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HIV status and sociodemographic correlates of maternal body size and wasting during pregnancy.
Eur J Clin Nutr. 2002 May; 56(5):415-24.EJ

Abstract

OBJECTIVE

To examine HIV status and sociodemographic variables as correlates of body size (height, body mass index (BMI), and mid-upper-arm circumference (MUAC)) and wasting (MUAC <22 cm) in pregnant women.

DESIGN

Cross-sectional study.

SETTING

Four antenatal clinics in Dar es Salaam, Tanzania.

SUBJECTS

Women presenting for first prenatal visit before the 23rd week of gestation, between April 1995 and July 1997 (n=13 760).

RESULTS

Mean MUAC, BMI and height were 25.5 cm, 23.5 kg/m(2) and 155.1 cm, respectively. The prevalence of HIV infection was 13.1% and the overall prevalence of wasting was 4.7%. Wasting was 34% (95% CI=3%, 73%) more prevalent among HIV-infected than in uninfected mothers, after adjusting for week of gestation, height and sociodemographic indicators. The risk of wasting associated with HIV infection was highest among women with low level of education or unable to contribute to the household income. From a multiple linear regression model, BMI was positively associated with mother's age, level of education and money spent on food, but not with HIV infection, after adjusting for week of gestation. In multivariate analysis, height increased monotonically by categories of maternal age and level of education, and was also positively correlated with the ability to contribute to household income, the amount of money spent on food per person per day, and having a professional partner.

CONCLUSION

HIV infection is a significant risk factor for wasting among pregnant women, particularly in groups of low socioeconomic status (SES). SES indicators are strongly correlated with maternal height and with BMI during the first and second trimesters of pregnancy independently of HIV status.

SPONSORSHIP

The National Institute of Child Health and Human Development (NICHD R01 32257), and the Fogarty International Center (NIH D43 TW00004).

Authors+Show Affiliations

Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts 02115, USA. evillamo@hsph.harvard.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

12001012

Citation

Villamor, E, et al. "HIV Status and Sociodemographic Correlates of Maternal Body Size and Wasting During Pregnancy." European Journal of Clinical Nutrition, vol. 56, no. 5, 2002, pp. 415-24.
Villamor E, Msamanga G, Spiegelman D, et al. HIV status and sociodemographic correlates of maternal body size and wasting during pregnancy. Eur J Clin Nutr. 2002;56(5):415-24.
Villamor, E., Msamanga, G., Spiegelman, D., Coley, J., Hunter, D. J., Peterson, K. E., & Fawzi, W. W. (2002). HIV status and sociodemographic correlates of maternal body size and wasting during pregnancy. European Journal of Clinical Nutrition, 56(5), 415-24.
Villamor E, et al. HIV Status and Sociodemographic Correlates of Maternal Body Size and Wasting During Pregnancy. Eur J Clin Nutr. 2002;56(5):415-24. PubMed PMID: 12001012.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - HIV status and sociodemographic correlates of maternal body size and wasting during pregnancy. AU - Villamor,E, AU - Msamanga,G, AU - Spiegelman,D, AU - Coley,J, AU - Hunter,D J, AU - Peterson,K E, AU - Fawzi,W W, PY - 2001/05/07/received PY - 2001/08/10/revised PY - 2001/09/06/accepted PY - 2002/5/10/pubmed PY - 2002/8/1/medline PY - 2002/5/10/entrez SP - 415 EP - 24 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 56 IS - 5 N2 - OBJECTIVE: To examine HIV status and sociodemographic variables as correlates of body size (height, body mass index (BMI), and mid-upper-arm circumference (MUAC)) and wasting (MUAC <22 cm) in pregnant women. DESIGN: Cross-sectional study. SETTING: Four antenatal clinics in Dar es Salaam, Tanzania. SUBJECTS: Women presenting for first prenatal visit before the 23rd week of gestation, between April 1995 and July 1997 (n=13 760). RESULTS: Mean MUAC, BMI and height were 25.5 cm, 23.5 kg/m(2) and 155.1 cm, respectively. The prevalence of HIV infection was 13.1% and the overall prevalence of wasting was 4.7%. Wasting was 34% (95% CI=3%, 73%) more prevalent among HIV-infected than in uninfected mothers, after adjusting for week of gestation, height and sociodemographic indicators. The risk of wasting associated with HIV infection was highest among women with low level of education or unable to contribute to the household income. From a multiple linear regression model, BMI was positively associated with mother's age, level of education and money spent on food, but not with HIV infection, after adjusting for week of gestation. In multivariate analysis, height increased monotonically by categories of maternal age and level of education, and was also positively correlated with the ability to contribute to household income, the amount of money spent on food per person per day, and having a professional partner. CONCLUSION: HIV infection is a significant risk factor for wasting among pregnant women, particularly in groups of low socioeconomic status (SES). SES indicators are strongly correlated with maternal height and with BMI during the first and second trimesters of pregnancy independently of HIV status. SPONSORSHIP: The National Institute of Child Health and Human Development (NICHD R01 32257), and the Fogarty International Center (NIH D43 TW00004). SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/12001012/HIV_status_and_sociodemographic_correlates_of_maternal_body_size_and_wasting_during_pregnancy_ L2 - https://doi.org/10.1038/sj.ejcn.1601328 DB - PRIME DP - Unbound Medicine ER -