1. bookVolume 84 (2021): Issue 1 (March 2021)
Journal Details
License
Format
Journal
First Published
24 Jan 2008
Publication timeframe
4 times per year
Languages
English
access type Open Access

Obstetric history and its association with cardiometabolic risk factors: a case-control study among Bhil Women of Rajasthan, India

Published Online: 18 Mar 2021
Page range: 73 - 83
Received: 18 Jan 2021
Accepted: 11 Feb 2021
Journal Details
License
Format
Journal
First Published
24 Jan 2008
Publication timeframe
4 times per year
Languages
English
Abstract

Pregnancy and childbearing are special reproductive events having an impact on women’s health and demographic trends. Reproductive health is not only linked to biological events of gestation and birth, but also are intricately linked to women`s status and their role in society. The current study focuses on the impact of bad obstetric history in the development of cardiometabolic risk factors. The present retrospective case-control study was conducted among Bhil tribal women of Rajasthan, India. A total of 287 women participated in this study which included 125 cases and 162 controls. Data on somatometric measurements, physiological measurements and lipid profile were recorded and analysed using SPSS version 25.0. The mean number of conceptions differed significantly between pregnancy in cases (5.06±1.85) and pregnancy in controls (3.19±1.56). Cases were characterised with significantly increased mean SBP (p=0.010), although the values (116.68±23.04) fell within the normal range. Bad obstetric history was found to be a risk factor for central obesity, hypertension and dyslipidemia among the Bhil women. It was also found to be relatively associated with adverse demographic/lifestyle variables which could enhance the effect of cardiometabolic risk factors. Women with bad obstetric history need special care and lifestyle variables need to be adjusted for better health outputs.

Keywords

Ba HJ, Peng HM, Zhu L, Lin YS, Li XD, Li SJ. 2017. Dyslipidemia in pregnancy may contribute to increased risk of congenital heart defects. Int J Clin Exp Med 10:3526–32.Search in Google Scholar

Bhardwaj AK, Kumar D, Raina SK, Bansal P, Bhushan S, Chander V. 2013. Community based assessment of biochemical risk factors for cardiovascular diseases in rural and tribal area of himalayan region, India. Biochem Res Int 696845.Search in Google Scholar

Bradley RD, Oberg EB. 2008. Are additional lipid measures useful? Integr Medi 7:18–23.Search in Google Scholar

Chandraker R, Chakrabarty S, Mitra M, Bharati P. 2017. A Study of Reproductive and Child Health among the Dhur Gond Tribal Community of Mahasamund District, Chhattisgarh, India. Studies of Tribes and Tribals 7(2):97–103.Search in Google Scholar

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL. 2003. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: The JNC 7 Report. JAMA 289:2560–72.Search in Google Scholar

Chow CK, Naidu S, Raju K, Raju R, Joshi R, Sullivan D. 2008. Significant lipid, adiposity and metabolic abnormalities amongst 4535 Indians from a developing region of rural Andhra Pradesh. Atherosclerosis 196(2):943–52.Search in Google Scholar

Committee S. 2000. WHO BMI_ASIA_Guidelines. Steering committee, 1–55. Available at: http://www.wpro.who.int/nutrition/documents/docs/Redefiningobesity.pdfSearch in Google Scholar

Dawoodani NA. 2013. Role of women health and reproductive health in women empowerment. J Mass Communicat Journalism 3:4. doi: 10.4172/2165-7912.1000157.Search in Google Scholar

Dharmalingam A, Navaneetham K, Krishnakumar CS. 2010. Nutritional status of mothers and low birth weight in India. Matern Child Health J 14(2):290–8.Search in Google Scholar

Du D, Bruno R, Dwyer T, Venn A, Gall S. 2017. Associations between alcohol consumption and cardio-metabolic risk factors in young adults. Eur J Prev Cardiol 24(18):1967–78.Search in Google Scholar

Edison RJ, Berg K, Remaley A, Kelley R, Rotimi C, Stevenson RE, et al. 2007. Adverse birth outcome among mothers with low serum cholesterol. Pediatrics 120(4):723–33.Search in Google Scholar

Fitzsimons KJ, Modder J, Greer IA. 2009. Obesity in pregnancy: risks and management. Obstet Med 2(2):52–62.Search in Google Scholar

Gama R, Elfatih AB, Anderson NR. 2002. Ethnic differences in total and HDL cholesterol concentrations: Caucasians compared with predominantly Punjabi Sikh Indo-Asians. Ann Clin Biochem 39(Pt 6):609–11.Search in Google Scholar

Geetha P, Chenchuprasad C, Sathyavathi RB, Reddy KS, Reddy KK. 2017. Reproductive Health Status of Sugali Tribal Women: A Field Based Study. Studies of Tribes and Tribals 13(1):73–8.Search in Google Scholar

Glasier A, Gulmezoglu AM, Schmid GP, Moreno CG, Van Look PF. 2006. Sexual and reproductive health: a matter of life and death. Lancet 368(9547):1595–607.Search in Google Scholar

Gonzalez-Chica DA, Adams R, Dal Grande E, Avery J, Hay P, Stocks N. 2017. Lower educational level and unemployment increase the impact of cardiometabolic conditions on the quality of life: results of a population-based study in South Australia. Qual Life Res 26(6):1521–30.Search in Google Scholar

Gupta R, Gupta HP, Kumar N, Joshi AK, Gupta VP. 1994. Lipoprotein lipids and the prevalence of hyperlipidaemia in rural India. J Cardiovasc Risk 1(2):179–84.Search in Google Scholar

Gupta R, Prakash H, Kaul V. 1997. Cholesterol lipoproteins, triglycerides, rural-urban differences and prevalence of dyslipidaemia among males in Rajasthan. J Assoc Physicians India 45(4):275–9.Search in Google Scholar

Hartini TN, Padmawati RS, Lindholm L, Surjono A, Winkvist A. 2005. The importance of eating rice: changing food habits among pregnant Indonesian women during the economic crisis. Soc Sci Med 61(1):199–210.Search in Google Scholar

Hedderson MM, Darbinian JA, Sridhar SB, Quesenberry CP. 2012. Prepregnancy cardiometabolic and inflammatory risk factors and subsequent risk of hypertensive disorders of pregnancy. Am J Obstet Gynecol 207(1):68 e61–69.Search in Google Scholar

Hollingsworth DR, Grundy SM. 1982. Pregnancy-associated hypertriglyceridemia in normal and diabetic women. Differences in insulin-dependent, non-insulin-dependent, and gestational diabetes. Diabetes 31(12):1092–7.Search in Google Scholar

Hubel CA, McLaughlin MK, Evans RW, Hauth BA, Sims CJ, Roberts JM. 1996. Fasting serum triglycerides, free fatty acids, and malondialdehyde are increased in preeclampsia, are positively correlated, and decrease within 48 hours post partum. Am J Obstet Gynecol 174(3):975–82.Search in Google Scholar

Jejeebhoy SJ. 2007. Reproductive Health Among Youth In Bihar and Jharkhand | Economic and Political Weekly. Economic and political weekely. Available at: https://www.epw.in/reproductive-health-among-youth-bihar-and-jharkhandSearch in Google Scholar

Karvonen-Gutierrez C, Kim C. 2016. Association of Mid-Life Changes in Body Size, Body Composition and Obesity Status with the Menopausal Transition. Health-care (Basel) 4(3):42.Search in Google Scholar

Kelishadi R, Noori A, Qorbani M, Rahimzadeh S, Djalalinia S, Shafiee G, et al. 2016. Are active and passive smoking associated with cardiometabolic risk factors in adolescents? The CASPIAN-III Study. Paediatr Int Child Health 36(3):181–8.Search in Google Scholar

Khalifah-Ourfali R, Kababie-Ameo R, Meaney E, Ceballos G, Gutiérrez-Salmeán G. 2017. Education level impact on cardiometabolic risk factors: a brief report. Integrative Food, Nutrition and Metabolism 4(5). Available at: https://www.oatext.com/education-level-impact-on-cardiometabolic-risk-factors-a-brief-report.php.Search in Google Scholar

Literacy Rate In India (NSSO And RGI). Available at: data.gov.in. https://tn.data.gov.in/catalog/literacy-rate-india-nsso-and-rgi#web_catalog_tabs_block_1.Search in Google Scholar

Maternal Mortality Ratio (MMR) (per 100000 live births) | NITI Aayog. Available at: http://niti.gov.in/content/maternal-mortality-ratio-mmr-100000-live-births.Search in Google Scholar

McDonald SD, Malinowski A, Zhou Q, Yusuf S, Devereaux PJ. 2008. Cardiovascular sequelae of preeclampsia/eclampsia: a systematic review and meta-analyses. Am Heart J 156(5):918–30.Search in Google Scholar

National Family Health Survey. Available at: http://rchiips.org/nfhs/factsheet_nfhs-4.shtml.Search in Google Scholar

Pasternak RC. 2002. 2001 National Cholesterol Education Program (NCEP) Guidelines on the Detection, Evaluation and Treatment of Elevated Cholesterol in Adults: Adult Treatment Panel III (ATP III). ACC Current Journal Review 11(4):37–45.Search in Google Scholar

Saha KB, Singh N, Chatterjee Saha U, Roy J. 2007. Male involvement in reproductive health among scheduled tribe: experience from Khairwars of central India. Rural Remote Health 7(2):605.Search in Google Scholar

Sanchez-Vera I, Bonet B, Viana M, Quintanar A, Martin MD, Blanco P, et al. 2007. Changes in plasma lipids and increased low-density lipoprotein susceptibility to oxidation in pregnancies complicated by gestational diabetes: consequences of obesity. Metabolism 56(11):1527–33.Search in Google Scholar

Sanneving L, Trygg N, Saxena D, Mavalankar D, Thomsen S. 2013. Inequity in India: the case of maternal and reproductive health. Glob Health Action 6:19145.Search in Google Scholar

Santos-Torres MI, Vasquez-Garibay E. 2003. Food taboos among nursing mothers of Mexico. J Health Popul Nutr 21(2):142–9.Search in Google Scholar

Tobergte DR, Curtis S. 2004. Program of Action_Adopted at the International Conference on Population and Development, Cairo 1994. UNFPA 1:1–156.Search in Google Scholar

Townsend MK, Curhan GC, Resnick NM, Grodstein F. 2008. BMI, waist circumference, and incident urinary incontinence in older women. Obesity (Silver Spring) 16(4):881–6.Search in Google Scholar

Trends in maternal mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization; 2015. 2015. doi:10.1016/0735-1097(90)90382-Y.Search in Google Scholar

Vincent LJ, Frise CJ. 2018. Management of the critically-ill obstetric patient. Obstet Gynaecol Reprod Med 28(8):243–52.Search in Google Scholar

Vrijkotte TG, Algera SJ, Brouwer IA, van Eijsden M, Twickler MB. 2011. Maternal triglyceride levels during early pregnancy are associated with birth weight and postnatal growth. J Pediatr 159(5):736–42 e731.Search in Google Scholar

Why are women’s health outcomes in India so poor? – The Hindu BusinessLine. Available at: https://www.thehindubusinessline.com/opinion/columns/c-p-chandrasekhar/why-are-womens-health-outcomes-in-india-so-poor/article22995212.eceSearch in Google Scholar

WHO Regional Office for the Western Pacific. 2008. Integrating poverty and gender into health programmes: A sourcebook for health professionals (Sexual and reproductive health). ISBN 139789290613893.Search in Google Scholar

Wiznitzer A, Mayer A, Novack V, Sheiner E, Gilutz H, Malhotra A, et al. 2009. Association of lipid levels during gestation with preeclampsia and gestational diabetes mellitus: a population-based study. Am J Obstet Gynecol 201(5):482 e481-8.Search in Google Scholar

Recommended articles from Trend MD

Plan your remote conference with Sciendo