Preconception anemia and birth outcomes in Vietnam

The negative impact of anemia during pregnancy on birth outcomes is known, but few have examined the relative contribution of anemia prior to conception. We analyzed data on preconception anemia (PA) and birth outcomes collected prospectively from 946 mother‐infant pairs participating in a micronutr...

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Autores principales: Gonzalez-Casanova, Ines, Nguyen, Phuong Hong, Hao, Wei, Pham, Hoa, Truong, Truong, Nguyen, Son, Martorell, Reynaldo, Ramakrishnan, Usha
Formato: Resumen
Lenguaje:Inglés
Publicado: Wiley 2014
Materias:
Acceso en línea:https://hdl.handle.net/10568/149997
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author Gonzalez-Casanova, Ines
Nguyen, Phuong Hong
Hao, Wei
Pham, Hoa
Truong, Truong
Nguyen, Son
Martorell, Reynaldo
Ramakrishnan, Usha
author_browse Gonzalez-Casanova, Ines
Hao, Wei
Martorell, Reynaldo
Nguyen, Phuong Hong
Nguyen, Son
Pham, Hoa
Ramakrishnan, Usha
Truong, Truong
author_facet Gonzalez-Casanova, Ines
Nguyen, Phuong Hong
Hao, Wei
Pham, Hoa
Truong, Truong
Nguyen, Son
Martorell, Reynaldo
Ramakrishnan, Usha
author_sort Gonzalez-Casanova, Ines
collection Repository of Agricultural Research Outputs (CGSpace)
description The negative impact of anemia during pregnancy on birth outcomes is known, but few have examined the relative contribution of anemia prior to conception. We analyzed data on preconception anemia (PA) and birth outcomes collected prospectively from 946 mother‐infant pairs participating in a micronutrient supplementation trial in Vietnam. We used generalized linear models to estimate associations between PA, defined as a three‐level ordinal variable (coded 0,1,2) based on hemoglobin concentrations (Hb): >12 mg/dl (80% of sample), >11 to <12 mg/dl (13%), and <11 mg/dl (7%), and to adjust for potential confounders (BMI, age, education). We found negative associations between PA and birth weight (‐47 g, p=0.03), length (‐0.41 cm, p=0.02), head circumference (‐0.32 cm, p=0.03), and gestational age‐GA (‐0.29 weeks, p=0.01). After controlling for GA, the associations between PA and measures of birth size were attenuated (~0.00, p>0.10), suggesting that GA mediated the association between PA and birth size in our study population. These findings support the need for strategies and interventions to prevent and control anemia in women of reproductive age, both prior and during pregnancy, to improve birth outcomes.Supported by The Micronutrient Initiative and The Mathile Institute for the Advancement of Human Nutrition
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spelling CGSpace1499972025-04-03T21:29:13Z Preconception anemia and birth outcomes in Vietnam Gonzalez-Casanova, Ines Nguyen, Phuong Hong Hao, Wei Pham, Hoa Truong, Truong Nguyen, Son Martorell, Reynaldo Ramakrishnan, Usha anaemia trace elements pregnant women The negative impact of anemia during pregnancy on birth outcomes is known, but few have examined the relative contribution of anemia prior to conception. We analyzed data on preconception anemia (PA) and birth outcomes collected prospectively from 946 mother‐infant pairs participating in a micronutrient supplementation trial in Vietnam. We used generalized linear models to estimate associations between PA, defined as a three‐level ordinal variable (coded 0,1,2) based on hemoglobin concentrations (Hb): >12 mg/dl (80% of sample), >11 to <12 mg/dl (13%), and <11 mg/dl (7%), and to adjust for potential confounders (BMI, age, education). We found negative associations between PA and birth weight (‐47 g, p=0.03), length (‐0.41 cm, p=0.02), head circumference (‐0.32 cm, p=0.03), and gestational age‐GA (‐0.29 weeks, p=0.01). After controlling for GA, the associations between PA and measures of birth size were attenuated (~0.00, p>0.10), suggesting that GA mediated the association between PA and birth size in our study population. These findings support the need for strategies and interventions to prevent and control anemia in women of reproductive age, both prior and during pregnancy, to improve birth outcomes.Supported by The Micronutrient Initiative and The Mathile Institute for the Advancement of Human Nutrition 2014 2024-08-01T02:50:25Z 2024-08-01T02:50:25Z Abstract https://hdl.handle.net/10568/149997 en Limited Access Wiley Gonzalez-Casanova, Ines; Nguyen, Phuong Hong; Hao, Wei; Pham, Hoa; Truong, Truong; Nguyen, Son; Martorell, Reynaldo; and Ramakrishnan, Usha. 2014. Preconception anemia and birth outcomes in Vietnam. FASEB Journal 28(1 Supplement): 804.6. https://doi.org/10.1096/fasebj.28.1_supplement.804.6
spellingShingle anaemia
trace elements
pregnant women
Gonzalez-Casanova, Ines
Nguyen, Phuong Hong
Hao, Wei
Pham, Hoa
Truong, Truong
Nguyen, Son
Martorell, Reynaldo
Ramakrishnan, Usha
Preconception anemia and birth outcomes in Vietnam
title Preconception anemia and birth outcomes in Vietnam
title_full Preconception anemia and birth outcomes in Vietnam
title_fullStr Preconception anemia and birth outcomes in Vietnam
title_full_unstemmed Preconception anemia and birth outcomes in Vietnam
title_short Preconception anemia and birth outcomes in Vietnam
title_sort preconception anemia and birth outcomes in vietnam
topic anaemia
trace elements
pregnant women
url https://hdl.handle.net/10568/149997
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