scholarly journals Association of maternal dietary patterns with child birth weight and size in India: Evidence from National Family Health Survey, 2005 to 2016

2022 ◽  
Vol 8 (12) ◽  
pp. 416-425
Author(s):  
Brajesh Brajesh ◽  
Chander Shekhar

Background: Maternal dietary diversity during pregnancy is a major determinant of birth weight and birth size of infant. During pregnancy, mother diet is highly dependent on their topographical, cultural, and sociodemographic circumstances. Objective: The objective of the study was to assess the association between the maternal dietary intake with child birth weight and birth size along with the sociodemographic factors in India. Materials and Methods: The data for this study were drawn from the National Family Health Survey (NFHS), 2005 to 2006 and 2015 to 2016 held in India. Inferential statistical analysis Chi-square was built to test was used to examine the association between maternal dietary patterns, and logistic regression model was used to analyze the effect of mother’s dietary patterns on child birth weight and size by controlling the sociodemographic factors. Results: Mother’s daily intake of fish, meat, green leafy vegetables, and fruits was associated with higher birth weight or size and lower risk of intrauterine growth retardation. Women with ?2 dietary diversity categories had significantly higher proportion of low birth weight (LBW) and size of babies comparatively to those in the ?2 dietary diversity categories, there were lesser chance of LBW and small size of babies with women’s dietary diversity 3 (odds ranges from 1.09 to 1.44) or ?4 (odds ranges from 1.15 to 1.59). Furthermore, low birth order, mother’s underweight status, low maternal education, and wealth status significantly have positive association with the poor birth outcomes. Conclusion: The birth weight and size of newborns were found positively associated with the mother’s dietary intake. To meet the aim of maternal dietary diversity and to achieve the double bonus, the government should focus more on supplementation and food security programs during pregnancy that also include nutritional education as well as behavioral and social change interventions strategies.

2019 ◽  
Vol 40 (4) ◽  
pp. 471-487
Author(s):  
Nizamuddin Khan ◽  
Arupendra Mozumdar ◽  
Supreet Kaur

Background: This study assessed the trend of minimum acceptable dietary practices among children aged 6 to 23 months in India in the past decade. Methods: Data collected in the National Family Health Survey during 2005 to 2006 (NFHS-3) and 2015 to 2016 (NFHS-4) were used. The sample size for this study was 11 727 children for NFHS-3 and 61 158 children for NFHS-4. Bivariate and multivariate analyses were done to identify the predictors of feeding practices. We analyzed data of last-born singleton children aged 6 to 23 months who were living with their mother (ever-married women aged 15-49 years). Results: In India, a low proportion (10%) of children aged 6 to 23 months received a minimum acceptable diet, and its estimate remained the same in the past 10 years. Older mothers, educated mothers, antenatal care, high economic status, and place of residence were the most consistent predictors of minimum acceptable dietary intake. Over the past decade, however, the minimum acceptable dietary intake has declined among older children (odds ratio [OR] = 0.57, 95% confidence interval [CI], 0.47-0.70; P < .001), children with overweight mothers (OR = 0.40, 95% CI, 0.31-0·50; P <.001), and children of well-off families (OR = 0.29, 95% CI, 0.23-0.37; P < .001). The odds for minimum acceptable dietary intake were significantly higher among children of high (4+) birth order (OR = 1.74, 95% CI, 1.41-2.15; P < .001), rural areas, and children living in the central, eastern, and north-eastern region. Conclusion: Results indicate the need for further investigations of poor dietary intake among children living in well-off families and in the northern region. This study suggests policymakers and program managers to address contextual barriers against minimum acceptable dietary intake among children and to reconsider existing strategies in India.


2020 ◽  
Vol 12 ◽  
pp. 100700
Author(s):  
Ajit Kumar Kannaujiya ◽  
Kaushalendra Kumar ◽  
Ashish Kumar Upadhyay ◽  
Lotus McDougal ◽  
Anita Raj ◽  
...  

2020 ◽  
Author(s):  
Ananta Ghimire ◽  
Aravind Dharmaraj

Abstract Background Undernutrition continues to be a major public health problem throughout the world. The present study aimed to understand the prevalence and determinants of undernutrition in India and determine what extent it differs by birth order, other child level, maternal and socioeconomic factors.MethodsThis study used information from a total weighted sample of 128859 mothers from India National Family Health Survey 4. Univariate and Multivariate logistic regression were used to investigate the association between undernutrition with birth order, other child level, maternal and socio-economic factors. Three models were constructed for the study, model 1 as univariate, model 2 adjusting with birth order and socioeconomic predictors and model 3 adjusting with all the predictors included in the study. Results The prevalence of stunting, underweight and wasting were 37.9, 34.0 and 20.7 respectively. The mean age of children was 2.4 years (standard deviation 1.3) of which majority were second order birth (33.6%), males (54.5%), anemic (58.9%) and normal birth weight (87.2%). All three models showed that higher birth order was a strong predictor of a child being stunted and underweight after adjusting for potential confounders. Children with lower wealth quintiles, anemia, male, low birth weight and vaginal delivery had higher odds of being stunted, wasted and underweight in model-3 adjusted analysis.Conclusion The findings from this study provide an important interaction between birth order and child undernutrition status in India. However, further longitudinal studies are required to establish such cause-effect relationship between birth order and undernutrition.


2021 ◽  
Vol 9 ◽  
pp. 360-366
Author(s):  
Nutan Kumari ◽  
Kisan Algur ◽  
Praveen Kailash Chokhandre ◽  
Pradeep S. Salve

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244562
Author(s):  
Ankita Zaveri ◽  
Pintu Paul ◽  
Jay Saha ◽  
Bikash Barman ◽  
Pradip Chouhan

Objective Low birth weight (LBW) is a serious public health problem in low- and middle-income countries and a leading cause of death in the first month of life. In India, about 18% of children are born with LBW (<2500 grams) in 2015–16. In this study, we aim to examine the influence of maternal factors and socio-demographic covariates on LBW in Indian children. Methods Data were drawn from the fourth round of the National Family Health Survey (NFHS-4), conducted in 2015–16. A cross-sectional study was designed using a stratified two-stage sampling technique. Cross-tabulation, Pearson’s chi-squared test, and multivariate logistic regression analyses were employed to assess the impact of maternal factors and other covariates on children’s LBW. Results Of total participants (n = 147,762), 17.5% of children were found to be born with LBW. The study revealed that women who had prior experience of stillbirth (Adjusted odds ratio [AOR]: 1.20, 95% CI: 1.04–1.38) and any sign of pregnancy complications (AOR: 1.08, 95% CI: 1.05–1.11) were more likely to have LBW children, even after adjusting for a range of covariates. Maternal food diversity was found to a protective factor against children’s LBW. Women with underweight and anemic condition were associated with an increased likelihood of LBW children. Regarding maternity care, women who attended ≥4 ANC visits (AOR: 0.84, 95% CI: 0.80–0.88), took iron tablets/syrup during pregnancy (AOR: 0.94, 95% CI: 0.90–0.98), and delivered in a public health facility (AOR: 0.84, 95% CI: 0.79–0.88) were less likely to have LBW babies. Besides, various socio-demographic factors such as place of residence, caste, religion, education, wealth quintile, and geographical region were significantly associated with LBW of children. Conclusion Interventions are needed for adequate ANC utilization, improvement in public facility-based delivery, providing iron supplementation, and uptake of balanced energy-protein diet among pregnant mothers. Besides, special attention should be given to the socio-economically disadvantaged women to address adverse pregnancy and birth outcomes including LBW.


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