Effect of homemade peanut oil consumption during pregnancy on low birth weight and preterm birth outcomes: a cohort study in Southwestern China

Background Homemade peanut oil is widely consumed in rural areas of Southwestern China, which is easily contaminated by aflatoxins (AFs) and associated with adverse birth outcomes. Objective To identify the effect of exposure to homemade peanut oil consumption on low birth weight (LBW), preterm birt...

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Main Authors: Yanxu Zhong, Huan Lu, Yuyan Jiang, Minyan Rong, Xiangming Zhang, Tippawan Liabsuetrakul
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Global Health Action
Subjects:
Online Access:http://dx.doi.org/10.1080/16549716.2024.2336312
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author Yanxu Zhong
Huan Lu
Yuyan Jiang
Minyan Rong
Xiangming Zhang
Tippawan Liabsuetrakul
author_facet Yanxu Zhong
Huan Lu
Yuyan Jiang
Minyan Rong
Xiangming Zhang
Tippawan Liabsuetrakul
author_sort Yanxu Zhong
collection DOAJ
description Background Homemade peanut oil is widely consumed in rural areas of Southwestern China, which is easily contaminated by aflatoxins (AFs) and associated with adverse birth outcomes. Objective To identify the effect of exposure to homemade peanut oil consumption on low birth weight (LBW), preterm birth (PB) and other associated factors. Methods A prospective cohort study was conducted among pregnant women in Guangxi province, Southwestern China. Information of all eligible women on homemade peanut oil consumption and potential factors associated with LBW and PB was collected, and all were followed up until delivery. The effect of homemade peanut oil exposure was analyzed using multiple logistic regression models using the directed acyclic graph (DAG) approach. Results Of 1611 pregnant women, 1316 (81.7%) had consumed homemade peanut oil, and the rates of LBW and PB were 9.7% and 10.0%, respectively. Increased risks of LBW and PB in women with homemade peanut oil consumption were found with aORs of 1.9 (95% CI 1.1–3.2) and 1.8 (95% CI 1.1–3.0), respectively. Women with a history of PB or LBW were 3–5 times more likely to have higher rates of LBW or PB compared with those without this type of history. The odds of PB were approximately double in those taking medicine during pregnancy. Advanced maternal age, lack of physical exercise during pregnancy, passive smoking, or pregnancy complications were also more likely to have a higher risk of LBW. Conclusions Homemade peanut oil consumption was a potential risk factor for both LBW and PB, of which health authorities who are responsible for food safety of the country should pay more attention to providing recommendation for oil consumption during pregnancy.
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spelling doaj.art-73cbec46bc31448ea9408c8d11bd2d8a2024-04-22T08:52:27ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.23363122336312Effect of homemade peanut oil consumption during pregnancy on low birth weight and preterm birth outcomes: a cohort study in Southwestern ChinaYanxu Zhong0Huan Lu1Yuyan Jiang2Minyan Rong3Xiangming Zhang4Tippawan Liabsuetrakul5Guangxi Zhuang Autonomous Region Centre for Disease Control and Prevention (Guangxi CDC)The Fourth People’s Hospital of NanningGuangxi Zhuang Autonomous Region Centre for Disease Control and Prevention (Guangxi CDC)Guiping Center for Disease Control and Prevention (Guiping CDC)Guiping People’s HospitalPrince of Songkla UniversityBackground Homemade peanut oil is widely consumed in rural areas of Southwestern China, which is easily contaminated by aflatoxins (AFs) and associated with adverse birth outcomes. Objective To identify the effect of exposure to homemade peanut oil consumption on low birth weight (LBW), preterm birth (PB) and other associated factors. Methods A prospective cohort study was conducted among pregnant women in Guangxi province, Southwestern China. Information of all eligible women on homemade peanut oil consumption and potential factors associated with LBW and PB was collected, and all were followed up until delivery. The effect of homemade peanut oil exposure was analyzed using multiple logistic regression models using the directed acyclic graph (DAG) approach. Results Of 1611 pregnant women, 1316 (81.7%) had consumed homemade peanut oil, and the rates of LBW and PB were 9.7% and 10.0%, respectively. Increased risks of LBW and PB in women with homemade peanut oil consumption were found with aORs of 1.9 (95% CI 1.1–3.2) and 1.8 (95% CI 1.1–3.0), respectively. Women with a history of PB or LBW were 3–5 times more likely to have higher rates of LBW or PB compared with those without this type of history. The odds of PB were approximately double in those taking medicine during pregnancy. Advanced maternal age, lack of physical exercise during pregnancy, passive smoking, or pregnancy complications were also more likely to have a higher risk of LBW. Conclusions Homemade peanut oil consumption was a potential risk factor for both LBW and PB, of which health authorities who are responsible for food safety of the country should pay more attention to providing recommendation for oil consumption during pregnancy.http://dx.doi.org/10.1080/16549716.2024.2336312aflatoxinshomemade peanut oillow birth weightpreterm birthcohort studylogistic regression
spellingShingle Yanxu Zhong
Huan Lu
Yuyan Jiang
Minyan Rong
Xiangming Zhang
Tippawan Liabsuetrakul
Effect of homemade peanut oil consumption during pregnancy on low birth weight and preterm birth outcomes: a cohort study in Southwestern China
Global Health Action
aflatoxins
homemade peanut oil
low birth weight
preterm birth
cohort study
logistic regression
title Effect of homemade peanut oil consumption during pregnancy on low birth weight and preterm birth outcomes: a cohort study in Southwestern China
title_full Effect of homemade peanut oil consumption during pregnancy on low birth weight and preterm birth outcomes: a cohort study in Southwestern China
title_fullStr Effect of homemade peanut oil consumption during pregnancy on low birth weight and preterm birth outcomes: a cohort study in Southwestern China
title_full_unstemmed Effect of homemade peanut oil consumption during pregnancy on low birth weight and preterm birth outcomes: a cohort study in Southwestern China
title_short Effect of homemade peanut oil consumption during pregnancy on low birth weight and preterm birth outcomes: a cohort study in Southwestern China
title_sort effect of homemade peanut oil consumption during pregnancy on low birth weight and preterm birth outcomes a cohort study in southwestern china
topic aflatoxins
homemade peanut oil
low birth weight
preterm birth
cohort study
logistic regression
url http://dx.doi.org/10.1080/16549716.2024.2336312
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