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Maternal and infant factors had a significant impact on birthweight and longitudinal growth in a South African birth cohort.
Budree, S; Stein, D J; Brittain, K; Goddard, E; Koen, N; Barnett, W; Myer, L; Zar, H J.
Afiliación
  • Budree S; Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
  • Stein DJ; MRC Unit on Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.
  • Brittain K; Department of Psychiatry & Mental Health, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
  • Goddard E; South African Medical Research Council Unit on Risk and Resilience in Mental Disorders, Cape Town, South Africa.
  • Koen N; Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
  • Barnett W; MRC Unit on Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.
  • Myer L; Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
  • Zar HJ; MRC Unit on Child and Adolescent Health, University of Cape Town, Cape Town, South Africa.
Acta Paediatr ; 106(11): 1793-1801, 2017 Nov.
Article en En | MEDLINE | ID: mdl-28796908
AIM: This birth cohort study investigated longitudinal infant growth and associated factors in a multiethnic population living in a low-resource district surrounding the town of Paarl in South Africa. METHODS: Between March 2012 and October 2014, all mothers attending their second trimester antenatal visit at Paarl Hospital were approached for enrolment. Mother-infant pairs were followed from birth until 12 months of age. Comprehensive socio-demographic, nutritional and psychosocial data were collected at birth, two, six and 12 months. Infant anthropometry was analysed as z-scores for weight and height. Linear regression was used to investigate predictors of birthweight, and linear mixed-effects models were used to investigate predictors of infant growth. RESULTS: Longitudinal anthropometric data from 792 infants were included: 53% were Black African, 47% were mixed race, and 15% were born preterm. Stunting occurred in 13% of infants at 12 months. Maternal height, antenatal alcohol and tobacco use, ethnicity and socioeconomic status were significant predictors of birthweight. In the adjusted mixed-effects model, birthweight was a significant predictor of growth during the first year of life. CONCLUSION: Birthweight was an important predictor of growth trajectory during infancy. Birthweight and growth were influenced by several important modifiable factors.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Peso al Nacer / Desarrollo Infantil Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Infant / Male / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Acta Paediatr Año: 2017 Tipo del documento: Article País de afiliación: Sudáfrica Pais de publicación: Noruega

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Peso al Nacer / Desarrollo Infantil Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Infant / Male / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Acta Paediatr Año: 2017 Tipo del documento: Article País de afiliación: Sudáfrica Pais de publicación: Noruega