Determinants of weight and length of Indonesian neonates
Determinants of weight and length of Indonesian neonates
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DOI：
10.1038/sj.ejcn.1601439
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发表时间：
2002-10-01
影响因子：
4.7
通讯作者：
Hautvast, JGAJ
中科院分区：
文献类型：
--
作者：
Muslimatun, S;Schmidt, MK;Hautvast, JGAJ
目的：探讨新生儿体重和身长的影响因素。设计：对366名孕周16~20周的新生儿母亲进行社区调查，探讨孕期补充铁和维生素A对新生儿生长发育的影响。来自5个村庄的妇女被随机分配到两片(n=121)或两片(每片含有2400 RE维生素A)，每片含有硫酸亚铁和250杯叶酸(n=121)，此外还有等量的硫酸亚铁和叶酸(n=122)。第三组(每日补铁组，n=123)从邻近的4个村庄招募。结果：新生儿体重和身长在两周组之间以及每周补铁组和每日补铁组之间没有差异。孕期铁和维生素A水平对新生儿体重和身长没有显著影响。男孩比女孩重100克，长0.53厘米(P<；0.05)。与出生顺序较高的新生儿相比，第一胎出生的新生儿体重较轻(P<0.01)，且往往较矮(P=0.070)。母亲的年龄、教育程度以及其他社会经济决定因素与新生儿的体重和身长无关。新生儿体重由胎龄、母亲体重、出生后测量、性别和胎次解释为32%，而新生儿长度为28%由胎龄、母亲体重、出生后测量、性别和母亲身高解释。结论：胎龄、中期孕妇体重和婴儿性别是新生儿体重和身长的主要预测因素。(WV 93-280)和Neys-van Hoogstrten基金会(IN 114)，荷兰，以及德国技术合作署/东南亚教育部长组织，印度尼西亚。
Objective: To investigate the determinants of neonatal weight and length.Design: From 16-20 week of pregnancy, 366 mothers of the neonates had participated in the community-based study to investigate the effect of weekly supplementation during pregnancy with iron and vitamin A on infant growth. Women from five villages were allocated randomly to receive two tablets each containing 60 mg iron as ferrous sulphate and 250 mug folic acid (n = 121) or two tablets each containing 2400 RE vitamin A in addition to the same amount of ferrous sulphate and folic acid (n = 122). A third ('daily') group (n = 123) participating in the national iron supplementation programme was recruited from four neighbouring villages.Results: Neonatal weight and length did not differ between the two weekly groups and between the weekly iron group and the 'daily' group. Iron and vitamin A status during pregnancy did not influence neonatal weight and length significantly. Boys were 100 g heavier and 0.53 cm longer than girls (P < 0.05). First born neonates were lighter (P < 0.01) and tended to be shorter (P = 0.070) than neonates of higher birth order. Maternal age and education as well as other socioeconomic determinants were not associated with neonatal weight and length. Neonatal weight was 32% explained by gestational age, maternal weight, postnatal measurement, gender and parity, while neonatal length was 28% explained by gestational age, maternal weight, postnatal measurement, gender and maternal height.Conclusions: Gestational age, maternal weight at second trimester and infant gender were the main predictors of neonatal weight and length.Sponsorship: The study was supported by The Netherlands Organization for Scientific Research-Netherlands Foundation for the Advancement of Tropical Research (NWO-WOTRO; WV 93-280) and Neys-van Hoogstraten Foundation (IN 114), The Netherlands, and German Agency for Technical Cooperation (GTZ)/South East Asian Ministers of Education Organization (SEAMEO), Indonesia.