DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20151615

Knowledge of obesity and its effects on cardiometabolic and reproductive health in women

Manorama Eti, Chandana M.P., Roopkala B.M., Nagarathnamma R.

Abstract


Background: Obesity is following a raising trend in India. Being a major risk factor for various diseases, awareness should be raised among people regarding this issue. The objective of the study was to assess knowledge of obesity and its ill effects on cardio metabolic and reproductive health in women.

Methods: This was a prospective survey study done on women visiting gynecology OPD at Rajarajeswari Medical College and Hospital. 300 Subjects were randomly picked and were administered a questionnaire on the health risks of obesity, that is,  its effect on cardio metabolic status, reproductive outcome in terms of infertility and spontaneous abortions and obesity related cancers such as endometrial and breast cancers.  Height and weight measurements of the study subjects were measured.

Results: Subjects' age ranged from 19 to 47 years (mean SD: 28.72 ± 6.52). subjects who were aware that obesity increases the risk of various diseases were: diabetes  (85.3% ) ,  blood pressure (88.7%), raised cholesterol levels in the blood(90.7%), infertility (84%), irregular periods (62%), abortions (44%),arthritis (86.7% ),  breast cancer (36%) , endometrial cancer (36.7% ).

Conclusions: Women in our study have good knowledge about obesity and its effect on general health and cardio metabolic diseases, fair knowledge about reproductive outcomes. They are less aware of the association of obesity and sex hormone sensitive cancers like endometrial and breast cancers.  Public education is needed to increase awareness of obesity and malignancy.


Keywords


Obesity, BMI, Knowledge

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References


World Health Organization. Obesity and overweight. Fact sheet N 311. Updated January 2015.

National Family Health Survey, 2005-06. Mumbai: International Institute for Population Sciences; 2007.

Kalra S, Unnikrishnan AG. Obesity in India: The weight of the nation. J Med Nutr Nutraceut. 2012;1:37-41.

Anuradha RK, Sathyavathi RB, Reddy TM, Hemalatha R, Sudhakar G, Geetha P, et al. Effect of social and environmental determinants on overweight and obesity prevalence among adolescent school children. Indian J Endocr Metab. 2015;19:283-7.

Chambers JC, Elliott P, Zabaneh D, Zhang W, Li Y, Froguel P, et al. "Common genetic variation near MC4R is associated with waist circumference and insulin resistance." Nature genetics. 2008;40:716-8.

Yoon, KH, Lee J-H, Kim J-W, Cho JH, Choi Y-H, Ko S-H, et al. Epidemic obesity and type 2 diabetes in Asia. The Lancet. 2006;368(9548):1681-8.

Cardozo ER, Dune TJ, Neff LM, Brocks ME, Ekpo GE, Barnes RB, et al. Knowledge of obesity and its impact on reproductive health outcomes among urban women. Journal of community health. 2013;38(2):261-7.

Cardozo ER, Neff LM, Brocks ME, Ekpo GE, Dune TJ, Barnes RB, et al. Infertility patients' knowledge of the effects of obesity on reproductive health outcomes. American journal of obstetrics and gynecology. 2012;207(6):509-e1.

Dimitrios P, Tziomalos K, Papadakis E, Vosnakis C, Chatzis P, Katsikis I. Lifestyle intervention and anti-obesity therapies in the polycystic ovary syndrome: impact on metabolism and fertility. Endocrine. 2013;44(3):583-90.

Jung SJ, Park SK, Shin A, Lee S-A, Choi J-Y, Hong Y-C, et al. Body mass index at age 18–20 and later risk of spontaneous abortion in the Health Examinees Study (HEXA). BMC pregnancy and childbirth. 2015;15(1):228.

Andraweera PH, Dekker GA, Jayasekara RW, Dissanayake VH, Roberts CT. The obesity‐related FTO gene variant associates with the risk of recurrent miscarriage. Acta obstetricia et gynecologica Scandinavica. 2015;94(7):722-6.

Beavis AL, Cheema S, Holschneider CH, Duffy EL, Amneus MW. Almost half of women with endometrial cancer or hyperplasia do not know that obesity affects their cancer risk. Gynecologic oncology reports. 2015;13:71-5.

Iyoke CA, Ugwu GO. Burden of gynaecological cancers in developing countries. World J Obstet Gynaecol. 2013;2:1-7.

Gao J, Yang G, Wen W, Cai QY, Zheng W, Shu XO, et al. Impact of known risk factors on endometrial cancer burden in Chinese women. European journal of cancer prevention: the official journal of the European Cancer Prevention Organisation (ECP), 2015.

James FR, Wootton S, Jackson A, Wiseman M, Copson ER, Cutress RI. Obesity in breast cancer–What is the risk factor? European Journal of Cancer. 2015;51(6):705-20.

Widschwendter P, Friedl TW, Schwentner L, DeGregorio N, Jaeger B, Schramm A, et al. The influence of obesity on survival in early, high-risk breast cancer: results from the randomized SUCCESS A trial. Breast Cancer Research. 2015;17(1):1.