Energy supplementation in the last trimester of pregnancy in East Java, Indonesia: effect on maternal anthropometry

Kardjati, S; Kusin, J. A.; Schofield, Warrick

doi:10.1093/ajcn/52.6.987

Cited by 19 publications

(12 citation statements)

References 11 publications

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“…36 and 1550 kcal/day in Indonesian women. 37 The suboptimal nutritional status of mothers might have resulted in a preferential effect for the maternal compartment, the benefits for infants afterward involving other mechanisms such as better breast milk output and hence less morbidity as proposed by the authors in the Indonesian trial. 35 In the 2 studies, the effects on growth were indeed only observed in the postnatal period and not at birth.…”

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confidence: 99%

Prenatal Nutrient Supplementation and Postnatal Growth in a Developing Nation: An RCT

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: Prenatal lipid-based nutrient supplementation has been demonstrated to increase birth length. However, the impact of this intervention on infant growth and morbidity is unknown. WHAT THIS STUDY ADDS:Infants from mothers who were given prenatal lipid-based nutrient supplements showed decelerated linear growth. The gain in length at birth related to prenatal lipidbased nutrient supplementation was not sustained during infancy. abstract BACKGROUND AND OBJECTIVES: Prenatal lipid-based nutrient supplements (LNS) have been shown to improve birth anthropometry. However, little is known about the effects of such supplements on infant health. We hypothesized that prenatal LNS compared with multiple micronutrient supplement for pregnant and lactating women would improve survival, growth, and morbidity during infancy. METHODS:Infants' weight, length, head, chest, and mid-upper arm circumferences were measured during monthly home visits from birth to 12 months of age in the Micronutriments et Santé de la Mère et de l'Enfant-2 trial. Differences in stunting and wasting episodes between study arms were assessed by Cox regression for recurrent event models. Morbidity signs during the 2 weeks before the visits and death cases were also assessed by multilevel analysis accounting for repeated individual measurements.RESULTS: Infant length-for-age growth (-0.033 z score/month; 95% confidence interval: -0.601 to -0.006; P = .018) for the LNS group was inferior to that of the control group. We did not find evidence of significant difference in mortality or morbidity between groups. CONCLUSIONS:The previously reported positive effect of prenatal LNS on birth length was not sustained during the postnatal phase. Prenatal LNS does not appear to make a long-lasting difference in child linear growth. Pediatrics 2014;133:e1001-e1008 Size at birth and growth in early infancy are important indicators of early childhood survival and health. Newborns with small birth size, reflecting poor intrauterine nutrition and/or prematurity, have an increased riskofinfant mortality and morbidity, 1 impaired child cognitive development, 2 and adverse health outcomes in adulthood. 3 Poor infant growth is associated with higher mortality and neurocognitive delays. 4,5 Stunted growth during the first 2 years is also associated with shorter adult height, reduced economic productivity, and decreased reproductive performance. 5 In 2011, an estimated 165 million children aged ,5 years worldwide had stunted growth, with the majority residing in Asia and sub-Saharan Africa. 6 Prenatal multiple micronutrient (MMN) 7 and balanced energy and protein 8 supplementation result in a significant reduction in small-for-gestational age births (9% and 31%, respectively). However, the results of such interventions on postnatal growth yielded more dispersed results. In 2 prenatal multiple MMN trials in Burkina Faso and Vietnam, the rate of stunting was reduced during infancy 9 and at 2 years, 10 although no difference was seen at 2.5 years in the ...

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confidence: 99%

Prenatal Nutrient Supplementation and Postnatal Growth in a Developing Nation: An RCT

et al. 2014

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“…Supplementation trials and observational studies have shown a positive correlation between total energy intake and gestational weight gain in many countries, including Thailand, the United States, the Philippines, and Germany [6,8,12,24]. However, some studies, such as a trial in Indonesia [25], showed no relationship between total energy intake and weight gain during pregnancy. Similar to the results of our study, a review of 13 trials from many countries reported lower gestational weight gain with isocaloric protein supplementation [3].…”

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confidence: 99%

Macronutrient and Sociodemographic Determinants of Gestational Weight Gain among HIV-Negative Women in Tanzania

Changamire¹,

Mwiru²,

Msamanga³

et al. 2014

Food Nutr Bull

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“…The fat increase in pregnancy in these populations also tends to be smaller. For example, samples of pregnant women had no increase in fat in Bangladesh (Alam et al, 2003), an increase of 0.6 kg in the Philippines (Guillermo- Tuazon et al, 1992), 1.4 kg in Thailand (Thongprasert et al, 1987), and 1.5 kg in Java (Kardjati et al, 1990). One sample in the Gambia with especially limited nutrition had a loss of 4.7 kg of fat during pregnancy (Lawrence et al, 1987).…”

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Changes in body fat distribution in relation to parity in American women: A covert form of maternal depletion

Lassek

Gaulin

2006

Am. J. Phys. Anthropol.

144

133

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Using data from the Third National Health and Nutrition Examination Survey (NHANES III), conducted from 1988-1994, we investigated the effect of reproduction on the distribution of body fat in well-nourished American women. While women tend to gain weight and fat with succeeding pregnancies, if age and body mass index are controlled, increasing parity is associated with a decrease in hip and thigh circumferences, suprailiac and thigh skinfolds, and body fat estimated from skinfolds, while waist circumference increases, resulting in a relative decrease in lower-body fat. The mobilization of fat stores in the lower body during late pregnancy and lactation may help to meet the special needs of the developing brain for essential fatty acids and energy during the time of peak growth. When fat is regained after the postpartum period, relatively more is stored in central vs. peripheral depots, resulting in a patterned change in body shape with parity.

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Energy supplementation in the last trimester of pregnancy in East Java, Indonesia: effect on maternal anthropometry

Cited by 19 publications

References 11 publications

Prenatal Nutrient Supplementation and Postnatal Growth in a Developing Nation: An RCT

Prenatal Nutrient Supplementation and Postnatal Growth in a Developing Nation: An RCT

Macronutrient and Sociodemographic Determinants of Gestational Weight Gain among HIV-Negative Women in Tanzania

Changes in body fat distribution in relation to parity in American women: A covert form of maternal depletion

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