Determination of The Relationship Between External Pelvic Measurements and Body Mass Index in Young Adults

Year 2020, Volume: 14 Issue: 3, 468 - 473, 20.09.2020

Ş. Deniz Mutluay Emine Demir

https://doi.org/10.21763/tjfmpc.722541

Abstract

Objective: This study was conducted to evaluate the relationship between pelvic measurements and body mass index (BMI) among pre-pregnancy young adult women in our population. Method: The sample group consisted of 83 midwifery students who agreed to participate in the study. The anthropometric pelvic measurements which are intercrestal diameter (IC), interspinous diameter (IS), intertrochanteric diameter (IT), intertuberous diameter (ITb), and Baudelocque diameter (anteroposterior diameter) was obtained by a single investigator with a pelvimeter. The program Statistical Package for Social Sciences (version 21.0) was used to create a descriptive analysis, and the Pearson correlation coefficient was performed to determine significance (p0.05). Results: The participants’ mean age was 19.72±1.16. The mean values of BMI, IC, IS, IT, ITb and Baudelocque diameter of participants were 22.71±3.26, 27.88±1.74, 25.31±2.01, 32.54±2.23, 12.41±1.51, and 20.40±1.62, respectively. Significant positive correlations were found between IC and BMI (r=0.434), IS and BMI (r=0.285), IT and BMI (r=0.051), and Baudelocque diameter and BMI (r=0.502). No significant differences were found between ITb and BMI (r=0.051 and p>0.05). Conclusion: The data indicates that IC, IS, IT, and Baudelocque diameter all correlate with BMI.

Keywords

Anthropometry, morphology, pelvic measurements, body mass index, midwifery

Genç Erişkinlerde Dış Pelvik Ölçümler ile Beden Kitle İndeksi Arasındaki İlişkinin Belirlenmesi

Abstract

Amaç: Bu çalışma, popülasyonumuzda yer alan gebelik dönemdeki öncesi genç erişkin kadınlarda pelvik ölçümler ile beden kitle indeksi (BKİ) arasındaki ilişkiyi değerlendirmek amacıyla yapıldı. Yöntem: Araştırmanın örneklemini, çalışmaya katılmayı kabul eden 83 ebelik öğrencisi oluşturmuştur. Intercrestal diameter (IC), interspinous diameter (IS), intertrochanteric diameter (IT), intertuberous diameter (ITb), ve Baudelocque diameter (anteroposterior diameter) olan antropometrik pelvik ölçümler, tek bir araştırmacı tarafından bir pelvimetre ile elde edildi. Tanımlayıcı bir analiz oluşturmak için Statistical Package for Social Sciences (version 21.0) programı kullanıldı ve anlamlılığı belirlemek için Pearson korelasyon testi uygulandı (p<0.05). Bulgular: Katılımcıların yaş ortalaması 19.72±1.16’dır. Katılımcıların BMI, IC, IS, IT, ITb ve Baudelocque ortalama değerleri sırasıyla 22.71±3.26, 27.88±1.74, 25.31±2.01, 32.54±2.23, 12.41±1.51, ve 20.40±1.62’dir. IC ve BKİ (r=0.434), IS ve BKİ (r=0.285), IT ve BKİ (r=0.051) ve Baudelocque ile BKİ (r=0.502) arasında anlamlı pozitif korelasyon olduğu tespit edilmiştir. ITb ve BKİ arasında anlamlı fark bulunmamıştır (r=0.051 ve p>0.05). Sonuç: Veriler IC, IS, IT ve Baudelocque çaplarının BMI ile ilişkili olduğunu göstermektedir.

Keywords

Antropometri, morfoloji, pelvik ölçümler, beden kitle indeksi, ebelik

References

• 1. Standring S. Gray's anatomy: the anatomical basis of clinical practice. In: Tubbs RS, ed. Pelvic girdle and lower limb. Elsevier, 2016:1316.
• 2. Gabbe SG, Niebyl JR, Simpson JL, Landon MB, Galan HL, Jauniaux ER, et al. Obstetrics normal and problem pregnancies. In: Kilpatrick S, Garrison E, ed. Intrapartum care. 7th ed. Philadelphia: Elsevier, 2017:251.
• 3. DeSilva JM, Rosenberg KR. Anatomy, development, and function of the human pelvis. Anat Rec 2017;300:628-632.
• 4. Vraneš HS, Radoš SN. Secular changes of pelvis in Croatian perinatal women. HOMO 2014:65(6), 509-515.
• 5. Sharma K, Gupta P, Shandilya S. Age related changes in pelvis size among adolescent and adult females with reference to parturition from Naraingarh, Haryana (India). HOMO 2016;67(4): 273-293.
• 6. Munabi IG, Byamugisha J, Luboobi L, Luboga SA, Mirembe F. Relationship between maternal pelvis height and other anthropometric measurements in a multisite cohort of Ugandan mothers. Pan African Medical Journal 2016a;24:257.
• 7. Munabi IG, Luboga SA, Luboobi L, Mirembe F. Association between maternal pelvis height and intrapartum foetal head moulding in Ugandan mothers with spontaneous vertex deliveries. Obstet Gynecol Int 2016b.
• 8. Sule ST, Matawal BI. Antenatal clinical pelvimetry in primigravidae and outcome of labour. Ann Afr Med 2005;4:164-167.
• 9. Awonuga AO, Merhi Z, Awonuga MT, Samuels TA, Waller J, Pring D. Anthropometric measurements in the diagnosis of pelvic size: an analysis of maternal height and shoe size and computed tomography pelvimetric data. Arch Gynecol Obstet 2007;276:523-528.
• 10. Dujardin B, Cutsem RV, Lambrechts T. The value of maternal height as a risk factor of dystocia: a meta‐analysis. Trop Med Int Health 1996;1:510-521.
• 11. Van Bogaert LJ. The relation between height, foot length, pelvic adequacy and mode of delivery. Eur J Obstet Gynecol Reprod Biol 1999;82:195-199.
• 12. Liselele HB, Boulvain M, Tshibangu KC, Meuris S. Maternal height and external pelvimetry to predict cephalopelvic disproportion in nulliparous African women: a cohort study. Br J Obstet Gynaecol 2000;107:947-952.
• 13. Chan Ben CP, Lao Terence TH. The impact of maternal height on intrapartum operative delivery: a reappraisal. J Obstet Gynaecol Res 2009;35:307-314.
• 14. Alijahan R, Kordi M, Poorjavad M, Ebrahimzadeh S. Diagnostic accuracy of maternal anthropometric measurements as predictors for dystocia in nulliparous women. Iran J Nurs Midwifery Res 2014;19:11.
• 15. Hambidge KM, Krebs NF, Garcés A, Westcott JE, Figueroa L, Goudar SS et al. Anthropometric indices for non-pregnant women of childbearing age differ widely among four low-middle income populations. BMC Public Health 2018;18:45.
• 16. Rozenholc AT, Ako SN, Leke RJ, Boulvain M. The diagnostic accuracy of external pelvimetry and maternal height to predict dystocia in nulliparous women: a study in Cameroon. Br J Obstet Gynaecol 2007;114:630-635.
• 17. Benjamin SJ, Daniel AB, Kamath A, Ramkumar V. Anthropometric measurements as predictors of cephalopelvic disproportion. Acta Obstet Gynecol Scand 2012; 91:122-127.