Maternal Nutrition, Body Composition and Gestational Weight Gain on Low Birth Weight and Small for Gestational Age—A Cohort Study in an Indian Urban Slum
Maternal nutritional status and care during pregnancy are essential for adequate birth weight. In this prospective cohort study (N = 1061) in an urban slum, we investigated the association of maternal anthropometry, body composition, gestational weight gain and dietary intakes with low birthweight (...
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| Format: | Article |
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MDPI AG
2022-09-01
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| Online Access: | https://www.mdpi.com/2227-9067/9/10/1460 |
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| author | Raja Sriswan Mamidi Santosh Kumar Banjara Sridevi Manchala Ch Khadar Babu J. J. Babu Geddam Naveen Kumar Boiroju Bhaskar Varanasi G. Neeraja G. Venkat Raji Reddy B. A. Ramalakshmi R. Hemalatha Gargi Meur |
| author_facet | Raja Sriswan Mamidi Santosh Kumar Banjara Sridevi Manchala Ch Khadar Babu J. J. Babu Geddam Naveen Kumar Boiroju Bhaskar Varanasi G. Neeraja G. Venkat Raji Reddy B. A. Ramalakshmi R. Hemalatha Gargi Meur |
| author_sort | Raja Sriswan Mamidi |
| collection | DOAJ |
| description | Maternal nutritional status and care during pregnancy are essential for adequate birth weight. In this prospective cohort study (N = 1061) in an urban slum, we investigated the association of maternal anthropometry, body composition, gestational weight gain and dietary intakes with low birthweight (LBW, <2.5 kg). About one-third of the women were short (<150 cm), 35% were underweight (<45 kg), 23% suffered from chronic energy deficiency (CED, BMI < 18.5 kg/m<sup>2</sup>) and another 30% were overweight/obese. The mean age and BMI were 23 years and 21.7 kg/m<sup>2</sup>, respectively, and haemoglobin was 10.73 g/dL. The mean birthweight (N = 605) was 2.81 ± 0.5 kg, and the average gestational age was 38 ± 2 weeks. About 15% of infants had LBW, and 48% were small for gestational age (SGA). Maternal body composition was assessed by skinfold thickness (SFT) in all trimesters. In the first trimester (N = 762), we found that mean fat-free mass (FFM), fat mass (FM) and body fat percentage (% BF) were 38.86 kg, 11.43 kg and 21.55%, respectively. Low birthweight was significantly associated with preterm deliveries (<i>p</i> < 0.001) and less fat free mass (<i>p</i> = 0.02) in the third trimester. Among other factors were age (<i>p</i> = 0.017), maternal anthropometry (height: <i>p</i> = 0.031; weight: <i>p</i> = 0.059) and fewer antenatal check-ups (<i>p</i> = 0.037). Small size (SGA) was consistently associated with maternal bodyweight at all trimesters (term I, <i>p</i> = 0.013, term II, <i>p</i> = 0.003 and term III, <i>p</i> < 0.001), fat mass in the third trimester (<i>p</i> < 0.001) and maternal height (<i>p</i> = 0.003). |
| first_indexed | 2024-03-09T20:27:50Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T20:27:50Z |
| publishDate | 2022-09-01 |
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| record_format | Article |
| series | Children |
| spelling | doaj.art-0dfd9f61b0aa4f8c9d71ad6f95ee61f52023-11-23T23:31:20ZengMDPI AGChildren2227-90672022-09-01910146010.3390/children9101460Maternal Nutrition, Body Composition and Gestational Weight Gain on Low Birth Weight and Small for Gestational Age—A Cohort Study in an Indian Urban SlumRaja Sriswan Mamidi0Santosh Kumar Banjara1Sridevi Manchala2Ch Khadar Babu3J. J. Babu Geddam4Naveen Kumar Boiroju5Bhaskar Varanasi6G. Neeraja7G. Venkat Raji Reddy8B. A. Ramalakshmi9R. Hemalatha10Gargi Meur11Clinical Epidemiology Division, ICMR-National Institute of Nutrition, Hyderabad 500 007, IndiaClinical Division, ICMR-National Institute of Nutrition, Hyderabad 500 007, IndiaClinical Epidemiology Division, ICMR-National Institute of Nutrition, Hyderabad 500 007, IndiaClinical Epidemiology Division, ICMR-National Institute of Nutrition, Hyderabad 500 007, IndiaClinical Epidemiology Division, ICMR-National Institute of Nutrition, Hyderabad 500 007, IndiaClinical Epidemiology Division, ICMR-National Institute of Nutrition, Hyderabad 500 007, IndiaPublic Health Nutrition, ICMR-National Institute of Nutrition, Hyderabad 500 007, IndiaPublic Health Nutrition, ICMR-National Institute of Nutrition, Hyderabad 500 007, IndiaClinical Epidemiology Division, ICMR-National Institute of Nutrition, Hyderabad 500 007, IndiaClinical Division, ICMR-National Institute of Nutrition, Hyderabad 500 007, IndiaClinical Division, ICMR-National Institute of Nutrition, Hyderabad 500 007, IndiaClinical Epidemiology Division, ICMR-National Institute of Nutrition, Hyderabad 500 007, IndiaMaternal nutritional status and care during pregnancy are essential for adequate birth weight. In this prospective cohort study (N = 1061) in an urban slum, we investigated the association of maternal anthropometry, body composition, gestational weight gain and dietary intakes with low birthweight (LBW, <2.5 kg). About one-third of the women were short (<150 cm), 35% were underweight (<45 kg), 23% suffered from chronic energy deficiency (CED, BMI < 18.5 kg/m<sup>2</sup>) and another 30% were overweight/obese. The mean age and BMI were 23 years and 21.7 kg/m<sup>2</sup>, respectively, and haemoglobin was 10.73 g/dL. The mean birthweight (N = 605) was 2.81 ± 0.5 kg, and the average gestational age was 38 ± 2 weeks. About 15% of infants had LBW, and 48% were small for gestational age (SGA). Maternal body composition was assessed by skinfold thickness (SFT) in all trimesters. In the first trimester (N = 762), we found that mean fat-free mass (FFM), fat mass (FM) and body fat percentage (% BF) were 38.86 kg, 11.43 kg and 21.55%, respectively. Low birthweight was significantly associated with preterm deliveries (<i>p</i> < 0.001) and less fat free mass (<i>p</i> = 0.02) in the third trimester. Among other factors were age (<i>p</i> = 0.017), maternal anthropometry (height: <i>p</i> = 0.031; weight: <i>p</i> = 0.059) and fewer antenatal check-ups (<i>p</i> = 0.037). Small size (SGA) was consistently associated with maternal bodyweight at all trimesters (term I, <i>p</i> = 0.013, term II, <i>p</i> = 0.003 and term III, <i>p</i> < 0.001), fat mass in the third trimester (<i>p</i> < 0.001) and maternal height (<i>p</i> = 0.003).https://www.mdpi.com/2227-9067/9/10/1460birth weightLBWgestational ageSGAmaternal weight gainbody composition |
| spellingShingle | Raja Sriswan Mamidi Santosh Kumar Banjara Sridevi Manchala Ch Khadar Babu J. J. Babu Geddam Naveen Kumar Boiroju Bhaskar Varanasi G. Neeraja G. Venkat Raji Reddy B. A. Ramalakshmi R. Hemalatha Gargi Meur Maternal Nutrition, Body Composition and Gestational Weight Gain on Low Birth Weight and Small for Gestational Age—A Cohort Study in an Indian Urban Slum Children birth weight LBW gestational age SGA maternal weight gain body composition |
| title | Maternal Nutrition, Body Composition and Gestational Weight Gain on Low Birth Weight and Small for Gestational Age—A Cohort Study in an Indian Urban Slum |
| title_full | Maternal Nutrition, Body Composition and Gestational Weight Gain on Low Birth Weight and Small for Gestational Age—A Cohort Study in an Indian Urban Slum |
| title_fullStr | Maternal Nutrition, Body Composition and Gestational Weight Gain on Low Birth Weight and Small for Gestational Age—A Cohort Study in an Indian Urban Slum |
| title_full_unstemmed | Maternal Nutrition, Body Composition and Gestational Weight Gain on Low Birth Weight and Small for Gestational Age—A Cohort Study in an Indian Urban Slum |
| title_short | Maternal Nutrition, Body Composition and Gestational Weight Gain on Low Birth Weight and Small for Gestational Age—A Cohort Study in an Indian Urban Slum |
| title_sort | maternal nutrition body composition and gestational weight gain on low birth weight and small for gestational age a cohort study in an indian urban slum |
| topic | birth weight LBW gestational age SGA maternal weight gain body composition |
| url | https://www.mdpi.com/2227-9067/9/10/1460 |
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