Effect of under-nutrition during pregnancy on low birth weight in Tigray regional state, Ethiopia; a prospective cohort study

Abstract Background Under-nutrition during pregnancy affects birth outcomes and neonatal outcomes. Worldwide, 20.5 million children were low birth weight, mainly in poor countries. However, there is no longitudinal-based evidence on the effect of under-nutrition during pregnancy on birth weight in T...

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Autores principales:	Kidanemaryam Berhe, Lemlem Weldegerima, Freweini Gebrearegay, Amaha Kahsay, Afewerki Tesfahunegn, Mehammedseid Rejeu, Brhane Gebremariam
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Under-nutrition Pregnant women Incidence Low birth weight Tigray Nutrition. Foods and food supply TX341-641 Food processing and manufacture TP368-456 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/dcb7049d907642c49128b130b93576da
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spelling	oai:doaj.org-article:dcb7049d907642c49128b130b93576da2021-11-21T12:13:52ZEffect of under-nutrition during pregnancy on low birth weight in Tigray regional state, Ethiopia; a prospective cohort study10.1186/s40795-021-00475-72055-0928https://doaj.org/article/dcb7049d907642c49128b130b93576da2021-11-01T00:00:00Zhttps://doi.org/10.1186/s40795-021-00475-7https://doaj.org/toc/2055-0928Abstract Background Under-nutrition during pregnancy affects birth outcomes and neonatal outcomes. Worldwide, 20.5 million children were low birth weight, mainly in poor countries. However, there is no longitudinal-based evidence on the effect of under-nutrition during pregnancy on birth weight in Tigray regional state. Therefore, this study aimed at investigating the effect of under-nutrition during pregnancy on low birth weight in Tigray regional state. Methods We conducted a prospective cohort study among consecutively selected 540 pregnant women attending antenatal care in hospitals from October 2019 to June 2020. Pregnant women with mid upper arm circumference (MUAC) < 23 cm were exposed and those with MUAC≥23 cm were unexposed. Data on socio-demographic, diet, hygiene and anthropometry measurements were collected using pretested and structured questionnaires. SPSS version 25 was used for analysis. A log-binomial model was used to estimate the adjusted risk ratio and its 95%CI of the risk factors for low birth weight. Multi-collinearity was checked using the variance inflation factor (VIF) at a cut-off point of 8 and there was no multi-collinearity. Result The overall incidence of low birth weight was 14% (95%CI: 11.1, 17.4%). The incidence of low birth weight was 18.4 and 9.8% among the exposed and unexposed women, respectively. The difference in low birth weight incidence between the exposed and unexposed groups was statistically significant (p-value = 0.006). The risk factors of low birth weight were maternal illiteracy (ARR: 1.8, 95%CI: 1.01, 3.3), low monthly family income < 50 US Dollar (ARR: 1.6, 95%CI: 1.07, 2.2), lack of latrine utilization (ARR: 0.47, 95%CI: 0.28, 0.78), and diet diversity score < 5 (ARR: 1.9, 95%CI: 1.05, 2.61). Conclusion Low birth weight was significantly higher among the exposed pregnant women. Maternal illiteracy, low monthly income, lack of latrine utilization, and low DDS were risk factors of low birth weight. It is then important to strengthen nutritional assessment and interventions during pregnancy, with a special attention for illiterate, and low monthly income pregnant women. Again, there has to be a promotion of latrine utilization and consumption of diversified diets.Kidanemaryam BerheLemlem WeldegerimaFreweini GebrearegayAmaha KahsayAfewerki TesfahunegnMehammedseid RejeuBrhane GebremariamBMCarticleUnder-nutritionPregnant womenIncidenceLow birth weightTigrayNutrition. Foods and food supplyTX341-641Food processing and manufactureTP368-456Medicine (General)R5-920ENBMC Nutrition, Vol 7, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Under-nutrition Pregnant women Incidence Low birth weight Tigray Nutrition. Foods and food supply TX341-641 Food processing and manufacture TP368-456 Medicine (General) R5-920
spellingShingle	Under-nutrition Pregnant women Incidence Low birth weight Tigray Nutrition. Foods and food supply TX341-641 Food processing and manufacture TP368-456 Medicine (General) R5-920 Kidanemaryam Berhe Lemlem Weldegerima Freweini Gebrearegay Amaha Kahsay Afewerki Tesfahunegn Mehammedseid Rejeu Brhane Gebremariam Effect of under-nutrition during pregnancy on low birth weight in Tigray regional state, Ethiopia; a prospective cohort study
description	Abstract Background Under-nutrition during pregnancy affects birth outcomes and neonatal outcomes. Worldwide, 20.5 million children were low birth weight, mainly in poor countries. However, there is no longitudinal-based evidence on the effect of under-nutrition during pregnancy on birth weight in Tigray regional state. Therefore, this study aimed at investigating the effect of under-nutrition during pregnancy on low birth weight in Tigray regional state. Methods We conducted a prospective cohort study among consecutively selected 540 pregnant women attending antenatal care in hospitals from October 2019 to June 2020. Pregnant women with mid upper arm circumference (MUAC) < 23 cm were exposed and those with MUAC≥23 cm were unexposed. Data on socio-demographic, diet, hygiene and anthropometry measurements were collected using pretested and structured questionnaires. SPSS version 25 was used for analysis. A log-binomial model was used to estimate the adjusted risk ratio and its 95%CI of the risk factors for low birth weight. Multi-collinearity was checked using the variance inflation factor (VIF) at a cut-off point of 8 and there was no multi-collinearity. Result The overall incidence of low birth weight was 14% (95%CI: 11.1, 17.4%). The incidence of low birth weight was 18.4 and 9.8% among the exposed and unexposed women, respectively. The difference in low birth weight incidence between the exposed and unexposed groups was statistically significant (p-value = 0.006). The risk factors of low birth weight were maternal illiteracy (ARR: 1.8, 95%CI: 1.01, 3.3), low monthly family income < 50 US Dollar (ARR: 1.6, 95%CI: 1.07, 2.2), lack of latrine utilization (ARR: 0.47, 95%CI: 0.28, 0.78), and diet diversity score < 5 (ARR: 1.9, 95%CI: 1.05, 2.61). Conclusion Low birth weight was significantly higher among the exposed pregnant women. Maternal illiteracy, low monthly income, lack of latrine utilization, and low DDS were risk factors of low birth weight. It is then important to strengthen nutritional assessment and interventions during pregnancy, with a special attention for illiterate, and low monthly income pregnant women. Again, there has to be a promotion of latrine utilization and consumption of diversified diets.
format	article
author	Kidanemaryam Berhe Lemlem Weldegerima Freweini Gebrearegay Amaha Kahsay Afewerki Tesfahunegn Mehammedseid Rejeu Brhane Gebremariam
author_facet	Kidanemaryam Berhe Lemlem Weldegerima Freweini Gebrearegay Amaha Kahsay Afewerki Tesfahunegn Mehammedseid Rejeu Brhane Gebremariam
author_sort	Kidanemaryam Berhe
title	Effect of under-nutrition during pregnancy on low birth weight in Tigray regional state, Ethiopia; a prospective cohort study
title_short	Effect of under-nutrition during pregnancy on low birth weight in Tigray regional state, Ethiopia; a prospective cohort study
title_full	Effect of under-nutrition during pregnancy on low birth weight in Tigray regional state, Ethiopia; a prospective cohort study
title_fullStr	Effect of under-nutrition during pregnancy on low birth weight in Tigray regional state, Ethiopia; a prospective cohort study
title_full_unstemmed	Effect of under-nutrition during pregnancy on low birth weight in Tigray regional state, Ethiopia; a prospective cohort study
title_sort	effect of under-nutrition during pregnancy on low birth weight in tigray regional state, ethiopia; a prospective cohort study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/dcb7049d907642c49128b130b93576da
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Effect of under-nutrition during pregnancy on low birth weight in Tigray regional state, Ethiopia; a prospective cohort study

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