Early life undernutrition and adolescent pregnancy outcome in rural India

Rao, Shobha; Gokhale, M. K.; Joshi, Santosh B.; Kanade, Asawari

doi:10.3109/03014460903434941

Cited by 8 publications

(11 citation statements)

References 30 publications

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“…the legal age of marriage in India. Poor nutrition as revealed by stunting and higher age at menarche, early age of marriage and repeated pregnancies in these young rural mothers was probably responsible for their poor obstetric history (29) and depleted Fe stores (30) . Nutrient intakes of the women were 7950 (SD 1975) kJ/d (1900 (SD 472) kcal/d) for energy, 49?9 (SD 13?2 g)/d for protein and 22?0 (SD 6?9 mg)/d for Fe and were low, especially for Fe (69 %), compared with the recommended dietary allowances (31) .…”

Section: Discussionmentioning

confidence: 98%

Social dimensions related to anaemia among women of childbearing age from rural India

Rao

Joshi

Bhide

et al. 2010

Public Health Nutr.

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Objective: To examine various sociodemographic aspects related to consumption of micronutrient-rich foods like green leafy vegetables (GLV), which will be helpful in modifying dietary habits, a strategy that merits consideration for prevention of anaemia. Design: Cross-sectional study for collecting data on socio-economic and anthropometric (weight, height) variables, Hb, dietary pattern (FFQ) and peripheral smear examination for classifying nutritional and iron-deficiency anaemia (IDA). Setting: Three villages near Pune city, Maharashtra, India. Subjects: Rural women (n 418) of childbearing age (15-35 years). Results: Mean Hb was 11?07 g/dl. Seventy-seven per cent of the women were anaemic (Hb , 12 g/dl) and 28 % had IDA, indicating that a large proportion of the women had nutritional anaemia. Higher prevalence of IDA was associated with several sociodemographic and maternal parameters, but multiple logistic regression analysis showed significant (P , 0?05) risk of IDA with lower body weight (,40 kg), short maternal height (,145 cm), younger age at marriage (,19 years) and higher parity ($2). Various socio-cultural reasons associated with low consumption of GLV included non-cultivation of GLV, priority for selling them rather than home consumption, dislike of GLV by husband and children, and lack of awareness about different recipes for GLV. Conclusions: Our findings highlight that low consumption of GLV, which are treasures of micronutrients including Fe, is associated with genuine social reasons. This indicates a need for developing action programmes to improve nutritional knowledge and awareness leading to enhanced consumption of Fe-rich foods for preventing anaemia in rural India.

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Section: Discussionmentioning

confidence: 98%

Social dimensions related to anaemia among women of childbearing age from rural India

Rao

Joshi

Bhide

et al. 2010

Public Health Nutr.

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“…Similarly, devastating effects of early conception in terms of increased risks for pregnancy wastage (stillbirths & abortion) and premature delivery are reported among adolescent rural Indian undernourished girls [5] but are not reported for risk of LBW. We observed that mothers with younger age (<20 yr) at registration had 2.21 times higher risk for LBW compared to those who were aged more than 25 yr.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, certain demographic factors like early age at marriage and conception are known [4] to adversely affect the pregnancy outcome in many communities. In poor populations, the delayed age of menarche coupled with early age of marriage and subsequent conception, is more detrimental to pregnancy outcome [5]. There is substantial literature that addresses possible association of maternal age and pregnancy outcome [6].…”

Section: Introductionmentioning

confidence: 99%

Nutritional Risk Factors of Low Birth Weight Among poor Rural Mothers from Maharashtra, India.

Rao¹

2017

JNHFS

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Objective: Identifying nutritional risk factors associated with LBW is of critical importance to plan appropriate interventional programs for achievement in reduction of prevalence of LBW. Method:Clinically normal full term ANC mothers registering within 20 weeks of gestation at a rural hospital in Maharashtra, India were enrolled (n=370). Their socioeconomic, demographic information, dietary consumption pattern and anthropometric measurements were recorded and were followed up till delivery.Result: Most mothers had low education, were engaged in heavy work and had low family income. They were thin (46.2 ± 7.5Kg), short (150.8 ± 6.1cm) and undernourished (20. 3 ± 3.2Kg/m 2

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“…The interventions should target the most vulnerable age groups. Adolescent girls who are undergoing rapid growth and development are one of the nutritionally vulnerable groups who should receive due attention [16]. Most marriages in developing countries take place during adolescence (the median age at marriage in Bangladesh is 16 years), and conception soon follows marriage.…”

Section: Maternal Undernutritionmentioning

confidence: 99%

Global Burden of Maternal and Child Undernutrition and Micronutrient Deficiencies

Ahmed

Hossain²,

Sanin³

2012

Ann Nutr Metab

308

275

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Maternal and child undernutrition and micronutrient deficiencies affect approximately half of the world’s population. These conditions include intrauterine growth restriction (IUGR), low birth weight, protein-energy malnutrition, chronic energy deficit of women, and micronutrient deficiencies. Although the rates of stunting or chronic protein-energy malnutrition are increasing in Africa, the absolute numbers of stunted children are much higher in Asia. The four common micronutrient deficiencies include those of iron, iodine, vitamin A, and zinc. All these conditions are responsible directly or indirectly for more than 50% of all under-5 deaths globally. According to more recent estimates, IUGR, stunting and severe wasting are responsible for one third of under-5 mortality. About 12% of deaths among under-5 children are attributed to the deficiency of the four common micronutrients. Despite tremendous progress in different disciplines and unprecedented improvement with many health indicators, persistently high undernutrition rates are a shame to the society. Human development is not possible without taking care to control undernutrition and micronutrient deficiencies. Poverty, food insecurity, ignorance, lack of appropriate infant and young child feeding practices, heavy burden of infectious illnesses, and poor hygiene and sanitation are factors responsible for the high levels of maternal and child undernutrition in developing countries. These factors can be controlled or removed by scaling up direct nutrition interventions and eliminating the root conditions including female illiteracy, lack of livelihoods, lack of women’s empowerment, and poor hygiene and sanitation.

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Early life undernutrition and adolescent pregnancy outcome in rural India

Cited by 8 publications

References 30 publications

Social dimensions related to anaemia among women of childbearing age from rural India

Social dimensions related to anaemia among women of childbearing age from rural India

Nutritional Risk Factors of Low Birth Weight Among poor Rural Mothers from Maharashtra, India.

Global Burden of Maternal and Child Undernutrition and Micronutrient Deficiencies

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