OBJECTIVE: To identify correlates of anaemia during the first trimester of pregnancy among 366 urban South Indian pregnant women. DESIGN: Cross-sectional study evaluating demographic, socio-economic, anthropometric and dietary intake data on haematological outcomes. SETTING: A government maternity health-care centre catering predominantly to the needs of pregnant women from the lower socio-economic strata of urban Bangalore. SUBJECTS: Pregnant women (n 366) aged ≥18 and ≤40 years, who registered for antenatal screening at ≤14 weeks of gestation. RESULTS: Mean age was 22·6 (sd 3·4) years, mean BMI was 20·4 (sd 3·3) kg/m2 and 236 (64·5 %) of the pregnant women were primiparous. The prevalence of anaemia (Hb <11·0 g/dl) was 30·3 % and of microcytic anaemia (anaemia with mean corpuscular volume <80 fl) 20·2 %. Mean dietary intakes of energy, Ca, Fe and folate were well below the Indian RDA. In multivariable log-binomial regression analysis, anaemia was independently associated with high dietary intakes of Ca (relative risk; 95 % CI: 1·79; 1·16, 2·76) and P (1·96; 1·31, 2·96) and high intake of meat, fish and poultry (1·94; 1·29, 2·91). CONCLUSIONS: Low dietary intake of multiple micronutrients, but higher intakes of nutrients that inhibit Fe absorption such as Ca and P, may help explain high rates of maternal anaemia in India.
OBJECTIVE: To identify correlates of anaemia during the first trimester of pregnancy among 366 urban South Indian pregnant women. DESIGN: Cross-sectional study evaluating demographic, socio-economic, anthropometric and dietary intake data on haematological outcomes. SETTING: A government maternity health-care centre catering predominantly to the needs of pregnant women from the lower socio-economic strata of urban Bangalore. SUBJECTS: Pregnant women (n 366) aged ≥18 and ≤40 years, who registered for antenatal screening at ≤14 weeks of gestation. RESULTS: Mean age was 22·6 (sd 3·4) years, mean BMI was 20·4 (sd 3·3) kg/m2 and 236 (64·5 %) of the pregnant women were primiparous. The prevalence of anaemia (Hb <11·0 g/dl) was 30·3 % and of microcytic anaemia (anaemia with mean corpuscular volume <80 fl) 20·2 %. Mean dietary intakes of energy, Ca, Fe and folate were well below the Indian RDA. In multivariable log-binomial regression analysis, anaemia was independently associated with high dietary intakes of Ca (relative risk; 95 % CI: 1·79; 1·16, 2·76) and P (1·96; 1·31, 2·96) and high intake of meat, fish and poultry (1·94; 1·29, 2·91). CONCLUSIONS: Low dietary intake of multiple micronutrients, but higher intakes of nutrients that inhibit Fe absorption such as Ca and P, may help explain high rates of maternal anaemia in India.
Authors: Diego Gaitán; Sebastián Flores; Pía Saavedra; Constanza Miranda; Manuel Olivares; Miguel Arredondo; Daniel López de Romaña; Bo Lönnerdal; Fernando Pizarro Journal: J Nutr Date: 2011-07-27 Impact factor: 4.798
Authors: Rebecca Kuriyan; Jeffrey K Griffiths; Julia L Finkelstein; Tinku Thomas; Tony Raj; Ronald J Bosch; Anura V Kurpad; Christopher Duggan Journal: BMC Med Educ Date: 2014-01-08 Impact factor: 2.463
Authors: Rebecca L Lander; K Michael Hambidge; Jamie E Westcott; Gabriela Tejeda; Tshilenge S Diba; Shivanand C Mastiholi; Umber S Khan; Ana Garcés; Lester Figueroa; Antoinette Tshefu; Adrien Lokangaka; Shivaprasad S Goudar; Manjunath S Somannavar; Sumera Aziz Ali; Sarah Saleem; Elizabeth M McClure; Nancy F Krebs; On Behalf Of The Women First Preconception Nutrition Trial Group Journal: Nutrients Date: 2019-07-10 Impact factor: 5.717