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Maternal mid-upper arm circumference is associated with birth weight among HIV-infected Malawians
| Content Provider | PubMed Central |
|---|---|
| Author | Thomas, Roshan Tembo, Martin Soko, Alice Maggie, Chigwenembe Ellington, Sascha Kayira, Dumbani King, Caroline Charles, Chasela Jamieson, Denise Horst, Charles Van Der Bentley, Margaret Adair, Linda |
| Abstract | We examined the relationship of maternal anthropometry to fetal growth and birth weight among 1005 HIV-infected women in Lilongwe, Malawi, who consented to enrollment in the Breastfeeding, Antiretrovirals, and Nutrition (BAN) Study (www.thebanstudy.org). Anthropometric assessments of mid-upper arm circumference (MUAC), arm muscle area (AMA), and arm fat area (AFA) were collected at the baseline visit between 12 and 30 weeks gestation and in up to 4 follow-up prenatal visits. In longitudinal analysis, fundal height increased monotonically at an estimated rate of 0.92 cm/week and was positively and negatively associated with AMA and AFA, respectively. These latter relationships varied over weeks of follow-up. Baseline MUAC, AMA, and AFA were positively associated with birth weight [MUAC: 31.84 grams per cm increment, 95% CI: 22.18, 41.49 (p<0.01); AMA: 6.88 g/cm2, 95% CI: 2.51, 11.26 (p<0.01); AFA: 6.97 g/cm2, 95% CI: 3.53, 10.41 (p<0.01)]. In addition, MUAC and AMA were both associated with decreased odds for LBW (<2500 g) [MUAC: OR=0.85, 95% CI: 0.77, 0.94 (p<0.01); AMA: OR=0.95, 95% CI: 0.91, 0.99 (p<0.05)]. These findings support the use of MUAC as an efficient, cost effective screening tool for LBW in HIV-infected women, as in HIV-uninfected women. |
| Related Links | http://dx.doi.org/10.1177/0884533611435991 |
| Ending Page | 421 |
| Page Count | 6 |
| Starting Page | 416 |
| File Format | |
| ISSN | 19412452 |
| e-ISSN | 19412452 |
| Journal | Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition |
| Issue Number | 3 |
| Volume Number | 27 |
| Language | English |
| Publisher Date | 2012-06-01 |
| Access Restriction | Open |
| Subject Keyword | Research in Higher Education |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nutrition and Dietetics Medicine |
