CLINICS

Clinics (Sao Paulo). 2017 September; 72(9): 547-553.
doi:10.6061/clinics/2017(09)05

Copyright © 2017 CLINICS

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

Amanda Gonçalves Neves I , Karina Tamy Kasawara I , Ana Carolina Godoy-Miranda I , Flávio Hideki Oshika I , Elinton Adami Chaim II , Fernanda Garanhani Surita I *

Departamento de Tocoginecologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas – UNICAMP, Campinas, SP, BR

Departamento de Cirurgia, Faculdade de Medicina, Universidade de Campinas, Campinas, SP, BR

*Corresponding author. E-mail: surita@unicamp.br

received February 1, 2017; revised May 7, 2017; accepted June 30, 2017.

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.

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


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