Poor Maternal Nutritional Status or HIV Infection and Infant Outcomes: Evidence from India and Africa

2017 ◽  
pp. 453-464
Author(s):  
Sarah Helen Kehoe ◽  
Marie-Louise Newell
2015 ◽  
Vol 7 (2) ◽  
pp. 144-162 ◽  
Author(s):  
S. V. Wrottesley ◽  
C. Lamper ◽  
P. T. Pisa

Maternal nutritional status (MNS) is a strong predictor of growth and development in the first 1000 days of life and may influence susceptibility to non-communicable diseases in adulthood. However, the role of nutrition during this window of developmental plasticity in Africa is unclear. This paper reviews published data to address whether maternal nutrition during the first 1000 days is important for Africa, with a focus on MNS and its associations with fetal growth and birth, neonatal and infant outcomes. A systematic approach was used to search the following databases: Medline, EMBASE, Web of Science, Google Scholar, ScienceDirect, SciSearch and Cochrane Library. In all, 26 studies met the inclusion criteria for the specific objectives. MNS in Africa showed features typical of the epidemiological transition: higher prevalences of maternal overweight and obesity and lower underweight, poor diet quality 1 and high anaemia prevalence. Maternal body mass index and greater gestational weight gain (GWG) were positively associated with birth weight; however, maternal overweight and obesity were associated with increased risk of macrosomia and intrauterine growth restriction. Maternal anaemia was associated with lower birth weight. Macro- and micronutrient supplementation during pregnancy were associated with improvements in GWG, birth weight and mortality risk. Data suggest poor MNS in Africa and confirms the importance of the first 1000 days as a critical period for nutritional intervention to improve growth, birth outcomes and potential future health risk. However, there is a lack of data beyond birth and a need for longitudinal data through infancy to 2 years of age.


Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 860
Author(s):  
Oraporn Dumrongwongsiri ◽  
Pattanee Winichagoon ◽  
Nalinee Chongviriyaphan ◽  
Umaporn Suthutvoravut ◽  
Veit Grote ◽  
...  

Zinc and iron deficiencies among infants aged under 6 months may be related with nutrient store at birth. This study aimed to investigate the association between zinc and iron stores at birth with maternal nutritional status and intakes during pregnancy. 117 pregnant women were enrolled at the end of second trimester and followed until delivery. Clinical data during pregnancy, including pre-pregnancy body mass index (BMI) and at parturition were collected from medical record. Zinc and iron intakes were estimated from a food frequency questionnaire. Serum zinc and ferritin were determined in maternal blood at enrollment and cord blood. Mean cord blood zinc and ferritin were 10.8 ± 2.6 µmol/L and 176 ± 75.6 µg/L, respectively. Cord blood zinc was associated with pre-pregnancy BMI (adj. ß 0.150; p = 0.023) and serum zinc (adj. ß 0.115; p = 0.023). Cord blood ferritin was associated with pre-pregnancy BMI (adj. ß −5.231; p = 0.009). Cord blood zinc and ferritin were significantly higher among those having vaginal delivery compared to cesarean delivery (adj. ß 1.376; p = 0.007 and 32.959; p = 0.028, respectively). Maternal nutritional status and mode of delivery were significantly associated with zinc and iron stores at birth. Nutrition during preconception and pregnancy should be ensured to build adequate stores of nutrients for infants.


2021 ◽  
Vol 8 (1) ◽  
pp. 001-012
Author(s):  
Wahyu Nuraisya ◽  
Wahyu Erdi

Stunting in Indonesia was the fifth ranks in the world, influenced by many factors, some of which are the height of the parents and the nutritional status of the mother during pregnancy. The purpose of this research was to determine the correlation of parent height characteristics and maternal nutritional status during pregnancy based on Upper Arm Circumference (UAC) with stunting incidence in toddlers aged 24-59 months in the working area of the Berbek Public Health Center Nganjuk Regency. The research design used correlation analytic research design with observational method with case control approach. The independent variables consisted of parental height characteristics and maternal nutritional status during pregnancy based on UAC, and the dependent variable was stunting incidence. The population was 2266 respondents of under-five children aged 24-59 months. The sampling technique used quota sampling consisted 96 respondents. The instrument used height measurement tool, the Mother's Child Health book and the Public Health Center Weigh Activity Report, 2011. This research was conducted from 22 July to 22 August 2019 in three selected villages namely Sumberurip, Sumberwindu and Semare villages. Data analysis used chi-square test α (0.05). The results showed that almost all mothers and fathers had normal height characteristics, almost all respondents had the nutritional status of the mother during normal pregnancy. Analysis of height, circumference of the mother, and nutritional status of the mother during pregnancy based on Upper Arm Circumference (UAC) was obtained ρ value = 0.036; 0,000 and 0,000 <α 0,05. It meant that there was a correlation between parental height characteristics and maternal nutritional status during pregnancy based on Upper Arm Circumference (UAC) with the incidence of stunting in children aged 24-59 months in the Berbek Public Health Center Nganjuk Regency Parental height and nutritional status of the mother during normal pregnancy, it will have the opportunity to have a child with good growth.


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