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Parity is associated with increased waist circumference and other anthropometric indices of obesity

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Abstract

Background: There is growing interest in the effect of childbearing on the development of chronic medical conditions. In the present study we aim at seeing whether parity is associated with increased waist circumference (WC) and other anthropometric indices of obesity, or not, in a sample of Iraqi women. Methods: This was a cross sectional study conducted during the period from January 2006 to the end of December 2007. Subjects were women attending two primary health care centers in a rural district population in Basrah (Abu-Al-khasib district), Iraq. Results: A total of 9135 women with a mean age of 46.4±15.5 years were included in the study. The mean weight was 69.9±16.9 kg and the mean WC was 92.7±15.0 cm with 78.9% of women having WC =80 cm. The mean and the standard deviation of other anthropometric variables were 27.0±6.25 for body mass index (BMI), 0.57±0.09 for waist-to-height ratio (WHtR) and 0.89±0.08 for waist-to-hip ratio (WHpR). Body weight, WC, BMI, WHpR, and WHtR progressively and significantly increased with increasing parity (p<0.001). Increasing age and higher number of births were associated with a consistent significant increase in the risk of increasing WC. While the reverse was true with respect to education, the risk of increased WC significantly decreased with the increase in education. The risk of increased WC was higher among housewives compared to employed women. On multiple logistic regression analyses of parity and risk of increasing WC, the number of births remained significantly and independently associated with increased WC after adjustment for a range of potential confounders (age, BMI, employment, education, and marital status). However, when parity was analyzed as a dichotomous variable (parous versus nulliparous), no significant association was found (p>0.05). Conclusion: Parity was associated with increased WC and other anthropometric indices of obesity in a sample of rural Iraqi women attending two primary health care centers.

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References

  1. Kopelman P.G.: Obesity as a medical problem. Nature, 404, 635–643, 2000.

    CAS  PubMed  Google Scholar 

  2. Valsamakis G., Chetty R., Anwar A., Banerjee A.K., Barnett A., Kumar S.: Association of simple anthropometric measures of obesity with visceral fat and the metabolic syndrome in male Caucasian and Indo- Asian subjects. Diabet. Med., 21, 1339–1345, 2004.

    Article  CAS  PubMed  Google Scholar 

  3. Lawlor D.A., Emberson J.R., Ebrahim S., Whincup P.H., Wannamethee S.G., Walker M., Smith G.D., British Women’s Heart and Health Study, British Regional Heart Study: Is the association between parity and coronary heart disease due to biological effects of pregnancy or adverse lifestyle risk factors associated with child-rearing? Findings from the British Women’s Heart and Health Study and the British Regional Heart Study. Circulation, 107, 1260–1264, 2003.

    Article  PubMed  Google Scholar 

  4. Cheung N.W.: Is parity associated with earlier diagno- sis of type 2 diabetes? Diabetes Res. Clin. Pract., 66, 287–291, 2004.

    Article  CAS  PubMed  Google Scholar 

  5. Kritz-Silverstein D., Barrett-Connor E., Wingard D.L.: The effect of parity on the later development of noninsulin- dependent diabetes mellitus or impaired glucose tolerance. N. Engl. J. Med., 321, 1214–1219, 1989.

    Article  CAS  PubMed  Google Scholar 

  6. Scholl T.O., Hediger M.L., Schall J.I., Ances I.G., Smith W.K.: Gestational weight gain, pregnancy outcome, and postpartum weight retention. Obstet. Gynecol., 86, 423–427, 1995.

    Article  CAS  PubMed  Google Scholar 

  7. Rosenberg L., Palmer J.R., Wise L.A., Horton N.J., Kumanyika S.K., Adams-Campbell L.L.: A prospective study of the effect of childbearing on weight gain in African-American women. Obes. Res., 11, 1526–1535, 2003.

    Article  PubMed  Google Scholar 

  8. Manson J.E., Rimm E.B., Colditz G.A., Stampfer M.J., Willett W.C., Arky R.A., Rosner B., Hennekens C.H., Speizer F.E.: Parity and incidence of non-insulin-dependent diabetes mellitus. Am. J. Med., 93, 13–18, 1992.

    Article  CAS  Google Scholar 

  9. Gunderson E.P., Murtaugh M.A., Lewis C.E., Quesenberry C.P., West D.S., Sidney S.: Excess gains in weight and waist circumference associated with childbearing: The Coronary Artery Risk Development in Young Adults Study (CARDIA). Int. J. Obes. Relat. Metab. Disord., 28, 525–535, 2004.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  10. Branchtein L., Schmidt M.I., Mengue S.S., Reichelt A.J., Matos M.C., Duncan B.B.: Waist circumference and waist-to-hip ratio are related to gestational glucose tolerance. Diabetes Care., 20, 509–511, 1997.

    Article  CAS  PubMed  Google Scholar 

  11. Ness R.B., Schotland H.M., Flegal K.M., Shofer F.S.: Reproductive history and coronary heart disease risk in women. Epidemiol. Rev., 16, 298–314, 1994.

    CAS  Google Scholar 

  12. Green A., Beral V., Moser K.: Mortality in women in relation to their childbearing history. B.M.J., 297, 391–395, 1988.

    Article  CAS  Google Scholar 

  13. Ness R.B., Harris T., Cobb J., Flegal K.M., Kelsey J.L., Balanger A., Stunkard A.J., D’Agostino R.B.: Number of pregnancies and the subsequent risk of cardiovascular disease. N. Engl. J. Med., 328, 1528–1533, 1993.

    Article  CAS  PubMed  Google Scholar 

  14. Dekker J.M., Schouten E.G.: Number of pregnancies and risk of cardiovascular disease. N. Engl. J. Med., 329, 1893–1894, 1993; author reply 1894–1895.

    Article  CAS  PubMed  Google Scholar 

  15. Sattar N., Greer I.A.: Pregnancy complications and maternal cardiovascular risk: opportunities for intervention and screening? B.M.J., 325, 157–160, 2002.

    Article  Google Scholar 

  16. Bernstein L., Pike M.C., Ross R.K., Judd H.L., Brown J.B., Henderson B.E.: Estrogen and sex hormone-binding globulin levels in nulliparous and parous women. J. Natl. Cancer. Inst., 74, 741–745, 1985.

    CAS  PubMed  Google Scholar 

  17. McPherson K., Steel C.M., Dixon J.M.: ABC of breast diseases. Breast cancer-epidemiology, risk factors, and genetics. B.M.J., 321, 624–628, 2000.

    Article  CAS  Google Scholar 

  18. Humphries K.H., Westendorp I.C., Bots M.L., Spinelli J.J., Carere R.G., Hofman A., Witteman J.C.: Parity and carotid artery atherosclerosis in elderly women: The Rotterdam Study. Stroke, 32, 2259–2264, 2001.

    Article  CAS  PubMed  Google Scholar 

  19. Lao X.Q., Thomas G.N., Jiang C.Q., Zhang W.S., Yin P., Schooling M., Heys M., Leung G.M., Adab P., Cheng K.K., Lam T.H.: Parity and the metabolic syndrome in older Chinese women: the Guangzhou Biobank Cohort Study. Clin. Endocrinol. (Oxf.), 65, 460–469, 2006.

    Article  CAS  Google Scholar 

  20. den Tonkelaar I., Peeters P.H., van Noord P.A.: Increase in breast size after menopause: prevalence and determinants. Maturitas, 48, 51–57, 2004.

    Article  Google Scholar 

  21. Seidell J.C., Kahn H.S., Williamson D.F., Lissner L., Valdez R.: Report from a Centers for Disease Control and Prevention Workshop on use of adult anthropom- etry for public health and primary health care. Am. J. Clin. Nutr., 73, 123–126, 2001.

    CAS  PubMed  Google Scholar 

  22. Sultan A.S.: Medicine in the 21st century: the situation in a rural Iraqi community. Patient. Educ. Couns., 68, 66–69, 2007.

    Article  PubMed  Google Scholar 

  23. Alberti K.G., Zimmet P., Shaw J.: IDF Epidemiology Task Force Consensus Group. The metabolic syndrome— a new worldwide definition. Lancet, 366, 1059–1062, 2005.

    Article  PubMed  Google Scholar 

  24. Kravdal O.: Is the relationship between childbearing and cancer incidence due to biology or lifestyle? Examples of the importance of using data on men. Int. J. Epidemiol., 24, 477–484, 1995.

    Article  CAS  PubMed  Google Scholar 

  25. Gunderson E.P., Abrams B.: Epidemiology of gestational weight gain and body weight changes after pregnancy. Epidemiol. Rev., 22, 261–274, 2000.

    Article  CAS  PubMed  Google Scholar 

  26. Arroyo P., Avila-Rosas H., Fernández V., Casanueva E., Galván D.: Parity and the prevalence of overweight. Int. J. Gynaecol. Obstet., 48, 269–272, 1995.

    Article  CAS  PubMed  Google Scholar 

  27. Coitinho D.C., Sichieri R., D’Aquino Benício M.H.: Obesity and weight change related to parity and breast-feeding among parous women in Brazil. Public Health Nutr., 4, 865–870, 2001.

    Article  CAS  PubMed  Google Scholar 

  28. Nicholson W.K., Asao K., Brancati F., Coresh J., Pankow J.S., Powe N.R.: Parity and risk of type 2 diabetes: the Atherosclerosis Risk in Communities Study. Diabetes Care, 29, 2349–2354, 2006.

    Article  PubMed  Google Scholar 

  29. Ertem M., Bahceci M., Tuzcu A., Saka G., Ozturk U., Gokalp D.: The association between high parity and obesity in women living in South-eastern Turkey. Eat. Weight Disord., 13, e4–e7, 2008.

    Article  CAS  PubMed  Google Scholar 

  30. Khalid M.E.: The prevalence of abdominal obesity and its associated risk factors in married, non-pregnant women born and living in high altitude, southwestern, Saudi Arabia. Saudi. Med. J., 28, 1875–1880, 2007.

    PubMed  Google Scholar 

  31. Koch E., Bogado M., Araya F., Romero T., Díaz C., Manriquez L., Paredes M., Román C., Taylor A., Kirschbaum A.: Impact of parity on anthropometric measures of obesity controlling by multiple confounders: a cross-sectional study in Chilean women. J. Epidemiol. Community Health., 62, 461–470, 2008.

    Article  CAS  PubMed  Google Scholar 

  32. Hanley A.J., McKeown-Eyssen G., Harris S.B., Hegele R.A., Wolever T.M., Kwan J., Zinman B.: Association of parity with risk of type 2 diabetes and related metabolic disorders. Diabetes Care., 25, 690–695, 2002.

    Article  PubMed  Google Scholar 

  33. Cowan L.D., Go O.T., Howard B.V., Devereux R.B., Pettitt D.J., Fabsitz R.R., Lee E.T., Welty T.K.: Parity, postmenopausal estrogen use, and cardiovascular disease risk factors in American Indian women: the Strong Heart Study. J. Women s Health., 6, 441–449, 1997.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Medicine, Basrah College of Medicine, Consultant Physician, Al-Faiha Hospital, Hattin post office P.O. Box 142, 42002, Basrah, Iraq

    A. A. Mansour MD, FRCP (Edin)

  2. Head of Department of Community Medicine, Basrah College of Medicine, Basrah, Iraq

    N. A. H. Ajeel

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  1. A. A. Mansour MD, FRCP (Edin)
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  2. N. A. H. Ajeel
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Correspondence to A. A. Mansour MD, FRCP (Edin).

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Mansour, A.A., Ajeel, N.A.H. Parity is associated with increased waist circumference and other anthropometric indices of obesity. Eat Weight Disord 14, e50–e55 (2009). https://doi.org/10.1007/BF03327800

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