Biccha R P, Sherpa M T, Shrestha R, Panta P P
Department of Pediatrics, Nepal Medical College and Teaching Hospital, Attarkhel, Jorpati, Kathmandu, Nepal.
Nepal Med Coll J. 2011 Mar;13(1):42-5.
Birth weight (BW) is an important determinant of infant's well being. Several factors such as mothers' genetic characteristics, socio-cultural, demographic, behavioral factors, prepregnancy body mass index (BMI), gestational weight gain (GWG) etc contribute to birth weight. This study assesses the anthropometric measurement of ethnic Nepalese women belonging to Sherpa/Tamang community and Brahmin/Chhetri community and the neonatal outcome in this population. A retrospective study was done in singleton pregnant women of Sherpa/Tamang and Brahmin/Chhetri community who delivered baby in Nepal Medical College and Teaching Hospital from April 2007 to March 2008 to examine the association between the maternal Body Mass Index (BMI) and the gestational weight gain among the two ethnic communities and the birth weight of newborns. Among 206 Sherpa women who met the eligibility criteria, the mean BMI of Sherpa/Tamang community was 23.53 +/- 2.28 which was statistically higher than the Brahmin/Chhetri community (21.6 +/- 2.32). Among Sherpa/Tamang community, the mean gestational weight gain was 12.8 +/- 3.4 kg and the mean birth weight was 3460 +/- 410 grams. Similarly among Brahmin/Chhetri community, mean gestation weight gain was 10.3 +/- 3.1 kg and the mean birth weight was 2960 +/- 340 gm. Maternal BMI, gestational weight gain and birth weight of the newborn was significantly higher in Sherpa/Tamang community and the Increasing BMI and the gestational weight gain was found to have strong association with the birth weight of the newborns among this ethnic community.
出生体重（BW）是婴儿健康状况的一个重要决定因素。母亲的遗传特征、社会文化、人口统计学、行为因素、孕前体重指数（BMI）、孕期体重增加（GWG）等多种因素都会影响出生体重。本研究评估了夏尔巴/塔芒族和婆罗门/切特里族尼泊尔族裔女性的人体测量数据以及该人群的新生儿结局。对2007年4月至2008年3月在尼泊尔医学院和教学医院分娩的夏尔巴/塔芒族和婆罗门/切特里族单胎孕妇进行了一项回顾性研究，以探讨这两个族裔社区中母亲体重指数（BMI）与孕期体重增加以及新生儿出生体重之间的关联。在符合入选标准的206名夏尔巴女性中，夏尔巴/塔芒族社区的平均BMI为23.53±2.28，在统计学上高于婆罗门/切特里族社区（21.6±2.32）。在夏尔巴/塔芒族社区中，平均孕期体重增加为12.8±3.4千克，平均出生体重为3460±410克。同样，在婆罗门/切特里族社区中，平均孕期体重增加为10.3±3.1千克，平均出生体重为2960±340克。夏尔巴/塔芒族社区中母亲的BMI、孕期体重增加和新生儿出生体重显著更高，并且在这个族裔社区中发现BMI和孕期体重增加的增加与新生儿出生体重有很强的关联。
