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Maternal activity in relation to birth size in rural India. The Pune Maternal Nutrition Study

Maternal activity in relation to birth size in rural India. The Pune Maternal Nutrition Study
Maternal activity in relation to birth size in rural India. The Pune Maternal Nutrition Study
Objective: To describe the relationship of the mother's physical activity to the birth size of her baby in a rural Indian population.
Design: Prospective observational study.
Setting: Six villages near Pune, Maharashtra, India.
Subjects: A total of 797 women were studied after excluding abortions and termination of pregnancies (112), foetal anomalies (8), multiple pregnancies (3), incomplete pre-pregnancy anthropometry (14) and pregnancies detected later than 21 weeks of gestation (168).
Method: An activity questionnaire was developed after focus group discussions and incorporated community-specific activities. It was validated against an observer-maintained diary. Activity scores were derived using published data on energy costs to weight the contributions of various activities. It was then administered to assess physical activity at 18 (±2) and 28 (±2) weeks of gestation.
Outcome measures: Birth outcome, maternal weight gain and neonatal anthropometry.
Results: The activity questionnaire was used to classify women into light, moderate and heavy activity categories. Maternal activity did not influence the incidence of prematurity or stillbirth, or the duration of gestation. It was inversely related to maternal weight gain up to 28 weeks of gestation (P=0.002). Higher maternal activity in early, as well as mid gestation, was associated with lower mean birth weight (P=0.05 and 0.02, respectively ), and smaller neonatal head circumference (P=0.005 and 0.009) and mid-arm circumference (P=0.03 and 0.01) after adjusting for the effect of major confounding factors.
Conclusions: The Findings suggest that excessive maternal activity during pregnancy is associated with smaller foetal size in rural India, The approach described for developing an activity questionnaire has potential for adoption in other settings.
india, maternal activity, birth size, activity questionnaire
0954-3007
531-542
Rao, S.
4ce8bb49-9873-4afc-adf6-34860a285f51
Kanade, A.
efada023-ae96-4c1e-a0b7-04eb6b68fa4d
Margetts, B.M.
d415f4a1-d572-4ebc-be25-f54886cb4788
Yajnik, C.S.
ea0648f2-b384-4e5c-9e0f-45cc852e0c75
Lubree, H.
8eb89027-3dd5-48cb-bb28-d7ba59c8fd25
Rege, S.
f87fe303-cddc-47e4-ae5b-7aa62957e9e8
Desai, B.
26ac907d-ffe6-4dd6-a9ce-56c38426904b
Jackson, A.A.
c9a12d7c-b4d6-4c92-820e-890a688379ef
Fall, C.H.
7171a105-34f5-4131-89d7-1aa639893b18
Rao, S.
4ce8bb49-9873-4afc-adf6-34860a285f51
Kanade, A.
efada023-ae96-4c1e-a0b7-04eb6b68fa4d
Margetts, B.M.
d415f4a1-d572-4ebc-be25-f54886cb4788
Yajnik, C.S.
ea0648f2-b384-4e5c-9e0f-45cc852e0c75
Lubree, H.
8eb89027-3dd5-48cb-bb28-d7ba59c8fd25
Rege, S.
f87fe303-cddc-47e4-ae5b-7aa62957e9e8
Desai, B.
26ac907d-ffe6-4dd6-a9ce-56c38426904b
Jackson, A.A.
c9a12d7c-b4d6-4c92-820e-890a688379ef
Fall, C.H.
7171a105-34f5-4131-89d7-1aa639893b18

Rao, S., Kanade, A., Margetts, B.M., Yajnik, C.S., Lubree, H., Rege, S., Desai, B., Jackson, A.A. and Fall, C.H. (2003) Maternal activity in relation to birth size in rural India. The Pune Maternal Nutrition Study. European Journal of Clinical Nutrition, 57 (4), 531-542. (doi:10.1038/sj.ejcn.1601582).

Record type: Article

Abstract

Objective: To describe the relationship of the mother's physical activity to the birth size of her baby in a rural Indian population.
Design: Prospective observational study.
Setting: Six villages near Pune, Maharashtra, India.
Subjects: A total of 797 women were studied after excluding abortions and termination of pregnancies (112), foetal anomalies (8), multiple pregnancies (3), incomplete pre-pregnancy anthropometry (14) and pregnancies detected later than 21 weeks of gestation (168).
Method: An activity questionnaire was developed after focus group discussions and incorporated community-specific activities. It was validated against an observer-maintained diary. Activity scores were derived using published data on energy costs to weight the contributions of various activities. It was then administered to assess physical activity at 18 (±2) and 28 (±2) weeks of gestation.
Outcome measures: Birth outcome, maternal weight gain and neonatal anthropometry.
Results: The activity questionnaire was used to classify women into light, moderate and heavy activity categories. Maternal activity did not influence the incidence of prematurity or stillbirth, or the duration of gestation. It was inversely related to maternal weight gain up to 28 weeks of gestation (P=0.002). Higher maternal activity in early, as well as mid gestation, was associated with lower mean birth weight (P=0.05 and 0.02, respectively ), and smaller neonatal head circumference (P=0.005 and 0.009) and mid-arm circumference (P=0.03 and 0.01) after adjusting for the effect of major confounding factors.
Conclusions: The Findings suggest that excessive maternal activity during pregnancy is associated with smaller foetal size in rural India, The approach described for developing an activity questionnaire has potential for adoption in other settings.

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More information

Published date: 2003
Additional Information: Original Communication
Keywords: india, maternal activity, birth size, activity questionnaire

Identifiers

Local EPrints ID: 25926
URI: http://eprints.soton.ac.uk/id/eprint/25926
ISSN: 0954-3007
PURE UUID: 8e1517a3-0afa-4873-813f-80b416a57e42
ORCID for C.H. Fall: ORCID iD orcid.org/0000-0003-4402-5552

Catalogue record

Date deposited: 21 Apr 2006
Last modified: 16 Mar 2024 02:38

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Contributors

Author: S. Rao
Author: A. Kanade
Author: B.M. Margetts
Author: C.S. Yajnik
Author: H. Lubree
Author: S. Rege
Author: B. Desai
Author: A.A. Jackson
Author: C.H. Fall ORCID iD

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