Maternal determinants of low birth weight among Indian children: Evidence from the National Family Health Survey-4, 2015-16

Zaveri, Ankita; Paul, Pintu; Saha, Jay; Barman, Bikash; Chouhan, Pradip

doi:10.1371/journal.pone.0244562

Cited by 33 publications

(47 citation statements)

References 17 publications

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“…These practices determine what they eat, how much, why and when. Consequences of such beliefs are seen in health of women of childbearing age, in newborn babies and in infants and adolescents ( 8 ) .…”

Section: Introductionmentioning

confidence: 99%

Maternal malnutrition and anaemia in India: dysregulations leading to the ‘thin-fat’ phenotype in newborns

Pandit¹,

Galande

Iris³

2021

J Nutr Sci

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Maternal and child malnutrition and anaemia remain the leading factors for health loss in India. Low birth weight (LBW) offspring of women suffering from chronic malnutrition and anaemia often exhibit insulin resistance and infantile stunting and wasting, together with increased risk of developing cardiometabolic disorders in adulthood. The resulting self-perpetuating and highly multifactorial disease burden cannot be remedied through uniform dietary recommendations alone. To inform approaches likely to alleviate this disease burden, we implemented a systems-analytical approach that had already proven its efficacy in multiple published studies. We utilised previously published qualitative and quantitative analytical results of rural and urban field studies addressing maternal and infantile metabolic and nutritional parameters to precisely define the range of pathological phenotypes encountered and their individual biological characteristics. These characteristics were then integrated, via extensive literature searches, into metabolic and physiological mechanisms to identify the maternal and foetal metabolic dysregulations most likely to underpin the ‘thin-fat’ phenotype in LBW infants and its associated pathological consequences. Our analyses reveal hitherto poorly understood maternal nutrition-dependent mechanisms most likely to promote and sustain the self-perpetuating high disease burden, especially in the Indian population. This work suggests that it most probably is the metabolic consequence of ‘ill-nutrition’ – the recent and rapid dietary shifts to high salt, high saturated fats and high sugar but low micronutrient diets – over an adaptation to ‘thrifty metabolism’ which must be addressed in interventions aiming to significantly alleviate the leading risk factors for health deterioration in India.

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Section: Introductionmentioning

confidence: 99%

Maternal malnutrition and anaemia in India: dysregulations leading to the ‘thin-fat’ phenotype in newborns

Pandit¹,

Galande

Iris³

2021

J Nutr Sci

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“…Many studies show that prevalence of LBW is almost near to our findings. [11][12][13] The reason could be; at tertiary health care settings the most of high-risk pregnancies are delivered. Another study from Tamil Nadu reported that the prevalence of LBW was 11.67%.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with low birth weight among deliveries at a tertiary healthcare hospital in Bundelkhand region of Uttar Pradesh

Barman¹,

Kumar

Patel³

et al. 2021

Int J Res Med Sci

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Background: Low birth weight (LBW) is an important factor of infant morbidity and mortality in developing countries. Approximately 20.5 million new-borns, i.e., an estimated 15% of all babies are born with LBW globally. Various factors such as maternal age, education, parity, gestation period, nutritional status and socioeconomic status influence the of birth weight of baby. Objectives of the study to find out the prevalence of LBW babies and their determinants.Methods: This was a hospital based cross-sectional study. The data has been taken from the period of 1st January 2019 to 15th February 2020.Results: 223 mothers and their newborn babies were included in the study. The 55 infants (24.6 %) were LBW (<2500 g) babies. From binary logistic regression analyses of each variable with LBW; gender {0.430 (0.230-0.804), p=0.007}, religion OR={3.477 (1.178-10.264), p=0.018}, education of mother OR={2.051 (1.009- 4.170), p=0.044}, occupation of father OR={1.991 (1.008-3.933), p=0.045}, mode of delivery OR={1.880 (1.004-3.519), p=0.047} and duration of pregnancy OR={6.286 (2.895-13.648), p<0.001} were found to have significant association.Conclusions: The study assessed the variables of LBW in Bundelkhand region of Uttar Pradesh. The study showed that teenage mothers are at a higher risk of having a low-birth-weight baby. It is important to strengthen health education, capacity building, spreading awareness for marriage after twenty along with diagnosing and treating any type of medical or gynaecological conditions resulting premature babies.

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“…Severe problems with iron bioavailability related to a deficiency in micronutrients and severity of infectious and inflammatory diseases have been recently reviewed by Nair and Iyengar [ 16 ] and reported by others [ 72 ]. Chronic iron deficiency also has maternal determinants [ 73 ]. The amount of iron stored mainly depends on the gestational length period and birth weight of the baby.…”

Section: Disparities In India: Relevance Of Ida Risk Factorsmentioning

confidence: 99%

Iron Deficiency Anemia: Efficacy and Limitations of Nutritional and Comprehensive Mitigation Strategies

et al. 2022

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Iron deficiency anemia (IDA) has reached epidemic proportions in developing countries and has become a major global public health problem, affecting mainly 0–5-year-old children and young women of childbearing age, especially during pregnancy. Iron deficiency can lead to life-threatening loss of red blood cells, muscle function, and energy production. Therefore, the pathogenic features associated with IDA are weakness and impaired growth, motor, and cognitive performance. IDA affects the well-being of the young generation and the economic advancement of developing countries, such as India. The imbalance between iron intake/absorption/storage and iron utilization/loss culminates into IDA. However, numerous strategic programs aimed to increase iron intake have shown that improvement of iron intake alone has not been sufficient to mitigate IDA. Emerging critical risk factors for IDA include a composition of cultural diets, infections, genetics, inflammatory conditions, metabolic diseases, dysbiosis, and socioeconomic parameters. In this review, we discuss numerous IDA mitigation programs in India and their limitations. The new multifactorial mechanism of IDA pathogenesis opens perspectives for the improvement of mitigation programs and relief of IDA in India and worldwide.

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Maternal determinants of low birth weight among Indian children: Evidence from the National Family Health Survey-4, 2015-16

Cited by 33 publications

References 17 publications

Maternal malnutrition and anaemia in India: dysregulations leading to the ‘thin-fat’ phenotype in newborns

Maternal malnutrition and anaemia in India: dysregulations leading to the ‘thin-fat’ phenotype in newborns

Factors associated with low birth weight among deliveries at a tertiary healthcare hospital in Bundelkhand region of Uttar Pradesh

Iron Deficiency Anemia: Efficacy and Limitations of Nutritional and Comprehensive Mitigation Strategies

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