Maternal Nutritional Status in Pastoral versus Farming Communities of West Pokot, Kenya: Differences in Iron and Vitamin A Status and Body Composition

Keverenge-Ettyang, Grace Adisa; Lichtenbelt, Wauter van Marken; Esamai, Fabian

doi:10.1177/156482650602700305

Cited by 11 publications

(30 citation statements)

References 18 publications

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“…Vitamin A deficiency during pregnancy is widely prevalent in developing countries, particularly in sub-Saharan Africa, and among HIV-infected women (Ahmed et al , 2003; Keverenge-Ettyang et al , 2006; Zvandasara et al , 2006); it may affect fetal development and risk of maternal morbidity and mortality (Stoltzfus and Humphrey, 2002). Further, infants depend on breast milk to obtain adequate vitamin A (Allen, 2006); vitamin A deficiency during childhood is associated with severe morbidity and mortality (Fawzi et al , 1993).…”

Section: Introductionmentioning

confidence: 99%

Lipid-soluble vitamins A, D, and E in HIV-infected pregnant women in Tanzania

et al. 2010

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Background/Objectives: There is limited published research examining lipid-soluble vitamins in human immunodeficiency virus (HIV)-infected pregnant women, particularly in resource-limited settings. Subjects/Methods: This is an observational analysis of 1078 HIV-infected pregnant women enrolled in a trial of vitamin supplementation in Tanzania. Baseline data on sociodemographic and anthropometric characteristics, clinical signs and symptoms, and laboratory parameters were used to identify correlates of low plasma vitamin A (o0.7 mmol/l), vitamin D (o80 nmol/l) and vitamin E (o9.7 mmol/l) status. Binomial regression was used to estimate risk ratios and 95% confidence intervals.Results: Approximately 35, 39 and 51% of the women had low levels of vitamins A, D and E, respectively. Severe anemia (hemoglobin o85 g/l; Po0.01), plasma vitamin E (P ¼ 0.02), selenium (P ¼ 0.01) and vitamin D (P ¼ 0.02) concentrations were significant correlates of low vitamin A status in multivariate models. Erythrocyte Sedimentation Rate (ESR) was independently related to low vitamin A status in a nonlinear manner (P ¼ 0.01). The correlates of low vitamin D status were CD8 cell count (P ¼ 0.01), high ESR (ESR 481 mm/h; Po0.01), gestational age at enrollment (nonlinear; P ¼ 0.03) and plasma vitamins A (P ¼ 0.02) and E (P ¼ 0.01). For low vitamin E status, the correlates were money spent on food per household per day (Po0.01), plasma vitamin A concentration (nonlinear; Po0.01) and a gestational age o16 weeks at enrollment (Po0.01). Conclusions: Low concentrations of lipid-soluble vitamins are widely prevalent among HIV-infected women in Tanzania and are correlated with other nutritional insufficiencies. Identifying HIV-infected persons at greater risk of poor nutritional status and infections may help inform design and implementation of appropriate interventions.

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Section: Introductionmentioning

confidence: 99%

Lipid-soluble vitamins A, D, and E in HIV-infected pregnant women in Tanzania

et al. 2010

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“…However, the acute phase response 34 was not associated with anemia. Few studies have examined lipid-soluble vitamins in HIV-infected pregnant women [35][36][37] . In Tanzania 38 , approximately 35 and 51% of HIV-infected pregnant women had low levels of vitamins A and E, respectively.…”

Section: Discussionmentioning

confidence: 99%

Vitamin A, vitamin E, iron and zinc status in a cohort of HIV-infected mothers and their uninfected infants

Monteiro

Cruz

Mussi-Pinhata

et al. 2014

Rev. Soc. Bras. Med. Trop.

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“…Keverenge-Ettyang ve ark. [17] ise farklı yaşam tarzı ve ekonomik koşullara sahip gebelerde hemoglobin değerlerinin farklılık gösterdiğini belirtmiştir.…”

Section: Discussionunclassified

“…Maternal hemoglobin düzeyleri annenin yeterli demir alımı, çoğul gebelik, sigara içimi, beden kütle indeksi, deniz seviyesinden yükseklik, anne yaşı ve etnik grubu, gebelikteki trimester, parite ve eği-tim durumu gibi birçok faktörden etkilenmektedir. [15][16][17][18] Gebelikte meydana gelen anemik durum preterm doğum, düşük doğum ağırlığı ve bunlara bağlı perinatal morbidite artışı ile ilişkilidir.…”

Section: Discussionunclassified

The Effects Of The Second Trimester Maternal Hemoglobin Levels On The Birth Weight And Birth Time

Dündar¹,

Çiftpinar²,

Tütüncü³

et al. 2008

TUTFD

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Objectives:The aim of our study is to investigate the effects of anemia at the second trimester on birth weight and birth time. Patients and Methods:The medical reports of 1116 pregnant women who attended and delivered at our clinic between January 2005 and October 2007 were analyzed retrospectively. The patients were divided into two groups as having <9 gr/dl hemoglobin or ≥9 gr/dl hemoglobin levels. The gestational and the perinatal outcomes of the normal and anemic groups were compared. Results: The age and the parity were higher in the non-anemic group than in the anemic pregnants. (p=0.03, p=0.001). There was no statistically significant difference in the mode of birth and gestational complications between the two groups. While there was no statistically significant difference in the gestational age at delivery and birth weight, prematurity and oligohydramnios ratios were significantly higher in the anemic group compared to the group with Hb>9 gr/dL (p=0.041, p=0.004, respectively). Conclusion:The anemia of second trimester is related with prematurity and increased rate of oligohydramnios. Iron supplementation should be given during pregnancy to improve pregnancy outcomes.

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Maternal Nutritional Status in Pastoral versus Farming Communities of West Pokot, Kenya: Differences in Iron and Vitamin A Status and Body Composition

Cited by 11 publications

References 18 publications

Lipid-soluble vitamins A, D, and E in HIV-infected pregnant women in Tanzania

Lipid-soluble vitamins A, D, and E in HIV-infected pregnant women in Tanzania

Vitamin A, vitamin E, iron and zinc status in a cohort of HIV-infected mothers and their uninfected infants

The Effects Of The Second Trimester Maternal Hemoglobin Levels On The Birth Weight And Birth Time

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