The post-partum mid-upper arm circumference of adolescents is reduced by pregnancy in rural Nepal.
The post-partum mid-upper arm circumference of adolescents is reduced by pregnancy in rural Nepal.
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在尼泊尔农村地区，青少年产后中上臂围因怀孕而减小。
DOI：
10.1111/j.1740-8709.2009.00211.x
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发表时间：
2010
影响因子：
3.4
通讯作者：
Christian,Parul
中科院分区：
文献类型：
--
作者：
Katz,Joanne;Khatry,SubarnaK;LeClerq,StevenC;West,KeithP;Christian,Parul
本研究的目的是检查怀孕期间和产后早期中上臂围（MUAC）的变化是否因母亲年龄而异。对尼泊尔农村地区 3359 名 25 岁以下未生育孕妇在怀孕早期和活产婴儿出生后 3 个月时的 MUAC 进行了测量。使用回归模型对按母亲年龄划分的 MUAC 变化和 MUAC < 20 cm 患病率进行建模，并根据混杂因素进行调整。共有5.2%的孕妇年龄在16岁以下。妊娠早期 MUAC 测量<20cm 的患病率为 11.3%，并且不因母亲年龄而异。产后低 MUAC 的患病率为 17.7%，但与 20-25 岁的女性相比，16 岁以下的女性产后 MUAC 低的患病率显着更高 [比值比：2.47，95% 置信区间 (CI) 1.49, 4.10]，并根据母亲识字率、种姓、怀孕早期肉类消费和测量时间进行调整。所有女性从怀孕早期到产后都减少了 MUAC。 16 岁以下女性的 MUAC 调整后损失为 0.97 cm (95% CI: -1.33, -0.60)，而 20-25 岁女性的 MUAC 调整后损失为 0.40 cm (95% CI: -0.70, -0.10)。在能量有限的环境中，16 岁以下女孩的 MUAC 损失比同等胎次的老年女性多半厘米。这种脂肪、肌肉或两者的损失可能会使年轻女性及其母乳喂养的后代面临其他不良健康和营养结果的更大风险。
The purpose of this study was to examine whether changes in the mid‐upper arm circumference (MUAC) in pregnancy and early post‐partum varied by maternal age. The MUAC of 3359 nulliparous pregnant women ≤25 years of age in rural Nepal was measured in early pregnancy and at 3 months post‐delivery of a live‐born infant. Regression was used to model the change in MUAC and prevalence of MUAC < 20 cm by maternal age, adjusted for confounders. A total of 5.2% of the pregnant women were under 16 years of age. The prevalence of MUAC measurements <20 cm was 11.3% in early pregnancy and did not differ by maternal age. The prevalence of low MUAC was 17.7% at post‐partum, but those <16 years of age had a significantly higher prevalence of low post‐partum MUAC [odds ratio: 2.47, 95% confidence interval (CI) 1.49, 4.10] compared with women 20–25 years of age, adjusted for maternal literacy, caste, meat consumption in early pregnancy and timing of measurements. All women reduced their MUAC from early pregnancy through post‐partum. The adjusted loss of the MUAC among those under 16 years of age was 0.97 cm (95% CI: −1.33, −0.60), compared with 0.40 cm (95% CI: −0.70, −0.10) among women 20–25 years of age. In an energy‐restricted environment, girls under 16 years contributed to a half centimetre more loss of MUAC than older women of the same parity. Such a loss of fat, muscle or both may put younger women and their breastfed offspring at greater risk of other adverse health and nutritional outcomes.
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尼泊尔南部农村地区年轻未产妇的流产率较高，但死产率却较高。
DOI：
10.1016/j.jadohealth.2007.11.137
发表时间：
2008
期刊：
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子：
--
作者：
Katz,Joanne;Khatry,SubarnaK;LeClerq,StevenC;Shrestha,SharadaR;WestJr,KeithP;Christian,Parul
通讯作者：
Christian,Parul
影响因子：
2.1
作者：
J. Liljestrand;S. Bergström
通讯作者：
S. Bergström
怀孕和哺乳期间的母亲生长。
影响因子：
--
作者：
T. Scholl;M. Hediger;C. Cronk;Joan I. Schall
通讯作者：
Joan I. Schall
影响因子：
7.7
作者：
Christian, P;West, KP;Pokhrel, RP
通讯作者：
Pokhrel, RP
影响因子：
105.7
作者：
Christian, P;Khatry, SK;West, KP
通讯作者：
West, KP