Determinants of low birth weight in urban Pakistan
Bibliographic Data
| ID | 15091119 |
|---|---|
| Authors | Naveed Z Janjua (0000-0001-5681-719X, Aga Khan University, corresponding author), Elizabeth Delzell (University of Alabama at Birmingham), Rodney R Larson (University of Utah), Sreelatha Meleth (0000-0001-7149-8262, University of Alabama at Birmingham), Sibylle Kristensen (University of Alabama at Birmingham), Edmond K Kabagambe (0000-0002-8993-3186, University of Alabama at Birmingham), Edmond Kabagambe, Nalini Sathiakumar (University of Alabama at Birmingham) |
| Year | 2009 |
| Volume | 12 |
| Issue | 6 |
| Pages | 789-798 |
| Publication date | 2009-06-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980008002942 |
| PMID | 18620611 |
| OpenAlex | W2010742867 |
| Language | EN |
| Citations received | 8 |
| References cited | 38 |
Objective To identify determinants of low birth weight (LBW) in Karachi, Pakistan, including environmental exposures and nutritional status of the mother during pregnancy. Design Cross-sectional study. Participants Five hundred and forty mother–infant pairs. We interviewed mothers about obstetric history, diet and exposure to Pb. We measured birth weight and blood lead level (BLL). We performed multiple log binomial regression analysis to identify factors related to LBW. Results Of 540 infants, 100 (18·5 %) weighed ≤2·5 kg. Umbilical cord BLL was not significantly associated with LBW. Maternal poor self-rated health (adjusted prevalence ratio (adjPR) = 1·83; 95 % CI 1·09, 3·07) and none or one prenatal visit (adjPR = 2·18; 95 % CI 1·39, 3·43) were associated with LBW. A statistically significant interaction between mothers’ mid upper-arm circumference (MUAC) and dietary vitamin C intake was noted. Compared with mothers with MUAC above the median and dietary vitamin C intake above the 3rd quartile (>208·7 mg/d), infants of mothers with MUAC less than or equal to the median and dietary vitamin C intake >208·7 mg/d (adjPR = 10·80; 95 % CI 1·46, 79·76), mothers with MUAC above the median and vitamin C intake ≤208.7 mg/d (adjPR = 10·67; 95 % CI 1·50, 76·02) and mothers with MUAC less than or equal to the median and vitamin C intake ≤208·7 mg/d (adjPR = 13·19; 95 % CI 1·85, 93·79) more likely to give birth to an LBW infant. Conclusions In Pakistan, poor nutritional status and inadequate prenatal care were major determinants of LBW in this setting. Environmental factors including umbilical cord BLL were not significantly associated with LBW
Anthropometry · Birth weight · Confidence interval · Cross-sectional study · Low birth weight · Obstetrics · Pregnancy · Quartile · Vitamin D and neurology · Birth, Development, and Health · Demography · Gestational Diabetes Research and Management · Health disparities and outcomes · Medicine · Internal Medicine · Pediatrics
Prenatal Famine and Adult Health
Risk factors for low birth weight in Nigeria
Changes in skinfolds and mid‐upper arm circumference during pregnancy in Argentine women
Factors Associated with Low Birthweight in Low-and-Middle Income Countries in South Asia
Physical Conflict During Pregnancy
Maternal Fair/Poor Self-Rated Health and Adverse Infant Birth Outcomes
Dietary intakes of women during pregnancy in low- and middle-income countries
In this issue
Social support during pregnancy
Intake of Micronutrient-Rich Foods in Rural Indian Mothers Is Associated with the Size of Their Babies at Birth
Self-rated health in Pakistan
Under-attending free antenatal care is associated with adverse pregnancy outcomes
Fetal programming and adult health
Self-Rated Health and Mortality
Maternal early second trimester pregnancy weight in relation to birth outcome among Bengalee Hindus of Kolkata, India
The association between birthweight, sociodemographic variables and maternal anthropometry in an urban sample from Dhaka, Bangladesh
Long-Term Developmental Outcomes of Low Birth Weight Infants
Poor antenatal care in 20 French districts
Predicting changes in perceived health status
Mid-upper arm circumference in pregnant women and its relation to birth weight
Ethnic and class differences in health in relation to British South Asians
Distress and Perceived Health
| Unique citing works | 8 |
|---|---|
| Citations per year | 0,47 |
| Citation span | 2009 - 2022 (14) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 8 |