Clin Nutr Res.  2019 Apr;8(2):129-137. 10.7762/cnr.2019.8.2.129.

Pre-pregnancy Body Mass Index and Maternal Nutrition in Relation to Infant Birth Size

Affiliations
  • 1Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. safarianm@mums.ac.ir
  • 2Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
  • 3Department of Community Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
  • 4Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Victoria, Australia.
  • 5Metabolic Syndrome Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

This cross-sectional study examined the relationship between maternal pre-pregnancy body mass index (BMI) and dietary intake on birth size in the north-east part of Iran. Maternal information including BMI and dietary intake from 453 healthy pregnant women were collected in 2013-2014. Maternal pre-pregnancy BMI were obtained from health records and dietary intakes in third trimester were collected by using a validated food frequency questionnaire (FFQ), which consisted of 160 Iranian foods. Anthropometric measurements of neonates including weight, height, and head circumference were 3.19 ± 0.49 kg, 50.24 ± 2.1 cm, and 34.61 ± 1.5 cm, respectively. A significant difference was found in neonatal birth weight (p < 0.001) and head circumference (p = 0.002) between underweight and obese mothers. Furthermore, maternal intake of fat had a direct correlation with birth size. There was a positive relationship between vitamin A and potassium intake and birth height. The article concludes that normal maternal pre-pregnancy weight and appropriate diet are likely essential for healthy babies.

Keyword

Pregnancy; Birth weight; Body mass index; Diet; Neonate

MeSH Terms

Birth Weight
Body Mass Index*
Cross-Sectional Studies
Diet
Female
Head
Humans
Infant*
Infant, Newborn
Iran
Mothers
Parturition*
Potassium
Pregnancy
Pregnancy Trimester, Third
Pregnant Women
Thinness
Vitamin A
Potassium
Vitamin A

Reference

1. Eriksson J, Forsén T, Tuomilehto J, Osmond C, Barker D. Fetal and childhood growth and hypertension in adult life. Hypertension. 2000; 36:790–794.
Article
2. Barker DJ, Osmond C, Simmonds SJ, Wield GA. The relation of small head circumference and thinness at birth to death from cardiovascular disease in adult life. BMJ. 1993; 306:422–426.
Article
3. Eriksson J, Forsén T, Tuomilehto J, Osmond C, Barker D. Size at birth, childhood growth and obesity in adult life. Int J Obes Relat Metab Disord. 2001; 25:735–740.
Article
4. Ong KK. Size at birth, postnatal growth and risk of obesity. Horm Res. 2006; 65:Suppl 3. 65–69.
Article
5. Borazjani F, Kulkarni SS, Ahmadi K. Impact of maternal factors on birth parameters in urban affluent pregnant women. Pak J Nutr. 2011; 10:325–327.
Article
6. Muthayya S. Maternal nutrition & low birth weight - what is really important? Indian J Med Res. 2009; 130:600–608.
7. Barker DJ, Winter PD, Osmond C, Margetts B, Simmonds SJ. Weight in infancy and death from ischaemic heart disease. Lancet. 1989; 2:577–580.
Article
8. Moghaddam Tabrizi F, Radfar F. A prospective study of hemoglobin status, micronutrient serum levels and nutrient intake of Iranian pregnant women during pregnancy and their relation to birth weight of the neonates. In : Proceedings of 2005 International Workshop on Thermal Investigation of ICs and Systems; 2005 Sep 27–30; Belgirate Lake Maggiore, Italy. Nice: EDA Publishing Association;2014.
9. Singh M, Jain S, Choudhary M. Dietary adequacy of pregnant women of four district of Rajasthan. J Hum Ecol. 2009; 25:161–165.
Article
10. Khoushabi F, Saraswathi G. Impact of nutritional status on birth weight of neonates in Zahedan City, Iran. Nutr Res Pract. 2010; 4:339–344.
Article
11. Singh M, Jain S, Choudhary M. Dietary adequacy of pregnant women of four district of Rajasthan. J Hum Ecol. 2009; 25:161–165.
Article
12. Landman JP, Hall JS. Dietary patterns and nutrition in pregnancy in Jamaica. J Trop Pediatr. 1989; 35:185–190.
Article
13. Frederick IO, Williams MA, Sales AE, Martin DP, Killien M. Pre-pregnancy body mass index, gestational weight gain, and other maternal characteristics in relation to infant birth weight. Matern Child Health J. 2008; 12:557–567.
Article
14. Han Z, Mulla S, Beyene J, Liao G, McDonald SD. Knowledge Synthesis Group. Maternal underweight and the risk of preterm birth and low birth weight: a systematic review and meta-analyses. Int J Epidemiol. 2011; 40:65–101.
Article
15. Yu Z, Han S, Zhu J, Sun X, Ji C, Guo X. Pre-pregnancy body mass index in relation to infant birth weight and offspring overweight/obesity: a systematic review and meta-analysis. PLoS One. 2013; 8:e61627.
Article
16. Lee SE, Talegawkar SA, Merialdi M, Caulfield LE. Dietary intakes of women during pregnancy in low- and middle-income countries. Public Health Nutr. 2013; 16:1340–1353.
Article
17. 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.
Article
18. Daneshi-Maskooni M, Shab-Bidar S, Badri-Fariman M, Aubi E, Mohammadi Y, Jafarnejad S, Djafarian K. Questionnaire-based prevalence of food insecurity in Iran: a review article. Iran J Public Health. 2017; 46:1454–1464.
19. Mortazavi Z, Dorosty AR, Eshraghian MR, Ghaffari M, Ansari-Moghaddam A, Mohammadi M. Household food insecurity in Southeastern Iran: severity and related factors. Int J Food Sci. 2017; 2017:7536024.
Article
20. Siassi F, Mohammad K, Djazayery A, Djalali M, Abdollahi Z, Dorosty AR, Pouraram H, Heshmat R, Khodaverdian K, Sotoudeh G, Yarparvar A. The National Integrated Micronutrient Survey 2012 (NIMS II). Tehran: Ministry of Health and Medical Education;2015.
21. Davoudi N, Khezri M, Asgharpour M, Khatami SM, Hoseinpour M, Azarian AA. Prevalence and related factors of low birth weight in Mashhad, Iran. Iran J Neonatology. 2012; 3:69–76.
22. Ghavi AF, Niknami M, Kazemzadeh A. The relationship between maternal life styles during pregnancy and low birth weight at birth of term neonates. Iran J Obstet Gynecol Infertility. 2012; 15:14–24.
23. Daneshzad E, Yavari P, Rahimi-Foroshani A, Dorosty-Motlagha A, Nadjarzadeh A, Yavari L. Food insecurity, socio-economic status, and educational achievement: a cross-sectional study in high school girls, Noshahr, Iran. J Nutr Sci Diet. 2015; 1:141–148.
24. Shafi H, Dorosty Motlagh AR, Bagherniya M, Daeezadeh A, Safarian M. The association of household food insecurity and the risk of calcium oxalate stones. Urol J. 2017; 14:4094–5000.
25. Nematy M, Nouri M, Ghazizahedi S, Norouzy A, Mohajeri SA, Shalaei N, Safariyan M, Esmaily H. Validity and reproducibility of Iranian food frequency questionnaire. Switz Res Park J. 2013; 102:2137–2146.
26. Kaufman H, Jacques D, Coleman S, Ganzeier G. Prepregnancy body mass index and pregnancy outcome. Obstet Gynecol. 2001; 97:S71.
Article
27. Trumbo P, Schlicker S, Yates AA, Poos M. Food and Nutrition Board of the Institute of Medicine. The National Academies. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. J Am Diet Assoc. 2002; 102:1621–1630.
Article
28. Mitanchez D, Jacqueminet S, Nizard J, Tanguy ML, Ciangura C, Lacorte JM, De Carne C, Foix L'Hélias L, Chavatte-Palmer P, Charles MA, Dommergues M. Effect of maternal obesity on birthweight and neonatal fat mass: a prospective clinical trial. PLoS One. 2017; 12:e0181307.
Article
29. Kirchengast S, Hartmann B. Maternal prepregnancy weight status and pregnancy weight gain as major determinants for newborn weight and size. Ann Hum Biol. 1998; 25:17–28.
Article
30. Margerison-Zilko CE, Shrimali BP, Eskenazi B, Lahiff M, Lindquist AR, Abrams BF. Trimester of maternal gestational weight gain and offspring body weight at birth and age five. Matern Child Health J. 2012; 16:1215–1223.
Article
31. Xiao L, Ding G, Vinturache A, Xu J, Ding Y, Guo J, Huang L, Yin X, Qiao J, Thureraja I, Ben X. Associations of maternal pre-pregnancy body mass index and gestational weight gain with birth outcomes in Shanghai, China. Sci Rep. 2017; 7:41073.
Article
32. Thame M, Wilks RJ, McFarlane-Anderson N, Bennett FI, Forrester TE. Relationship between maternal nutritional status and infant's weight and body proportions at birth. Eur J Clin Nutr. 1997; 51:134–138.
Article
33. Tawfeek H, Abdulla JN, Rasheed AH. Maternal dietary intake and pregnancy outcomes in Baghdad, Iraq. Food Nutr Bull. 1999; 20:179–182.
Article
34. An H, Yin S, Xu Q. Effects of supplementing calcium, iron and zinc on the fetus development and growth during pregnancy. Zhonghua Yu Fang Yi Xue Za Zhi. 2001; 35:370–373.
35. Elias SL, Innis SM. Infant plasma trans, n-6, and n-3 fatty acids and conjugated linoleic acids are related to maternal plasma fatty acids, length of gestation, and birth weight and length. Am J Clin Nutr. 2001; 73:807–814.
Article
36. Hjertholm KG, Iversen PO, Holmboe-Ottesen G, Mdala I, Munthali A, Maleta K, Shi Z, Ferguson E, Kamudoni P. Maternal dietary intake during pregnancy and its association to birth size in rural Malawi: a cross-sectional study. Matern Child Nutr. 2018; 14:e12433.
Article
37. Mani I, Dwarkanath P, Thomas T, Thomas A, Kurpad AV. Maternal fat and fatty acid intake and birth outcomes in a South Indian population. Int J Epidemiol. 2016; 45:523–531.
Article
38. Nagata C, Iwasa S, Shiraki M, Sahashi Y, Shimizu H. Association of maternal fat and alcohol intake with maternal and umbilical hormone levels and birth weight. Cancer Sci. 2007; 98:869–873.
Article
39. Hawkes CP, Grimberg A. Measuring growth hormone and insulin-like growth factor-I in infants: what is normal? Pediatr Endocrinol Rev. 2013; 11:126–146.
40. Nilsen RM, Vollset SE, Monsen AL, Ulvik A, Haugen M, Meltzer HM, Magnus P, Ueland PM. Infant birth size is not associated with maternal intake and status of folate during the second trimester in Norwegian pregnant women. J Nutr. 2010; 140:572–579.
Article
41. Al-Shoshan AA. Diet history and birth weight relationship among Saudi pregnant women. Pak J Med Sci. 2007; 23:176–181.
42. 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.
Article
Full Text Links
  • CNR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr