ArticleCanadian journal of public health = Revue canadienne de sante publique2026
Prepregnancy body mass index in Ontario from 2012 to 2022: A population-based descriptive study.
Article in Canadian journal of public health = Revue canadienne de sante publique, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesTo examine temporal trends in prepregnancy body mass index (BMI) from 2012 to 2022 in Ontario, Canada, and identify disparities across sociodemographic and medical condition subgroups.
methodsWe conducted a population-based descriptive study using data from the Better Outcomes Registry & Network (BORN) Ontario. The study included 1,170,997 singleton births between April 2012 and March 2022. Prepregnancy BMI was categorized according to World Health Organization classifications. We used generalized estimating equations to assess temporal trends in mean BMI and BMI categories, with sequential adjustments for socioeconomic and medical factors. Analyses were stratified by maternal age, parity, race/ethnicity, neighbourhood income, education, and material deprivation quantiles, smoking status, and pre-existing medical conditions.
resultsMean prepregnancy BMI remained stable at 25.3 kg/m
conclusionPrepregnancy BMI increased significantly in Ontario between 2012 and 2022, with acceleration from 2016 onward. Marked disparities across sociodemographic subgroups highlight the need for targeted preconception health interventions.
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