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Altitude effect on birth weight and prematurity in the Province of Catamarca (Argentina).

作者信息

Candelas Nieves, Terán José Manuel, López Barbancho Diego, Díaz María Cristina, Lomaglio Delia Beatriz, Marrodán María Dolores

机构信息

Faculty of Sciences, Department of Biology, Autonomous University of Madrid, 28049, Madrid, Spain.

Faculty of Biological Sciences, Department of Zoology and Physical Anthropology, Complutense University of Madrid, 28040, Madrid, Spain.

出版信息

Am J Hum Biol. 2015 Jul-Aug;27(4):526-9. doi: 10.1002/ajhb.22680. Epub 2015 Jan 20.

DOI:10.1002/ajhb.22680
PMID:25600153
Abstract

OBJECTIVES

To analyze the effect of altitude on weight and prematurity at birth in the Province of Catamarca (Argentina), between the years 1994 and 2003.

METHODS

Records of 22,628 newborns were collected from the vital statistics of the census of Catamarca. Weight was recategorized to include low birth weight (<2,500 g), and gestational age was divided into births that had occurred before or after 37 weeks (preterm or at term births). Altitude was also recategorized (<1,500 m, 1,500-2,000 m, and > 2,000 m). Nonparametric statistical tests were performed.

RESULTS

Differences were found in birth weight between sexes and in the incidence of low birth weight depending on altitude. This pattern changed according to gestational age, because those sexual differences were nonexistent or lower in preterm neonates with certain advantages for females. Moreover, it was found that the effects of hypoxia were not reflected in birth weight until later stages of intrauterine development.

CONCLUSIONS

To be female appears to be a benefit under conditions of prematurity and high altitude. The increased incidence of prematurity due to altitude increase may reflect an adaptive advantage of preterm birth under these conditions.

摘要

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