Journal article
Maternal Nutrition and Birth Outcomes: Effect of Balanced Protein-Energy Supplementation
Paediatric and perinatal epidemiology, Vol.26(s1), pp.178-190
07/01/2012
DOI: 10.1111/j.1365-3016.2012.01308.x
PMID: 22742610
Abstract
The nutritional status of a woman before and during pregnancy is important for a healthy pregnancy outcome. Maternal malnutrition is a key contributor to poor fetal growth, low birthweight (LBW) and short- and long-term infant morbidity and mortality. This review summarised the evidence on association of maternal nutrition with birth outcomes along with review of effects of balanced protein-energy supplementation during pregnancy. A literature search was conducted on PubMed, WHOLIS, PAHO and Cochrane library. Only intervention studies were considered for inclusion and data were combined by meta-analyses if available from more than one study. Sixteen intervention studies were included in the review. Pooled analysis showed a positive impact of balanced protein-energy supplementation on birthweight compared with control [mean difference 73 (g) [95% confidence interval (CI) 30, 117]]. This effect was more pronounced in undernourished women compared with adequately nourished women. Combined data from five studies showed a reduction of 32% in the risk of LBW in the intervention group compared with control [relative risk (RR) 0.68 [95% CI 0.51, 0.92]]. There was a reduction of 34% in the risk of small-for-gestational-age babies in the intervention compared with the control group [RR 0.66 [95% CI 0.49, 0.89]]. The risk of stillbirth was also reduced by 38% in the intervention group compared with control [RR 0.62 [95% CI 0.40, 0.98]]. In conclusion, balanced protein-energy supplementation is an effective intervention to reduce the prevalence of LBW and small-for-gestational-age births, especially in undernourished women.
Details
- Title: Subtitle
- Maternal Nutrition and Birth Outcomes: Effect of Balanced Protein-Energy Supplementation
- Creators
- Aamer Imdad - Aga Khan UniversityZulfiqar A. Bhutta - Aga Khan University
- Resource Type
- Journal article
- Publication Details
- Paediatric and perinatal epidemiology, Vol.26(s1), pp.178-190
- Publisher
- Wiley
- DOI
- 10.1111/j.1365-3016.2012.01308.x
- PMID
- 22742610
- ISSN
- 0269-5022
- eISSN
- 1365-3016
- Number of pages
- 13
- Language
- English
- Date published
- 07/01/2012
- Academic Unit
- Stead Family Department of Pediatrics; Gastroenterology, Hepatology, Pancreatology, and Nutrition
- Record Identifier
- 9984446425802771
Metrics
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