孕产妇饮食及铁叶酸补充剂对出生体重的影响：来自印度全国家庭健康调查的证据

The role of maternal diet and iron-folic acid supplements in influencing birth weight: evidence from India's National Family Health Survey.

作者信息

Malhotra Nisha, Upadhyay Ravi Prakash, Bhilwar Meenakshi, Choy Nicholas, Green Timothy

机构信息

Vancouver School of Economics, Faculty of Arts, University of British Columbia, Vancouver, V6T1Z1, Canada.

Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India

出版信息

J Trop Pediatr. 2014 Dec;60(6):454-60. doi: 10.1093/tropej/fmu051. Epub 2014 Sep 29.

DOI:10.1093/tropej/fmu051

PMID:25266114

Abstract

AIM

To examine the role of maternal diet in determining low birth weight (LBW) in Indian infants.

METHODS

Data from the National Family Health Survey (2005-06) were used. Multivariate regression analysis was used to analyse the effect of maternal diet on infant birth weight.

RESULTS

Infants whose mothers consumed milk and curd daily [odds ratio (OR), 1.17; 95% confidence interval (CI), 1.06-1.29]; fruits daily (OR, 1.20; 95% CI, 1.07-1.36) or weekly (OR, 1.13; 95% CI, 1.02-1.24) had higher odds of not having a low birth weight baby. The daily consumption of pulses and beans (OR, 1.18; 95% CI, 1.02-1.36) increased the odds while weekly consumption of fish (OR, 0.79; 95% CI, 0.70-0.89) decreased the odds of not having a LBW infant. Intake of iron-folic acid supplements during pregnancy increased birth weight by 6.46 g per month.

CONCLUSION

Improved intake of micronutrient-rich foods can increase birth weight.

摘要

目的

研究印度婴儿中母亲饮食在决定低出生体重（LBW）方面的作用。

方法

使用了全国家庭健康调查（2005 - 2006年）的数据。采用多变量回归分析来分析母亲饮食对婴儿出生体重的影响。

结果

母亲每天饮用牛奶和食用凝乳的婴儿[优势比（OR），1.17；95%置信区间（CI），1.06 - 1.29]；每天食用水果的婴儿（OR，1.20；95% CI，1.07 - 1.36）或每周食用水果的婴儿（OR，1.13；95% CI，1.02 - 1.24）生出非低出生体重婴儿的几率更高。每天食用豆类（OR，1.18；95% CI，1.02 - 1.36）会增加生出非低出生体重婴儿的几率，而每周食用鱼类（OR，0.79；95% CI，0.70 - 0.89）则会降低生出非低出生体重婴儿的几率。孕期摄入铁 - 叶酸补充剂可使出生体重每月增加6.46克。