Early menarche and teenager pregnancy as risk factors for morbid obesity among reproductive-age women: A case-control study

Authors

  • Amanda Gonçalves Neves Universidade Estadual de Campinas; Faculdade de Ciências Médicas; Departamento de Tocoginecologia
  • Karina Tamy Kasawara Universidade Estadual de Campinas; Faculdade de Ciências Médicas; Departamento de Tocoginecologia
  • Ana Carolina Godoy-Miranda Universidade Estadual de Campinas; Faculdade de Ciências Médicas; Departamento de Tocoginecologia
  • Flávio Hideki Oshika Universidade Estadual de Campinas; Faculdade de Ciências Médicas; Departamento de Tocoginecologia
  • Elinton Adami Chaim Universidade Estadual de Campinas; Faculdade de Medicina; Departamento de Cirurgia
  • Fernanda Garanhani Surita Universidade Estadual de Campinas; Faculdade de Ciências Médicas; Departamento de Tocoginecologia

DOI:

https://doi.org/10.6061/clinics/2017(09)05

Keywords:

Women’s Health, Morbid Obesity, Reproductive Factors, Non-communicable Diseases, Pregnancy in Adolescence

Abstract

OBJECTIVES: The aim of this study was to evaluate potential risk factors, including non-communicable diseases, for morbid obesity in women between 20 and 49 years of age. METHODS: We performed a case-control study with 110 morbidly obese women and 110 women with adequate weight who were matched by age and with a 1:1 case to control ratio. All women were between 20 to 49 years old and non-menopausal. Possible risk factors were evaluated through a self-report questionnaire assessing socio-demographic, obstetric and gynecological characteristics, presence of non-communicable diseases and habits. Multiple logistic regression was used to estimate the odds ratio with respective confidence intervals. RESULTS: Menarche under 12 years old, teenage pregnancy and lower educational level were shown to be risk factors for morbid obesity among women of reproductive age. Incidences of non-communicable diseases (diabetes, hypertension, dyslipidemia, liver disease, lung disease, thyroid dysfunction, and joint pain) were increased in women with morbid obesity. CONCLUSIONS: Early menarche, teenage pregnancy and low education level are risk factors for the occurrence of morbid obesity in women of reproductive age. Some non-communicable diseases were already more prevalent in women with morbid obesity even before 50 years of age.

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Published

2017-10-01

Issue

Section

Clinical Sciences

How to Cite

Neves, A. G., Kasawara, K. T., Godoy-Miranda, A. C., Oshika, F. H., Chaim, E. A., & Surita, F. G. (2017). Early menarche and teenager pregnancy as risk factors for morbid obesity among reproductive-age women: A case-control study. Clinics, 72(9), 547-553. https://doi.org/10.6061/clinics/2017(09)05