Nutr Res Pract.  2010 Aug;4(4):339-344.

Impact of nutritional status on birth weight of neonates in Zahedan City, Iran

• Khoushabi
• Saraswathi G

Abstract

The objective of this study was to measure anthropometric and haemoglobin level and nutrient intake of expecting women in the third trimester of pregnancy and to relate the birth weight of neonates as outcome of pregnancy. A cross sectional study was performed in Zahedan City. Two hospitals situated in the city were selected based on their approval and cooperation. Five hundred healthy pregnant women in the age group 16-40 years were selected for this study. Findings showed that the mean height, weight, fundal height, and haemoglobin of pregnant women were 156.4 cm, 62.6 kg, 34.2 cm, and 11.1g/dl respectively. Nutrient intake was computed based on 24 hour recall method. The results showed that, the mean intake of energy was 1802 Kcal/day. The intake of protein, calcium, iron, zinc and magnesium were 70.7 g, 544.0 mg, 16.1 mg, 10.6 mg and 266.0 mg respectively. Percentage adequacy of nutrient intakes with reference to RDA recommendation showed 95% and 80% of subjects had sufficient RDA intakes, while energy, calcium, iron and zinc intake considered as insufficient. The mean birth weight of neonates was 3.0 kg and 13% of neonates showed low birth weight. Maternal height, weight, fundal height and haemoglobin level were significantly correlated with birth weight of neonates. Energy, protein and calcium intakes in the third trimester were significantly correlated with birth weight of neonates. Using the binary logistic regression analysis fundal height, haemoglobin level and energy intake of pregnant women were considered as predictor factors of birth weight of neonates.

Keyword

Anthropometric measurements; energy intake; nutrient intake; birth weight; Iran

MeSH Terms

Birth Weight
Calcium
Energy Intake
Female
Humans
Infant, Low Birth Weight
Infant, Newborn
Iran
Iron
Logistic Models
Magnesium
Nutrition Policy
Nutritional Status
Parturition
Polymethacrylic Acids
Pregnancy
Pregnancy Trimester, Third
Pregnant Women
Zinc
Calcium
Iron
Magnesium
Polymethacrylic Acids
Zinc

Reference

1. Panwar B, Punia D. Food intake in rural pregnant women of Haryana state, Northern India: Relationship with education and income. Int J Food Sci Nutr. 1998. 49:243–247.

2. Singh M, Jain S, Choudhary M. Dietary adequacy of pregnant women of four district of Rajasthan. J Hum Ecol. 2009. 25:161–165.

3. Landman JP, Hall JE. Dietary patterns and nutrition in pregnancy in Jamaica. J Trop Pediatr. 1989. 35:185–189.

4. Rao S, Yajnik CS, Kanade A, Fall CH, Margetts BM, Jackson AA, Shier R, Joshi S, Rege S, Lubree H, 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. 131:1217–1224.

5. Rao BT, Aggarwal AK, Kumar R. Dietary intake in third trimester of pregnancy and prevalence of LBW: A Community-based study in a rural area of haryana. Indian J Community Med. 2007. 32:272–276.

6. Esmaillzadeh A, Samareh S, Azadbakht L. Dietary patterns among pregnant women in the West-North of Iran. Pak J Biol Sci. 2008. 11:793–796.

7. Kramer MS. Maternal nutrition and adverse pregnancy outcome: an overview. J Nutr. 2003. 133:1592–1596.

8. Jelliffee DB. The assessment of the nutritional status of community. 1966. Geneva: World Health Organization.

9. WHO/UNICEF/UNO. IDA: Prevention, assessment and control. Report of a WHO/UNICEF/UNO Consultation. 1998. Geneva:

10. National Nutrition and Food Technology Research Institute. National Household Food Consumption and Nutrition Status: 2000-02. 2004. Tehran; Iran:

11. National Nutrition and Food Technology Research Institute. Food Composition Table. 1996. Tehran; Iran:

12. Shekh F. Manual of Diet Therapy. Iranian Nutrition Society. 2009. 2nd ed. Tehran; Iran: Salemi Pub.

13. Kramer MS. Maternal nutrition, pregnancy outcome and public health policy. CMAJ. 1998. 159:663–665.

14. Roudbari M, Yaghmaei M, Sohili M. Prevalence and risk factors of low birth weight infants in Zahedan, Islamic Repoblic of Iran. East Mediterr Health J. 2007. 13:838–845.

15. UNICEF/WHO. United nations children's fund and world health organization, Low Birth Weight: Country, regional and global estimates. 2004. Newyork: UNICEF.

16. Rahimi Sharbaf F, Moghimi R, Shadafza B, Shafaie S. The Frequency of LBW and Factors Related to it at Hospital's of Tehran University of Medical Science. J Med Count IRI. 2002. 20:83–88.

17. Som S, Pal M, Adak DK, Gharami AK, Bharati S, Bharati P. Effect of socio-economic and biological variables on birth weight in Madhya Pradesh, India. Mal J Nutr. 2004. 10:159–171.

18. Kato N. Reference birth weight range for multiple birth neonates in Japan. BMC Pregnancy Childbirth. 2004. 4:2.

19. Moore VM, Davies MJ, Willson KJ, Worsley A, Robinson JS. Dietary composition of pregnant women is related to size of the baby at birth. J Nutr. 2004. 134:1820–1826.

20. Zadkarami MR, Rahimi A. Factors associated with birth weight: An application of the multiple skew-normal regression. Res J Obstet Gynecol. 2008. 1:9–17.

21. Al-Shosan A. Diet history and birth weight relationship among Saudi pregnant women. Pak J Med Sci Q. 2007. 23:176–181.

22. Johnson AA, Knight EM, Edwards CH, Oyemade UJ, Cole OJ, Westney OE, Westney LS, Laryea H, Jones S. Dietary intakes, anthropometric measurements and pregnancy outcomes. J nutr. 1994. 124:936–942.

23. Siega-Riz AM, Hobel CJ. Predictors of poor maternal weight gin from baseline anthropometric, psychosocial and demographic information in a Hispanic population. J Am Diet Assoc. 1997. 97:1264–1268.

24. Hickey CA, McNeal SF, Menefee L, Ivey S. Prenatal weight gain within upper and lower recommended ranges: effect on birth weight of black and white infants. Obstet Gynecol. 1997. 90:489–494.

25. Shobiri F, Nazari M. Symphsis-Fundal height and abdominal circumference measurements as indicators for low birth weight. Mal J Nutr. 2006. 12:79–86.

26. Shoberi F, Begum Khyrunnisa, Nazari MA. A prospective study of maternal haemoglobin status of Indian women during pregnancy and pregnancy outcome. Nutr Res. 2006. 26:209–213.

27. Rosenberg AG, Wood RJ, Wang X, Xing H, Chen C, Chen D, Guang W, Huang A, Wang L, Xu X. Preconception haemoglobin and ferritin concentrations are associated with pregnancy outcome in a prospective cohort of Chinese women. J Nutr. 2004. 134:2586–2591.