Nutritional interventions to prevent intrauterine growth retardation: evidence from randomized controlled trials

Df, Mardones-Santander; Dp, Rosso; Uiterwaal, D; Dg, Marshall

doi:10.1038/sj.ejcn.1600862

Cited by 10 publications

(8 citation statements)

References 3 publications

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“…We have compared nutritional interventions preventing intrauterine growth retardation, as published by De Onis and colleagues (De Onis et al . 1998), with the outcomes of the Santiago study, concluding that our results were the best in preventing intrauterine growth retardation (Mardones‐Santander et al . 1999; Mardones‐Santander et al .…”

Section: Maternal Underweight Diagnosis and Birth Weight <3000 Gmentioning

confidence: 62%

“…A recent review has concluded that the Santiago study was one of only four trials on dietary supplementation to have successfully reduced or prevented low birth weight (United Nations Administrative Committee on Coordination, Sub-Committee on Nutrition 2000b). We have compared nutritional interventions preventing intrauterine growth retardation, as published by De Onis and colleagues (De Onis et al 1998), with the outcomes of the Santiago study, concluding that our results were the best in preventing intrauterine growth retardation (Mardones-Santander et al 1999;Mardones-Santander et al 2000).…”

Section: Maternal Underweight Diagnosis and Birth Weight < < < <3000 Gmentioning

confidence: 93%

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A weight gain chart for pregnant women designed in Chile

Mardones

Rosso

2005

Maternal & Child Nutrition

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The weight gain chart for pregnant women, developed by Rosso and Mardones (RM chart, 1997), is analysed and compared with other charts in terms of its usefulness for targeting nutritional interventions aimed at preventing low or high birth weights. The RM chart defines categories of maternal nutritional status in early gestation based on weight/height, expressed either as percentage of standard weight (PSW) or body mass index (BMI), and desirable gestational weight gains for each of these categories. Weight gain recommendations of the RM chart are proportional to maternal height. For underweight women the weight recommendation was derived from actual data, while for overweight and obese women it is based on data extrapolations. Since 1987 the Chilean National Health Service has used the RM chart as a standard in prenatal care in all its clinics, covering approximately 70% of the country's population, mostly middle and low income women. During the 1987-2001 period the proportion of underweight pregnant women and infants with birth weight < 3000 g decreased significantly and proportionally. Nevertheless, the proportion of obese pregnant women and infants with birth weight > or = 4000 g increased during this period. Multifactorial social changes including a decade of substantial economic growth in the country with improved family income, precludes the possibility of determining the efficacy of the RM chart in this group. However, the widespread use of the RM chart indicates that it is a helpful and easy-to-use instrument in the field. Further, by its clear graphical presentation of maternal nutritional status it helps draw the attention of health personnel to women who need special nutritional advice and support.

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Section: Maternal Underweight Diagnosis and Birth Weight <3000 Gmentioning

confidence: 62%

Section: Maternal Underweight Diagnosis and Birth Weight < < < <3000 Gmentioning

confidence: 93%

A weight gain chart for pregnant women designed in Chile

Mardones

Rosso

2005

Maternal & Child Nutrition

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“…This is evident by the lower anthropometrics of children born to underweight mothers in comparison to the normal or overweight/obese mothers in the present study. It has been suggested that in malnourished underweight women, lower plasma expansion related to decreased micronutrients status might be associated with reduced foetal growth [30]. Studies have also documented an association between increased intakes of foods rich in micronutrients and reduction in intrauterine growth restriction leading to increased birth weight in women with low BMI [29,31].…”

Section: Discussionmentioning

confidence: 99%

Maternal BMI during Pregnancy: Effect on trace elements Status and Pregnancy Outcomes

Ugwuja¹,

Akubugwo²,

Obidoa³

2011

Int J Health Res

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and full-text of published articles. The journal is devoted to the promotion of health sciences and related disciplines (including medicine, pharmacy, nursing, biotechnology, cell and molecular biology, and related engineering fields). It seeks particularly (but not exclusively) to encourage multidisciplinary research and collaboration among scientists, the industry and the healthcare professionals. It will also provide an international forum for the communication and evaluation of data, methods and findings in health sciences and related disciplines. The journal welcomes original research papers, reviews and case reports on current topics of special interest and relevance. All manuscripts will be subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication) will be published without delay. The maximum length of manuscripts should normally be 10,000 words (20 single-spaced typewritten pages) for review, 6,000 words for research articles, 3,000 for technical notes, case reports, commentaries and short communications.

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“…Considerable research evidence supports the important role played by nutrition, particularly micronutrients, in determining positive pregnancy outcomes (Black 2001). In addition, gestational energy stress, a phenomenon characterized by lower plasma volume expansion (Mardones-Santander et al 1999), protein-energy malnutrition, and pregnancy complications, may also co-occur. As depicted in Figure 1, we propose that maternal nutrition could be exacerbating or buffering in the association between PM and birth outcomes for a subgroup of women of childbearing age.…”

Section: Consideration Of a Hypothesis Of Nutritional Susceptibilitymentioning

confidence: 99%

Exposures to Airborne Particulate Matter and Adverse Perinatal Outcomes: A Biologically Plausible Mechanistic Framework for Exploring Potential Effect Modification by Nutrition

Kannan

Misra

Dvonch

et al. 2006

Environ Health Perspect

441

287

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ObjectivesThe specific objectives are threefold: to describe the biologically plausible mechanistic pathways by which exposure to particulate matter (PM) may lead to the adverse perinatal outcomes of low birth weight (LBW), intrauterine growth retardation (IUGR), and preterm delivery (PTD); review the evidence showing that nutrition affects the biologic pathways; and explain the mechanisms by which nutrition may modify the impact of PM exposure on perinatal outcomes.MethodsWe propose an interdisciplinary conceptual framework that brings together maternal and infant nutrition, air pollution exposure assessment, and cardiopulmonary and perinatal epidemiology. Five possible albeit not exclusive biologic mechanisms have been put forth in the emerging environmental sciences literature and provide corollaries for the proposed framework.ConclusionsProtecting the environmental health of mothers and infants remains a top global priority. The existing literature indicates that the effects of PM on LBW, PTD, and IUGR may manifest through the cardiovascular mechanisms of oxidative stress, inflammation, coagulation, endothelial function, and hemodynamic responses. PM exposure studies relating mechanistic pathways to perinatal outcomes should consider the likelihood that biologic responses and adverse birth outcomes may be derived from both PM and non-PM sources (e.g., nutrition). In the concluding section, we present strategies for empirically testing the proposed model and developing future research efforts.

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Nutritional interventions to prevent intrauterine growth retardation: evidence from randomized controlled trials

Cited by 10 publications

References 3 publications

A weight gain chart for pregnant women designed in Chile

A weight gain chart for pregnant women designed in Chile

Maternal BMI during Pregnancy: Effect on trace elements Status and Pregnancy Outcomes

Exposures to Airborne Particulate Matter and Adverse Perinatal Outcomes: A Biologically Plausible Mechanistic Framework for Exploring Potential Effect Modification by Nutrition

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