Prevalence of Obesity and Physical Activity among Postpartum Women Attending Primary Healthcare Centers in Jeddah City translation missing: zh.hyrax.visibility.files_restricted.text

Baoum, Shada (2016)

Permanent URL: https://etd.library.emory.edu/concern/etds/qv33rx41s?locale=zh
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Abstract

Abstract:

Introduction: During pregnancy, women's weight increases to accommodate fetal development, but most women do not return to their pre-pregnancy weight. Physical activity plays an important role in any weight reduction approach.

Objectives: This cross-sectional study was conducted to assess the prevalence of obesity and physical inactivity among postpartum women attending primary healthcare centers in Jeddah, Saudi Arabia. We also explore the possible associations between obesity and physical activity as well as between these and other demographic variables.

Methodology: Our sample includes 380 postpartum women attending primary healthcare centers in Jeddah. To be included in the study, women were 6 to 12 months postpartum. They were chosen using a multistage proportional random sampling technique. We used the Arabic version of the Global Physical Activity Questionnaire and weekly steps counts measured by pedometers to assess physical activity. Also, we used the World Health Organization cut-off point to determine whether a woman had met the recommended weekly physical activity or not. For obesity, we measured Body Mass index in kg/m2 and used the World Health Organization's classification of obesity.

Results: We found that 30% of our sample were obese and 34% did not meet WHO recommendations for physical activity. There were no significant associations between obesity and total weekly physical activity or meeting WHO recommendation for weekly physical activity. Obese women were older and had more children in their household, but these characteristics were negatively correlated with daily sedentary time. Unfortunately, only 6% of the sample returned their weekly steps counts. Homemakers and non-Saudi women walked significantly less than women in other work categories and Saudi women.

Conclusion: Obesity and physical inactivity are prevalent among postpartum women and a postpartum care program to promote mothers' health in general, encourage physical activity, and prevent obesity is highly recommended.

Table of Contents

Table of Contents

Dedication......................................................................................................................... ii

Table of Contents............................................................................................................... iii

List of tables....................................................................................................................... iii

List of Figures..................................................................................................................... iv

1 Introduction...................................................................................................................... 2

2 Background/literature review............................................................................ 3

2.1 Weight Gain During Pregnancy....................................................................................... 3

2.2 Postpartum Weight Management.................................................................................... 6

2.3 Obesity............................................................................................................................. 7

2.4 Physical Activity during Pregnancy and Postpartum Period......................................... 8

2.5 Obesity and Physical Activity in Saudi Arabia............................................................. 10

2.6 Study Framework.......................................................................................................... 11

3 Data & Methods............................................................................................................ 13

3.1 Study setting.................................................................................................................. 13

3.2 Data Collection............................................................................................................. 14

3.2.1 Interviewing and field methods................................................................................. 14

3.2.2 Survey instrument..................................................................................................... 15

3.3 Data Analysis................................................................................................................ 16

3.3.1 Data management.................................................................................................... 16

3.3.2 Data analysis........................................................................................................... 18

4 Results.............................................................................................................................. 21

4.1 Descriptive data............................................................................................................ 21

4.2 Obesity........................................................................................................................... 24

4.3 Physical activity........................................................................................................... 36

4.4 Sedentary time............................................................................................................... 42

4.5 Pedometer...................................................................................................................... 46

5 Discussion........................................................................................................................ 53

6 Recommendations....................................................................................................... 57

6.1 Recommendations for policy......................................................................................... 57

6.2 Recommendations for practice..................................................................................... 57

6.3 Recommendations for research.................................................................................... 58

References......................................................................................................................... 59

Appendix A........................................................................................................................... 63

Field Notes:.......................................................................................................................... 63

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