Maternal short stature and under-weight status are independent risk factors for preterm birth and small for gestational age in rural Bangladesh.
Maternal short stature and under-weight status are independent risk factors for preterm birth and small for gestational age in rural Bangladesh.
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DOI：
10.1038/s41430-018-0237-4
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发表时间：
2019-05
影响因子：
4.7
通讯作者：
Baqui AH
中科院分区：
文献类型：
--
作者：
Khanam R;Lee AC;Mitra DK;Ram M;Das Gupta S;Quaiyum A;Choudhury A;Christian P;Mullany LC;Baqui AH
评估足月小于胎龄(SGA)、早产适宜胎龄(AGA)和早产SGA与母亲身高和体重指数(BMI)相关的风险，并计算与母亲矮小相关的足月SGA、早产AGA和早产SGA的人群归因分数(PAF)。2012年至2016年，孟加拉国西尔赫特对13230名孕前身高和体重的女性进行了基于人口的队列跟踪调查。我们分析了2655名独生子女活产儿的数据。妊娠37周出生的婴儿被认为是早产，体重和共生年龄的第10个百分位数的性别特定的胎龄被认为是SGA。采用多项Logistic回归分析了足月儿SGA、早产儿AGA和早产儿SGA的危险因素，估计了相对风险比(RRR)和95%可信区间(CI)。母体矮小与足月足月早产(RRR1.88，95%CI1.37,113.85；P<；0.001)、早产AGA(RR1.45，95%CI1.02，2.05；P<；0.001)和早产SGA(RR14.40，95%CI1.82，2.58；P<；0.001)显著相关。母亲体重不足(BMI和Lt；18.5 kg/m2)是足月SGA(RRR 1.32，95%CI 1.10，1.59；P<；0.01)和早产AGA(RRR 1.39，95%CI 1.12，1.71；P<；0.01)的显著预测因素。足月儿、早产儿和早产儿矮小的PAF分别为23.2%、7.3%和73.9%。为了解决营养不良问题，孟加拉国需要加强其多部门营养方案的实施，其中包括营养具体和敏感的干预措施。高复盖率和高质量的计划的实施将改善母亲的营养和围产儿结局，包括早产和SGA。
To estimate the risks of term-small for gestational age (SGA), preterm-appropriate for gestational age (AGA), and preterm SGA associated with maternal height and body mass index (BMI) and to calculate the population attributable fractions (PAF) of term SGA, preterm AGA, and preterm SGA associated with maternal short stature. A population-based cohort of 13,230 women with pre-pregnancy height and weight followed from 2012 to 2016 in Sylhet, Bangladesh. We analyzed data of 2655 singleton live born infants. The babies born <37 weeks of gestation were considered preterm and weight <10th percentile of Intergrowth sex-specific gestational age were considered SGA. Risk factors for term SGA, preterm AGA, and preterm SGA were examined using multinomial logistic regression that estimated relative risk ratios (RRR) and 95% confidence intervals (CI). Maternal short stature <145 cm was significantly associated with term SGA (RRR 1.88, 95% CI 1.37, 2.58; p < 0.001), preterm AGA (RRR 1.45, 95% CI 1.02, 2.05; p < 0.05), and preterm SGA (RRR 14.40, 95% CI 1.82, 113.85; p < 0.05). Maternal underweight status (BMI < 18.5 kg/m2) was significant predictor of term SGA (RRR 1.32, 95% CI 1.10, 1.59; p < 0.01), and preterm AGA (RRR 1.39, 95% CI 1.12, 1.71; p < 0.01). PAF for maternal short stature were 23.2, 7.3, and 73.9% for term SGA, preterm AGA, and preterm SGA, respectively. To address the problem of undernutrition, Bangladesh needs to strengthen implementation of its multi-sectoral nutrition program comprising nutrition specific and sensitive interventions. Implementation of the program with high coverage and quality would improve maternal nutrition and perinatal outcomes including preterm births and SGA.
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影响因子：
3.1
作者：
Lee AC;Quaiyum MA;Mullany LC;Mitra DK;Labrique A;Ahmed P;Uddin J;Rafiqullah I;DasGupta S;Mahmud A;Koumans EH;Christian P;Saha S;Baqui AH;Projahnmo Study Group
通讯作者：
Projahnmo Study Group
影响因子：
120.7
作者：
Ozaltin, Emre;Hill, Kenneth;Subramanian, S. V.
通讯作者：
Subramanian, S. V.
DOI：
10.1016/j.gfs.2017.01.005
发表时间：
2017-06-01
影响因子：
8.9
作者：
Nisbett, Nicholas;Davis, Peter;Akhtar, Nazneen
通讯作者：
Akhtar, Nazneen
DOI：
10.1186/s41043-016-0072-y
发表时间：
2016-10-21
期刊：
Journal of health, population, and nutrition
影响因子：
--
作者：
Gernand AD;Paul RR;Ullah B;Taher MA;Witter FR;Wu L;Labrique AB;West KP Jr;Christian P
通讯作者：
Christian P
影响因子：
2.9
作者：
Leng J;Hay J;Liu G;Zhang J;Wang J;Liu H;Yang X;Liu J
通讯作者：
Liu J