Sex Difference in Mortality for Premature and Low Birth Weight Neonates: A Systematic Review

Vu, Huy Duc; Dickinson, Corrine; Kandasamy, Yogavijayan

doi:10.1055/s-0037-1608876

Cited by 53 publications

(11 citation statements)

References 65 publications

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“…This is supported by previous study findings reported in sub-Saharan Africa [65], Pakistan [66], and Brazil [67]. This could be due to the slower lung maturation among males compared to females that predispose male children to repeated respiratory infections such as pneumonia, bronchiolitis, otitis media, and hyperactive airway disease which could contribute to the increased risk of stunting among males [68]. Children born with multiple births are at higher risk of being stunted compared to singletons.…”

Section: Plos Onesupporting

confidence: 88%

Pooled prevalence and associated factors of chronic undernutrition among under-five children in East Africa: A multilevel analysis

et al. 2021

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Background Childhood undernutrition is the leading cause of under-five mortality and morbidity in the world particularly in East African countries. Although there are studies on child undernutrition in different East African countries, our search of the literature revealed that there is limited evidence of a pooled analysis of these studies. Therefore, this study aimed to investigate the pooled prevalence and associated factors of chronic undernutrition (i.e. stunting) among under-five children in East Africa. Methods A pooled analysis of the Demographic and Health Surveys (DHSs) in 12 East African countries was conducted. A total weighted sample of 79744 under-five children was included in the study. Mixed-effect logistic regression analysis was used to identify significant factors associated with chronic undernutrition since the DHS data has a hierarchical structure. The intra-class correlation coefficient (ICC), Median Odds Ratio (MOR), Likelihood Ratio (LR)-test, and deviance was used for model comparison. Variables with p-value <0.2 in the bivariable mixed-effect logistic regression analysis were considered for the multivariable analysis. In the multivariable multilevel analysis model, the Adjusted Odds Ratio (AOR) with the 95% Confidence Interval (CI) were reported for significant factors. Results The pooled prevalence of chronic undernutrition among underfive children in East Africa was 33.3% (95% CI: 32.9%, 35.6%) ranging from 21.9% in Kenya to 53% in Burundi. Children whose mothers lived in rural area (AOR = 1.11, 95% CI: 1.06, 1.16), born to mother who had no formal education (AOR = 1.42, 95% CI: 1.34, 1.50) and primary education (AOR = 1.37, 95% CI: 1.31, 1.44), being in poor household (AOR = 1.66, 95% CI: 1.58, 1.74), and middle household (AOR = 1.42, 95% CI: 1.35, 1.49), child aged 36–48 months (AOR = 1.09, 95% CI: 1.04, 1.14), being male (AOR = 1.19, 95% CI: 1.15, 1.23), 2nd - 4th birth order (AOR = 1.08, 95% CI: 1.03, 1.13), and above 4th 1.27 (AOR = 1.27, 95% CI: 1.19, 1.35), home delivery 1.09 (AOR = 1.09, 95% CI: 1.05, 1.13), small size at birth (AOR = 1.35, 95% CI: 1.29, 1.40) and being multiple births (AOR = 1.98, 95% CI: 1.81, 2.17) were associated with increased odds of stunting. While, antenatal care visit (AOR = 0.89, 95% CI: 0.86, 0.93), mothers aged 25–34 (AOR = 0.83, 95% CI: 0.79, 0.86) and ≥ 35 years (AOR = 0.76, 95% CI: 0.72, 0.81), large size at birth (AOR = 0.85, 95% CI: 0.81, 0.88), and family size >8 (AOR = 0.92, 95% CI: 0.87, 0.98) were associated with decreased odds of stunting. Conclusion The study revealed that stunting among under-five children remains a major public health problem in East Africa. Therefore, to improve child nutrition status the governmental and non-governmental organizations should design public health interventions targeting rural residents, and the poorest households. Furthermore, enhancing health facility delivery, ANC visit, and maternal health education is vital for reducing child chronic undernutrition.

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Section: Plos Onesupporting

confidence: 88%

Pooled prevalence and associated factors of chronic undernutrition among under-five children in East Africa: A multilevel analysis

et al. 2021

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“…For example, data from the U.K. Biobank study in over 400,000 adults aged 40–69 years has shown that every three kilogram increment in grip strength was associated with approximately 8% lower mortality 32 . Since approximately 15% of all live births are low birth weight births 33 , which are associated with lifelong health consequences 34,35 , preventing low birth weights, even within the at-term range, may have long-term effects on markers of health such as grip strength. It is of importance to state that not all low preterm or low birth weights can or should be prevented, for example spontaneously occurring births.…”

Section: Discussionmentioning

confidence: 99%

Birth weight and grip strength in young Swedish males: a longitudinal matched sibling analysis and across all body mass index ranges

Ahlqvist

Persson

Ortega

et al. 2019

Sci Rep

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Low birth weight is associated with a lower grip strength later in life. However, associations between birth weight among infants born at-term and factors driving associations between birth weight and grip strength are largely unknown. A cohort of 144,369 young men born at-term, including 10,791 individuals who had at least one male sibling/s, were followed until conscription where they performed a grip strength test. We used linear and non-linear regression analyses in the full cohort, and fixed-effects regression analyses in the sibling cohort, to address confounding by factors that are shared between siblings. After adjustment, each unit increase in birth weight z-score was associated with increases of 17.7 (95% CI, 17.2–18.2) and 13.4 (10.1–16.6) newton grip strength, which converts to approximately 1.8 and 1.4 kilogram-force in the full and within-families cohorts, respectively. The associations did not vary with young adulthood BMI. Birth weight, within the at-term range, is robustly positively associated with grip strength in young adulthood among men across all BMI categories and associations appears to be mainly driven by factors that are not shared between siblings. These findings underline the importance of recognizing the influence of low birth weight, also within the at-term-range, on young adulthood muscle strength.

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“…En el modelo explicativo, se ingresó como variable de ajuste confusor el sexo del bebé, el cual demostró que en los nacidos vivos de sexo masculino se aumentó de manera significativa el peso al nacer (β: 196,2 IC95 %: 7,5-385,1). Estos resultados son consistentes con los análisis de Duc Vu et al (13), quienes mediante una revisión sistemática concluyeron que los neonatos varones experimentan un mayor peso al nacer. Esta relación fue evidenciada por Meshram et al (14) en población india y por González-Cossío et al (15) en población mexicana.…”

Section: Discussionunclassified

Factores maternos asociados al peso del recién nacido en una IPS de Medellín, Colombia, 2018

Bastidas¹,

Portilla²,

Mercado³

et al. 2021

Perspect Nut Hum

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Antecedentes: la variabilidad en el peso del recién nacido ya sea como bajo peso o macrosomía, puede ocasionar morbimortalidad infantil y materna, además de ser un predictor del estado de salud a lo largo de la vida. Objetivo: determinar factores sociodemográficos, antecedentes patológicos, exposición a sustancias psicoactivas, actividad física y características alimentarias de la madre relacionados con el peso de los recién nacidos atendidos en una IPS, Medellín 2018. Materiales y métodos: estudio de cohorte con información de madres seguidas hasta el nacimiento de los bebés. Resultados: la edad promedio de las maternas fue de 24±6 años, el peso promedio del recién nacido fue 3150 g. Embarazo previo, consumo de lácteos y derivados, consumo de proteínas y de suplementos dietarios fueron factores presentes en madres de recién nacidos con mayor peso. Haber fumado alguna vez en la vida, antecedente de preeclampsia, parto previo, aborto en el último embarazo y consumo de alimentos ultraprocesados se presentaron en madres de recién nacidos con menor peso. Conclusiones: se recomienda a las gestantes limitar el consumo de alimentos ultraprocesados, supervisar el consumo de lácteos y derivados, proteínas y suplementos dietarios en madres con embarazos previos, antecedente de preclamsia, abortos o hábitos como haber fumado.

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Sex Difference in Mortality for Premature and Low Birth Weight Neonates: A Systematic Review

Cited by 53 publications

References 65 publications

Pooled prevalence and associated factors of chronic undernutrition among under-five children in East Africa: A multilevel analysis

Pooled prevalence and associated factors of chronic undernutrition among under-five children in East Africa: A multilevel analysis

Birth weight and grip strength in young Swedish males: a longitudinal matched sibling analysis and across all body mass index ranges

Factores maternos asociados al peso del recién nacido en una IPS de Medellín, Colombia, 2018

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