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Energy supplementation during pregnancy and postnatal growth.
Lancet. 1992 Sep 12; 340(8820):623-6.Lct

Abstract

The effect of improving maternal nutrition during pregnancy on growth of the child has not been assessed, since previous studies supplemented the diets of children as well as mothers. In a controlled randomised trial in Madura, East Java, pregnant women received a high (HE) or low (LE) energy supplement that provided 1950 kJ (465 kcal) or 218 kJ (52 kcal), respectively, in the last trimester of pregnancy. The effect of this intervention on the children's growth was assessed longitudinally for the first 5 years of life. Only the children of mothers who had complied for at least 90 days were included. Infants entered the study at birth and their growth was measured at 4-week intervals until 12 months old; thereafter they were measured every 3 months. Growth curves were calculated from a mathematical model, based on the best fit of actual measurements and the age-related growth velocity. Up to the age of 24 months, HE children were significantly heavier than LE children (p less than 0.05). HE children were also taller throughout the first 5 years (p less than 0.005 from 15 to 48 months, p less than 0.05 at both 3-12 and 60 months). Weight-for-height by age was similar in both groups, but stunting (height-for-age) was less prevalent in HE children. In a community characterised by chronic energy deficiency among women of reproductive age, energy supplementation of women for the last 90 days of pregnancy was effective in the promotion of postnatal growth and reduction in malnutrition of preschool children.

Authors+Show Affiliations

Nutrition Section, Royal Tropical Institute, Amsterdam, Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

1355209

Citation

Kusin, J A., et al. "Energy Supplementation During Pregnancy and Postnatal Growth." Lancet (London, England), vol. 340, no. 8820, 1992, pp. 623-6.
Kusin JA, Kardjati S, Houtkooper JM, et al. Energy supplementation during pregnancy and postnatal growth. Lancet. 1992;340(8820):623-6.
Kusin, J. A., Kardjati, S., Houtkooper, J. M., & Renqvist, U. H. (1992). Energy supplementation during pregnancy and postnatal growth. Lancet (London, England), 340(8820), 623-6.
Kusin JA, et al. Energy Supplementation During Pregnancy and Postnatal Growth. Lancet. 1992 Sep 12;340(8820):623-6. PubMed PMID: 1355209.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Energy supplementation during pregnancy and postnatal growth. AU - Kusin,J A, AU - Kardjati,S, AU - Houtkooper,J M, AU - Renqvist,U H, PY - 1992/9/12/pubmed PY - 1992/9/12/medline PY - 1992/9/12/entrez KW - Age Factors KW - Anthropometry KW - Asia KW - Biology KW - Body Height KW - Body Weight KW - Child KW - Child Development KW - Comparative Studies KW - Delivery Of Health Care KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Food Supplementation--women KW - Growth KW - Health KW - Health Services KW - Indonesia KW - Longitudinal Studies KW - Malnutrition--prevention and control KW - Maternal Nutrition KW - Measurement KW - Methodological Studies KW - Nutrition KW - Nutrition Disorders KW - Nutrition Programs KW - Physiology KW - Population KW - Population Characteristics KW - Pregnancy KW - Pregnancy, Third Trimester KW - Primary Health Care KW - Reproduction KW - Research Methodology KW - Southeastern Asia KW - Studies KW - Youth SP - 623 EP - 6 JF - Lancet (London, England) JO - Lancet VL - 340 IS - 8820 N2 - The effect of improving maternal nutrition during pregnancy on growth of the child has not been assessed, since previous studies supplemented the diets of children as well as mothers. In a controlled randomised trial in Madura, East Java, pregnant women received a high (HE) or low (LE) energy supplement that provided 1950 kJ (465 kcal) or 218 kJ (52 kcal), respectively, in the last trimester of pregnancy. The effect of this intervention on the children's growth was assessed longitudinally for the first 5 years of life. Only the children of mothers who had complied for at least 90 days were included. Infants entered the study at birth and their growth was measured at 4-week intervals until 12 months old; thereafter they were measured every 3 months. Growth curves were calculated from a mathematical model, based on the best fit of actual measurements and the age-related growth velocity. Up to the age of 24 months, HE children were significantly heavier than LE children (p less than 0.05). HE children were also taller throughout the first 5 years (p less than 0.005 from 15 to 48 months, p less than 0.05 at both 3-12 and 60 months). Weight-for-height by age was similar in both groups, but stunting (height-for-age) was less prevalent in HE children. In a community characterised by chronic energy deficiency among women of reproductive age, energy supplementation of women for the last 90 days of pregnancy was effective in the promotion of postnatal growth and reduction in malnutrition of preschool children. SN - 0140-6736 UR - https://www.unboundmedicine.com/medline/citation/1355209/Energy_supplementation_during_pregnancy_and_postnatal_growth_ L2 - https://linkinghub.elsevier.com/retrieve/pii/0140-6736(92)92168-F DB - PRIME DP - Unbound Medicine ER -