Maternal Food Consumption Patterns and Risk of Low Birth Weight in Rural Maharashtra

Jump To References Section

Authors

  • Dept. of Community Medicine, MIMER Medical College, Talegaon Dabhade, Maharashtra ,IN
  • Biometry & Nutrition Group, Agharkar Research Institute, Pune - 411 004 ,IN

Keywords:

Low Birth Weight, Maternal BMI, Maternal Dietary Consumption.

Abstract

Inadequate nutritional intakes, both in quality and quantity, during gestation have strong impact on birth outcome. Therefore, maternal consumption of specific food(s), besides total nutrient intake may influence birth weight. But the experimental evidence is scarce. The study was conducted on 354 full term mothers from rural Maharashtra for socioeconomic, demographic and anthropometric (maternal and neonatal) measures. Dietary consumption pattern was assessed using semi quantitative food frequency questionnaire (FFQ). Mothers were thin (weight 46±17.2 kg), short (height 151±15.8 cm) and 25.2 % were undernourished (BMI <18 kg/m2). Mean birth weight was 2548±309 g while the prevalence of low birth weight (LBW) was 44.8 % and was inversely associated with maternal weight (p=0.021) and BMI (p=0.013). Maternal diets were predominantly cereal based, lacked variety and 75% of the mothers were having calorie intake below 80% of RDA while 50 and 20% were below this cut off for protein and fat intake respectively. Significantly high risk for LBW was seen for young (<20 yrs) mothers (OR=2.25; CI: 1.14-4.48), those with low family income < Rs. 2000) (OR=2.77; CI: 1.43-5.35) and with low BMI (<18.5 kg/m2) (OR=2.26; CI: 1.32-3.87). Additionally, significant risk for LBW was seen for lower consumption (<1/day) of roti (OR=2.4; CI: 0.80-7.24) and no consumption of milk (OR=2. 3; CI: 1.16-4.75). Observations underscored the importance of maternal diet as dietary modification offers the only modifiable avenue for improving birth weight inpoor populations.

Downloads

Download data is not yet available.

Published

2015-06-01

How to Cite

Raje, S., & Rao, S. (2015). Maternal Food Consumption Patterns and Risk of Low Birth Weight in Rural Maharashtra. The Indian Journal of Nutrition and Dietetics, 52(2), 153–165. Retrieved from http://www.informaticsjournals.com/index.php/ijnd/article/view/2457

 

References

World Health Organization. Maternal anthropometry and pregnancy outcome: A WHO collaborative study. Bull. World Health Org., 1995a; 73 (Suppl): 1-98.

Gopalan, C. Low birth weight in nutrition research in South East Asia: The emerging agenda of the future. World Health Organization. Regional Office for South East Asia, New Delhi. 1994 a: 13-31.

Rao, S., Yajnik, C.S., Kanade, A., Fall, C.H.D., Margetts, B.M., Jackson, A.A., Shier, R., Joshi, S., Rege, S., Lubree, H. and Desai, B. Intake of micronutrient-rich foods in rural Indian mothers is associated with the size of their babies at birth: Pune Maternal Nutrition Study. J. Nutr., 2001, 131(4), 1217-1224.

Olsen, S.F. et al. Milk consumption during pregnancy is associated with increased infant size at birth: prospective cohort study. Am. J. Clin. Nutr., 2007, 86(41), 1104-1110.

Mahama Saka. Maternal dietary diversity and infant outcome of pregnant women in Northern Ghana. Int. J. Child Health and Nutr., 2012, 148-156.

Kramer, M.S. Determinants of low birth weight: Methodological assessment and meta-analysis. Bull. World Health Org., 1987, 65, 663-737.

Aparajita Dasgupta and Rivu Basu. Determinants of low birth weight in a Block of Hooghly, West Bengal: A multivariate analysis. Int. J. Biol. Med. Res., 2011, 2(4), 838-842.

Mumbare, S.S. et al., Maternal risk factors associated with term low birth weight neonates: A matched-pair case control study. Ind. Pediat., 2012, 49, 25-28.

Das, J .C. and Nibedita Paul. Association of maternal socio biological factors with birth weight of newborn baby. JCMCTA, 2008, 19(1), 37-42.

Badshah, S. et al Risk factors for low birth weight in the public-hospitals at Peshawar, NWFP-Pakistan. BMC Publ. Health, 2008, 8, 197.

Prakasam, C.P. Mother's reproduction and pregnancy loss in a rural set up. Demography India. 1993, 22 (2), 155-168.

Thame, M. and Wilks, R.J. McFarlane-Anderson, N., Bennett, F.I., Forrester, T.E., Relationship between maternal nutritional status and infant's weight and body proportions at birth. Eur. J. Clin Nutr., 1997, 51(3), 134-138.

Lenders, C.M., McElrath, T.F. and Scholl, T.O., Nutrition in adolescent pregnancy. Curr. Opin. Pediat, 2000, 12(3), 291-296.

Rao, S., Gokhale, M., Joshi, S. and Kanade, A., Early life undernutrition and adolescent pregnancy outcome in rural India. Ann. Hum. Biol, 2010, 37(4), 475-487.

Fraser, A.M., Brockert, J .E. and Ward, R.H., Association of young maternal age with adverse reproductive outcome. New Eng. J. Med., 1995, 332(17), 1113-1118.

Deshpande, J.D., Phalke, D.B., Bangal, V.B., Peeyuusha, D. and Bhatt Sushen, Maternal risk factors for low birth weight neonates: a hospital based case-control study in rural area of western Maharashtra, India. National J. Comm. Med., 2011, 2(3), 394-398

Nahar, S., Mascie-Taylor, C.G.N. and Begum, H.A., Maternal anthropometry as a predictor of birth weight. Pub. Health Nutr., 2007, 10(9), 965-970.

Panwar, B. and Punia, D., Food intake of rural pregnant women of Haryana state, Northern India: Relationship with education and income. Int. J. Fd. Sci. Nutr., 1998, 49(3), 243-247.

Arlappa, N., Laxmaiah, A., Balakrishna, N. and Brahmam, G.N.V., Consumption pattern of pulses, vegetables and nutrients among rural population in India. African J. Fd. Sci., 2010, 4(10), 668-675.

Garg, A. and Kashyap, S., Effect of counselling on nutritional status during pregnancy. Ind. J. Pediat., 2006, 73(8), 687-692.

Mannion, C.A., Gray-Donald, K. and Koski, K.G., Association of low intake of milk and vitamin D during pregnancy with decreased birth weight. Cmaj., 2006, 174(9), 1273-1277.

Atallah, A.N., Hofmeyr, G.J. and Duley, L., Calcium supplementation during pregnancy for preventing hypertensive disorders and related problems. Cochrane Database Syst. Rev., 2000, (3), CD001059.

Imdad, A. and Bhutta, Z.A., Effects of calcium supplementation during pregnancy on maternal, fetal and birth outcomes. Paediat. Perinat. Epidemiol, 2012, 1, 138-152.

Purwar, M., Kulkarni, H., Motghare, V. and Dhole, S., Calcium supplementation and prevention of pregnancy induced hypertension. J. Obstet. Gynaecol. Res., 1996, 22, 425-430.

Nutrient requirements And Recommended dietary allowances For Indians. A Report of the Expert Group of the Indian Council of Medical Research 2009. National Institute of Nutrition, Indian Council of Medical Research, Jamai-Osmania PO, Hyderabad.

Sahoo, S. and Panda, B., A study of nutritional status of pregnant women of some villages in Balasore District, Orissa. J. Hum. Ecol., 2006, 20(3), 227-232.

Choudhary, A.K., Choudhary, A., Tiwari, S.C. and Dwivedi, R., Factors associated with low birth weight among newborns in an urban slum community in Bhopal. Ind. J. Pub. Health, 2013, 57, 20-23.

Fahimeh Khoushabi and Saraswathi, G., Association between maternal nutrition status and birth weight of neonates in selected hospitals in Mysore city, India. Pak. J. Nutr., 2010, 9 (12), 1124-1130.

Most read articles by the same author(s)