Top

International Journal of Public Health

Published in:

01-05-2019 | Obesity | Original article

Obesity risk in women of childbearing age in New Zealand: a nationally representative cross-sectional study

Published in: International Journal of Public Health | Issue 4/2019

Abstract

Objectives

To investigate risk factors for women with obesity of childbearing age.

Methods

A cross-sectional survey of New Zealand women (15–49 years) with measured height and weight was used [unweighted (n = 3625) and weighted analytical sample (n = 1,098,372)] alongside sociodemographic-, behavioural- and environmental-level predictors. Multilevel logistic regression weighted for non-response of height and weight data was used.

Results

Meeting physical activity guidelines (AOR (adjusted odds ratio) 0.66, 95% CI 0.54–0.80), Asian (AOR 0.15, 95% CI 0.10–0.23) and European/other ethnicity (AOR 0.46, 95% CI 0.36–0.58) and an increased availability of public greenspace (Q4 AOR 0.55, 95% CI 0.41–0.75) were related to decreased obesity risk. Older age (45–49 years AOR 3.01, 95% CI 2.17–4.16), Pacific ethnicity (AOR 2.81, 95% CI 1.87–4.22), residing in deprived areas (AOR 1.65, 95% CI 1.16–2.35) or secondary urban areas (AOR 1.49, 95% CI 1.03–2.18) were related to increased obesity risk. When examined by rural/urban classification, private greenspace was only related to increased obesity risk in main urban areas.

Conclusions

This study highlights factors including but not limited to public greenspace, which inform obesity interventions for women of childbearing age in New Zealand.

Available only for authorised users

Agha M, Agha RA, Sandell J (2014) Interventions to reduce and prevent obesity in pre-conceptual and pregnant women: a systematic review and meta-analysis. PLoS ONE 9:e95132. https://doi.org/10.1371/journal.pone.0095132 CrossRefPubMedPubMedCentral

Astell-Burt T, Feng X, Kolt G (2013) Greener neighborhoods, slimmer people? Evidence from 246 920 Australians. Int J obes 3:64–71

Barker M et al (2018) Intervention strategies to improve nutrition and health behaviours before conception. Lancet 391:1853–1864. https://doi.org/10.1016/S0140-6736(18)30313-1 CrossRefPubMedPubMedCentral

Bautista-Castaño I, Henriquez-Sanchez P, Alemán-Perez N, Garcia-Salvador JJ, Gonzalez-Quesada A, García-Hernández JA, Serra-Majem L (2013) Maternal obesity in early pregnancy and risk of adverse outcomes. PLoS ONE 8:e80410. https://doi.org/10.1371/journal.pone.0080410 CrossRefPubMedPubMedCentral

Black RE et al (2013) Maternal and child nutrition: building momentum for impact. Lancet 382:372–375. https://doi.org/10.1016/S0140-6736(13)60988-5 CrossRefPubMed

Black C, Moon G, Baird J (2014) Dietary inequalities: What is the evidence for the effect of the neighbourhood food environment? Health and Place 13:131. https://doi.org/10.1016/j.healthplace.2013.09.015i CrossRef

Boots C, Stephenson MD (2011) Does obesity increase the risk of miscarriage in spontaneous conception: a systematic review. Seminars in Reproductive Medicine 29:507–513. https://doi.org/10.1055/s-0031-1293204 CrossRefPubMed

Burgoine T et al (2017) Interplay of socioeconomic status and supermarket distance is associated with excess obesity risk: a UK cross-sectional study. Int J Environ Res Public Health 14:1290CrossRefPubMedCentral

Caprio S, Daniels SR, Drewnowski A, Kaufman FR, Palinkas LA, Rosenbloom AL, Schwimmer JB (2008) Influence of race, ethnicity, and culture on childhood obesity: implications for prevention and treatment: a consensus statement of shaping America’s health and the obesity society. Diabetes Care 31:2211. https://doi.org/10.2337/dc08-9024 CrossRefPubMedPubMedCentral

Ceschia A, Horton R (2016) Maternal health: time for a radical reappraisal. Lancet 388:2064–2066. https://doi.org/10.1016/S0140-6736(16)31534-3 CrossRefPubMed

Cobb LK, Appel LJ, Franco M, Jones-Smith JC, Nur A, Anderson CA (2015) The relationship of the local food environment with obesity: a systematic review of methods, study quality, and results. Obesity 23:1331 https://doi.org/10.1002/oby.21118

Department of Health (2011) Healthy lives, healthy people: a call to action on obesity in England. Department of Health, London

El-Sayed AM, Scarborough P, Galea S (2011) Ethnic inequalities in obesity among children and adults in the UK: a systematic review of the literature. Obes Rev 12:e516–e534. https://doi.org/10.1111/j.1467-789X.2010.00829.x CrossRefPubMed

Gardosi J, Madurasinghe V, Williams M, Malik A, Francis A (2013) Maternal and fetal risk factors for stillbirth: population based study. BMJ Br Med J. https://doi.org/10.1136/bmj.f108 CrossRef

Gateshead Council (2015) Hot food takeaway: supplementary planning document. Gateshead, UK

Godfrey KM, Reynolds RM, Prescott SL, Nyirenda M, Jaddoe VW, Eriksson JG, Broekman BF (2017) Influence of maternal obesity on the long-term health of offspring. Lancet Diabetes Endocrinol 5:53–64. https://doi.org/10.1016/s2213-8587(16)30107-3 CrossRefPubMed

Green MA (2015) Do we need to think beyond BMI for estimating population-level health risks? J Public Health. https://doi.org/10.1093/pubmed/fdv007 CrossRef

Hobbs M, Griffiths C, Green H, Jordan H, Saunders J, McKenna J (2017a) Neighbourhood typologies and associations with body mass index and obesity: a cross-sectional study. Prev Med 111:351–357CrossRefPubMed

Hanson M et al (2017) Interventions to prevent maternal obesity before conception, during pregnancy, and post partum. Lancet Diabetes Endocrinol 5:65–76. https://doi.org/10.1016/S2213-8587(16)30108-5 CrossRefPubMed

Hobbs M, Green M, Griffiths C, Jordan H, Saunders J, Grimmer H, McKenna J (2017b) Access and quality of parks and associations with obesity: a cross-sectional study. SSM Popul Health 3:722. https://doi.org/10.1016/j.ssmph.2017.07.007 CrossRefPubMedPubMedCentral

Hobbs M, Griffiths C, Green M, Jordan H, Saunders J, McKenna J (2017b) Associations between the combined physical activity environment, socioeconomic status, and obesity: a cross-sectional study. Perspect Public Health. https://doi.org/10.1177/1757913917748353

Howe LD, Ellison-Loschmann L, Pearce N, Douwes J, Jeffreys M, Firestone R (2015) Ethnic differences in risk factors for obesity in New Zealand infants. J Epidemiol Community Health 69:516–522. https://doi.org/10.1136/jech-2014-204464 CrossRefPubMedPubMedCentral

Johns DJ, Hartmann-Boyce J, Jebb SA, Aveyard P (2014) Diet or exercise interventions vs combined behavioral weight management programs: a systematic review and meta-analysis of direct comparisons. J Acad Nutr Diet 114:1557. https://doi.org/10.1016/j.jand.2014.07.005 CrossRefPubMedPubMedCentral

Kwan M-P (2018) The limits of the neighborhood effect: contextual uncertainties in geographic, environmental health, and social science research. Ann Am Assoc Geogr 108:1482–1490. https://doi.org/10.1080/24694452.2018.1453777 CrossRef

Lachowycz K, Jones A (2011) Greenspace and obesity: a systematic review of the evidence. Obes Rev 12:183CrossRef

Leonard SA, Rasmussen KM, King JC, Abrams B (2017) Trajectories of maternal weight from before pregnancy through postpartum and associations with childhood obesity. Am J Clin Nutr 106:1295–1301. https://doi.org/10.3945/ajcn.117.158683 CrossRefPubMedPubMedCentral

Ministry of Health (2015) Eating and activity guidelines. Ministry of Health. https://www.health.govt.nz/our-work/eating-and-activity-guidelines. Accessed 26th June 2018

Ministry of Health (2017) Methodology report 2016/17: New Zealand Health Survey. Ministry of Health. https://www.health.govt.nz/publication/methodology-report-2016-17-new-zealand-health-survey. Accessed 30/07/2018 2018

Ministry of Health (2018) Childhood obesity plan. Ministry of Health, Wellington

Müller MJ, Geisler C (2017) Defining obesity as a disease. Eur J Clin Nutr 71:1256. https://doi.org/10.1038/ejcn.2017.155 CrossRefPubMed

Ohri-Vachaspati P, Lloyd K, Delia D, Tulloch D, Yedidia MJ (2013) A closer examination of the relationship between children’s weight status and the food and physical activity environment. Prev Med 57:162–167. https://doi.org/10.1016/j.ypmed.2013.05.009 CrossRefPubMedPubMedCentral

Panter J, Guell C, Prins R, Ogilvie D (2017) Physical activity and the environment: conceptual review and framework for intervention research. Int J Behav Nutr Phys Act 14:156. https://doi.org/10.1186/s12966-017-0610-z CrossRefPubMedPubMedCentral

Pearce J, Day P, Witten K (2008) Neighbourhood provision of food and alcohol retailing and social deprivation in urban New Zealand. Urban Policy Res 26:213–227. https://doi.org/10.1080/08111140701697610 CrossRef

Pearson AL, Bentham G, Day P, Kingham S (2014) Associations between neighbourhood environmental characteristics and obesity and related behaviours among adult New Zealanders. BMC Public Health 14:553. https://doi.org/10.1186/1471-2458-14-553 CrossRefPubMedPubMedCentral

Richardson E, Pearce J, Mitchell R, Day P, Kingham S (2010) The association between green space and cause-specific mortality in urban New Zealand: an ecological analysis of green space utility. BMC Public Health 10:240. https://doi.org/10.1186/1471-2458-10-240 CrossRefPubMedPubMedCentral

Rush EC, Freitas I, Plank LD (2009) Body size, body composition and fat distribution: comparative analysis of European, Maori, Pacific Island and Asian Indian adults. Br J Nutr 102:632–641. https://doi.org/10.1017/s0007114508207221 CrossRefPubMed

Utter J et al (2010) Overweight among New Zealand adolescents: associations with ethnicity and deprivation. Int J Pediatr Obes 5:461–466. https://doi.org/10.3109/17477160903568439 CrossRefPubMed

Ward C, Aspinall P (2011) Natural environments and their impact on activity, health, and quality of life. Appl Psychol Health Well-Being 3:230–260. https://doi.org/10.1111/j.1758-0854.2011.01053.x CrossRef

Title: Obesity risk in women of childbearing age in New Zealand: a nationally representative cross-sectional study
Publication date: 01-05-2019
Keywords: Obesity
Obesity
Published in: International Journal of Public Health / Issue 4/2019
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-019-01239-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Obesity risk in women of childbearing age in New Zealand: a nationally representative cross-sectional study

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 4/2019

Trends in sleeping difficulties among European adolescents: Are these associated with physical inactivity and excessive screen time?

Quantifying health impacts and economic costs of PM2.5 exposure in Mexican cities of the National Urban System

Association of objectively measured and perceived environment with accelerometer-based physical activity and cycling: a Swiss population-based cross-sectional study of children

Quantifying the impact of reducing socioeconomic inequalities in modifiable risk factors on mortality and mortality inequalities in South Korea

Evaluating the impact of health policies: using a difference-in-differences approach

Neighbourhood environment and transport-related and leisure-time sedentary behaviour amongst women in a city in Southern Brazil: a multilevel analysis