Prepregnancy Obesity Prevalence in the United States, 2004–2005
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Objective To provide a current estimate of the prevalence of prepregnancy obesity in the United States. Methods We analyzed 2004–2005 data from 26 states and New York City (n = 75,403 women) participating in the Pregnancy Risk Assessment Monitoring System, an ongoing, population-based surveillance system that collects information on maternal behaviors associated with pregnancy. Information was obtained from questionnaires self-administered after delivery or from linked birth certificates; prepregnancy body mass index was based on self-reported weight and height. Data were weighted to provide representative estimates of all women delivering a live birth in each particular state. Results In this study, about one in five women who delivered were obese; in some state, race/ethnicity, and Medicaid status subgroups, the prevalence was as high as one-third. State-specific prevalence varied widely and ranged from 13.9 to 25.1%. Black women had an obesity prevalence about 70% higher than white and Hispanic women (black: 29.1%; white: 17.4%; Hispanic: 17.4%); however, these race-specific rates varied notably by location. Obesity prevalence was 50% higher among women whose delivery was paid for by Medicaid than by other means (e.g., private insurance, cash, HMO). Conclusion This prevalence makes maternal obesity and its resulting maternal morbidities (e.g., gestational diabetes mellitus) a common risk factor for a complicated pregnancy.
KeywordsMaternal obesity Prepregnancy obesity Obesity prevalence Pregnancy Risk Assessment Monitoring System
- 1.American College of Obstetricians and Gynecologists. (2005). ACOG Committee opinion number 315, September 2005. Obesity in pregnancy. Obstetrics and Gynecology, 106, 671–675.Google Scholar
- 10.Kim, S. Y., Dietz, P. M., England, L., Morrow, B., & Callaghan, W. M. (2007). Trends in prepregnancy obesity in nine states, 1993–2003. Obesity (Silver Spring, MD), 15, 968–973.Google Scholar
- 12.National Heart, Lung, and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the evidence report. Bethesda, MD: National Institutes of Health.Google Scholar
- 13.Martin, J. A., Hamilton, B. E., Sutton, P. D., Ventura, S. J., Menacker, F., & Kirmeyer, S. (2006). Births: Final data for 2004. National Vital Statistics Reports, 55, 1–101.Google Scholar
- 14.Hamilton, B. E., Martin, J. A., & Ventura, S. J. (2006). Births: Preliminary data for 2005. Health E-Stats. Released November 2006. http://www.cdc.gov/nchs/products/pubs/pubd/hestats/prelimbirths05/prelimbirths05.htm.
- 17.Plagemann, A., Harder, T., Kohlhoff, R., Rohde, W., & Dorner, G. (1997). Overweight and obesity in infants of mothers with long-term insulin-dependent diabetes or gestational diabetes. International Journal of Obesity and Related Metabolic Disorders, 21(6), 451–456. doi:10.1038/sj.ijo.0800429.PubMedCrossRefGoogle Scholar
- 21.Dabelea, D., Hanson, R. L., Lindsay, R. S., Pettitt, D. J., Imperatore, G., Gabir, M. M., et al. (2000). Intrauterine exposure to diabetes conveys risks for type 2 diabetes and obesity: A study of discordant sibships. Diabetes, 49, 2208–2211. doi:10.2337/diabetes.49.12.2208.PubMedCrossRefGoogle Scholar
- 22.Thorpe, K. E., & Howard, D. H. (2006). The rise in spending among Medicare beneficiaries: The role of chronic disease prevalence and changes in treatment intensity. Health Affairs (Millwood), 25, w378–w388. doi:10.1377/hlthaff.25.w378.
- 24.American College of Obstetricians and Gynecologists. (2005). ACOG Committee Opinion No. 319. The role of the obstetrician-gynecologist in the assessment and management of obesity. Obstetrics and Gynecology, 106, 895–899.Google Scholar
- 27.Institute of Medicine, National Academy of Sciences. (1990). Nutrition during pregnancy, Part I: Weight gain, Part II: Nutrient supplements. Washington, DC: National Academy Press.Google Scholar
- 28.Institute of Medicine. (2007). Influence of pregnancy weight on maternal and child health: Workshop report. Washington, DC: National Academies Press.Google Scholar
- 29.Viswanathan, M., Siega-Riz, A. M., Moos, M.-K., Deierlein, A., Mumford, S., Knaack, J., et al. (May 2008). Outcomes of maternal weight gain. Evidence Report/Technology Assessment No. 168. AHRQ Publication No. 08-E-09. Rockville, MD: Agency for Healthcare Research and Quality.Google Scholar
- 32.Dietz, P. M., Callaghan, W. M., Cogswell, M. E., Morrow, B., Ferre, C., & Schieve, L. A. (2006). Combined effects of prepregnancy body mass index and weight gain during pregnancy on the risk of preterm delivery. Epidemiology (Cambridge, MA), 17, 170–177. doi:10.1097/01.ede.0000198470.26932.9a.Google Scholar
- 35.Schieve, L. A., Perry, G. S., Cogswell, M. E., et al. (1999). Validity of self-reported pregnancy delivery weight: An analysis of the 1988 National Maternal and Infant Health Survey. American Journal of Epidemiology, 150, 847–956.Google Scholar