scholarly journals Association of Prepregnancy Nutritional Status and Physical Activity Levels with Birth Size Outcomes among West Sumatran Pregnant Women: Results from the Vitamin D Pregnant Mothers Cohort Study in Indonesia

2021 ◽  
Vol 9 (E) ◽  
pp. 880-886
Author(s):  
Arif Sabta Aji ◽  
Yusrawati Yusrawati ◽  
Safarina G. Malik ◽  
Chahya Kusuma ◽  
Nurindrawaty Lipoeto
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Vitamin D ◽  
Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Head Circumference ◽  
Birth Size ◽  
Weight Outcomes ◽  
Pregnant Mothers

Background: Maternal and neonatal morbidity is still high in developing countries like in Indonesia. There are several factors may affect maternal health during pregnancy such as physical activity level (PAL) and pre-pregnancy nutritional status. Aim: To analyze the association between maternal physical activity status (PAL) and pre-pregnancy body mass index (PP BMI) with birth size outcomes. Methods: A prospective birth cohort study, Vitamin D Pregnant Mothers (VDPM) Study, to 183 healthy singleton pregnant women. Pre-pregnancy body mass index was classified according to WHO guidelines for Asian Population. Women PAL was measured at the first trimester (T1) and third trimester (T3) during pregnancy using the Global Physical Activity Questionnaire (GPAQ). Birth size outcomes were measured immediately after birth such as birth weight, birth length, and head circumference. Results: Pregnant women at T3 had two times lower physical activity than T1 of pregnancy (OR, 2.18; CI, 1.044-4.57; p = 0.045). Maternal PAL at T1 and T3 were mostly in sedentary level (74.3% and 77.1%, respectively). There was no association between PP BMI, PAL, and birth size outcomes (p > 0.05 for all comparisons). However, the physical activity at T1 had a significant association with birth weight outcomes [MD (95%CI): 155.3 (13.8 – 296.8), p = 0.032]. There was a significant interaction between maternal PAL and PP BMI on birth weight (p interaction = 0.011) and head circumference (p interaction = 0.034). Conclusions: Our study reveals that pre-maternal nutritional status and physical activity behavior during the pregnancy associated with the head circumference and birth weight outcomes. Further large studies are needed to confirm our findings.

Maternal Body Mass Index (BMI) and Mid-Upper Arm Circumference (MUAC) in Early Pregnancy as Predictors of Low Birth Weight Infants

2018 ◽  
Vol 24 (8) ◽  
pp. 6203-6205
Author(s):  
Yoga Dwi Oktavianda ◽  
Syahru Ramadhan ◽  
Thalia Mufida ◽  
Ummul Mukminin ◽  
Rima Irwinda
Keyword(s):  
Body Mass Index ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Early Pregnancy ◽  
Upper Arm ◽  
Maternal Nutritional Status ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Low birth weight is one of the determinants of infant mortality, morbidity, and disability, which can even have an impact on the future. Several studies have suggested that the condition of low birth weight (LBW) infants is influenced by the lack of maternal nutritional status in early pregnancy. Moreover, the prevalence of malnutrition in Indonesia is still high. Therefore, this study attempted to analyze the relationship of maternal nutritional status in early pregnancy as a predictor of LBW infants. Using a cross-sectional study design, this study involved 62 pregnant patients aged 20–35 years who had antenatal visits and a term delivery at Puskesmas Kecamatan Cakung. The measurements of body mass index (BMI) and mid-upper arm circumference (MUAC) in early pregnancy are used to determine the maternal nutritional status. Pregnant women with BMI <18.5 or MUAC <23.5 cm are considered to have less nutritional status. Meanwhile, LBW infants are defined as babies with birth weight <2500 grams. This study proves that the risk of birth of LBW infants is increased in pregnant women with BMI <18.5 (underweight) (OR 5.37) and less MUAC (OR 20.4).

scholarly journals Vitamin D status in Chinese pregnant women and their newborns in Beijing and their relationships to birth size

2012 ◽  
Vol 16 (4) ◽  
pp. 687-692 ◽  
Author(s):  
Shu Jun Song ◽  
Shaoyan Si ◽  
Junli Liu ◽  
Xingming Chen ◽  
Ling Zhou ◽  
...  
Keyword(s):  
Vitamin D ◽  
Birth Weight ◽  
Pregnant Women ◽  
Vitamin D Deficiency ◽  
Cross Sectional Study ◽  
Birth Size ◽  
Vitamin D Status ◽  
Cross Sectional ◽  
Severe Vitamin ◽  
Beijing China

AbstractObjectiveTo evaluate the prevalence of vitamin D deficiency in pregnant women and their newborns in Beijing, China and the influence of vitamin D deficiency on birth size.DesignA cross-sectional study.SettingData were collected from pregnant women who delivered during April to May 2010 at 306 Hospital of PLA in Beijing, China.SubjectsParticipants in the study were seventy healthy nulliparous pregnant women with singleton pregnancies who delivered healthy babies at full term and their newborns.ResultsSevere vitamin D deficiency (25-hydroxyvitamin D (25(OH)D) < 25 nmol/l) was detected in 54·5 % of mothers and 46·6 % of newborns. Neither mothers nor newborns had serum 25(OH)D concentrations that reached the normal level (>75 nmol/l). The concentration of 25(OH)D in mothers was positively correlated with that in cord blood (r = 0·89, P < 0·001). Newborns of mothers with severe vitamin D deficiency had lower birth length and birth weight. The head circumference and birth weight were lower in vitamin D-deficient newborns.ConclusionsThe study indicates that pregnant women and neonates residing in Beijing are at high risk of vitamin D deficiency. Neonatal 25(OH)D concentrations are dependently related to maternal 25(OH)D levels. Maternal and neonatal vitamin D status influences newborn size.

scholarly journals Pre-Pregnancy Maternal Nutritional Status and Physical Activity Levels During Pregnancy Associated with Birth Size Outcomes in Minangkabau Women, Indonesia

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 931-931
Author(s):  
Arif Sabta Aji ◽  
Yusrawati Yusrawati ◽  
Safarina G Malik ◽  
Nur Indrawaty Lipoeto
Keyword(s):  
Physical Activity ◽  
Birth Weight ◽  
Head Circumference ◽  
Doctoral Degree ◽  
First Trimester ◽  
Activity Level ◽  
Birth Cohort Study ◽  
Birth Size ◽  
Master Program ◽  
Research Technology

Abstract Objectives To analyse the association between maternal physical activity status and birth size outcomes and whether other determinants of confounding variable such as pre-pregnancy BMI (PP BMI) and gestational weight gain (GWG) during pregnancy affect birth size outcomes. Methods A prospective birth cohort study. Subject's PAL was measured at the first trimester (T1) and third trimester (T3) during pregnancy. Birth size outcomes were measured immediately after birth. Results The analyses included 183 mother and infant pairs with a mean newborn birth weight of 3211.75 ± 434.70 g. Pregnant women at T3 had two times lower physical activity than T1 of pregnancy (OR, 2.18; CI, 1.044–4.57; P = 0.045). Maternal PAL at T1 and T3 were in sedentary level (74.30% and 77%, respectively). There was no association between PP BMI and physical activity level during pregnancy. We found no significant association between PAL during pregnancy and birth size outcomes (P &gt; 0.05 for all comparisons). However, we had a significant association with birth weight after our confounder adjustment (P = 0.032). There was a significant interaction between maternal PAL and PP BMI on birth weight and head circumference (Pinteraction &lt; 0.05). Conclusions Our study provides evidence that neither maternal physical activity status nor pre-pregnancy BMI in the prenatal period are associated with birth size outcomes (birthweight, birth length, and head circumference). Funding Sources This research was supported by the Ministry of Research, Technology and Higher Education of the Republic of Indonesia (Menristekdikti) with project name The Research of Master Program Leading to Doctoral Degree for Excellent Students (PMDSU Batch-2) in the year of 2018 (Grant No: 050/SP2HL/LT/DRPM/2018) and Indonesian Danone Institute Foundation (Grant No: 007/ROG-D/IDIF/X2016). The views expressed herein are those of the individual authors and do not necessarily reflect those of Indonesia's Danone Institute Foundation (IDIF).

scholarly journals Relationship Between Vitamin D Levels of Women with Gestational Diabetes Mellitus and Birthweight of Their Newborns: Preliminary Results (P11-020-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Patricia Padilha ◽  
Claudia Saunders ◽  
Elisabete Queiroz ◽  
Barbara Nascimento ◽  
Thaissa Lima ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Vitamin D ◽  
Birth Weight ◽  
Gestational Diabetes ◽  
Nutritional Status ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Rio De Janeiro ◽  
Vitamin D Levels ◽  
The Mean

Abstract Objectives To evaluate the relationship between vitamin D levels in women with gestational diabetes and the birth weight of their newborns. Methods This is a cross-sectional study nested in a controlled clinical trial performed in a public maternity hospital in Rio de Janeiro, with a sample composed of adult pregnant women diagnosed with gestational diabetes mellitus, without other chronic morbidities. The nutritional status of vitamin D was classified as 25(OH)D, being classified as: sufficient between 30 and 100 ng/mL; insufficient: between 20 and 29 ng/mL; and deficient below 20 ng/mL. In this analysis, the data regarding the vitamin D levels at the beginning of the study (T0) of the research were considered, and the dependent variable was the birth weight. Pearson's correlation was performed to evaluate the degree of correlation between two continuous variables, being considered as a level of statistical significance the value of P < 0.05. Results The mean maternal age was 35.4 (± 5.9) years (N = 11), and among these, 18.2% (n = 2) had adequate nutritional status, 27.3% (n = 3), overweight and 54, 5% (n = 6), obesity, according to pre-gestational BMI. Among the factors admitted as a risk for hypovitaminosis D (BMI > 25kg/m², brown/black skin color, marital status (married) and occupation), 45.5% (n = 5) presented 3 or more of them. As for nutritional status of vitamin D, 63.6% (n = 7) had insufficiency, 27.3% (n = 3), deficiency and 9.1% (n = 1), sufficiency. The initial mean concentration of 25(OH)D was 21.2 n/mL. It was observed that 72.7% (n = 8) of the pregnant women presented no gestational intercurrences at delivery or in the puerperium, while 18.4% (n = 2) presented unfavorable outcomes. The mean birth weight was 2842.5 (± 1251.1) grams and the mean gestational age at birth was 36.2 (± 6.5) weeks. With respect to neonatal outcomes was observed a significant positive correlation (r = 0, 900; P = 0.037) between serum levels of 25(OH)D at baseline and birthweight. Conclusions Preliminary data indicated that best status of vitamin D is related to higher birthweight values. Funding Sources FAPERJ (FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DO RIO DE JANEIRO).

scholarly journals Vitamin D levels during pregnancy and associations with birth weight and body composition of the newborn: a longitudinal multiethnic population-based study

2017 ◽  
Vol 117 (7) ◽  
pp. 985-993 ◽  
Author(s):  
Åse R. Eggemoen ◽  
Anne K. Jenum ◽  
Ibrahimu Mdala ◽  
Kirsten V. Knutsen ◽  
Per Lagerløv ◽  
...  
Keyword(s):  
Vitamin D ◽  
Birth Weight ◽  
Pregnant Women ◽  
Head Circumference ◽  
Population Based ◽  
Abdominal Circumference ◽  
Anthropometric Measures ◽  
Maternal Vitamin ◽  
Multiethnic Cohort ◽  
Vitamin D Levels

AbstractWe investigated associations between serum 25-hydroxyvitamin D (25(OH)D) in pregnancy and birth weight and other neonatal anthropometric measures. The present study was a population-based, multiethnic cohort study of 719 pregnant women (59 % ethnic minorities) in Oslo, Norway, delivering a singleton neonate at term and with birth weight measurements. In a representative sample, anthropometric measurements were taken. Maternal 25(OH)D was measured at gestational weeks 15 and 28. Women with 25(OH)D <37 nmol/l were recommended vitamin D3 supplementation. Separate linear regression analyses were performed to model the associations between 25(OH)D and each of the outcomes: birth weight, crown–heel length, head circumference, abdominal circumference, sum of skinfolds, mid-upper arm circumference and ponderal index. In early pregnancy, 51 % of the women were vitamin D deficient (25(OH)D<50 nmol/l). In univariate analyses and in models adjusting for maternal age, parity, education, prepregnancy BMI, season, gestational age and neonate sex, maternal 25(OH)D was significantly associated with birth weight, head circumference, abdominal circumference and ponderal index (P<0·05 for all), when used as a continuous variable and categorised (consistently low, consistently high, increasing and decreasing level). However, after adjusting for ethnicity, 25(OH)D was no longer associated with any of the outcomes. Sex-specific associations for abdominal circumference and sum of skinfolds were found (Pfor interaction<0·05). In conclusion, in a multiethnic cohort of pregnant women with high prevalence of vitamin D deficiency, we found no independent relation between maternal vitamin D levels and any of the neonatal anthropometric measures, and the strong association between ethnicity and neonatal outcomes was not affected by maternal vitamin D status.

scholarly journals Influence of vitamin D serum concentration, prenatal care and social determinants on birth weight: a northeastern Brazilian cohort study

2019 ◽  
Vol 122 (03) ◽  
pp. 284-292 ◽  
Author(s):  
Marcos Pereira-Santos ◽  
Gisele Queiroz Carvalho ◽  
Djanilson Barbosa dos Santos ◽  
Ana Marlucia Oliveira
Keyword(s):  
Vitamin D ◽  
Birth Weight ◽  
Prenatal Care ◽  
Serum Concentration ◽  
Pregnant Women ◽  
Social Determinants ◽  
Maternal Education ◽  
Late Onset ◽  
High Birth Weight ◽  
Maternal Vitamin

AbstractThe relationship among social determinants, vitamin D serum concentration and the health and nutrition conditions is an important issue in the healthcare of pregnant women and newborns. Thus, the present study analyses how vitamin D, prenatal monitoring and social determinants are associated with birth weight. The cohort comprised 329 pregnant women, up to 34 weeks gestational age at the time of admission, who were receiving care through the prenatal services of Family Health Units. Structural equation modelling was used in the statistical analysis. The mean birth weight was 3340 (sd 0·545) g. Each nmol increase in maternal vitamin D serum concentration was associated with an increase in birth weight of 3·06 g. Prenatal healthcare with fewer appointments (β −41·49 g, 95 % CI −79·27, −3·71) and late onset of care in the second trimester or third trimester (β −39·24 g, 95 % CI −73·31, −5·16) favoured decreased birth weight. In addition, low socio-economic class and the practice of Afro-Brazilian religions showed a direct association with high vitamin D serum concentrations and an indirect association with high birth weight, respectively. High gestational BMI (β 23·84, 95 % CI 4·37, 43·31), maternal education level (β 24·52 g, 95 % CI 1·82, 47·23) and length of gestation (β 79·71, 95 % CI 52·81; 106·6) resulted in high birth weight. In conclusion, maternal vitamin D serum concentration, social determinants and prenatal care, evaluated in the context of primary healthcare, directly determined birth weight.

scholarly journals The association of women’s birth size with risk of molecular breast cancer subtypes: a cohort study

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marie S. Sandvei ◽  
Signe Opdahl ◽  
Marit Valla ◽  
Pagona Lagiou ◽  
Ellen Veronika Vesterfjell ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Birth Weight ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Head Circumference ◽  
Birth Length ◽  
Birth Size ◽  
Luminal A ◽  
Cancer Subtypes ◽  
Luminal B

Abstract Background Because birth size appears to be positively associated with breast cancer risk, we have studied whether this risk may differ according to molecular breast cancer subtypes. Methods A cohort of 22,931 women born 1920–1966 were followed up for breast cancer occurrence from 1961 to 2012, and 870 were diagnosed during follow-up. Archival diagnostic material from 537 patients was available to determine molecular breast cancer subtype, specified as Luminal A, Luminal B (human epidermal growth factor receptor 2 (HER2)-), Luminal B (HER2+), HER2 type, and Triple negative (TN) breast cancer. Information on the women’s birth weight, birth length and head circumference at birth was used to estimate hazard ratios (HR) with 95% confidence intervals (CI) for each molecular subtype, applying Cox regression, and stratified by maternal height. Results Birth length (per 2 cm increments) was positively associated with Luminal A (HR = 1.2, 95% CI, 1.0–1.3), Luminal B (HER2+) (HR = 1.3, 95% CI, 1.0–1.7), and TN breast cancer (HR = 1.4, 95% CI, 1.0–1.9). No clear association was found for birth weight and head circumference. The positive associations of birth length were restricted to women whose mothers were relatively tall (above population median). Conclusion We found a positive association of birth length with risk of Luminal A, Luminal B (HER2+) and TN breast cancer that appears to be restricted to women whose mothers were relatively tall. This may support the hypothesis that breast cancer risk is influenced by determinants of longitudinal growth and that this finding deserves further scrutiny.

scholarly journals BIRTH WEIGHT AND OVERWEIGHT IN ADOLESCENTS: THE ERICA PROJECT IN THE CITY OF RECIFE, PERNAMBUCO

2021 ◽  
Vol 39 ◽  
Author(s):  
Kamilla Brianni de Araújo Gomes ◽  
Vanessa Sá Leal ◽  
Juliana Souza Oliveira ◽  
Crislaine Gonçalves da Silva Pereira ◽  
Fabiana Cristina Lima da Silva Pastich Gonçalves ◽  
...  
Keyword(s):  
Physical Activity ◽  
Birth Weight ◽  
Nutritional Status ◽  
Abdominal Obesity ◽  
Poisson Regression ◽  
High Birth Weight ◽  
Cardiovascular Risks ◽  
Anthropometric Parameters ◽  
Biological Variables ◽  
Maternal Overweight

ABSTRACT Objective: To verify the association of anthropometric parameters at birth, socioeconomic and biological variables, physical activity, and parental nutritional status with overweight and abdominal obesity in adolescents. Methods: A cross-sectional study was carried out on 39 public and private schools in Recife (state of Pernambuco, Brazil). The sample consisted of 1,081 teenagers aged from 12 to 17 years. Data were collected from the Study of Cardiovascular Risks in Adolescents (ERICA). Body mass index according to age (BMI-for-age), waist circumference (WC), and waist-to-height ratio (WtHR) were considered as outcome variables, whereas the explanatory variables were birth weight, Röhrer’s Ponderal Index (RPI), biological and socioeconomic variables, physical activity, and parental nutritional status. The crude and adjusted prevalence ratios (PR) for the studied association were estimated by Poisson Regression. Results: The multivariate Poisson regression showed that the variable that remained significantly associated with overweight in adolescence was maternal overweight, PR=1.86 (95% confidence interval [95%CI] 1.09-3.17). High birth weight also remained significantly associated with abdominal obesity assessed by WC, PR=3.25 (95%CI 1.0-9.74). Conclusions: High birth weight may be a marker for abdominal obesity in adolescence; and high maternal BMI, for overweight.

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