{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T20:57:27Z","timestamp":1791406647266,"version":"4.3.3"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T00:00:00Z","timestamp":1721779200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study assessed prevalence and time trends of pre\u2010pregnancy obesity in immigrant and non\u2010immigrant women in Norway and explored the impact of immigrants' length of residence on pre\u2010pregnancy obesity prevalence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>\n                      Observational data from the Medical Birth Registry of Norway and Statistics Norway for the years 2016\u20132021 were analyzed. Immigrants were categorized by their country of birth and further grouped into seven super regions defined by the Global Burden of Disease study. Pre\u2010pregnancy obesity was defined as a body mass index \u226530.0\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , with exceptions for certain Asian subgroups (\u226527.5\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ). Statistical analysis involved linear regressions for trend analyses and log\u2010binomial regressions for prevalence ratios (PRs).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 275\u2009609 pregnancies, 29.6% (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200981\u2009715) were to immigrant women. Overall, 13.6% were classified with pre\u2010pregnancy obesity: 11.7% among immigrants and 14.4% among non\u2010immigrants. Obesity prevalence increased in both immigrants and non\u2010immigrants during the study period, with an average yearly increase of 0.62% (95% confidence interval [CI]: 0.55, 0.70). Obesity prevalence was especially high in women from Pakistan, Chile, Somalia, Congo, Nigeria, Ghana, Sri Lanka, and India (20.3%\u201326.9%). Immigrant women from \u201cSub\u2010Saharan Africa\u201d showed a strong association between longer residence length and higher obesity prevalence (\u226511\u2009years (23.1%) vs. &lt;1\u2009year (7.2%); adjusted PR\u2009=\u20092.40; 95% CI: 1.65\u20133.48), particularly in women from Kenya, Eritrea, and Congo.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Prevalence of maternal pre\u2010pregnancy obesity increased in both immigrant and non\u2010immigrant women from 2016 to 2021. Several immigrant subgroups displayed a considerably elevated obesity prevalence, placing them at high risk for adverse obesity\u2010related pregnancy outcomes. Particular attention should be directed towards women from \u201cSub\u2010Saharan Africa\u201d, as their obesity prevalence more than doubled with longer residence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.14923","type":"journal-article","created":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T08:40:24Z","timestamp":1721810424000},"page":"2081-2091","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Pre\u2010pregnancy obesity among immigrant and non\u2010immigrant women in Norway: Prevalence, trends, and subgroup variations"],"prefix":"10.1111","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6340-4593","authenticated-orcid":false,"given":"Roy M.","family":"Nilsen","sequence":"first","affiliation":[{"name":"Department of Health and Caring sciences, Faculty of Health and Social Sciences Western Norway University of Applied Sciences  Bergen 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