Volume 6, Issue 2 (Spring 2017)                   J Occup Health Epidemiol 2017, 6(2): 106-113 | Back to browse issues page


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Salem Z, Ebrahimi F, Aminzadeh F, Asadolahi Z. The prevalence of malnutrition and its association with pregnancy outcome among pregnant women in Rafsanjan, Iran, in 2016. J Occup Health Epidemiol 2017; 6 (2) :106-113
URL: http://johe.rums.ac.ir/article-1-250-en.html

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1- Dept. of Social Medicine, Occupational Environment Research Center, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. , salemzinat@yahoo.com
2- Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
3- Dept. of Obstetrics & Gynecology, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
4- Dept. of epidemiology and Biostatistics, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Article history
Received: 2017/05/16
Accepted: 2017/09/25
ePublished: 2017/10/29
Subject: Epidemiology
Abstract:   (8305 Views)
Background: Malnutrition in both its forms of obesity and underweight, particularly in pregnant women, cause maternal mortality and ‎prenatal complications.‎ The aims of this study were to determine the prevalence of malnutrition among pregnant women and its effect on‏ ‏pregnancy outcome, in Rafsanjan, Iran, in 2016.‎
Materials and Methods: The present cross-sectional study was conducted on 839 pregnant women referred to Niknafs and Ali-Ebn Abitaleb ‎ Hospitals in 2016. The subjects were selected by ‎census method. Data [age, pregnancy age, ‎pre-gestational height and weight, and body mass index (BMI)] were collected in the emergency ward and recorded in a checklist. Information on the type of delivery (normal or ‎cesarean section), and the neonate’s gender, weight, height, and head circumference at birth were collected in the ‎maternity ward. Data were analyzed using one-way ANOVA, Fisher’s exact test, and chi-square test. ‎
Results: This study showed that the prevalence of pregestational overweight & obesity, and underweight was ‎‎37.5% and 7.4%, respectively. The prevalence of neonatal LBW and HBW was 5.1% and 3.8%, respectively. In addition, 9.7% of underweight women had LBW neonatals, and 11.8% ‎‎of women with pregestational obesity had HBW infants (P = 0.039).‎
Conclusions: The prevalence of obesity in pregnant women was higher than that reported in other studies ‎in different regions of Iran. Therefore, obesity is a warning for health politicians and administrators. ‎Although prenatal care has been able to control neonatal LBW and HBW, although there is a long way until the achievement of the nutritional ‎goals for 2025.
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References
1. Mendez MA, Mendez CA, Popkin BM. Overweight exceeds underweight among women in most developing countries. Am J Clin Nutr 2005; 81(3):714-21. [PubMed]
2. Zahangir MS, Hasan MM, Richardson A, Tabassum S. Malnutrition and non-communicable diseases among Bangladeshi women: an urban–rural comparison. Nutr Diabetes 2017; 7(3):e250. [DOI] [PubMed]
3. Kanadys WM. Maternal underweight and pregnancy outcome: prospective cohort study. Archives of Perinatal Medicine 2007; 13(3):23-6. [Article]
4. Emamian MH, Fateh M, Hosseinpoor AR, Alami A, Fotouhi A. Obesity and its socioeconomic determinants in Iran. Econ Hum Biol 2017; 26:144-50. [DOI] [PubMed]
5. Meldrum DR. Introduction: Obesity and reproduction. Fertil Steril 2017; 107(4):831-2. [DOI] [PubMed]
6. Hajagos-Tóth J, Ducza E, Samavati R, Vari SG, Gaspar R Obesity in pregnancy: a novel concept on the roles of adipokines in uterine contractility. Croat Med J 2017; 58(2):96-104. [DOI] [PubMed]
7. Olson CM. Achieving a healthy weight gain during pregnancy. Annu Rev Nutr 2008; 28:411-23. [DOI] [PubMed]
8. Zeal C, Remington P, Ndiaye M, Stewart K, Stattelman-Scanlan D. The epidemiology of maternal overweight in Dane County, Wisconsin. WMJ 2014; 113(1):24-7. [PubMed]
9. Rayis DA, Abbaker AO, Salih Y, Diab TE, Adam I. Epidemiology of underweight and overweight-obesity among term pregnant Sudanese women. BMC Res Notes 2010; 3:327. [DOI] [PubMed]
10. Lau EY, Liu J, Archer E, McDonald SM, Liu J. Maternal weight gain in pregnancy and risk of obesity among offspring: a systematic review. J Obes 2014; 2014. Article ID 524939. [DOI] [PubMed]
11. Viswanathan M, Siega-Riz AM, Moos MK, Deierlein A, Mumford S, Knaack J, et al. Outcomes of maternal weight gain. Evid Rep Technol Assess (Full Rep) 2008; (168):1-223. [PubMed]
12. Garcia R, Ali N, Guppy A, Griffiths M, Randhawa G. A comparison of antenatal classifications of 'overweight' and 'obesity' prevalence between white British, Indian, Pakistani and Bangladeshi pregnant women in England; analysis of retrospective data. BMC Public Health 2017; 17(1):308. [DOI] [PubMed]
13. Sekhavat L, Fallah R. Could maternal pre-pregnancy body mass index affect Agars score? Arch Gynecol Obstet 2013; 287(1):15-8. [DOI] [PubMed]
14. Chen M, McNiff C, Madan J, Goodman E, Davis JM, Dammann O. Maternal obesity and neonatal Apgar scores. J Matern Fetal Neonatal Med 2010; 23(1):89-95. [DOI] [PubMed]
15. Gaillard R, Steegers EA, Hofman A, Jaddoe VW. Associations of maternal obesity with blood pressure and the risks of gestational hypertensive disorders. The Generation R Study. J Hypertens 2011; 29(5):937-44. [DOI] [PubMed]
16. Minsart AF, Buekens P, De Spiegelaere M, Englert Y. Neonatal outcomes in obese mothers: a population-based analysis. BMC Pregnancy Childbirth 2013; 13:36. [DOI] [PubMed]
17. McDonald SD, Han Z, Mulla S, Beyene J; Knowledge Synthesis Group. Overweight and obesity in mothers and risk of preterm birth and low birth weight infants: systematic review and meta-analyses. BMJ 2010; 341:c3428. [DOI] [PubMed]
18. HAPO Study Cooperative Research Group. Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study: associations with maternal body mass index. BJOG 2010; 117(5):575-84. [DOI] [PubMed]
19. Zhong Y, Cahill AG, Macones GA, Zhu F, Odibo AO. The association between pre pregnancy maternal body mass index and preterm delivery. Am J Perinatol 2010; 27(4):293-8. [DOI] [PubMed]
20. Avc ME, Sanlıkan F, Celik M, Avc A, Kocaer M, Göçmen A. Effects of maternal obesity on antenatal, perinatal, and neonatal outcomes. J Matern Fetal Neonatal Med 2014; 28(17):2080-3. [Article] [DOI]
21. Jenabi E. Effect of obesity and overweight on Outcomes of pregnancy and delivery. Iranian Journal of Obestrics, Gyneocology & Infertility 2010; 13(3):21-4. [Article]
22. Keshavarz M, Shariati M, Babaee GR. Pregnancy complications related to obesity in Shahrood. Journal of Birjand University of Medical Sciences 2008; 15(3):48-53. [Article]
23. Bahrami Taghanaki HR, Hashemian M, Lotfalizadeh M, Noras MR. The relationship between Body Mass Index (BMI) and birth weight and some pregnancy outcomes. Iranian Journal of Obstetrics, Gynecology and Infertility 2016; 19(30):1-8. [Article]
24. Solimani Zadeh L, Solimani Zadeh F, Abbas Zadeh A, Nasri N. Mother's BMI and Pregnancy Outcomes. Payesh 2006; 5(4):243-8. [Article]
25. Hadush MY, Berhe AH, Medhanyie AA. Foot length, chest and head circumference measurements in detection of Low birth weight neonates in Mekelle, Ethiopia: a hospital based cross sectional study. BMC Pediatr 2017; 17(1):111. [DOI] [PubMed]
26. Swiss. World Health Organization. Global Nutrition Targets 2025 Policy Brief Series. Geneve: World Health Organization; 2014. Report No.:WHO/NMH/NHD/14.2. Available from: http://apps.who.int/iris/bitstream/10665/149018/1/WHO_NMH_NHD_14.2_eng.pdf
27. Newton KP, Feldman HS, Chambers ChD, Wilson L, Behling C, Clark JM, et al. Low and high birth weights are risk factors for nonalcoholic fatty liver disease in children. J Pediatr 2017; 187:141-6.e1. [Article] [DOI]
28. Wang J, Zeng Y, Ni ZM, Wang G, Liu SY, Li C, et al. Risk factors for low birth weight and preterm birth: a population-based case-control study in Wuhan, China. J Huazhong Univ Sci Technolog Med Sci 2017; 37(2):286-92. [DOI] [PubMed]
29. Dehghani M. Prevalence of some risk factors of high-risk in newborns in Niknafs maternity hospital in rafsanjan 2005 [MD Thesis]. Rafsanjan: Rafsanjan University of Medical Sciences; 2006.
30. Momeni M, Danaei M, Kermani AJ, Bakhshandeh M, Foroodnia S, Mahmoudabadi Z, et al. Prevalence and risk factors of low birth weight in the southeast of Iran. Int J Prev Med 2017; 8:12. [DOI] [PubMed]
31. Mahmoudi Z, Kerimlou M, Sajjadi H, Dejman M, Vameghi M. Low birth weight and related its factors in Iran: according to the World Health Organization model. Achives of Rehabilitation 2012; 13(3):75-87. [PubMed]
32. Ghanbari Z., Emamizadeh A., Bagheri M. The prevalence and risk factors of fetal macrosomia: a cross sectional study of 2000 neonates. Tehran University Medical Journal 2008; 66(6):432-6. [Article]
33. Mardani M, Kazemi Kh, Mohsenzadeh A, Ebrahimzade F. Investigation of frequency and risk factors of macrosomia in infants of Asali hospital of Khoramabad city. Iranian Journal of Epidemiology 2013; 8(4):47-53. [Article]

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