Gestational weight gain and newborn anthropometric outcomes in rural Bangladesh
This article was published in Maternal Child Nutrition [ © 2019 John Wiley & Sons Ltd.] and the definite version is available at: https://doi.org/10.1111/mcn.12816. The Journal's website is at: https://onlinelibrary.wiley.com/doi/ftr/10.1111/mcn.12816
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Wiley Online Library
2022
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| Առցանց հասանելիություն: | http://hdl.handle.net/10361/16523 https://doi.org/10.1111/mcn.12816 |
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10361-165232022-04-05T06:46:17Z Gestational weight gain and newborn anthropometric outcomes in rural Bangladesh Kac, Gilberto Arnold, Charles D. Matias, Susana L. Mridha, Malay K. Dewey, Kathryn G. Brac James P. Grant School of Public Health Body mass index Gestational age Gestational weight gain Low birthweight Small for gestational age Stunting This article was published in Maternal Child Nutrition [ © 2019 John Wiley & Sons Ltd.] and the definite version is available at: https://doi.org/10.1111/mcn.12816. The Journal's website is at: https://onlinelibrary.wiley.com/doi/ftr/10.1111/mcn.12816 Low gestational weight gain (GWG) is a known predictor of fetal growth restriction in higher income countries, but there is little information on this association in lower income countries. Our objective is to describe the association between GWG and birth outcomes among pregnant women in rural Bangladesh. Pregnant women were identified in a community-based programme and enrolled into the study at an average of 13 weeks' gestation (n = 4,011). Maternal weight and height were measured at enrolment, maternal weight was measured at 36 weeks' gestation, and newborns were measured after birth. Rate of GWG (g/weeks) was calculated, and women were categorized as having adequate or inadequate GWG (Institute of Medicine recommendations). Newborn anthropometric outcomes included weight-for-age z score (WAZ), length-for-age z score (LAZ), head-circumference-for-age z score (HCZ), body mass index (BMI)-for-age z score (BMIZ), low birthweight (LBW < 2,500 g), WAZ < −2, LAZ < −2, HCZ < −2, BMIZ < −2, and small for gestational age (SGA: <10th percentile). Multivariate models were adjusted for confounders. Only 26% of the 2,562 women in these analyses had adequate GWG. Compared with newborns of women with inadequate GWG, infants of women with adequate GWG had a lower risk of adverse anthropometric outcomes (relative risk [95% confidence interval]: LBW = 0.68 [0.59, 0.80], LAZ < −2 = 0.64 [0.51, 0.80], HCZ < −2 = 0.75 [0.60, 0.93], BMIZ < −2 = 0.70 [0.59, 0.83], and SGA = 0.80 [0.73, 0.86]), but there was no significant difference in mean (SE) duration of gestation, 39.7 (0.08) versus 39.7 (0.05) weeks. In this population, GWG rate is a strong predictor of newborn anthropometric outcomes, but not duration of gestation. Published 2022-04-05T06:44:02Z 2022-04-05T06:44:02Z 2019 2019-10 Journal Article Kac, G., Arnold, C. D., Matias, S. L., Mridha, M. K., & Dewey, K. G. (2019). Gestational weight gain and newborn anthropometric outcomes in rural Bangladesh. Maternal & child nutrition, 15(4), e12816. https://doi.org/10.1111/mcn.12816 http://hdl.handle.net/10361/16523 https://doi.org/10.1111/mcn.12816 en_US https://onlinelibrary.wiley.com/doi/ftr/10.1111/mcn.12816 Maternal Child Nutrition Wiley Online Library |
| institution |
Brac University |
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Institutional Repository |
| language |
en_US |
| topic |
Body mass index Gestational age Gestational weight gain Low birthweight Small for gestational age Stunting |
| spellingShingle |
Body mass index Gestational age Gestational weight gain Low birthweight Small for gestational age Stunting Kac, Gilberto Arnold, Charles D. Matias, Susana L. Mridha, Malay K. Dewey, Kathryn G. Gestational weight gain and newborn anthropometric outcomes in rural Bangladesh |
| description |
This article was published in Maternal Child Nutrition [ © 2019 John Wiley & Sons Ltd.] and the definite version is available at: https://doi.org/10.1111/mcn.12816. The Journal's website is at: https://onlinelibrary.wiley.com/doi/ftr/10.1111/mcn.12816 |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Kac, Gilberto Arnold, Charles D. Matias, Susana L. Mridha, Malay K. Dewey, Kathryn G. |
| format |
Journal Article |
| author |
Kac, Gilberto Arnold, Charles D. Matias, Susana L. Mridha, Malay K. Dewey, Kathryn G. |
| author_sort |
Kac, Gilberto |
| title |
Gestational weight gain and newborn anthropometric outcomes in rural Bangladesh |
| title_short |
Gestational weight gain and newborn anthropometric outcomes in rural Bangladesh |
| title_full |
Gestational weight gain and newborn anthropometric outcomes in rural Bangladesh |
| title_fullStr |
Gestational weight gain and newborn anthropometric outcomes in rural Bangladesh |
| title_full_unstemmed |
Gestational weight gain and newborn anthropometric outcomes in rural Bangladesh |
| title_sort |
gestational weight gain and newborn anthropometric outcomes in rural bangladesh |
| publisher |
Wiley Online Library |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16523 https://doi.org/10.1111/mcn.12816 |
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