Role of maternal preconception nutrition on offspring growth and risk of stunting across the first 1000 days in Vietnam: A prospective cohort study

PloS One
Melissa YoungUsha Ramakrishnan

Abstract

Growing evidence supports the role of preconception maternal nutritional status (PMNS) on birth outcomes; however, evidence of relationships with child growth are limited. We examined associations between PMNS (height, weight and body mass index- BMI) and offspring growth during the first 1000 days. We used prospective cohort data from a randomized-controlled trial of preconception micronutrient supplementation in Vietnam, PRECONCEPT (n = 1409). Poisson regression models were used to examine associations between PMNS and risk of offspring stunting (<-2 HAZ) at 2 years. We used path analytic models to examine associations with PMNS on fetal growth (ultrasound measurements) and offspring HAZ at birth and 2 years. All models were adjusted for child age, sex, gestational weight gain, education, socioeconomic status and treatment group. A third of women had a preconception height < 150cm or weight < 43 kg. Women with preconception height < 150 cm or a weight < 43 kg were at increased risk of having a stunted child at 2 years (incident risk ratio IRR: 1.85, 95% CI 1.51-2.28; IRR 1.35, 95% CI 1.10-1.65, respectively). While the traditional low BMI cut-off (< 18.5 kg/m2) was not significant, lower BMI cut-offs (< 17.5 kg/m2 or < 18.0 k...Continue Reading

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Citations

Feb 6, 2019·The American Journal of Clinical Nutrition·Zulfiqar A Bhutta
Mar 16, 2019·The Cochrane Database of Systematic Reviews·Emily C KeatsZulfiqar A Bhutta
Apr 9, 2019·Maternal & Child Nutrition·Ty BealAndrew D Jones
Feb 2, 2021·Annals of Nutrition & Metabolism·Melissa F Young, Usha Ramakrishnan
May 7, 2021·Clinical and Experimental Pediatrics·Agus SantosaDinal Abdul Ghoni

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Methods Mentioned

BETA
SGA

Clinical Trials Mentioned

NCT01665378

Software Mentioned

STATA

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