Management of undernutrition during preconception and pregnancy in an urban setting in North India
Bibliographic Data
| ID | 22076407 |
|---|---|
| Authors | Neeta Dhabhai (0000-0001-5548-2834, Society for Applied Studies), Ranadip Chowdhury (0000-0002-0055-6653, Society for Applied Studies, corresponding author), Sunita Taneja (0000-0003-3338-9799, Society for Applied Studies), Medha Shekhar (0000-0002-5205-7274, Society for Applied Studies), Jasmine Kaur (0000-0001-7171-4922, Society for Applied Studies), Pratima Mittal (0000-0002-3268-3681, Vardhman Mahavir Medical College & Safdarjung Hospital), Rupali Dewan (Vardhman Mahavir Medical College & Safdarjung Hospital), Neeraj Bhandari (0000-0003-0349-087X, Society for Applied Studies) |
| Year | 2024 |
| Volume | 12 |
| Pages | 1405247-1405247 |
| Publication date | 2024-08-29 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2024.1405247 |
| PMID | 39267647 |
| OpenAlex | W4402020556 |
| Language | EN |
| References cited | 14 |
Introduction: The prevalence of underweight in women of reproductive age (WRA) in South Asia remains unacceptably high. Underweight women suffer from lowered immunity, infertility, and a risk of developing non-communicable diseases. In pregnancy, undernutrition results in poor neonatal and maternal outcomes. We present the findings and the management strategy of undernutrition in the preconception and pregnancy phase intervention group in the WING study in low- to lower-middle-income neighborhoods of North India. Methods: We analyzed data from the Women and Infants Integrated Interventions for Growth Study (WINGS) intervention group. In this individually randomized factorial design trial, 13,500 women were enrolled from low to middle-income neighborhoods of Delhi: 6,722 women in the preconception group and 2,640 from the pregnancy group. Food supplements in the form of locally prepared snacks were given to provide necessary calories and protein requirements as per the Body mass index (BMI) during the preconception period and each trimester of pregnancy. The snacks (sweet or savory) and milk or egg as a source of high-quality protein were delivered at home, and intakes were observed. Individual tracking and close monthly monitoring were done for compliance, besides screening and treatment of infections. Results: The enrolled women's mean (SD) age was 24.2 (3.1) years. Approximately 35% of women had a height of 12 years. 17% of women in preconception and 14 % in pregnancy intervention groups were Underweight. Approximately two-thirds of underweight women improved 9-12 months after management in the preconception group, and the same proportion improved 4 weeks after management during pregnancy. The proportion of women with inadequate weight gain (IWG) during pregnancy was higher in women who were underweight during preconception. Discussion: A comprehensive approach to managing undernutrition with high-quality energy-dense food supplementation substantially improved weight gain in women during preconception and pregnancy. Clinical trial registration: http://ctri.nic.in/Clinicaltrials/pmaindet2.php?trialid=19339%26EncHid=%26userName=societyforappliedstudies, identifier: Clinical Trial Registry India #CTRI/2017/06/008908
Anthropometry · Body mass index · Calorie · Environmental health · Malnutrition · Obstetrics · Overweight · Pregnancy · Psychological intervention · Randomized controlled trial · Underweight · Cancer Research and Treatment · Child Nutrition and Water Access · Demography · Gestational Diabetes Research and Management · Medicine · Nursing · Internal Medicine · Pediatrics
| Highly cited | No |
|---|