Maternal mid-arm circumference and other anthropometric measures of adiposity in relation to infant birth size among Zimbabwean women

Background. To examine relationships between maternal anthropometric measures in Zimbabwean women and indices of infant birth size. Methods. We conducted a cross-sectional study of pregnant women admitted for labor and delivery at the Harare Maternity Hospital from July 1998 to March 1999. The study...

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Veröffentlicht in:Acta obstetricia et gynecologica Scandinavica 2007, Vol.86 (1), p.26-32
Hauptverfasser: Ogbonna, Chinyere, Woelk, Godfrey B., Ning, Yi, Mudzamiri, Sarah, Mahomed, Kassam, Williams, Michelle A.
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container_title Acta obstetricia et gynecologica Scandinavica
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creator Ogbonna, Chinyere
Woelk, Godfrey B.
Ning, Yi
Mudzamiri, Sarah
Mahomed, Kassam
Williams, Michelle A.
description Background. To examine relationships between maternal anthropometric measures in Zimbabwean women and indices of infant birth size. Methods. We conducted a cross-sectional study of pregnant women admitted for labor and delivery at the Harare Maternity Hospital from July 1998 to March 1999. The study population was comprised of 498 participants who delivered singleton infants. Anthropometric measures (height, weight, and mid-arm circumference) were taken during participants' postpartum hospital stay. Logistic regression and least-squares regression procedures were used to assess the association of maternal measures with infant size. Results. Women in the highest weight quartile (>67 kg) were 58% less likely to have a low-birth-weight infant when compared to women in the lowest quartile (27 versus
doi_str_mv 10.1080/00016340600935664
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To examine relationships between maternal anthropometric measures in Zimbabwean women and indices of infant birth size. Methods. We conducted a cross-sectional study of pregnant women admitted for labor and delivery at the Harare Maternity Hospital from July 1998 to March 1999. The study population was comprised of 498 participants who delivered singleton infants. Anthropometric measures (height, weight, and mid-arm circumference) were taken during participants' postpartum hospital stay. Logistic regression and least-squares regression procedures were used to assess the association of maternal measures with infant size. Results. Women in the highest weight quartile (&gt;67 kg) were 58% less likely to have a low-birth-weight infant when compared to women in the lowest quartile (&lt;57 kg) (OR = 0.42, 95% CI 0.19-0.90). Women in the highest body mass index quartile were 75% less likely to have a low-birth-weight infant compared to women in the lowest quartile (&gt;27 versus &lt;23 kg/m2: OR = 0.25, 95%CI 0.10-0.60). Similar trends were seen for risk of low birth weight in relation to mid-arm circumference. Maternal mid-arm circumference was most strongly related with the four infant size indices measured. Each unit increase in maternal mid-arm circumference resulted in a 36.1-g increase in infant birth weight (p&lt;0.001). In general, women who were heavier at the time of delivery were less likely to have a low-birth-weight infant than women who were lighter. Conclusions. In areas where food security is a public health concern, as it is in most parts of the developing world, pregnant women may not be meeting their own nutritional needs and those of their fetus.</description><identifier>ISSN: 0001-6349</identifier><identifier>EISSN: 1600-0412</identifier><identifier>DOI: 10.1080/00016340600935664</identifier><identifier>PMID: 17230285</identifier><identifier>CODEN: AOGSAE</identifier><language>eng</language><publisher>Oxford, UK: Informa UK Ltd</publisher><subject>Adipose Tissue ; Adolescent ; Adult ; Anthropometry ; Arm ; Biological and medical sciences ; Birth Weight ; Body Composition ; Cross-Sectional Studies ; Epidemiology ; Female ; General aspects ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Medical Records ; Medical sciences ; Pregnancy ; Pregnancy Outcome ; preterm delivery ; Public health. Hygiene ; Public health. 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To examine relationships between maternal anthropometric measures in Zimbabwean women and indices of infant birth size. Methods. We conducted a cross-sectional study of pregnant women admitted for labor and delivery at the Harare Maternity Hospital from July 1998 to March 1999. The study population was comprised of 498 participants who delivered singleton infants. Anthropometric measures (height, weight, and mid-arm circumference) were taken during participants' postpartum hospital stay. Logistic regression and least-squares regression procedures were used to assess the association of maternal measures with infant size. Results. Women in the highest weight quartile (&gt;67 kg) were 58% less likely to have a low-birth-weight infant when compared to women in the lowest quartile (&lt;57 kg) (OR = 0.42, 95% CI 0.19-0.90). Women in the highest body mass index quartile were 75% less likely to have a low-birth-weight infant compared to women in the lowest quartile (&gt;27 versus &lt;23 kg/m2: OR = 0.25, 95%CI 0.10-0.60). Similar trends were seen for risk of low birth weight in relation to mid-arm circumference. Maternal mid-arm circumference was most strongly related with the four infant size indices measured. Each unit increase in maternal mid-arm circumference resulted in a 36.1-g increase in infant birth weight (p&lt;0.001). In general, women who were heavier at the time of delivery were less likely to have a low-birth-weight infant than women who were lighter. Conclusions. In areas where food security is a public health concern, as it is in most parts of the developing world, pregnant women may not be meeting their own nutritional needs and those of their fetus.</description><subject>Adipose Tissue</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anthropometry</subject><subject>Arm</subject><subject>Biological and medical sciences</subject><subject>Birth Weight</subject><subject>Body Composition</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Medical Records</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>preterm delivery</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Retrospective Studies</subject><subject>risk factors</subject><subject>Zimbabwe - epidemiology</subject><issn>0001-6349</issn><issn>1600-0412</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFksGP1CAYxRujccfVP8CL4aK3KrSF0njarDqarLsHNSZ7IV_pV4e1wCzQjOPd_1sm07gHEz3Bg9975HuhKJ4y-pJRSV9RSpmoGyoo7WouRHOvWLEsStqw6n6xOtyXGehOikcx3mRVtY18WJywtqppJfmq-PUREgYHE7FmKCFYok3Qsx0xoNNIwA3Epw2GvEub4LfeYgpGE4sQ54CR-JHAYLY-mrQnxpGAEyTjHUk-yzHbSG9C2pBofuY86903cm1sD_0OwZFdDnSPiwcjTBGfLOtp8eXd28_n78uLq_WH87OLUnMq6xK6rpG0k5iHFxKrhmkBXc9Fn8_acaQUBGdD00M1SCk0Ey0iYygRGAeB9Wnx4pi7Df52xpiUNVHjNIFDP0clZFfVrKEZZEdQBx9jwFFtg7EQ9opRdehe_dV99jxbwufe4nDnWMrOwPMFgKhhGgM4beIdJ5ua0lZmjh-5nZlw__-X1dnVumZ19pVHn4kJf_zxQfiuRFu3XH29XKtLKq8_8TdcrTP_euHd6IOFDcKUNhoCqhs_Hz5F_Me4vwEDZr4g</recordid><startdate>2007</startdate><enddate>2007</enddate><creator>Ogbonna, Chinyere</creator><creator>Woelk, Godfrey B.</creator><creator>Ning, Yi</creator><creator>Mudzamiri, Sarah</creator><creator>Mahomed, Kassam</creator><creator>Williams, Michelle A.</creator><general>Informa UK Ltd</general><general>Blackwell Publishing Ltd</general><general>Taylor &amp; Francis</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2007</creationdate><title>Maternal mid-arm circumference and other anthropometric measures of adiposity in relation to infant birth size among Zimbabwean women</title><author>Ogbonna, Chinyere ; Woelk, Godfrey B. ; Ning, Yi ; Mudzamiri, Sarah ; Mahomed, Kassam ; Williams, Michelle A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5083-a9948098e08068e241c6a9b56b98e7ff00a651d4ba2d886c167ee11e8ea15a6e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adipose Tissue</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Anthropometry</topic><topic>Arm</topic><topic>Biological and medical sciences</topic><topic>Birth Weight</topic><topic>Body Composition</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Medical Records</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>preterm delivery</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Retrospective Studies</topic><topic>risk factors</topic><topic>Zimbabwe - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ogbonna, Chinyere</creatorcontrib><creatorcontrib>Woelk, Godfrey B.</creatorcontrib><creatorcontrib>Ning, Yi</creatorcontrib><creatorcontrib>Mudzamiri, Sarah</creatorcontrib><creatorcontrib>Mahomed, Kassam</creatorcontrib><creatorcontrib>Williams, Michelle A.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ogbonna, Chinyere</au><au>Woelk, Godfrey B.</au><au>Ning, Yi</au><au>Mudzamiri, Sarah</au><au>Mahomed, Kassam</au><au>Williams, Michelle A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal mid-arm circumference and other anthropometric measures of adiposity in relation to infant birth size among Zimbabwean women</atitle><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle><addtitle>Acta Obstet Gynecol Scand</addtitle><date>2007</date><risdate>2007</risdate><volume>86</volume><issue>1</issue><spage>26</spage><epage>32</epage><pages>26-32</pages><issn>0001-6349</issn><eissn>1600-0412</eissn><coden>AOGSAE</coden><abstract>Background. To examine relationships between maternal anthropometric measures in Zimbabwean women and indices of infant birth size. Methods. We conducted a cross-sectional study of pregnant women admitted for labor and delivery at the Harare Maternity Hospital from July 1998 to March 1999. The study population was comprised of 498 participants who delivered singleton infants. Anthropometric measures (height, weight, and mid-arm circumference) were taken during participants' postpartum hospital stay. Logistic regression and least-squares regression procedures were used to assess the association of maternal measures with infant size. Results. Women in the highest weight quartile (&gt;67 kg) were 58% less likely to have a low-birth-weight infant when compared to women in the lowest quartile (&lt;57 kg) (OR = 0.42, 95% CI 0.19-0.90). Women in the highest body mass index quartile were 75% less likely to have a low-birth-weight infant compared to women in the lowest quartile (&gt;27 versus &lt;23 kg/m2: OR = 0.25, 95%CI 0.10-0.60). Similar trends were seen for risk of low birth weight in relation to mid-arm circumference. Maternal mid-arm circumference was most strongly related with the four infant size indices measured. Each unit increase in maternal mid-arm circumference resulted in a 36.1-g increase in infant birth weight (p&lt;0.001). In general, women who were heavier at the time of delivery were less likely to have a low-birth-weight infant than women who were lighter. Conclusions. In areas where food security is a public health concern, as it is in most parts of the developing world, pregnant women may not be meeting their own nutritional needs and those of their fetus.</abstract><cop>Oxford, UK</cop><pub>Informa UK Ltd</pub><pmid>17230285</pmid><doi>10.1080/00016340600935664</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adipose Tissue
Adolescent
Adult
Anthropometry
Arm
Biological and medical sciences
Birth Weight
Body Composition
Cross-Sectional Studies
Epidemiology
Female
General aspects
Gynecology. Andrology. Obstetrics
Humans
Infant, Low Birth Weight
Infant, Newborn
Medical Records
Medical sciences
Pregnancy
Pregnancy Outcome
preterm delivery
Public health. Hygiene
Public health. Hygiene-occupational medicine
Retrospective Studies
risk factors
Zimbabwe - epidemiology
title Maternal mid-arm circumference and other anthropometric measures of adiposity in relation to infant birth size among Zimbabwean women
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