Pregnancy and Lactation Hinder Growth and Nutritional Status of Adolescent Girls in Rural Bangladesh

Rah, Jee Hyun; Christian, Parul; Shamim, Abu Ahmed; Arju, Ummeh T.; Labrique, Alain; Rashid, Mahbubur

doi:10.1093/jn/138.8.1505

Cited by 134 publications

(144 citation statements)

References 24 publications

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“…Although the mechanisms of this positive association are poorly understood, in developing countries, menarche has been suggested to serve as a "marker of maturity and readiness for marriage", signalling the parents to place their daughters in the 'marriage market' (2,20). The mean age at marriage in the JiVitA study area is 16.5 years despite the legal age of marriage being 18 years in Bangladesh, and the first pregnancy (conception) occurs within an average of 13 months from marriage (13).…”

Section: Discussionmentioning

confidence: 99%

“…Data were collected as part of a cohort study of the consequences of pregnancy and lactation on growth of adolescents in Gaibandha district in rural northwest Bangladesh (13). This study was conducted in a smaller area (96 communities with ~200 households in four unions of Gaibandha district), which was part of the study area where a randomized community trial for assessing the impact of vitamin A and β-carotene supplementation on maternal and infant survival-called the JiVitA Project-was being conducted by our group.…”

Section: Methodsmentioning

confidence: 99%

“…Further, 29 (0.5%) adolescents who were unable to report months of their menarche and 165 (3.0%) who had previously been pregnant were excluded because the adolescent cohort study enrolled only never-pregnant adolescents (13). The resulting sample included in the analysis comprised 3,923 (70.3%) married nulliparous and unmarried female adolescents aged 12-19 years.…”

Section: Methodsmentioning

confidence: 99%

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Age of Onset, Nutritional Determinants, and Seasonal Variations in Menarche in Rural Bangladesh

Rah

Shamim

Arju

et al. 2010

J Health Popul Nutr

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Menarche is an important milestone in the development of female adolescents. The study assessed the age at menarche using recall, its seasonality, and association with marital and nutritional status (using midupper arm circumference [MUAC]) among 3,923 female adolescents aged 12-19 years in a rural area of Bangladesh. At the time of assessment, most (88%) adolescents had attained menarche at the mean (standard deviation [SD]) age of 12.8 (1.4) years. Age of onset of menarche among married adolescents (13%) occurred earlier than in those who were unmarried (12.6±1.3 years vs 12.9±1.4 years, p<0.01). Age at menarche was negatively associated with MUAC after adjusting for age and marital status (β=-0.10, p<0.01). More than 50% of the adolescents had an onset of menarche during winter (χ 2 =634.97; p<0.001), with peaks in December and January. In this rural population, the current age at menarche was found to be slightly lower than the previous estimates of 13.0 years in Bangladesh. An early onset of menarche was associated with season and better nutritional status of the female adolescents and may be associated with early marriage.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Age of Onset, Nutritional Determinants, and Seasonal Variations in Menarche in Rural Bangladesh

Rah

Shamim

Arju

et al. 2010

J Health Popul Nutr

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“…Breastmilk can reach 100% quality depending on the mothers' nutrition starting from pregnancy and daily food intake. Women who do not have sufficient nutritional reserves or those who do not receive optimal nutrition intake use most of their nutrition to produce breastmilk (Rah et al, 2008).…”

Section: Effects On Breastfeeding Towards Children Under Five Nutritimentioning

confidence: 99%

Path Analysis on Gestational Socio-economic Determinants of Nutritional Status in Children Under Five in Purworejo Regency, Central Java

Ayuningrum

Salimo²,

Dewi

2017

J MATERN CHILD HEALTH

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Background: Undernutrition by height-for-age standard starts during pregnancy and continues to the first two years of life. Linear growth disorders among children under five years are associated with morbidity, mortality, loss of physical growth potential, reduced neurological development, reduced cognitive functions, and increased risks of adulthood chronic diseases. In 2015, the number of undernourished children under five (height-for-age) reached 156 million globally. Purworejo regency was an area with the second highest undernutrition cases in Central Java in 2014. This study aimed to analyze the life-course epidemiology perspectives on the socio-economic factors contributing to the nutritional status of the children aged two to five years in Purworejo regency, Central Java. Subjects and Method: This was an observational analytical study with case control design. This study was conducted in Purworejo, Kaligesing, and Bruno sub-districts, Purworejo Regency, Central Java in February to March 2017. A total sample 160 children aged two to five years and their mothers were selected by fixed disease sampling. There were 37 children in the case groups, and 113 children in the control groups. The independent variables included family income, maternal age, maternal nutritional status (mid upper arm circumference), birth length, exclusive breastfeeding and the children's history of illness. The dependent variable was the children's nutritional status (height-for-age/HAZ). Data on the children's height were collected using microtoise. Other data were collected by maternal and children health (MCH) books and a set of questionnaires. The data were analyzed using path analysis. Results: Nutritional status of children under five (height-for-age/HAZ) was affected by family income (x Rp 100,000) (b=0.03; SE=0.24; p<0.001), maternal age (years) (b=0.02; SE=0.02; p=0.160), maternal nutritional status/MUAC (cm) (b=0.08; SE=0.05; p=0.066), birth length (cm) (b=0.22; SE=0.05; p<0.001), exclusive breastfeeding (b= 0.03; SE=0.16; p=0.080), and the absence of illness (b=0.39; SE=0.14; p=0.007). Conclusion: Nutritional status of the children under five (height-for-age/HAZ) is affected by family income, birth length, exclusive breastfeeding, maternal age, maternal nutritional status, and the absence of illness.

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“…Childhood nutritional deprivation will also be responsible for stunted growth and small pelvis 8 . Maternal mortality in teenagers is an unforgivable tragedy.…”

Section: Introductionmentioning

confidence: 99%

Teenage Pregnancy – An Unsafe Journey towards the Risky Destiny

Spandana¹

2016

jmscr

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Pregnancy and Lactation Hinder Growth and Nutritional Status of Adolescent Girls in Rural Bangladesh

Cited by 134 publications

References 24 publications

Age of Onset, Nutritional Determinants, and Seasonal Variations in Menarche in Rural Bangladesh

Age of Onset, Nutritional Determinants, and Seasonal Variations in Menarche in Rural Bangladesh

Path Analysis on Gestational Socio-economic Determinants of Nutritional Status in Children Under Five in Purworejo Regency, Central Java

Teenage Pregnancy – An Unsafe Journey towards the Risky Destiny

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