Povzetek
Background: Obesity is one of the risk factors to non-communicable diseases and it is characterized by an excess of adipose tissue in the body. It has also been implicated in reproductive health challenges confronting women including infertility. However, knowledge and attitude of Women of Reproductive Age (WRA) on the implications of obesity on their reproductive health status have not been fully explored among Nigerian WRA. This study was conducted to investigate knowledge of implications of obesity on reproductive health among WRA in Ibadan South-West Local Government Area in Oyo State.
Methods: This was a descriptive cross-sectional study. A three-stage sampling technique was used to select 500 WRA from six communities. Semi-structured, interviewer-administered questionnaire was used to elicit information on socio-demographic characteristics, knowledge and attitude towards obesity. Obesity was assessed using Body Mass Index (BMI) and Waist-to-Hip Ratio (WHR). Data were analysed using descriptive and inferential statistics.
Results: Age was 29.9±8.7 years with 56.0% having tertiary education and 60.0% had biological children. Prevalence of obesity was 18.6% and 52.4% had abdominal obesity. Few respondents mentioned reproductive health problems influenced by obesity to include infertility (34.4%), obstructed labour (33.0%), delivery by caesarean section (26.0%), fibroid (4.0%) and menstrual disorders (3.0%). Majority (86.8%) had poor knowledge of the implications of obesity on reproductive health. Respondents (90.4%) had favourable disposition towards obesity and knowledge was found not significant in different with age (p>0.05).
Conclusion: Poor knowledge was observed among the respondents. This implies the need for sensitization on the negative implications of obesity on reproductive health.
Keywords: Obesity, reproductive health challenges, women of reproductive age
Résumé
Contexte: L’obésité est l’un des facteurs de risque des maladies non transmissibles et se caractérise par un excès de tissu adipeux dans le corps. Il a également été impliqué dans les problèmes de santé reproductrice auxquels sont confrontées les femmes, notamment l’infertilité. Cependant, les connaissances et l’attitude des femmes en âge de procréer (FAP) sur les implications de l’obésité sur leur statut en matière de santé de la reproduction n’ont pas été complètement explorées chez les FAP nigérianes. Cette étude a été menée pour étudier les connaissances sur les implications de l’obésité sur la santé reproductrice chez les FAP dans la commune du Sud-Ouest d’Ibadan dans l’État d’Oyo.
Méthodes: Il s’agissait d’une étude descriptive transversale. Une technique d’échantillonnage en trois étapes a été utilisée pour sélectionner 500 FAP dans six communautés. Un questionnaire semi-structuré, administré par un intervieweur, a été utilisé pour obtenir des informations sur les caractéristiques sociodémographiques, les connaissances et l’attitude à l’égard de l’obésité. L’obésité a été évaluée à l’aide de l’indice de masse corporelle (IMC) et du ratio taille- hanches (RTH). Les données ont été analysées à l’aide de statistiques descriptives et inférences.
Résultats: L’âge était de 29,9 ± 8,7 ans, dont 56,0% avaient suivi des études supérieures et 60,0% avaient des enfants biologiques. La prévalence de l’obésité était de 18,6% et 52,4% avait l’obésité abdominale. Peu des répondantes ont mentionnés des problèmes de santé reproductrice liés à l’obésité à inclure l’infertilité (34,4%), l’accouchement avec obstruction (33,0%), l’accouchement par césarienne (26,0%), les fibromes (4,0%) et les troubles menstruels (3,0%). La majorité (86,8%) avait une connaissance insuffisante des conséquences de l’obésité sur la santé reproductrice. Les répondantes (90,4%) avaient une prédisposition favorable à l’obésité et les connaissances acquises n’étaient pas significatives avec l’âge (p> 0,05).
Conclusion: Une faible connaissance a été observée parmi les répondantes. Cela implique un besoin de sensibilisation sur les implications négatives de l’obésité sur la santé reproductrice.
Mots-clés: Obésité, problèmes de santé reproductrice, femmes en âge de procréer
Correspondence: Dr. O.E. Oyewole, Department of Health Promotion and Education, College of Medicine, University of Ibadan, Ibadan, Nigeria. E-mail: diranoyewole@gmail.com
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