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. 2017 Feb 3:75:12.
doi: 10.1186/s13690-017-0181-0. eCollection 2017.

Maternal undernutrition and excessive body weight and risk of birth and health outcomes

Md Nuruzzaman Khan  1 , Md Mizanur Rahman  1   2 , Asma Ahmad Shariff  3 , Md Mostafizur Rahman  1 , Md Shafiur Rahman  2 , Md Aminur Rahman  1
Affiliations

Maternal undernutrition and excessive body weight and risk of birth and health outcomes

Md Nuruzzaman Khan et al. Arch Public Health. .

Abstract

Background: Overweight and obesity are increasing in low- and middle-income countries, while underweight remains a significant health problems. However, the association between double burden of nutrition and risk of adverse birth and health outcomes is still unclear in Bangladesh. The aim of this study was to determine the effect of maternal undernutrition and excessive body weight on a range of maternal and child health outcomes.

Methods: In this study, we used Bangladesh Demographic and Health Survey (BDHS) 2011 and 2014 data sets to cover the maternal, child and non-communicable diseases related health outcomes. The study considered a range of outcome variables including pregnancy complication, cesarean delivery, diabetes, hypertension, stunting, and wasting, low birth weight, genital discharge, genital sore/ulcer, stillbirth, early neonatal mortality, perinatal mortality, preterm birth and prolonged labor. The key exposure variable was maternal body mass index. Multilevel regression analysis was performed to examine the association between outcomes and exposure variables.

Results: Maternal overweight and obesity has increased from 10% in 2004 to 24% in 2014, a 240% increase in 10 years. Between 2004 and 2014, maternal undernutrition declined from 33% to 18%, a reduction rate of only 54% in 10 years. Compared to normal-weight women, overweight and obese women were more likely to have experienced pregnancy complication, cesarean delivery, diabetes, and hypertension. Underweight women were 1.3 times more likely to have children with stunting and 1.6 times more likely to experience wasting compared to normal weight women. Maternal BMI was not significantly associated with increased risk of genital sore or ulcer, genital discharge, menstrual irregularities, or low birth weight though in certain cases risk was higher.

Conclusions: High maternal overweight and obesity were observed to have significant adverse effects on health outcomes, while underweight was a risk factor for newborn health. The findings show that weight management is necessary to prevent adverse birth and health outcomes in Bangladesh.

Trial registration: Data related to health was collected by following the guidelines of ICF international and Bangladesh Medical Research Council. The registration number of data collection is 132989.0.000 and the data-request was registered on March 11, 2015.

Keywords: Bangladesh; Birth and health outcome; Dual nutritional burden; Maternal BMI.

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Figures

Fig. 1
Fig. 1
Sample selection
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Trend in women’s nutritional status
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Age specific prevalence of BMI
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Fig. 4
Prevalence of BMI by women education
See this image and copyright information in PMC

References

    1. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, Mullany EC, Biryukov S, Abbafati C, Abera SF. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–81. doi: 10.1016/S0140-6736(14)60460-8. - DOI - PMC - PubMed
    1. Kelly T, Yang W, Chen CS, Reynolds K, He J. Global burden of obesity in 2005 and projections to 2030. Int J Obes. 2008;32(9):1431–7. doi: 10.1038/ijo.2008.102. - DOI - PubMed
    1. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, Mullany EC, Biryukov S, Abbafati C, Abera SF, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–81. doi: 10.1016/S0140-6736(14)60460-8. - DOI - PMC - PubMed
    1. Aimukhametova G, Ukybasova T, Hamidullina Z, Zhubanysheva K, Harun-Or-Rashid M, Yoshida Y, Kasuya H, Sakamoto J. The impact of maternal obesity on mother and neonatal health: study in a tertiary hospital of Astana, Kazakhstan. Nagoya J Med Sci. 2012;74(1–2):83–92. - PMC - PubMed
    1. World Health Organization . Global Health Observatory. Geneva: World Health Organization; 2014.

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