higher risks of cardiovascular and reproductive adverse events due to these double nutrition burdens.Implementing large-scale interventions based on these results is essential to address these issues.
