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Maternal obesity in Africa : a systematic review and meta-analysis
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Onubi, Ojochenemi J., Marais, Debbi, Aucott, Lorna, Okonofua, Friday and Poobalan, Amudha S. (2016) Maternal obesity in Africa : a systematic review and meta-analysis. Journal of Public Health, 38 (3). e218-e231. doi:10.1093/pubmed/fdv138
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Official URL: http://dx.doi.org/10.1093/pubmed/fdv138
Abstract
Background: Maternal obesity is emerging as a public health problem, recently highlighted together with maternal under-nutrition as a ‘double burden’, especially in African countries undergoing social and economic transition. This systematic review was conducted to investigate the current evidence on maternal obesity in Africa.
Methods: MEDLINE, EMBASE, Scopus, CINAHL and PsycINFO were searched (up to August 2014) and identified 29 studies. Prevalence, associations with socio-demographic factors, labour, child and maternal consequences of maternal obesity were assessed. Pooled risk ratios comparing obese and non-obese groups were calculated.
Results: Prevalence of maternal obesity across Africa ranged from 6.5 to 50.7%, with older and multiparous mothers more likely to be obese. Obese mothers had increased risks of adverse labour, child and maternal outcomes. However, non-obese mothers were more likely to have low-birthweight babies. The differences in measurement and timing of assessment of maternal obesity were found across studies. No studies were identified either on the knowledge or attitudes of pregnant women towards maternal obesity; or on interventions for obese pregnant women.
Conclusions: These results show that Africa's levels of maternal obesity are already having significant adverse effects. Culturally adaptable/sensitive interventions should be developed while monitoring to avoid undesired side effects.
| Item Type: | Journal Article | ||||||
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| Subjects: | H Social Sciences > HQ The family. Marriage. Woman R Medicine > RC Internal medicine R Medicine > RG Gynecology and obstetrics |
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| Divisions: | Faculty of Medicine > Warwick Medical School > ( - July 2016) Health Education Hub Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Obesity, Obesity in women--Africa, Overweight women--Africa, Pregnancy--Complications--Africa | ||||||
| Journal or Publication Title: | Journal of Public Health | ||||||
| Publisher: | Oxford University Press | ||||||
| ISSN: | 1741-3842 | ||||||
| Official Date: | 17 September 2016 | ||||||
| Dates: |
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| Volume: | 38 | ||||||
| Number: | 3 | ||||||
| Page Range: | e218-e231 | ||||||
| DOI: | 10.1093/pubmed/fdv138 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access | ||||||
| Funder: | Commonwealth Scholarship Commission in the United Kingdom (CSCUK) |
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