Association between food environments and fetal growth in pregnant Brazilian women
Abstract Introduction Birth weight is described as one of the main determinants of newborns’ chances of survival. Among the associated causes, or risk factors, the mother’s nutritional status strongly influences fetal growth and birth weight outcomes of the concept. This study evaluates the associat...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-023-05947-1 |
| _version_ | 1827707759787769856 |
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| author | Audêncio Victor Ana Raquel Manuel Gotine Ila R. Falcão Andrêa J. F. Ferreira Renzo Flores-Ortiz Sancho Pedro Xavier Melsequisete Daniel Vasco Natanael de Jesus Silva Manuel Mahoche Osiyallê Akanni Silva Rodrigues Rita de Cássia Ribeiro Patrícia H. Rondó Maurício L. Barreto |
| author_facet | Audêncio Victor Ana Raquel Manuel Gotine Ila R. Falcão Andrêa J. F. Ferreira Renzo Flores-Ortiz Sancho Pedro Xavier Melsequisete Daniel Vasco Natanael de Jesus Silva Manuel Mahoche Osiyallê Akanni Silva Rodrigues Rita de Cássia Ribeiro Patrícia H. Rondó Maurício L. Barreto |
| author_sort | Audêncio Victor |
| collection | DOAJ |
| description | Abstract Introduction Birth weight is described as one of the main determinants of newborns’ chances of survival. Among the associated causes, or risk factors, the mother’s nutritional status strongly influences fetal growth and birth weight outcomes of the concept. This study evaluates the association between food deserts, small for gestational age (SGA), large for gestational age (LGA) and low birth weight (LBW) newborns. Design This is a cross-sectional population study, resulting from individual data from the Live Birth Information System (SINASC), and commune data from mapping food deserts (CAISAN) in Brazil. The newborn’s size was defined as follows: appropriate for gestational age (between 10 and 90th percentile), SGA (< 10th percentile), LGA (> 90th percentile), and low birth weight < 2,500 g. To characterize food environments, we used tertiles of the density of establishments which sell in natura and ultra-processed foods. Logistic regression modeling was conducted to investigate the associations of interest. Results We analyzed 2,632,314 live births in Brazil in 2016, after appropriate adjustments, women living in municipalities with limited availability of fresh foods had a higher chance of having newborns with SGA [OR2nd tertile: 1.06 (1.05–1.07)] and LBW [OR2nd tertile: 1.11 (1.09–1.12)]. Conversely, municipalities with greater availability of ultra-processed foods had a higher chance of having newborns with SGA [OR3rd tertile: 1.04 (1.02–1.06)] and LBW [OR2nd tertile: 1.13 (1.11–1.16)]. Stratification by race showed that Black and Mixed/Brown women had a higher chance of having newborns with SGA [OR3rd tertile: 1.09 (1.01–1.18)] and [OR3rd tertile: 1.06 (1.04–1.09)], respectively, while Mixed-race women also had a higher chance of having newborns with LBW [OR3rd tertile: 1.17 (1.14–1.20)]. Indigenous women were associated with LGA [OR3rd tertile: 1.20 (1.01–1.45)]. Conclusion The study found that living in areas with limited access to healthy foods was associated with an increased risk of SGA and low birth weight among newborns, particularly among Black and Mixed/Brown women. Therefore, urgent initiatives aimed at reducing social inequalities and mitigating the impact of poor food environments are needed in Brazil. |
| first_indexed | 2024-03-10T16:53:12Z |
| format | Article |
| id | doaj.art-af9b2e246dba4bce81e9b24b64441c6c |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-10T16:53:12Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-af9b2e246dba4bce81e9b24b64441c6c2023-11-20T11:14:34ZengBMCBMC Pregnancy and Childbirth1471-23932023-09-012311910.1186/s12884-023-05947-1Association between food environments and fetal growth in pregnant Brazilian womenAudêncio Victor0Ana Raquel Manuel Gotine1Ila R. Falcão2Andrêa J. F. Ferreira3Renzo Flores-Ortiz4Sancho Pedro Xavier5Melsequisete Daniel Vasco6Natanael de Jesus Silva7Manuel Mahoche8Osiyallê Akanni Silva Rodrigues9Rita de Cássia Ribeiro10Patrícia H. Rondó11Maurício L. Barreto12Faculdade de Saúde Pública- USP, School of Public Health, University of São Paulo (USP)Faculdade de Saúde Pública- USP, School of Public Health, University of São Paulo (USP)Centre for Data and Knowledge Integration for Health, Oswaldo Cruz FoundationFaculdade de Saúde Pública- USP, School of Public Health, University of São Paulo (USP)Centre for Data and Knowledge Integration for Health, Oswaldo Cruz FoundationInstitute of Collective Health, Federal University of Mato Grosso (UFMT)Faculty of Health Sciences, Lúrio UniversityCentre for Data and Knowledge Integration for Health, Oswaldo Cruz FoundationFaculdade de Saúde Pública- USP, School of Public Health, University of São Paulo (USP)Institute of Collective Health, Federal University of Bahia (UFBA)Centre for Data and Knowledge Integration for Health, Oswaldo Cruz FoundationFaculdade de Saúde Pública- USP, School of Public Health, University of São Paulo (USP)Centre for Data and Knowledge Integration for Health, Oswaldo Cruz FoundationAbstract Introduction Birth weight is described as one of the main determinants of newborns’ chances of survival. Among the associated causes, or risk factors, the mother’s nutritional status strongly influences fetal growth and birth weight outcomes of the concept. This study evaluates the association between food deserts, small for gestational age (SGA), large for gestational age (LGA) and low birth weight (LBW) newborns. Design This is a cross-sectional population study, resulting from individual data from the Live Birth Information System (SINASC), and commune data from mapping food deserts (CAISAN) in Brazil. The newborn’s size was defined as follows: appropriate for gestational age (between 10 and 90th percentile), SGA (< 10th percentile), LGA (> 90th percentile), and low birth weight < 2,500 g. To characterize food environments, we used tertiles of the density of establishments which sell in natura and ultra-processed foods. Logistic regression modeling was conducted to investigate the associations of interest. Results We analyzed 2,632,314 live births in Brazil in 2016, after appropriate adjustments, women living in municipalities with limited availability of fresh foods had a higher chance of having newborns with SGA [OR2nd tertile: 1.06 (1.05–1.07)] and LBW [OR2nd tertile: 1.11 (1.09–1.12)]. Conversely, municipalities with greater availability of ultra-processed foods had a higher chance of having newborns with SGA [OR3rd tertile: 1.04 (1.02–1.06)] and LBW [OR2nd tertile: 1.13 (1.11–1.16)]. Stratification by race showed that Black and Mixed/Brown women had a higher chance of having newborns with SGA [OR3rd tertile: 1.09 (1.01–1.18)] and [OR3rd tertile: 1.06 (1.04–1.09)], respectively, while Mixed-race women also had a higher chance of having newborns with LBW [OR3rd tertile: 1.17 (1.14–1.20)]. Indigenous women were associated with LGA [OR3rd tertile: 1.20 (1.01–1.45)]. Conclusion The study found that living in areas with limited access to healthy foods was associated with an increased risk of SGA and low birth weight among newborns, particularly among Black and Mixed/Brown women. Therefore, urgent initiatives aimed at reducing social inequalities and mitigating the impact of poor food environments are needed in Brazil.https://doi.org/10.1186/s12884-023-05947-1Low birth weightSmall for gestational ageLarge for gestational ageFood environmentMaternal-infant health |
| spellingShingle | Audêncio Victor Ana Raquel Manuel Gotine Ila R. Falcão Andrêa J. F. Ferreira Renzo Flores-Ortiz Sancho Pedro Xavier Melsequisete Daniel Vasco Natanael de Jesus Silva Manuel Mahoche Osiyallê Akanni Silva Rodrigues Rita de Cássia Ribeiro Patrícia H. Rondó Maurício L. Barreto Association between food environments and fetal growth in pregnant Brazilian women BMC Pregnancy and Childbirth Low birth weight Small for gestational age Large for gestational age Food environment Maternal-infant health |
| title | Association between food environments and fetal growth in pregnant Brazilian women |
| title_full | Association between food environments and fetal growth in pregnant Brazilian women |
| title_fullStr | Association between food environments and fetal growth in pregnant Brazilian women |
| title_full_unstemmed | Association between food environments and fetal growth in pregnant Brazilian women |
| title_short | Association between food environments and fetal growth in pregnant Brazilian women |
| title_sort | association between food environments and fetal growth in pregnant brazilian women |
| topic | Low birth weight Small for gestational age Large for gestational age Food environment Maternal-infant health |
| url | https://doi.org/10.1186/s12884-023-05947-1 |
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