Table 1.1.1.
Opportunistic screening and management of weight during reproductive stages
| Reproductive stage | Key opportunities to screen and discuss weight |
|---|---|
| Adolescents | Engagement in school, family, and community-based health education programs |
| Screening of adolescent visiting regarding other health conditions for weight status (as a vital clinical sign) at clinical set-ups (Criteria: overweight: BMI ≥85th percentile, obese: <95th percentile) | |
| Adolescent girls presenting with obesity-related complications such as polycystic ovary syndrome (PCOS) and metabolic disorder should be enrolled in a multidisciplinary program | |
| Pregnancy and delivery | Weight counselling during regular antenatal check-up |
| Gynaecologists should counsel women regarding postpartum weight retention and its health risk | |
| Encouraging women to enrol in post-delivery weight management program | |
| Postpartum | Post-delivery weight management programs as part of future gynaecologist visits |
| Promotion of breastfeeding as a preventive strategy for post-partum weight gain | |
| Paediatrician involved in immunisation of child should reinforce weight management | |
| Support groups: Discussion weight control during post-pregnancy | |
| Premenopausal | Screening of women at clinical set-ups for weight status (as a vital clinical sign) |
| Engagement in community and workplace weight management programs | |
| Referring women with obesity and associated metabolic complications to specialist or multidisciplinary teams | |
| Menopausal transition | Screening midlife women at different clinical departments such as medicine, obstetrics and gynaecology, orthopaedics, physical medicine and rehabilitation, and endocrinology |
| Engagement in community and workplace-specific healthcare intervention | |
| Provision of screening at religious centres | |
| Referring women with obesity and associated metabolic complications to specialist or multidisciplinary teams | |
| Post-menopausal | Screening of midlife women at different clinical departments such as geriatric medicine, obstetrics and gynaecology, orthopaedics, physical medicine and rehabilitation, and endocrinology |
| Engagement in community-based healthcare intervention | |
| Referring women with obesity and associated metabolic complications to specialist or multidisciplinary teams |