Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers

Abstract Background Low birth weight is highly prevalent in rural India. As a chronic undernutrition problem, poor birth outcomes are closely related to various nutritional factors more prominently the poor maternal anthropometry at conception. The purpose of the study was to identify how compromise...

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Autores principales: Devaki Gokhale, Shobha Rao
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Publicado: BMC 2021
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spelling oai:doaj.org-article:0df51f84483340b990623d3a52cbab342021-11-21T12:13:44ZCompromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers10.1186/s40795-021-00478-42055-0928https://doaj.org/article/0df51f84483340b990623d3a52cbab342021-11-01T00:00:00Zhttps://doi.org/10.1186/s40795-021-00478-4https://doaj.org/toc/2055-0928Abstract Background Low birth weight is highly prevalent in rural India. As a chronic undernutrition problem, poor birth outcomes are closely related to various nutritional factors more prominently the poor maternal anthropometry at conception. The purpose of the study was to identify how compromised maternal nutritional status in early pregnancy affects the birth size of rural Indian mothers. Methods It was a prospective observational study on singleton pregnant women (n = 204) from 14 villages in Mulshi Taluka of Pune District, Maharashtra, India. Maternal weight (Wt), height (Ht), body fat percent (BF%), head circumference (HC), and sitting height (SHT) were measured at early pregnancy (< 13 weeks of gestation) and infants’ weight and length were measured within 24 h of birth. Groups means were tested using a ‘t’ test while the trend in means was tested using ANOVA. Results Mothers were young (21.46 ± 2.09 yrs), thin (46.46 ± 6.1 kg), short (153.39 ± 5.79 cm), and poorly nourished (19.74 ± 2.41 kg/m2). Mean birth weight was low (2655 ± 507 g) and prevalence of LBW and stunting at birth was highest among mothers in the lower tertile of each of the anthropometric indicators. In particular, stunting was significantly higher for mothers in lower tertile compared to higher tertile of Wt (44.6 Vs 64.6%) and was also true for HC (43.7 Vs 60.6%). Risk for LBW and stunting at birth was almost similar and was significant (p < 0.01) for mothers in the lower tertile of Wt, Ht, BMI, SHT, HC, and BF% as compared to those in the higher tertile of these measurements. Conclusion All the anthropometric indicators of current undernutrition at first trimester as well as that in utero reflected by smaller HC, impose risk for LBW and stunting at birth especially among young rural mothers.Devaki GokhaleShobha RaoBMCarticleLow birth weightStuntingSitting heightChronic undernutritionA young motherNutrition. Foods and food supplyTX341-641Food processing and manufactureTP368-456Medicine (General)R5-920ENBMC Nutrition, Vol 7, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Low birth weight
Stunting
Sitting height
Chronic undernutrition
A young mother
Nutrition. Foods and food supply
TX341-641
Food processing and manufacture
TP368-456
Medicine (General)
R5-920
spellingShingle Low birth weight
Stunting
Sitting height
Chronic undernutrition
A young mother
Nutrition. Foods and food supply
TX341-641
Food processing and manufacture
TP368-456
Medicine (General)
R5-920
Devaki Gokhale
Shobha Rao
Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers
description Abstract Background Low birth weight is highly prevalent in rural India. As a chronic undernutrition problem, poor birth outcomes are closely related to various nutritional factors more prominently the poor maternal anthropometry at conception. The purpose of the study was to identify how compromised maternal nutritional status in early pregnancy affects the birth size of rural Indian mothers. Methods It was a prospective observational study on singleton pregnant women (n = 204) from 14 villages in Mulshi Taluka of Pune District, Maharashtra, India. Maternal weight (Wt), height (Ht), body fat percent (BF%), head circumference (HC), and sitting height (SHT) were measured at early pregnancy (< 13 weeks of gestation) and infants’ weight and length were measured within 24 h of birth. Groups means were tested using a ‘t’ test while the trend in means was tested using ANOVA. Results Mothers were young (21.46 ± 2.09 yrs), thin (46.46 ± 6.1 kg), short (153.39 ± 5.79 cm), and poorly nourished (19.74 ± 2.41 kg/m2). Mean birth weight was low (2655 ± 507 g) and prevalence of LBW and stunting at birth was highest among mothers in the lower tertile of each of the anthropometric indicators. In particular, stunting was significantly higher for mothers in lower tertile compared to higher tertile of Wt (44.6 Vs 64.6%) and was also true for HC (43.7 Vs 60.6%). Risk for LBW and stunting at birth was almost similar and was significant (p < 0.01) for mothers in the lower tertile of Wt, Ht, BMI, SHT, HC, and BF% as compared to those in the higher tertile of these measurements. Conclusion All the anthropometric indicators of current undernutrition at first trimester as well as that in utero reflected by smaller HC, impose risk for LBW and stunting at birth especially among young rural mothers.
format article
author Devaki Gokhale
Shobha Rao
author_facet Devaki Gokhale
Shobha Rao
author_sort Devaki Gokhale
title Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers
title_short Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers
title_full Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers
title_fullStr Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers
title_full_unstemmed Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers
title_sort compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural indian mothers
publisher BMC
publishDate 2021
url https://doaj.org/article/0df51f84483340b990623d3a52cbab34
work_keys_str_mv AT devakigokhale compromisedmaternalnutritionalstatusinearlypregnancyanditsrelationtothebirthsizeinyoungruralindianmothers
AT shobharao compromisedmaternalnutritionalstatusinearlypregnancyanditsrelationtothebirthsizeinyoungruralindianmothers
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