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- Title
Prevalence and determinants of gestational weight gain among pregnant women in Niger.
- Authors
Ouédraogo, Césaire T.; Wessells, K. Ryan; Young, Rebecca R.; Faye, M. Thierno; Hess, Sonja Y.
- Abstract
Low gestational weight gain (GWG) and low mid‐upper arm circumference (MUAC) are associated with adverse pregnancy outcomes. We aimed to assess the prevalence and determinants of low GWG and low MUAC among pregnant women in rural Zinder, Niger. A community‐based survey was conducted among 1,384 pregnant women in the catchment areas of 18 integrated health centers in the region of Zinder, Niger. Weight and MUAC were measured during an in‐home visit and again 1 month later, when haemoglobin concentration and micronutrient status were also assessed. The prevalence of low GWG was defined based on the 2009 United States Institute of Medicine (U.S. IOM) guidelines (<0.35 kg/week) and less than the third centile of the International Fetal and Newborn Growth Consortium for the 21st Century (INTERGROWTH‐21st) standards. Factors associated with GWG and MUAC were identified using logistic regression models adjusting for season, village, and gestational age. The median (interquartile range) age was 25.0 (20.7, 30.0) years, and 16.4% were ≤19 years. The prevalence of low GWG were 62.9% and 27.5% according to 2009 IOM and less than the third INTERGROWTH‐21st centile, respectively; 24.9% had low MUAC. Higher α‐1‐acid glycoprotein (OR = 1.7, 95% CI [1.1, 2.8]) and C‐reactive protein (OR = 1.2, 95% CI [1.02, 1.50]) increased the odds of low GWG. Adolescents (OR = 2.7, 95% CI [1.8, 4.0]), housewives (OR = 1.97, 95% CI [1.36, 2.86]), and those who reported recent food assistance (OR = 1.80, 95% CI [1.04, 3.11]) had higher odds of low MUAC. Prevalence of low GWG and low MUAC was high among pregnant women. Determinants of GWG and MUAC included socio‐economic, demographic, and biological factors, although only markers of inflammation were consistent predictors across different definitions of low GWG.
- Subjects
NIGER; MALNUTRITION; ANTHROPOMETRY; C-reactive protein; COMMUNITY health services; COMPARATIVE studies; CONFIDENCE intervals; GLYCOPROTEINS; HEALTH service areas; HEMOGLOBINS; INTEGRATED health care delivery; INTERVIEWING; RESEARCH methodology; MEDICAL protocols; MOTHERS; NUTRITIONAL assessment; NUTRITIONAL requirements; PREGNANT women; WEIGHT gain in pregnancy; PRENATAL care; RESEARCH funding; RURAL health; STATISTICAL sampling; MICRONUTRIENTS; LOGISTIC regression analysis; NATIONAL Academy of Medicine (U.S.); PRE-tests &; post-tests; DISEASE prevalence; ARM circumference; DATA analysis software; HEALTH &; social status; DESCRIPTIVE statistics; MIDDLE-income countries; LOW-income countries; NUTRITIONAL status; ODDS ratio
- Publication
Maternal & Child Nutrition, 2020, Vol 16, Issue 1, pN.PAG
- ISSN
1740-8695
- Publication type
Article
- DOI
10.1111/mcn.12887