Baqui A H, Arifeen S E, Amin S, Black R E
Urban Health Extension Project, International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Dhaka.
Eur J Clin Nutr. 1994 May;48(5):349-57.
To determine the levels and correlates of maternal nutritional status.
Cross-sectional maternal weight, height, and mid-upper arm circumference (MUAC) data were correlated with sociodemographic data.
Slums of Dhaka, Bangladesh.
Weight, height and MUAC were collected from a representative sample of 2417 nonpregnant mothers. Socioeconomic data such as age, education, religion and household economic status was collected from 2048 mothers; data on reproductive experiences such as number of pregnancies and number of children born alive now dead was available from 1314 mothers; and both sets of data from 1185 mothers.
Using weight, height, MUAC and body mass index (BMI) data, the levels of maternal nutritional status were estimated. Bivariate and multivariate relationships of maternal nutritional status with socioeconomic and reproductive experiences variables were examined.
Mothers' mean weight, height, MUAC and BMI were 41.8 kg, 148.8 cm, 232.5 mm, and 18.8 respectively. In multivariate regression analyses, mothers' weight, BMI and MUAC were significantly positively correlated with mothers' years of schooling (P < 0.05) and household economic status (P < 0.01). Mothers' height was significantly positively correlated with years of schooling (P < 0.05), but not with household economic status. Maternal height and weight were significantly negatively correlated with number of child deaths (P < 0.05).
The findings suggest a possible inter-generational effect; thus, improvement of the nutritional status of girls of this generation would improve child survival in the next generation. This, however, will require complex and long-term planning. As an interim measure, shorter mothers should be targeted for appropriate antenatal and obstetric services.
确定孕产妇营养状况水平及其相关因素。
对孕产妇体重、身高和上臂中段周长（MUAC）数据与社会人口统计学数据进行横断面分析。
孟加拉国达卡的贫民窟。
收集了2417名未怀孕母亲的具有代表性样本的体重、身高和MUAC数据。从2048名母亲那里收集了年龄、教育程度、宗教信仰和家庭经济状况等社会经济数据；从1314名母亲那里获得了诸如怀孕次数和现存及已故存活子女数量等生育经历数据；1185名母亲提供了上述两组数据。
利用体重、身高、MUAC和体重指数（BMI）数据估算孕产妇营养状况水平。研究了孕产妇营养状况与社会经济和生育经历变量之间的双变量和多变量关系。
母亲的平均体重、身高、MUAC和BMI分别为41.8千克、148.8厘米、232.5毫米和18.8。在多变量回归分析中，母亲的体重、BMI和MUAC与母亲的受教育年限（P<0.05）和家庭经济状况（P<0.01）显著正相关。母亲的身高与受教育年限显著正相关（P<0.05），但与家庭经济状况无关。孕产妇身高和体重与儿童死亡数量显著负相关（P<0.05）。
研究结果表明可能存在代际效应；因此，改善这一代女孩的营养状况将提高下一代儿童的存活率。然而，这需要复杂且长期的规划。作为一项临时措施，应对身材较矮的母亲提供适当的产前和产科服务。
