European Journal of Public Health
Volume 25, Issue 5, 2015, Pages 839-844

Contribution of overweight and obesity to adverse pregnancy outcomes among immigrant and non-immigrant women in Berlin, Germany (Article) (Open Access)

Reiss K. , Breckenkamp J.* , Borde T. , Brenne S. , David M. , Razum O.
  • a Department of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, P.O. Box 10 01 31, Bielefeld, 33501, Germany
  • b Department of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, P.O. Box 10 01 31, Bielefeld, 33501, Germany
  • c Alice Salomon Hochschule Berlin, University of Applied Sciences, Berlin, Germany
  • d Department of Gynecology, Campus Virchow-Klinikum, Charité Universitätsmedizin Berlin, Berlin, Germany
  • e Department of Gynecology, Campus Virchow-Klinikum, Charité Universitätsmedizin Berlin, Berlin, Germany
  • f Department of Epidemiology and International Public Health, Bielefeld School of Public Health (BiSPH), Bielefeld University, P.O. Box 10 01 31, Bielefeld, 33501, Germany

Abstract

Background: Maternal excessive weight and smoking are associated with an increased risk of pregnancy complications and adverse pregnancy outcomes. In Germany, immigrant women have a higher prevalence of pre-pregnancy overweight/obesity compared with autochthonous women. We compared the contribution of pre-pregnancy overweight/obesity to adverse pregnancy outcomes among immigrant and autochthonous women in Berlin/Germany. Methods: Data from 2586 immigrant women (from Turkey, Lebanon, other countries of origin) and 2676 autochthonous women delivering in three maternity hospitals of Berlin within 12 months (2011/2012) was used. Cox regression models were applied to estimate the association between overweight/obesity and smoking with the outcomes large-for-gestational-age (LGA), small-for-gestational-age (SGA), preterm birth (PTB) and extreme preterm-birth (E-PTB). Population attributive fractions (PAF) were calculated to quantify the proportion of the outcomes attributable to overweight/obesity and smoking, respectively. Results: Prevalence of overweight and obesity was 33.4% among autochthonous and 53.6% among Turkish women. Prevalence risk ratios of excessive weight were highest for LGA infants among immigrant and autochthonous women. The PAFs were -11.8% (SGA), +16.3% (LGA), +3.6% (PTB) and +16.5% (E-PTB) for the total study population. Conclusions: Overweight/obesity is strongly associated with an increased risk of delivering an LGA infant among both immigrant and autochthonous women. Compared with autochthonous women, the contribution of excessive weight to LGA is even higher among immigrant women, in whom PAFs of overweight/obesity even exceed those of smoking for some outcomes. © 2015 The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association.

Author Keywords

[No Keywords available]

Index Keywords

Germany proportional hazards model Proportional Hazards Models complication Pregnancy Complications human Premature Birth Overweight statistics and numerical data obesity ethnology Young Adult Lebanon Humans migrant smoking Adolescent Infant, Newborn Emigrants and Immigrants female newborn pregnancy prevalence pregnancy outcome Infant, Small for Gestational Age adult small for date infant Turkey adverse effects
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84943572971&doi=10.1093%2feurpub%2fckv072&partnerID=40&md5=6a0308b9128079dc4d9705c869c86de7
DOI: 10.1093/eurpub/ckv072
ISSN: 11011262
Cited by: 7
Original Language: English