Determinants of Low Birth Weight Infants in Mekelle Zone, Tigray Region, Northern Ethiopia- Case-Control study

Abstract

Background : Low Birth Weight is a public health problem in Ethiopian. This study aimed to identify its determinant factors in Mekelle Zone, northern Ethiopia. Methods : Case control study design was employed on randomly selected 464 newborn. Baby measuring scale was used to weighing the newborn. Multivariable logistic regression was performed to identify the determinants factors, P < 0.05 and 95 % confidence level by using SPSS version 20 statistical software. Results : Maternal age <20 years (AOR = 2.9, 95 % CI: 1.55, 5.47), income < 2500 Ethiopian birr (AOR = 3.5, (95 % CI: 1.57, 7.95), gestation < 37 weeks (AOR= 4, 95% CI: 2.18, 7.29), hypertension (AOR= 2.6, 95% CI: 1.15, 6.07), anemia (AOR= 3.2, 95% CI: 1.70, 6.17), didn’t consume milk/week (AOR= 2.3, 95% CI: 1.02, 5.35), low dietary diversity (AOR = 2.8, 95% CI: 1.22, 6.19), MUAC < 23 cm (AOR = 2.1, 95% CI: 1.14, 4.04) were the identified determinants factors for low birth weight. Conclusions : Maternal age, income, history of hypertension and anemia, milk consumption, dietary diversity and maternal MUAC were the determinants Therefore, employing multisectoral coordinated intervention is essential to ending low birth weight.

Inadequate dietary diversity during pregnancy increases the risk of maternal anemia and low birth weight in Africa: A systematic review and meta‐analysis

“…After a full‐text review, 42 studies were excluded for several reasons, including lack of full text, being outside the scope of the study, not presenting outcome measures, having different reference categories, and a high risk of bias. After a thorough review, 13 articles for the association between inadequate dietary diversity and anemia (Abriha et al, 2014; Agbozo et al, 2020; Ayensu et al, 2020; Delil et al, 2018; Deriba et al, 2020; Gibore et al, 2021; Jugha et al, 2021; Lebso et al, 2017; Ngimbudzi et al, 2021; Samuel et al, 2020; Vanié et al, 2021; Zerfu et al, 2016, 2019) and nine articles for determining the strength of the association between inadequate dietary diversity and low birth weight (Adem et al, 2020; Ahmed et al, 2018; Alemu & Gashu, 2020; Bekela et al, 2020; Berhe et al, 2021; Girma et al, 2019; Quansah & Boateng, 2020; Saaka et al, 2017; Zerfu et al, 2016) were included in the final meta‐analysis (Figure 1). One study was discarded after quality assessment (Vanié et al, 2021).…”

“…Second, despite the existing evidence on the association between maternal dietary diversity and geographical and socioeconomic variations among countries, subgroup analysis at the regional (Africa) level has not been reported (Gete et al, 2020). In addition, several new observational studies with inconsistent results, not included in previous reviews, have emerged in recent years (Adem et al, 2020; Berhe et al, 2021; Girma et al, 2019). Finally, we examined an additional outcome variable, maternal anemia, which correlates with dietary diversity and low birth weight (Figueiredo et al, 2018; Rahman et al, 2016; Rahmati et al, 2017).…”

“…"diversities"[All Fields] OR "diversity"[All Fields])) OR (("Diet"[MeSH Terms] OR "Diet"[All Fields] OR "dietary"[All Fields] OR "dietaries"[All Fields]) AND ("varieties"[All Fields] OR "variety"[All Fields])) OR (("food"[MeSH Terms] OR "food"[All Fields]) AND ("diverse"[All Fields] OR "diversely"[All Fields] OR "diversities"[All Fields] OR "diversity"[All Fields])) OR (("food"[MeSH Terms] OR "food"[All Fields]) AND ("varieties"[All Fields] OR "variety"[All Fields])) OR "Diet"[MeSH Terms] OR "diet, healthy"[MeSH Terms]) AND "Pregnancy"[MeSH Terms] AND "infant, low birth weight"[MeSH Terms] AND "Africa"[MeSH for the association between inadequate dietary diversity and anemia(Abriha et al, 2014;Agbozo et al, 2020;Ayensu et al, 2020;Delil et al, 2018;Deriba et al, 2020;Gibore et al, 2021;Jugha et al, 2021;Lebso et al, 2017;Ngimbudzi et al, 2021;Samuel et al, 2020;Vanié et al, 2021;Zerfu et al, 2016Zerfu et al, , 2019 and nine articles for determining the strength of the association between inadequate dietary diversity and low birth weight(Adem et al, 2020;Ahmed et al, 2018;Alemu & Gashu, 2020;Bekela et al, 2020;Berhe et al, 2021;Girma et al, 2019;Quansah & Boateng, 2020;Saaka et al, 2017;Zerfu et al, 2016) were…”