Low birth weight and occlusal traitsin the primary dentition a prospective cohort (BRISA)

Author(s):  
Antonio Carlos Junior Silva ◽  
Cláudia Maria Coelho Alves ◽  
Rafiza Félix Marão Martins ◽  
Vandílson Pinheiro Rodrigues ◽  
Soraia de Fátima Carvalho Souza ◽  
...  
2014 ◽  
Vol 218 (6) ◽  
pp. 1148-1155 ◽  
Author(s):  
Melissa A. Hull ◽  
Jeremy G. Fisher ◽  
Ivan M. Gutierrez ◽  
Brian A. Jones ◽  
Kuang Horng Kang ◽  
...  

2018 ◽  
Vol 23 (4) ◽  
pp. 524-530
Author(s):  
Ayesha Saeed ◽  
Mobina Naqvi ◽  
Ahsan Javed

Pakistani population is seriously malnutritioned and is hunger redisposed. Based on the Global Hunger Index Pakistan is ranked at 107 of 118 countries .Food insecurity is among major causes of under-nutrition and has been associated with low birth weights. This study aimed to assess the effect of maternal foodinsecurity on birth weight of neonates in Lahore, Pakistan.Ina prospective cohort conducted at Shalamar Hospital Lahore; from April to August 2016, written informed consents were obtained from 103 eligible pregnant women. Data on demography was collected through a structured questionnaire and exposure wasassessed through 6-items Version of U.S. Household Food Security Survey and cohort was followed until delivery, and birth weight was recorded. Follow up could be completed for 50 women only and response rate was 49%. Descriptive statistics were calculated, and relative risk and multinomial logistic Regression were applied using SPSS version 22. Mean maternal age was 28.100+4.824 years, mean education was 12.400+2.138 years, mean BMI was 29.420+5.075 and mean household income was PKR 25641+16251.543. With these characteristics, the mean birth weight of2.814+0.551 kg was recorded. Four percent (n=2) had very low food security and 34% (n=17) women had low food security. Importantly, food unsecured women had a 5.439 times increased risk of delivering a low birth weight neonate (RR=5.439, CI=1.710-17.296, p=0.002). Regression analysis indicated a significant association (AOR 16.076, CI=2.381-108.564, p=0.004).Based onthese studies, it was concluded that food insecurity in pregnancy is associated with low birth weight in neonates. Antenatal screening of food insecurity and timely provision food supplements through social welfare can help reduce neonatal morbidity and mortality.


Author(s):  
Hatice Sarıdemir ◽  
Ozge Surmeli Onay ◽  
Ozge Aydemir ◽  
Ayse Neslihan Tekin

Abstract Objectives Preterm infants are at increased risk for vitamin D deficiency (VDD). We aimed to assess the adequacy of standardized vitamin D supplementation protocol in very low birth weight (VLBW) infants. Additionally, vitamin D status of mother/infant couples and the associations between vitamin D status at birth and morbidities of the infants were investigated. Methods In this single-center, prospective cohort study blood samples were collected from 55 mothers just before delivery and from their infants at birth and on the 30th day of life (DOL) for 25 hydroxy vitamin D (25OHD) measurements. Vitamin D was initiated in dose of 160 IU/kg by parenteral nutrition on the first DOL and oral vitamin D supplementation (400 IU/day) was administered when enteral feedings reached 50% of total intake or on the 15th DOL. Results The median 25OHD levels of the infants were 16.12 (9.14–20.50) in cord blood and 36.32 (31.10–44.44) in venous blood on the 30th DOL (p<0.01). In 98% of the VLBW infants 25OHD reached sufficient levels on the 30th DOL. None of the mothers had sufficient vitamin D levels (25OHD >30 ng/mL). Maternal 25OHD levels were correlated with the 25OHD levels of the infants in cord blood (r=0.665, p<0.001). There was a significant difference in mean cord 25OHD levels between winter (13.65 ± 5.69 ng/mL) and summer seasons (19.58 ± 11.67 ng/mL) (p=0.021). No association was found between neonatal morbidity and vitamin D status. Conclusions The results clearly show that by utilizing the current supplementation protocol, the majority of VLBW infants with deficient/insufficient serum 25OHD levels reached sufficient levels on the 30th DOL. Furthermore, vitamin D levels in mother/infant couples were found to be highly correlated.


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