Nutrition and Post-Partum Amenorrhoea in Rural Bangladesh

Huffman, Sandra L.; Chowdhury, A. K. M. Alauddin; Chakraborty, J.; Mosley, W. Henry

doi:10.2307/2173560

Cited by 16 publications

(12 citation statements)

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“…The second data set is a cross-sectional anthropometry survey (body weight and height) of 2019 Matlab children 12-23 months of age conducted in November 1975-January 1976. These measurements were undertaken as part of a study on the relationship between nutrition and human reproduction (13), and the data set had also been used to examine the relationship between malnutrition and child mortality (14). These nutritional status assessments were linked by computer to two prospective years of records of the Matlab diarrheal treatment unit (November 1975-January 1978.…”

Section: Methodsmentioning

confidence: 99%

A Prospective Study of the Risk of Diarrheal Diseases According to the Nutritional Status of Children1

Chen¹,

Huq

Huffman

1981

American Journal of Epidemiology

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Prospective field data were employed to examined the effect of child malnutrition on the subsequent risk of diarrhea among preschool children in rural Bangladesh. A total of 2019 children aged 12-23 months were classified according to weight-for-age, weight-for-height, and height-for-age of the Harvard median standard. Over a 24-month prospective period, diarrheal hospitalization rates among the children were matched to the initial anthropometric assessment. No differences in diarrheal hospitalization rates were noted for the children according to initial nutritional status. Another group of 207 children under five years of age were classified according to weight-for-age and their diarrheal attack rate in the field was followed prospectively for one year after nutritional assessment. Again, no differences in field diarrheal attack rates were noted between children of varying nutritional status categories. The nutritional status of the 207 children was then defined as monthly growth velocity (kilogram change in body weight, per cent change of initial body weight, and per cent change in weight-for-age) and the diarrheal attack rate for the subsequent one month period was observed. No differences in attack rates were noted between nutritional groups. The study failed to demonstrate that nutritional status defined by anthropometry was associated with the subsequent risk of diarrheal diseases.

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Section: Methodsmentioning

confidence: 99%

A Prospective Study of the Risk of Diarrheal Diseases According to the Nutritional Status of Children1

Chen¹,

Huq

Huffman

1981

American Journal of Epidemiology

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“…Thus our interpretation is that the woman's own nutrition does not influence the duration of amenorrhoea to any great extent, at least within the range of nutrition found in these Norwegian cities. However, extreme malnutrition is held to prolong post-partum amenorrhoea, as found in Bangladesh (Huffman et al, 1978(Huffman et al, , 1987 and Ethiopia (Wenlock & Wenlock, 1981) in the mid-1970s. In the second Bangladesh study the mother's nutritional status, defined by weight at pregnancy termination, was negatively associated with post-partum amenorrhoea, the weight groups compared being less than 38 kg and over 44 kg respectively (Huffman et al, 1987).…”

Section: Discussionmentioning

confidence: 99%

Lactation and post-partum amenorrhoea: a study based on data from three Norwegian cities 1860–1964

1988

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SummaryMedical records from maternity clinics in three Norwegian cities, Oslo, Bergen and Trondheim, have been used to study the relationship between lactation and post-partum amenorrhoea during the period 1860–1964. Resumption of menses after a period of post-partum amenorrhoea has been examined separately during lactation, after cessation of lactation, and in the absence of lactation, in 5250 cases. During ongoing lactation the median duration of post-partum amenorrhoea was found by survival analysis to be 12 months for women who had given birth before 1900 and 6 months for women who had given birth after 1900. In a Cox regression analysis, age of menarche and parity were found to influence the duration of post-partum amenorrhoea, in addition to the child's birth year. With a later age of menarche there was longer amenorrhoea, and primiparae resumed menses earlier than multiparae. After cessation of breast-feeding the median duration of amenorrhoea was 1 month, the only variable significantly influencing it being the age of menarche, a younger age showing a shorter duration. In the absence of lactation the survivor function started to decline after 3–4 weeks, and had a half-life of 2 months.None of the variables indicating the woman's social condition seemed to influence the duration of amenorrhoea. The decline in the duration of post-partum amenorrhoea during ongoing lactation from 1860 until today is therefore probably caused by a changed breast-feeding pattern rather than by improved nutrition for women giving birth.

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“…The measurements were made by trained two-person teams of field-workers from the Centre. Scales were calibrated daily, and standardization was done on completion of the field-work [13].…”

Section: Methodsmentioning

confidence: 99%