Maternal nutrition and birthweight: selective review and some results of observations in Machakos, Kenya

Kusin, J. A.; Jansen, A. A. J.

doi:10.1080/02724936.1986.11748402

Cited by 8 publications

(11 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The mothers in Gamboula gained only 5.5 kg in weight during pregnancy while women from affluent societies gain about 12.5 kg (Hytten 1980). A similar result has been reported from other parts of Africa (Bantje 1986;Kusin & Jansen 1986;Möller et al 1989). The low gestational weight gain in developing countries has been taken as an indication of lack of food.…”

Section: Discussionsupporting

confidence: 83%

“…The low gestational weight gain in developing countries has been taken as an indication of lack of food. However, two studies could not find any evidences of constrained food availability (Kusin & Jansen 1986;Thomson et al 1966). As pointed out by Thomson et al (1966), this is also contradicted by the good weight gain of infants that are exclusively breastfed during their first months of life, a period that is more demanding on maternal energy intake than the pregnancy (van Raaij et al 1991).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Maternal nutrition and socio‐economic status as determinants of birthweight in chronically malnourished African women

Andersson¹,

Bergström

1997

Tropical Med Int Health

View full text Add to dashboard Cite

SummaryThe birthweight is the most important determinant of mortality and morbidity in the neonatal period and may have an influence on health in adult life. The high rate of low birthweight in developing countries is therefore a major health problem. Maternal malnutrition is usually assumed to be a causal factor but other environmental factors are also involved. In this study we analysed maternal nutritional and socio-economic factors as determinants of birthweight in term infants from a rural African society characterised by a high rate of chronic malnutrition. Relations of maternal weight, gestational weight gain, parity, socio-economic status and infant sex with birthweight were analysed in 1 477 women and child pairs. The selected women were followed from early pregnancy and had an uncomplicated delivery at term of a living singleton child. The gestational weight gain was 5.6 (SD 6.0) kg and the mean birthweight 2.933 kg (SD 408). Maternal weight, representing the maternal long-term nutritional situation, was the most important independent determinant of birthweight, accounting for 13.0% of the variance in birthweight. The weight gain, representing the short-term nutritional situation, explained only 5.6% of the variance. Birthweight increased by 20 g (CI 18-23) for each kg maternal weight and by 15g (CI 12-18) for each kg gestational weight gained. The socio-economic difference in birth-weight was 153 g 88 of which (CI 48-128) remained unexplained after adjustment for differences in maternal weight, parity and gender. Improved long-term nutritional situation and living conditions seems to be the most important prerequisites to counteract low birthweight in developing countries.keywords Birthweight, gestational weight gain, socio-economic status, nutrition and developing countries correspondence Dr

show abstract

Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Maternal nutrition and socio‐economic status as determinants of birthweight in chronically malnourished African women

Andersson¹,

Bergström

1997

Tropical Med Int Health

View full text Add to dashboard Cite

show abstract

“…While inadequate pregnancy weight gain is known as a risk factor for LBW (Varma, 1984;Kusin & Jansen, 1986;Aaroson & Machee, 1989) the present data showed that the risk for LBW was only related to mothers' educational level. These findings suggested that less educated women were more likely to be low gainers.…”

Section: Discussionmentioning

confidence: 43%

Social factors and pregnancy weight gain in relation to infant birth weight: a study in public health centers in Rasht, Iran

Maddah

Karandish²,

Mohammadpour-Ahranjani

et al. 2005

Eur J Clin Nutr

View full text Add to dashboard Cite

Objectives: This study aimed to examine the relationship between total pregnancy weight gain, maternal educational level, working status and infant birth weight among mothers and infants in urban health centers in Rasht, Iran. Design: Pregnant women from six different public health centers in urban areas were studied in a prospective design. Data on women's age, parity, level of education, working status, infant birth weight, mothers' height, and prepregnancy weight and total weight gain during pregnancy were collected. The subjects were grouped based on their prepregnancy BMI and according to Institute of Medicine (IOM) recommendation for total pregnancy weight gain. The subjects were also categorized based on their years of schooling as less, intermediately and highly educated. In this study women were considered as either housewives or employed. Setting: Public health centers in urban areas in Rasht, Iran. Subjects: A total of 1914 pregnant women were studied. Results: These data showed that pregnancy weight gain was not different between women with normal prepregnancy weight and underweight when educational levels and working status were taken into account. Besides, pregnancy weight gain was positively related to the level of education. Analysis of variance showed that infant birth weights were not similar in mothers who gain weight less, within and above recommended ranges. In all, 60% of the normal weight women and 56.7% of the underweight women had weight gain less than the lower cutoffs of IOM recommendation. Results of logistic regression analysis showed that low level of mother's education was the only predictor for low birth weight (LBW) (412 y education OR ¼ 0.27(0.10-0.69)) and 5-12 y education OR ¼ 0.62 (0.2-0.94). Conclusion: These results showed that pregnancy weight gain lower recommended ranges are highly prevalent in Iranian women in public health centers in urban areas in Rasht. Moreover, mother's level of educational level may be considered as the most important determinant of birth weight and LBW in this population.

show abstract

“…A large number of studies have examined non-nutritional factors in relation to birthweight. It has been established that birthweight is lower among primiparae than among women of higher parity (Kramer 1987;Cnattingius et al 1992); among the very young and among older women (Kramer 1987;Wen et al 1990); among women of low socioeconomic status (Kramer 1987;Gould & LeRoy 1988;Alberman 1994); and among women with slight body build (Averi et al 1982;Kusin & Jansen 1986;Neggers et al 1992;Johnson et al 1994a,b;. Bleeding during pregnancy, particularly during the third semester (Batzofin et al 1984;Strobino & Pantel-Silverman 1989;Ferraz et al 1991), gestational hypertension (Kramer et al 1990), pregnancy toxaemia (Long et al 1980), and a history of miscarriages (Hogue et al 1982;Pickering & Forbes 1985) have been reported as associated with low birthweight, whereas there is limited evidence that induced abortions affect birthweight in subsequent pregnancies (Hogue et al 1982).…”

Section: Introductionmentioning

confidence: 99%

Diet during pregnancy in relation to birthweight in healthy singletons

Petridou

Stoikidou

Diamantopoulou

et al. 1998

Child

View full text Add to dashboard Cite

We have investigated the relationship between consumption of food groups and intake of energy-generating macronutrients on the one hand, and birthweight on the other among apparently healthy singleton, term babies. Three hundred and sixty-eight women who delivered in six maternity clinics in two Greek cities during specified days over an 8-month period completed a 190-item, interviewer-administered, validated, semiquantitative food frequency questionnaire. Study participants also provided information on sociodemographic, reproductive and lifestyle variables. Data were analysed using multiple regression modelling. Nutritional variables were energy-adjusted, and non-nutritional correlates of birthweight were accounted for. The analysis revealed most of the established non-nutritional associations of birthweight -- an indication of study validity. Among food groups, meat and meat products and fish and sea food were suggestively associated with increased birthweight (two tailed P-values 0.08 and 0.16, respectively). Among energy-generating nutrients, monounsaturated fat was positively associated with birthweight and significantly so in several of the models. We consider our findings are considered as compatible with hypotheses linking fish and meat intake to fetal growth and as indicative of a positive association between intake of monounsaturated fat and birthweight.

show abstract

Maternal nutrition and birthweight: selective review and some results of observations in Machakos, Kenya

Cited by 8 publications

References 13 publications

Maternal nutrition and socio‐economic status as determinants of birthweight in chronically malnourished African women

Maternal nutrition and socio‐economic status as determinants of birthweight in chronically malnourished African women

Social factors and pregnancy weight gain in relation to infant birth weight: a study in public health centers in Rasht, Iran

Diet during pregnancy in relation to birthweight in healthy singletons

Contact Info

Product

Resources

About