Recognizing, Addressing and Treating Obesity in Women's Health

Question 1

How can we reframe obesity?

Answer 1

A chronic, metabolic disease

Question 2

What is the definition intensive, multi component behavioral weight management?

Answer 2

12 or more sessions, often in group setting

Addressing nutrition, exercise/activity, personal accountability, identifying barriers, relapse prevention

Question 3

Signs of POS

Answer 3

Acne
Facial hair
Irregular or absent menstrual cycles
Anovulation
Overweight/obese
Linked Insulin sensitivity and blood sugar

Even taking off 5 percent of body weight can improve all of these symptoms

Question 4

Percentage of woman affected by POS

Answer 4

Affects 4-8% woman reproductive age

Question 5

How effective is weight loss in helping with fertility in POS

Answer 5

Weight loss may be more effective than Clomid in achieving life birth

2.5 increase in live birth rate in pretreatment group (Legro, et al., 2016)

Question 6

Risk of obesity in pregnancy - maternal complications?

Answer 6

Diff in diagnostic testing, gestational DM, longer labor, vacuum or forceps delivery, need for C-section, Preeclampsia

Question 7

Risk of obesity in pregnancy - fetal complications?

Answer 7

Neurla tube defect, fetal distress, preterm birth, stillbirght, shoulder dystocia, meconium aspiration, macrosomia, early neonatal death

Question 8

Relationship between maternal obesity in early pregnancy?

Answer 8

Doubles risk of obesity of kid at age 2-4 years old

Study of 8000 participants in Ohio - Whitaker, 2004

Question 9

Weight gain recommendations for pregnancy?

Answer 9

Ideal weight: 25-35#
Overweight: 15-25#
Obese: 11-20#

Question 10

Weight loss goal for preconception?

Answer 10

10 percent weight loss

Question 11

Benefits of low weight gain (<17 pounds) for obese woman in pregnancy?

Answer 11

Decreased risk:
Preeclampsia
C-section
Instrumental delivery
LGA births

(Study of 240,000 pregnanies in Sweden)