TY - JOUR
T1 - Management of obesity across women's life course
T2 - FIGO Best Practice Advice
AU - the FIGO Committee on Impact of Pregnancy on Long-term Health and the FIGO Division of Maternal and Newborn Health
AU - Maxwell, Cynthia V.
AU - Shirley, Rachelle
AU - O'Higgins, Amy C.
AU - Rosser, Mary L.
AU - O'Brien, Patrick
AU - Hod, Moshe
AU - O'Reilly, Sharleen L.
AU - Medina, Virna P.
AU - Smith, Graeme N.
AU - Hanson, Mark A.
AU - Adam, Sumaiya
AU - Ma, Ronald C.
AU - Kapur, Anil
AU - McIntyre, Harold David
AU - Jacobsson, Bo
AU - Poon, Liona C.
AU - Bergman, Lina
AU - Regan, Lesley
AU - Algurjia, Esraa
AU - McAuliffe, Fionnuala M.
N1 - Publisher Copyright:
© 2023 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
PY - 2023/1
Y1 - 2023/1
N2 - Obesity is a chronic, progressive, relapsing, and treatable multifactorial, neurobehavioral disease. According to the World Health Organization, obesity affects 15% of women and has long-term effects on women's health. The focus of care in patients with obesity should be on optimizing health outcomes rather than on weight loss. Appropriate and common language, considering cultural sensitivity and trauma-informed care, is needed to discuss obesity. Pregnancy is a time of significant physiological change. Pre-, ante-, and postpartum clinical encounters provide opportunities for health optimization for parents with obesity in terms of, but not limited to, fertility and breastfeeding. Pre-existing conditions may also be identified and managed. Beyond pregnancy, women with obesity are at an increased risk for gastrointestinal and liver diseases, impaired kidney function, obstructive sleep apnea, and venous thromboembolism. Gynecological and reproductive health of women living with obesity cannot be dismissed, with accommodations needed for preventive health screenings and consideration of increased risk for gynecologic malignancies. Mental wellness, specifically depression, should be screened and managed appropriately. Obesity is a complex condition and is increasing in prevalence with failure of public health interventions to achieve significant decrease. Future research efforts should focus on interprofessional care and discovering effective interventions for health optimization.
AB - Obesity is a chronic, progressive, relapsing, and treatable multifactorial, neurobehavioral disease. According to the World Health Organization, obesity affects 15% of women and has long-term effects on women's health. The focus of care in patients with obesity should be on optimizing health outcomes rather than on weight loss. Appropriate and common language, considering cultural sensitivity and trauma-informed care, is needed to discuss obesity. Pregnancy is a time of significant physiological change. Pre-, ante-, and postpartum clinical encounters provide opportunities for health optimization for parents with obesity in terms of, but not limited to, fertility and breastfeeding. Pre-existing conditions may also be identified and managed. Beyond pregnancy, women with obesity are at an increased risk for gastrointestinal and liver diseases, impaired kidney function, obstructive sleep apnea, and venous thromboembolism. Gynecological and reproductive health of women living with obesity cannot be dismissed, with accommodations needed for preventive health screenings and consideration of increased risk for gynecologic malignancies. Mental wellness, specifically depression, should be screened and managed appropriately. Obesity is a complex condition and is increasing in prevalence with failure of public health interventions to achieve significant decrease. Future research efforts should focus on interprofessional care and discovering effective interventions for health optimization.
KW - FIGO
KW - best practice
KW - health optimization
KW - management
KW - obesity
KW - obesity-related comorbidities
KW - pregnancy
KW - women's life course
UR - http://www.scopus.com/inward/record.url?scp=85146195184&partnerID=8YFLogxK
U2 - 10.1002/ijgo.14549
DO - 10.1002/ijgo.14549
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C2 - 36635081
AN - SCOPUS:85146195184
SN - 0020-7292
VL - 160
SP - 35
EP - 49
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - S1
ER -