Obesity - A Reproductive Hurdle. Are we prepared for this challenge?
- 作者: Mahmood T.1
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隶属关系:
- European Board & College of Obstetrics and Gynaecology
- 期: 编号 7 (2015)
- 页面: 21-25
- 栏目: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247461
- ID: 247461
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详细
About 30% of the world population is obese or overweight. Risk factors in childhood lead to development of obesity in adults. We see anovulatory menstrual cycles, infertility, miscarriage, pregnancy complications in women with a high body mass. Problems associated with obesity epidemics lead to significant economic and social costs. Correction of lifestyle provides limited effect because it doesn’t lead to significant improvements of ultimate outcomes as pregnancy, ovulation or regular menstrual cycle except the reduction of risk of pre-eclampsia and shoulder dystocia. Health technology assessment revealed that the cost per year of life adjusted for its quality for bariatric surgery compared with non-surgical correction of obesity are in acceptable economic limits and bariatric surgery is a cost effective method.
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作者简介
Tahir Mahmood
European Board & College of Obstetrics and Gynaecology
Email: tahirmahmood1@nhs.net
CBE, MD, FRCPI, FFSRH, FACOG, MBA, FRCPE, FRCOG; President European Board & College of Obstetrics and Gynaecology (EBCOG).
参考
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- Mahmood T., Arulkumaran S., eds. Obesity: A ticking time bomb for reproductive health. London: Elsevier; 2013.
- Mahmood T. Preface (Obesity in obstetrics). Best Pract. Res. Clin. Obstet. Gynaecol. 2015; 29(3): 285-8.
- Tsilidis K.K., Kasimis J.C., Lopez D.S., Ntzani E.E., Ioannidis J.P. Type 2 diabetes and cancer: umbrella review of meta-analyses of observational studies. Br. Med. J. 2015; 350: g7607. doi: 10.1136/bmj.g7607.
- Picot J., Jones J., Colquitt J.L., Gospodarevskaya E., Ioveman E., Baxter L., Clegg A.J. The clinical effectiveness and cost effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technol. Assess. 2009; 13(41): 1-190, 215-357, iii-iv. doi: 10.3310/ hta13410. Available at: http://www.hta.ac.uk/fullmono/mon1341.pdf
- EBCOG. Standards of Care for Women’s Health in Europe: Obstetrics and Neonatal Services. 2014. Available at: http://www.ebcog.eu
- FIGO. FIGO GDM expert group (chair - Moshe Hod). Available at: http://www.figo.org
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