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dc.contributor.authorKurpad, A.
dc.contributor.authorThomas, T.
dc.contributor.authorSoares, Mario
dc.contributor.authorDwarkanath, P
dc.contributor.editorThai Journal of Clinical Nutrition
dc.identifier.citationKurpad, A.V. and Thomas, T. and Soares, M.J. and Dwarkanath, P. 2011. Influence of antenatal macro-nutrient and food group intakes on small for gestational age babies in South Indian women, in 7th Asia Pacific Conference on Clinical Nutrition, Jun 5-8 2011. Bangkok: APCCN.

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.

dc.publisherThai Journal of Clinical Nutrition
dc.titleInfluence of antenatal macro-nutrient and food group intakes on small for gestational age babies in South Indian women
dc.typeConference Paper
dcterms.source.titleThai Journal of Clinical Nutrition
dcterms.source.seriesThai Journal of Clinical Nutrition
dcterms.source.conference7th Asia Pacific Conference on Clinical Nutrition
dcterms.source.conference-start-dateJun 5 2011
curtin.departmentSchool of Public Health
curtin.accessStatusFulltext not available

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