Ramadan during pregnancy and birth weight of newborns

Previous studies suggest that Ramadan exposure during pregnancy might affect the health of women and their babies, particularly through the effect of fasting. This study aimed to evaluate the association between Ramadan exposure and fasting during pregnancy on the birth weight of newborns. This stud...

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Main Authors: Ary I. Savitri, Dwirani Amelia, Rebecca C. Painter, Mohammad Baharuddin, Tessa J. Roseboom, Diederick E. Grobbee, Cuno S. P. M. Uiterwaal
Format: Article
Language:English
Published: Cambridge University Press 2018-01-01
Series:Journal of Nutritional Science
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2048679017000702/type/journal_article
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author Ary I. Savitri
Dwirani Amelia
Rebecca C. Painter
Mohammad Baharuddin
Tessa J. Roseboom
Diederick E. Grobbee
Cuno S. P. M. Uiterwaal
author_facet Ary I. Savitri
Dwirani Amelia
Rebecca C. Painter
Mohammad Baharuddin
Tessa J. Roseboom
Diederick E. Grobbee
Cuno S. P. M. Uiterwaal
author_sort Ary I. Savitri
collection DOAJ
description Previous studies suggest that Ramadan exposure during pregnancy might affect the health of women and their babies, particularly through the effect of fasting. This study aimed to evaluate the association between Ramadan exposure and fasting during pregnancy on the birth weight of newborns. This study concerned 1351 pregnant women from a prospective cohort in Jakarta, Indonesia. Ramadan exposure was based on the actual overlap between Ramadan and pregnancy. Women's fasting behaviour was recorded among 139 women who came for antenatal care between 10 July 2013 and 7 August 2013, and those who had fasted for at least 1 d (n 110) were classified as exposed to Ramadan fasting. Furthermore, a 24 h dietary recall was performed and repeated 1 month later. Birth weight of newborns who were exposed to Ramadan during pregnancy did not significantly differ from those who were not, both in the total and trimester-specific analysis. Maternal fasting did not seem to affect the birth weight of newborns (−72 (95 % CI −258, 114) g; P = 0·44), although there was a non-significant trend towards lower birth weight with fasting in the second and third trimester. Women who fasted had significantly lower total energy, macronutrient and water intake as compared with women who did not. Women's intake was also lower during Ramadan (regardless of their fasting behaviour) as compared with 1 month later. Lifestyle changes that occur with Ramadan and fasting during pregnancy are associated with lower reported energy intake. We cannot conclude on the effect of fasting on birth weight due to low statistical power.
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spelling doaj.art-44ff53df239240a88088890d608987682023-03-09T12:38:59ZengCambridge University PressJournal of Nutritional Science2048-67902018-01-01710.1017/jns.2017.70Ramadan during pregnancy and birth weight of newbornsAry I. Savitri0Dwirani Amelia1Rebecca C. Painter2Mohammad Baharuddin3Tessa J. Roseboom4Diederick E. Grobbee5Cuno S. P. M. Uiterwaal6Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The NetherlandsBudi Kemuliaan Hospital, Jl. Budi Kemuliaan No. 25, Jakarta Pusat 10110, IndonesiaDepartment of Obstetrics and Gynecology, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The NetherlandsBudi Kemuliaan Hospital, Jl. Budi Kemuliaan No. 25, Jakarta Pusat 10110, IndonesiaDepartment of Obstetrics and Gynecology, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The NetherlandsJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The NetherlandsJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The NetherlandsPrevious studies suggest that Ramadan exposure during pregnancy might affect the health of women and their babies, particularly through the effect of fasting. This study aimed to evaluate the association between Ramadan exposure and fasting during pregnancy on the birth weight of newborns. This study concerned 1351 pregnant women from a prospective cohort in Jakarta, Indonesia. Ramadan exposure was based on the actual overlap between Ramadan and pregnancy. Women's fasting behaviour was recorded among 139 women who came for antenatal care between 10 July 2013 and 7 August 2013, and those who had fasted for at least 1 d (n 110) were classified as exposed to Ramadan fasting. Furthermore, a 24 h dietary recall was performed and repeated 1 month later. Birth weight of newborns who were exposed to Ramadan during pregnancy did not significantly differ from those who were not, both in the total and trimester-specific analysis. Maternal fasting did not seem to affect the birth weight of newborns (−72 (95 % CI −258, 114) g; P = 0·44), although there was a non-significant trend towards lower birth weight with fasting in the second and third trimester. Women who fasted had significantly lower total energy, macronutrient and water intake as compared with women who did not. Women's intake was also lower during Ramadan (regardless of their fasting behaviour) as compared with 1 month later. Lifestyle changes that occur with Ramadan and fasting during pregnancy are associated with lower reported energy intake. We cannot conclude on the effect of fasting on birth weight due to low statistical power.https://www.cambridge.org/core/product/identifier/S2048679017000702/type/journal_articleRamadanFastingPregnancyBirth weight
spellingShingle Ary I. Savitri
Dwirani Amelia
Rebecca C. Painter
Mohammad Baharuddin
Tessa J. Roseboom
Diederick E. Grobbee
Cuno S. P. M. Uiterwaal
Ramadan during pregnancy and birth weight of newborns
Journal of Nutritional Science
Ramadan
Fasting
Pregnancy
Birth weight
title Ramadan during pregnancy and birth weight of newborns
title_full Ramadan during pregnancy and birth weight of newborns
title_fullStr Ramadan during pregnancy and birth weight of newborns
title_full_unstemmed Ramadan during pregnancy and birth weight of newborns
title_short Ramadan during pregnancy and birth weight of newborns
title_sort ramadan during pregnancy and birth weight of newborns
topic Ramadan
Fasting
Pregnancy
Birth weight
url https://www.cambridge.org/core/product/identifier/S2048679017000702/type/journal_article
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AT mohammadbaharuddin ramadanduringpregnancyandbirthweightofnewborns
AT tessajroseboom ramadanduringpregnancyandbirthweightofnewborns
AT diederickegrobbee ramadanduringpregnancyandbirthweightofnewborns
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