目的:评估维多利亚州孕妇肥胖的患病率,2010-2019年。
方法:回顾性队列研究;分析维多利亚州围产期数据收集数据。
方法:在17个维多利亚州卫生部(8个大都市,九个区域),2010-2019年。
方法:肥胖妇女(体重指数≥30kg/m2)的分娩比例,按卫生部地区和年份。
结果:在2010-2019年期间,维多利亚州共记录了710364例新生儿,其中包括母亲的BMI。肥胖女性的出生比例从19.6%上升(95%置信区间[CI],2010年的19.3-19.9%)降至2019年的21.5%(95%CI,21.2-21.8%);正常体重妇女的分娩比例从49.0%(95%CI,48.6-49.4%)降至46.8%(95%CI,46.4-47.1%)。在大都市地区,肥胖妇女的分娩比例从17.7%(95%CI,17.7-17.8%)上升到19.4%(95%CI,19.3-19.4%);在地区,它从25.0%(95%CI,25.0-25.1%)增加到29.1%(95%CI,29.0-29.2%)。生活在社会经济地位最低的五分之一(相对社会经济劣势指数)的妇女的肥胖患病率比居住在处境最低的五分之一(调整后的比率,2.16;95%CI,2.12-2.20)。
结论:在2010-2019年期间,维多利亚州肥胖妇女的出生比例上升,特别是在地区地区。确保区域卫生服务有足够的资源,以满足越来越多的怀孕期间面临肥胖风险的妇女的需求至关重要。
OBJECTIVE: To assess the prevalence of obesity in pregnant women in Victoria, 2010-2019.
METHODS: Retrospective cohort study; analysis of Victorian Perinatal Data Collection data.
METHODS: Women who gave birth in seventeen Victorian Department of Health areas (eight metropolitan, nine regional), 2010-2019.
METHODS: Proportions of births to women with obesity (body mass index ≥ 30 kg/m2), by Department of Health area and year.
RESULTS: A total of 710 364 births with records that included the mothers\' BMI were recorded in Victoria during 2010-2019. The proportion of births to women with obesity rose from 19.6% (95% confidence interval [CI], 19.3-19.9%) in 2010 to 21.5% (95% CI, 21.2-21.8%) in 2019; the proportion of births to women with normal weight declined from 49.0% (95% CI, 48.6-49.4%) to 46.8% (95% CI, 46.4-47.1%). In metropolitan areas, the proportion of births to women with obesity rose from 17.7% (95% CI, 17.7-17.8%) to 19.4% (95% CI, 19.3-19.4%); in regional areas, it increased from 25.0% (95% CI, 25.0-25.1%) to 29.1% (95% CI, 29.0-29.2%). The increase in prevalence of obesity was greater among women living in the lowest socio-economic standing (Index of Relative Socio-Economic Disadvantage) quintile than for those residing in the quintile of least disadvantage (adjusted rate ratio, 2.16; 95% CI, 2.12-2.20).
CONCLUSIONS: The proportion of births to Victorian women with obesity rose during 2010-2019, particularly in regional areas. Ensuring that regional health services are adequately resourced to meet the needs of the increasing number of women at risk of obesity during pregnancy is vital.