Seasonal trends and maternal characteristics as predictors of maternal undernutrition and low birthweight in Eastern Maharashtra, India.
Seasonal trends and maternal characteristics as predictors of maternal undernutrition and low birthweight in Eastern Maharashtra, India.
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DOI：
10.1111/mcn.13087
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发表时间：
2021-04
影响因子：
3.4
通讯作者：
Hibberd P
中科院分区：
文献类型：
--
作者：
Locks LM;Patel A;Katz E;Simmons E;Hibberd P
很少有研究评估南亚农村和城乡社区的妇女和婴儿是否经历营养状况的季节性波动;然而，少数研究记录了营养不良风险因素的季节性变化，包括食物供应，体育活动和感染。我们使用来自孕产妇和新生儿健康（MNH）登记处的数据，这是印度东马哈拉施特拉邦一个基于人口的妊娠和出生登记处，以分析妊娠前三个月出生体重和孕产妇营养状况（体重指数（BMI）和血红蛋白）的季节性趋势。我们绘制了出生体重，母亲BMI和血红蛋白的月度和季节趋势，并使用多变量回归模型来确定预测每个结果的季节和母亲特征。在2014年10月至2018年1月期间，MNH包括29，253例记录了出生体重的活产婴儿。对15,252名妊娠12周以下的妇女进行了BMI评估，对18,278名妊娠13周以下的妇女进行了血红蛋白评估。母亲的特征（年龄，教育，产次和身高）显着相关的营养状况，但是，有最小的季节性波动出生体重或产妇营养。孕产妇血红蛋白有显著的长期趋势; 2014年至2018年，孕产妇贫血的患病率从91%下降到79%，中度或重度贫血从53%下降到37%。产妇体重不足（45.3%）和超重（9.8%）和出生体重不足（19.1%）的流行率在研究期间保持相对稳定。我们的研究结果强调，在南亚的一些农村和半城市地区，解决营养不良的系统性驱动因素可能比基于季节的针对性干预措施更有效。
Few studies have assessed whether women and infants in rural and peri‐urban communities in South Asia experience seasonal fluctuations in nutritional status; however, a handful of studies have documented seasonal variability in risk factors for undernutrition including food availability, physical activity and infections. We used data from the Maternal and Newborn Health (MNH) registry, a population‐based pregnancy and birth registry in Eastern Maharashtra, India, to analyse seasonal trends in birthweight and maternal nutritional status—body mass index (BMI) and haemoglobin—in the first trimester of pregnancy. We plotted monthly and seasonal trends in birthweight, and maternal BMI and haemoglobin, and used multivariable regression models to identify seasonal and maternal characteristics that predicted each outcome. Between October 2014 and January 2018, MNH included 29,253 livebirths with recorded birthweight. BMI was assessed in 15,252 women less than 12 weeks of gestation and haemoglobin in 18,278 women less than 13 weeks of gestation. Maternal characteristics (age, education, parity and height) were significantly associated with nutritional status; however, there were minimal seasonal fluctuations in birthweight or maternal nutrition. There were significant secular trends in maternal haemoglobin; between 2014 and 2018, the prevalence of maternal anaemia decreased from 91% to 79% and moderate or severe anaemia from 53% to 37%. The prevalence of maternal underweight (45.3%) and overweight (9.8%) and low birthweight (19.1%) remained relatively constant over the study period. Our findings highlight that in some rural and peri‐urban areas in South Asia, tackling systemic drivers of malnutrition may be more effective than targeted interventions based on season.
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影响因子：
3.8
作者：
Goudar, Shivaprasad S.;Carlo, Waldemar A.;McClure, Elizabeth M.;Pasha, Omrana;Patel, Archana;Esamai, Fabian;Chomba, Elwyn;Garces, Ana;Althabe, Fernando;Kodkany, Bhalachandra;Sami, Neelofar;Derman, Richard J.;Hibberd, Patricia L.;Liechty, Edward A.;Krebs, Nancy F.;Hambidge, K. Michael;Buekens, Pierre;Moore, Janet;Wallace, Dennis;Jobe, Alan H.;Koso-Thomas, Marion;Wright, Linda L.;Goldenberg, Robert L.
通讯作者：
Goldenberg, Robert L.
影响因子：
168.9
作者：
Black, RE;Morris, SS;Bryce, J
通讯作者：
Bryce, J
影响因子：
6.7
作者：
Gillespie, Stuart;van den Bold, Mara;Herforth, Anna
通讯作者：
Herforth, Anna
影响因子：
1.9
作者：
Hillbruner, Chris;Egan, Rebecca
通讯作者：
Egan, Rebecca
DOI：
10.1111/nyas.12477
发表时间：
2014-01-01
期刊：
PATHS OF CONVERGENCE FOR AGRICULTURE, HEALTH, AND WEALTH
影响因子：
--
作者：
Kadiyala, Suneetha;Harris, Jody;Gillespie, Stuart
通讯作者：
Gillespie, Stuart