Influence of antenatal macro-nutrient and food group intakes on small for gestational age babies in South Indian women
MetadataShow full item record
Background: The incidence of small for gestational age babies (SGA) is high in India (~30 %). The cause of SGA is multi-factorial, with a number of nutrients having a critical role. While maternal energy and protein have been a focus of attention, intakes of certain food groups have also shown to be related to birthweight. Objective: To uncover relationships of macronutrients and food group intakes with SGA in Indian pregnant women. Design: A cohort of 637 singleton pregnant women was studied at each trimester until delivery. Dietary and food group intake was measured by a 3-month food frequency questionnaire and maternal anthropometry recorded at each trimester. Birth outcome was recorded at hospital delivery. Results: The mean energy, protein, fat intakes were 2111kcal/d, 61.4, 56.9g/d, with median intake of cereals, fish, eggs and milk products as 256.2, 1.61, 10.5, 268.1g/d during pregnancy. The pregnant women met the protein requirements in the 1st and were close to the 2nd trimester requirements. The mean birthweight was 2.8kg and 28.8% of the babies were born SGA. Mother's of SGA babies weighed less as compared to the mother's of non SGA babies in all 3 trimesters. They also had significantly lower energy adjusted protein and fat intakes in the 2nd trimester and had low intakes of milk products and cereal by ~71 and 28 g/d. A logistic regression model adjusting for maternal and antenatal factors in the 2nd trimester, showed that mother's in the lowest tertile of protein intake had 3.06 times (95% CI: 1.51, 6.22) higher risk of developing a SGA baby.Conclusion: Our findings confirm that protein and fat intakes during 2nd trimester are significant determinants of SGA. Importantly, the data suggest that a renewed focus on improving milk and cereal intake would assist public health nutrition measures in combating this serious issue.
Showing items related by title, author, creator and subject.
The relationship of maternal micronutrient intakes of Vitamin B12, vitamin B6, folate and calcium on intrauterine growth retardation and birth weight : a prospective cohort study of urban South Indian pregnant womenDwarkanath, Pratibha (2011)The period of intrauterine growth and development is one of the most vulnerable periods in the human life cycle. The weight of the infant at birth is a powerful predictor of infant growth and survival, and is ...
Dwarkanath, Pratibha; Thomas, T.; Kurpad, A.; Soares, Mario (2011)Calcium intakes during pregnancy may play an important role in attenuating pregnancy induced hypertension(PIH) and in determining pre-term birth (<37 weeks of gestation). Routine calcium supplementation is in partadvocated ...
A randomised controlled trial of twelve months protein supplementation on muscle mass and strength in elderly womenMeng, Xingqiong (Rosie) (2010)Background. Aging is associated with progressive loss of muscle (sarcopenia), which can lead to reduced muscle strength and an increased risk of falls. Sarcopenia exists in otherwise healthy elderly people and its aetiology ...