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Associations Between Maternal Nutritional Characteristics and the Anthropometric Indices of Their Full-term and Pre-term Newborns

Meena Godhia, Madhuri Nigudkar and Reema Desai

A retrospective descriptive study was designed to compare maternal nutritional characteristics with the anthropometric data of their full-term and pre-term newborns. 100 post-partum women and their newborns were selected from Government Hospital, Mumbai. The case records and hospital records were examined to gather information about the last known pre-pregnancy weight, gestational weight gain, placental weight, gestational age of mothers. Prenatal data with regard to maternal height, third trimester weight and hemoglobin concentration were recorded by the hospital. Postnatal data with regard to maternal mid upper arm circumference and neonatal birth weight, length, mid upper arm circumference, head circumference, chest circumference was recorded using standardized technique. The technique of three days diet recall was used to obtain the maternal third trimester dietary intake. Maternal third trimester daily nutrient intake among terms deliveries was significantly higher [with regard to energy (2254 kcal), protein (69.7 g), carbohydrate (320.3 g)] as compared to those with pre-term deliveries [energy (2048 kcal), protein (59.7 g), carbohydrate (285.4 g)] (p<0.05). Though not statistically significant, the average birth weight of term newborns (2849 g) was higher than pre-term newborns (2772 g) (p=0.444). Positive correlations were noted with maternal third trimester hemoglobin concentration and birth weight (r=0.587, p=0.001), length (r=0.347, p=0.044), mid upper arm circumference (r=0.387, p=0.028) and chest circumference (r=0.496, p=0.006) of pre-term newborns, after adjustments for pre-pregnancy weight, gestational age (weeks), parity. There was a significant correlation between maternal third trimester energy and carbohydrate intake with birth weight, length, head circumference, chest circumference of term babies. Maternal energy intake did not influence head circumference of pre-term. Protein intake was associated with birth weight of all deliveries. Regression analysis showed positive association between head circumference and fat intake among term delivery (r=0.357, p=0.002). In conclusion, this study showed that maternal third trimester hemoglobin concentration correlated with birth weight, length, mid upper arm circumference and chest circumference of pre-term newborns. This study highlights significant dietary influences on anthropometric indices among newborns. Hence nutritional status and hemoglobin concentration of the mothers was found to contribute significantly to the newborns size at birth.

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  How to cite this article:

Meena Godhia, Madhuri Nigudkar and Reema Desai, 2012. Associations Between Maternal Nutritional Characteristics and the Anthropometric Indices of Their Full-term and Pre-term Newborns. Pakistan Journal of Nutrition, 11: 343-349.

DOI: 10.3923/pjn.2012.343.349


Ahmed, F.U., E. Karim and S.N. Bhuiyan, 2000. Mid upper circumference at birth as predictor of low birth weight and neonatal mortality. J. Biosoc. Sci., 32: 487-493.

Akram, D.S. and F. Arif, 2005. Ponderal index of low birth weight babies-a hospital based study. J. Pak. Med. Assoc., 55: 229-231.
PubMed  |  

Bhatia, B.D., D. Banerjee, D.K. Agarwal and K.N. Agarwal, 1983. Fetal growth: Relationship with maternal dietary intakes. In. J. Pediat., 50: 113-120.
CrossRef  |  

Brown, J.E., M.A. Murtaugh, D.R. Jacobs and H.C. Margellos Jr., 2002. Variation in newborn size according to pregnancy weight change by trimester. Am. J. Clin. Nutr., 76: 205-209.
Direct Link  |  

Chereshneva, M., L. Hinkson and E. Oteng-Ntim, 2008. The effects of booking body mass index on obstetric and neonatal outcomes in an inner city UK tertiary referral centre. Obstet. Med., 1: 88-91.
CrossRef  |  

Dhar, B., G. Mowlah, S. Nahar and N. Islam, 2002. Birth-weight status of newborns and its relationship with other anthropometric parameters in a public maternity hospital in Dhaka, Bangladesh. J. Health Popul. Nutr., 20: 36-41.
PubMed  |  

Gopalan, C., B.V. Rama Sastri and S.C. Balasubramanian, 1989. Nutritive value of Indian foods. National Institute of Nutrition, Indian Council of Medical Research

Hadipour, R., A.K. Norimah, B.K. Poh, F. Firoozehchian, Raheleh Hadipour and A. Akaberi, 2010. Haemoglobin and serum ferritin levels in newborn babies born to anaemic Iranian women: A cross-sectional study in an Iranian hospital. Pak. J. Nutr., 9: 562-566.
CrossRef  |  Direct Link  |  

ICMR, 2009. Nutrient requirements and recommended dietary allowances for Indians. A Report of the Expert Group of the Indian Council of Medical Research, ICMR. New Delhi.

Jackson, A.A. and S.M. Robinson, 2001. Dietary guidelines for pregnancy: A review of current evidence. Public Health Nutr., 4: 625-630.
CrossRef  |  

Jelliffe, D.B., 1966. The assessment of the nutritional status of the community with special reference to field surveys in developing regions of the world. Monogr Ser. World Health Organ, 53: 3-271.
PubMed  |  

Kashyap, L. and R. Dwivedi, 2006. Detection of fetal malnutrition by clinical assessment of nutritional status score (CAN score) at birth and its comparison with other methods of determining intrauterine growth. Pediatric Oncall Child Health Care, Vol. 3

Khoushabi, F. and G. Saraswathi, 2010. Association between maternal nutrition status and birth weight of neonates in selected hospitals in Mysore city, India. Pak. J. Nutr., 9: 1124-1130.
CrossRef  |  Direct Link  |  

Kramer, M.S. and R. Kakuma, 2010. Energy and protein intake in pregnancy. Cochrane Database Syst Rev., 10.1002/14651858.CD000032

Langley-Evans, A.J. and S.C. Langley-Evans, 2003. Relationship between maternal nutrient intakes in early and late pregnancy and infants weight and proportions at birth: Prospective cohort study. J. R. Soc. Promot. Health, 123: 210-216.
PubMed  |  

Madara, B., C.T. Avery, V. Pomarico-Denino and L. Wagner, 2007. Obstetric and Pediatric Pathophysiology. Jones and Bartlett Learning, USA, ISBN-13: 9780763741174, Pages: 557.

Mahan, L.K. and S.E. Stump, 2008. Medical Nutrition Therapy for Low Birth Weight Infants. In: Krause's Food and Nutrition Therapy. Alexopoulos, Y., K. Hebberd and H. Bays (Eds.). 12th Edn., Elsevier's Health Science Rights Department, Philadelphia, USA., pp: 118.

Miller, H. and K. Hassanein, 1971. Diagnosis of impaired fetal growth in newborn infants. Pediatrics, 18: 511-522.

Misra, A., P. Chowbey, B.M. Makkar, N.K. Vikram and J.S. Wasir et al., 2009. Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for asian indians and recommendations for physical activity, medical and surgical management. J. Assoc. Physicians India, 57: 163-170.
PubMed  |  Direct Link  |  

Mohan, M., S. S.R. Prasad, H.K. Chellani and V. Kapani, 1990. Intrauterine growth curves in North Indian babies: weight, length, head circumference and ponderal index. Indian Pediatr., 27: 43-51.
PubMed  |  Direct Link  |  

Mohsen, M.A. and H.A. Wafay, 2007. Influence of maternal anthropometric measurements and serum biochemical nutritional indicators on fetal growth. J. Med. Sci., 7: 1330-1334.
CrossRef  |  Direct Link  |  

Mokuolu, O.A., I.F. Abdul and O. Adesiyum, 2002. Maternal factor associated with early spontaneous singleton preterm delivery in Nigeria. Trop. J. Obstet. Gynaecol., 19: 32-35.

Pollack, R.N. and M.Y. Divon, 1992. Intrauterine growth retardation: Definition, classification and etiology. J. Clin. Obstet. Gynecol., 35: 99-107.

Pollack, R.N. and M.Y. Divon, 1992. Intrauterine growth retardation: Definition, classification and etiology. J. Clin. Obstet. Gynecol., 35: 99-107.

Thame, M., R.J. Wilks, N. McFarlane-Anderson, F.I. Bennett and T.E. Forrester, 1997. Relationship between maternal nutritional status and infant's weight and body proportions at birth. EJCN., 51: 134-138.
PubMed  |  

WHO, 1992. The Prevalence of Anemia in Women: A Tabulation of Available Information. 2nd Edn., World Health Organization, Geneva.

Walker, S.P., C. Ewan-Whyte, S.M. Chang, C.A. Powell, H. Fletcher, D. McDonald and S.M. Grantham-McGregor, 2003. Factors associated with size and proportionality at birth in term Jamaican infants. J. Health Popul. Nutr., 21: 117-126.
PubMed  |  

Yekta, Z., H. Ayatollahi, R. Porali and A. Farzin, 2006. The effect of pre-pregnancy body mass index and gestational weight gain on pregnancy outcomes in urban care settings in Urmia-Iran. BMC Pregnancy Childbirth, Vol. 6. 10.1186/1471-2393-6-15

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