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IMPACT OF PRENATAL MATERNAL FACTORS AND BIRTH ORDER ON THE ANTHROPOMETRIC STATUS OF NEWBORNS IN IRAN

Published online by Cambridge University Press:  25 July 2016

Sorayya Kheirouri  and
Mohammad Alizadeh
Sorayya Kheirouri*
Affiliation:
Department of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran
Mohammad Alizadeh
Affiliation:
Department of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran
*
1Corresponding author. Email: [email protected]
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Summary

This cross-sectional study was carried out to capture possible maternal factors affecting newborns’ anthropometric measurements. Data were collected from eight public health centres and referral university hospital records in Tabriz and Heriss districts, north-west Iran, for 807 mother–neonate pairs delivering live singleton births and their offspring during the two years up to August 2014. The incidence of low birth weight (LBW) was 5.1%. A close correlation was found between maternal anthropometry and birth order with neonatal anthropometric data. Birth order and maternal height and body mass index (BMI) positively affected neonates’ birth size (weight, length and head circumference). The rate of LBW was significantly higher for older (≥35 years), taller (≥170 cm), underweight (BMI<18.5) and non-iron-taking women and in the first-born babies. The odds of having LBW newborns in older, taller, underweight, obese and irregular iron-taking women were 3.82, 4.00, 9.07, 3.50 and 2.50 times those of mid-age group, middle-height, overweight and regular iron-taking women, respectively. First-born newborns were 5.97 times more likely to be LBW compared with second-birth neonates. The results indicate that maternal anthropometric indices, age, iron intake and birth order influence the risk of LBW in newborns.

Type
Research Article
Information
Journal of Biosocial Science , Volume 49 , Issue 2 , March 2017 , pp. 251 - 264
Copyright
Copyright © Cambridge University Press, 2016 

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References

Agarwal, G., Ahmad, S., Goel, K., Kumar, V., Goel, P., Garg, M. & Punj, A. (2012) Maternal risk factors associated with low birth weight neonates in a tertiary care hospital, northern India. Journal of Community Medicine & Health Education 2, 177.Google Scholar
Allen, L. H. (2001) Biological mechanisms that might underlie iron’s effects on fetal growth and preterm birth. Journal of Nutrition 131, 581S–589S.Google Scholar
Balarajan, Y., Subramanian, S. V. & Fawzi, W. W. (2013) Maternal iron and folic acid supplementation is associated with lower risk of low birth weight in India. Journal of Nutrition 143, 1309–1315.CrossRefGoogle ScholarPubMed
Balasch, J. & Gratacós, E. (2012) Delayed childbearing: effects on fertility and the outcome of pregnancy. Current Opinion in Obstetrics and Gynecology 24, 187–193.Google Scholar
Berngard, S. C., Berngard, J. B., Krebs, N. F., Garcés, A., Miller, L. V., Westcott, J. et al. (2013) Newborn length predicts early infant linear growth retardation and disproportionately high weight gain in a low-income population. Early Human Development 89, 967–972.Google Scholar
Boney, C. M., Verma, A., Tucker, R. & Vohr, B. R. (2005) Metabolic syndrome in childhood: association with birth weight, maternal obesity, and gestational diabetes mellitus. Pediatrics 115, e290–e296.Google Scholar
Britto, R. P., Florêncio, T. M., Benedito Silva, A. A., Sesso, R., Cavalcante, J. C. & Sawaya, A. L. (2013) Influence of maternal height and weight on low birth weight: a cross-sectional study in poor communities of northeastern Brazil. PLoS One 8, e80159.Google Scholar
Cogswell, M. E., Parvanta, I., Ickes, L., Yip, R. & Brittenham, G. M. (2003) Iron supplementation during pregnancy, anemia, and birth weight: a randomized controlled trial. American Journal of Clinical Nutrition 78, 773–781.Google Scholar
Elshibly, E. M. & Schmalisch, G. (2008) The effect of maternal anthropometric characteristics and social factors on gestational age and birth weight in Sudanese newborn infants. BMC Public Health 8, 244.CrossRefGoogle ScholarPubMed
Friede, A., Baldwin, W., Rhodes, P. H., Buehler, J. W., Strauss, L. T., Smith, J. C. & Hogue, C. J. (1987) Young maternal age and infant mortality: the role of low birth weight. Public Health Reports 102, 192–199.Google Scholar
Gibbs, C. M., Wendt, A., Peters, S. & Hogue, C. J. (2012) The impact of early age at first childbirth on maternal and infant health. Paediatric and Perinatal Epidemiology 26, 259–284.CrossRefGoogle ScholarPubMed
Godfrey, K., Breier, B. & Cooper, C. (1999) Constraint of the materno-placental supply of nutrients: causes and consequence. In O’Brien, S., Wheeler, T. & Barker, D. (eds) Fetal Programming Influences on Development and Diseases in Later Life. RCOG Press, London, UK, pp. 283–298.Google Scholar
Golestan, M., Akhavan Karbasi, S. & Fallah, R. (2011) Prevalence and risk factors for low birth weight in Yazd, Iran. Singapore Medical Journal 52, 730–733.Google ScholarPubMed
Haas, G. M., Liepold, E. & Schwandt, P. (2015) Low birth weight as a predictor of cardiovascular risk factors in childhood and adolescence? The PEP Family Heart Study. International Journal of Preventive Medicine 6, 121.Google Scholar
Han, Z., Mulla, S., Beyene, J., Liao, G. & McDonald, S. D. (2011) Knowledge Synthesis Group. Maternal underweight and the risk of preterm birth and low birth weight: a systematic review and meta-analyses. International Journal of Epidemiology 40, 65–101.CrossRefGoogle Scholar
Heffner, L. J. (2004) Advanced maternal age – how old is too old? New England Journal of Medicine 351, 1927–1929.Google Scholar
Huxley, R., Owen, C. G., Whincup, P. H., Cook, D. G., Rich-Edwards, J., Smith, G. D. & Collins, R. (2007) Is birth weight a risk factor for ischemic heart disease in later life? American Journal of Clinical Nutrition 85, 1244–1250.Google Scholar
Jolly, M., Sebire, N., Harris, J., Robinson, S. & Regan, L. (2000) The risks associated with pregnancy in women aged 35 years or older. Human Reproduction 15, 2433–2437.Google Scholar
Kato, T., Yorifuji, T., Inoue, S., Doi, H. & Kawachi, I. (2013) Association of birth length and risk of hospitalisation among full-term babies in Japan. Paediatric and Perinatal Epidemiology 27, 361–370.Google Scholar
Khatun, S. & Rahman, M. (2008) Quality of antenatal care and its dose–response relationship with birth weight in a maternal and child health training institute in Bangladesh. Journal of Biosocial Science 40, 321–337.CrossRefGoogle Scholar
Kramer, M. S., Olivier, M., McLean, F. H., Dougherty, G. E., Willis, D. M. & Usher, R. H. (1990) Determinants of fetal growth and body proportionality. Pediatrics 86, 18–26.Google Scholar
Luke, B. & Brown, M. B. (2007) Elevated risks of pregnancy complications and adverse outcomes with increasing maternal age. Human Reproduction 22, 1264–1272.Google Scholar
Martin, J. A., Hamilton, B. E., Sutton, P. D., Ventura, S. J., Menacker, F. & Munson, M. L. (2005) Births: final data for 2003. National Vital Statistics Reports, Vol. 54, No. 2. URL: http://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_02.pdf.Google Scholar
Martinez, A. & Simmons, R. (2005) Abnormalities of fetal growth. In Taeusch, H. W., Ballard, R. A. & Gleason, C. A. (eds) Avery’s Diseases of the Newborn. Elsevier Saunders, Philadelphia. pp. 32–33.CrossRefGoogle Scholar
Mohanty, C., Prasad, R., Srikanth Reddy, A., Ghosh, J. K., Singh, T. B. & Das, B. K. (2006) Maternal anthropometry as predictors of low birth weight. Journal of Tropical Pediatrics 52, 24–29.Google Scholar
Mumbare, S. S., Maindarkar, G., Darade, R., Yenge, S., Tolani, M. K. & Patole, K. (2012) Maternal risk factors associated with term low birth weight neonates: a matched-pair case control study. Indian Pediatrics 49, 25–28.CrossRefGoogle ScholarPubMed
Nahar, S., Mascie-Taylor, C. G. N. & Housne, A. B. (2007) Maternal anthropometry as a predictor of birth weight. Public Health Nutrition 10, 965–970.CrossRefGoogle ScholarPubMed
Ogbonna, C., Woelk, G. B., Ning, Y., Mudzamiri, S., Mahomed, K. & Williams, M. A. (2007) Maternal mid-arm circumference and other anthropometric measures of adiposity in relation to infant birth size among Zimbabwean women. Acta Obstetricia et Gynecologica Scandinavica 86, 26–32.CrossRefGoogle ScholarPubMed
Palma, S., Perez-Iglesias, R., Prieto, D., Pardo, R., Llorca, J. & Delgado-Rodriguez, M. (2008) Iron but not folic acid supplementation reduces the risk of low birthweight in pregnant women without anaemia: a case-control study. Journal of Epidemiology & Community Health 62, 120–124.Google Scholar
Rashidian, A. (2010) Iran Multiple Indicator Demography and Health Survey [In Persian]. Ministry of Health and Medical Education, Tehran. URL: nihr.tums.ac.ir/.../IrMIDHS-summary-findings-presentation-Rashidian.Google Scholar
Reichman, N. E. & Teitler, J. O. (2006) Paternal age as a risk factor for low birthweight. American Journal of Public Health 96, 862–866.Google Scholar
Restrepo-Méndez, M. C., Lawlor, D. A., Horta, B. L., Matijasevich, A., Santos, I. S., Menezes, A. M. et al. (2015) The association of maternal age with birthweight and gestational age: a cross-cohort comparison. Paediatric and Perinatal Epidemiology 29, 31–40.Google Scholar
Roudbari, M., Yaghmaei, M. & Soheili, M. (2007) Prevalence and risk factors of low-birth-weight infants in Zahedan, Islamic Republic of Iran. Eastern Mediterranean Health Journal 13, 838–845.Google Scholar
Sniderman, A. (2010) Abnormal head growth. Pediatrics in Review 31, 382–384.Google Scholar
Sutton, P. S. & Darmstadt, G. L. (2013) Preterm birth and neurodevelopment: a review of outcomes and recommendations for early identification and cost-effective interventions. Journal of Tropical Pediatrics 59, 258–265.Google Scholar
Terada, M., Matsuda, Y., Ogawa, M., Matsui, H. & Satoh, S. (2013) Effects of maternal factors on birth weight in Japan. Journal of Pregnancy 2013, 1–5.Google Scholar
UNICEF Statistics (no date) Monitoring the Situation of Children and Women, Low Birthweight. URL: data.unicef.org/nutrition/low-birthweight.html.Google Scholar
UNICEF/WHO (2004) Low Birthweight: Country, Regional and Global Estimates. UNICEF and WHO, New York/Geneva. URL: www.unicef.org/publications/files/low_birthweight_from_EY.Google Scholar
Utpala, G. D. & Gregory, D. S. (2004) Abnormal fetal growth: intrauterine growth retardation, small for gestational age, large for gestational age. In Davis, C. (ed.) Pediatric Clinics of North America. WB Saunders, Philadelphia, p. 640.Google Scholar
Vahdaninia, M., Tavafian, S. S. & Montazeri, A. (2008) Correlates of low birth weight in term pregnancies: a retrospective study from Iran. BMC Pregnancy Childbirth 8, 12.Google Scholar
Voigt, M., Rochow, N., Jährig, K., Straube, S., Hufnagel, S. & Jorch, G. (2010) Dependence of neonatal small and large for gestational age rates on maternal height and weight – an analysis of the German Perinatal Survey. Journal of Perinatal Medicine 38, 425–430.Google Scholar
Weller, S. C. & Romney, A. K. (1988) Systematic Data Collection. Sage Publications, London.Google Scholar
White, S. L., Perkovic, V., Cass, A., Chang, C. L., Poulter, N. R., Spector, T. et al. (2009) Is low birth weight an antecedent of CKD in later life? A systematic review of observational studies. American Journal of Kidney Diseases 54, 248–261.Google Scholar
WHO (2013) Demographic, Social and Health Indicators for Countries of the Eastern Mediterranean. WHO EMRO 2013 URL: http://applications.emro.who.int/dsaf/EMROPUB_2013_EN_1537.pdf?ua=4).Google Scholar
Zarrati, M., Shidfar, F., Razmpoosh, E., Nezhad, F. N., Keivani, H., Hemami, M. R. & Asemi, Z. (2013) Does low birth weight predict hypertension and obesity in schoolchildren? Annals of Nutrition and Metabolism 63, 69–76.Google Scholar