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Maternal mid-upper arm circumference is associated with birth weight among HIV-infected Malawians

Identifieur interne : 001D07 ( Pmc/Corpus ); précédent : 001D06; suivant : 001D08

Maternal mid-upper arm circumference is associated with birth weight among HIV-infected Malawians

Auteurs : Roshan Thomas ; Martin Tembo ; Alice Soko ; Maggie Chigwenembe ; Sascha Ellington ; Dumbani Kayira ; Caroline King ; Charles Chasela ; Denise Jamieson ; Charles Van Der Horst ; Margaret Bentley ; Linda Adair

Source :

Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition [ 0884-5336 ] ; 2012.

RBID : PMC:3753683

Abstract

We examined the relationship of maternal anthropometry to fetal growth and birth weight among 1005 HIV-infected women in Lilongwe, Malawi, who consented to enrollment in the Breastfeeding, Antiretrovirals, and Nutrition (BAN) Study (www.thebanstudy.org). Anthropometric assessments of mid-upper arm circumference (MUAC), arm muscle area (AMA), and arm fat area (AFA) were collected at the baseline visit between 12 and 30 weeks gestation and in up to 4 follow-up prenatal visits. In longitudinal analysis, fundal height increased monotonically at an estimated rate of 0.92 cm/week and was positively and negatively associated with AMA and AFA, respectively. These latter relationships varied over weeks of follow-up. Baseline MUAC, AMA, and AFA were positively associated with birth weight [MUAC: 31.84 grams per cm increment, 95% CI: 22.18, 41.49 (p<0.01); AMA: 6.88 g/cm², 95% CI: 2.51, 11.26 (p<0.01); AFA: 6.97 g/cm², 95% CI: 3.53, 10.41 (p<0.01)]. In addition, MUAC and AMA were both associated with decreased odds for LBW (<2500 g) [MUAC: OR=0.85, 95% CI: 0.77, 0.94 (p<0.01); AMA: OR=0.95, 95% CI: 0.91, 0.99 (p<0.05)]. These findings support the use of MUAC as an efficient, cost effective screening tool for LBW in HIV-infected women, as in HIV-uninfected women.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753683

DOI: 10.1177/0884533611435991
PubMed: 22511656
PubMed Central: 3753683

Links to Exploration step

PMC:3753683

Le document en format XML

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<author><name sortKey="Thomas, Roshan" sort="Thomas, Roshan" uniqKey="Thomas R" first="Roshan" last="Thomas">Roshan Thomas</name>
<affiliation><nlm:aff id="A1">University of North Carolina at Chapel Hill</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tembo, Martin" sort="Tembo, Martin" uniqKey="Tembo M" first="Martin" last="Tembo">Martin Tembo</name>
<affiliation><nlm:aff id="A2">UNC Project Lilongwe</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soko, Alice" sort="Soko, Alice" uniqKey="Soko A" first="Alice" last="Soko">Alice Soko</name>
<affiliation><nlm:aff id="A2">UNC Project Lilongwe</nlm:aff>
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<author><name sortKey="Chigwenembe, Maggie" sort="Chigwenembe, Maggie" uniqKey="Chigwenembe M" first="Maggie" last="Chigwenembe">Maggie Chigwenembe</name>
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<author><name sortKey="King, Caroline" sort="King, Caroline" uniqKey="King C" first="Caroline" last="King">Caroline King</name>
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<author><name sortKey="Chasela, Charles" sort="Chasela, Charles" uniqKey="Chasela C" first="Charles" last="Chasela">Charles Chasela</name>
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<author><name sortKey="Van Der Horst, Charles" sort="Van Der Horst, Charles" uniqKey="Van Der Horst C" first="Charles" last="Van Der Horst">Charles Van Der Horst</name>
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<author><name sortKey="Bentley, Margaret" sort="Bentley, Margaret" uniqKey="Bentley M" first="Margaret" last="Bentley">Margaret Bentley</name>
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<author><name sortKey="Adair, Linda" sort="Adair, Linda" uniqKey="Adair L" first="Linda" last="Adair">Linda Adair</name>
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<author><name sortKey="Chigwenembe, Maggie" sort="Chigwenembe, Maggie" uniqKey="Chigwenembe M" first="Maggie" last="Chigwenembe">Maggie Chigwenembe</name>
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</affiliation>
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<author><name sortKey="Ellington, Sascha" sort="Ellington, Sascha" uniqKey="Ellington S" first="Sascha" last="Ellington">Sascha Ellington</name>
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</affiliation>
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<author><name sortKey="Kayira, Dumbani" sort="Kayira, Dumbani" uniqKey="Kayira D" first="Dumbani" last="Kayira">Dumbani Kayira</name>
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<author><name sortKey="King, Caroline" sort="King, Caroline" uniqKey="King C" first="Caroline" last="King">Caroline King</name>
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<author><name sortKey="Chasela, Charles" sort="Chasela, Charles" uniqKey="Chasela C" first="Charles" last="Chasela">Charles Chasela</name>
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<author><name sortKey="Van Der Horst, Charles" sort="Van Der Horst, Charles" uniqKey="Van Der Horst C" first="Charles" last="Van Der Horst">Charles Van Der Horst</name>
<affiliation><nlm:aff id="A1">University of North Carolina at Chapel Hill</nlm:aff>
</affiliation>
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<author><name sortKey="Bentley, Margaret" sort="Bentley, Margaret" uniqKey="Bentley M" first="Margaret" last="Bentley">Margaret Bentley</name>
<affiliation><nlm:aff id="A1">University of North Carolina at Chapel Hill</nlm:aff>
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<author><name sortKey="Adair, Linda" sort="Adair, Linda" uniqKey="Adair L" first="Linda" last="Adair">Linda Adair</name>
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<front><div type="abstract" xml:lang="en"><p id="P1">We examined the relationship of maternal anthropometry to fetal growth and birth weight among 1005 HIV-infected women in Lilongwe, Malawi, who consented to enrollment in the Breastfeeding, Antiretrovirals, and Nutrition (BAN) Study (<ext-link ext-link-type="uri" xlink:href="www.thebanstudy.org">www.thebanstudy.org</ext-link>
). Anthropometric assessments of mid-upper arm circumference (MUAC), arm muscle area (AMA), and arm fat area (AFA) were collected at the baseline visit between 12 and 30 weeks gestation and in up to 4 follow-up prenatal visits. In longitudinal analysis, fundal height increased monotonically at an estimated rate of 0.92 cm/week and was positively and negatively associated with AMA and AFA, respectively. These latter relationships varied over weeks of follow-up. Baseline MUAC, AMA, and AFA were positively associated with birth weight [MUAC: 31.84 grams per cm increment, 95% CI: 22.18, 41.49 (p<0.01); AMA: 6.88 g/cm<sup>2</sup>
, 95% CI: 2.51, 11.26 (p<0.01); AFA: 6.97 g/cm<sup>2</sup>
, 95% CI: 3.53, 10.41 (p<0.01)]. In addition, MUAC and AMA were both associated with decreased odds for LBW (<2500 g) [MUAC: OR=0.85, 95% CI: 0.77, 0.94 (p<0.01); AMA: OR=0.95, 95% CI: 0.91, 0.99 (p<0.05)]. These findings support the use of MUAC as an efficient, cost effective screening tool for LBW in HIV-infected women, as in HIV-uninfected women.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">8606733</journal-id>
<journal-id journal-id-type="pubmed-jr-id">5871</journal-id>
<journal-id journal-id-type="nlm-ta">Nutr Clin Pract</journal-id>
<journal-id journal-id-type="iso-abbrev">Nutr Clin Pract</journal-id>
<journal-title-group><journal-title>Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition</journal-title>
</journal-title-group>
<issn pub-type="ppub">0884-5336</issn>
<issn pub-type="epub">1941-2452</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22511656</article-id>
<article-id pub-id-type="pmc">3753683</article-id>
<article-id pub-id-type="doi">10.1177/0884533611435991</article-id>
<article-id pub-id-type="manuscript">NIHMS497389</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Maternal mid-upper arm circumference is associated with birth weight among HIV-infected Malawians</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Thomas</surname>
<given-names>Roshan</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tembo</surname>
<given-names>Martin</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Soko</surname>
<given-names>Alice</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chigwenembe</surname>
<given-names>Maggie</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ellington</surname>
<given-names>Sascha</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kayira</surname>
<given-names>Dumbani</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>King</surname>
<given-names>Caroline</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chasela</surname>
<given-names>Charles</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jamieson</surname>
<given-names>Denise</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>van der Horst</surname>
<given-names>Charles</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bentley</surname>
<given-names>Margaret</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Adair</surname>
<given-names>Linda</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><collab>the BAN Study Team</collab>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
University of North Carolina at Chapel Hill</aff>
<aff id="A2"><label>2</label>
UNC Project Lilongwe</aff>
<aff id="A3"><label>3</label>
Centers for Disease Control and Prevention</aff>
<pub-date pub-type="nihms-submitted"><day>3</day>
<month>8</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>16</day>
<month>4</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub"><month>6</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>27</day>
<month>8</month>
<year>2013</year>
</pub-date>
<volume>27</volume>
<issue>3</issue>
<fpage>416</fpage>
<lpage>421</lpage>
<abstract><p id="P1">We examined the relationship of maternal anthropometry to fetal growth and birth weight among 1005 HIV-infected women in Lilongwe, Malawi, who consented to enrollment in the Breastfeeding, Antiretrovirals, and Nutrition (BAN) Study (<ext-link ext-link-type="uri" xlink:href="www.thebanstudy.org">www.thebanstudy.org</ext-link>
). Anthropometric assessments of mid-upper arm circumference (MUAC), arm muscle area (AMA), and arm fat area (AFA) were collected at the baseline visit between 12 and 30 weeks gestation and in up to 4 follow-up prenatal visits. In longitudinal analysis, fundal height increased monotonically at an estimated rate of 0.92 cm/week and was positively and negatively associated with AMA and AFA, respectively. These latter relationships varied over weeks of follow-up. Baseline MUAC, AMA, and AFA were positively associated with birth weight [MUAC: 31.84 grams per cm increment, 95% CI: 22.18, 41.49 (p<0.01); AMA: 6.88 g/cm<sup>2</sup>
, 95% CI: 2.51, 11.26 (p<0.01); AFA: 6.97 g/cm<sup>2</sup>
, 95% CI: 3.53, 10.41 (p<0.01)]. In addition, MUAC and AMA were both associated with decreased odds for LBW (<2500 g) [MUAC: OR=0.85, 95% CI: 0.77, 0.94 (p<0.01); AMA: OR=0.95, 95% CI: 0.91, 0.99 (p<0.05)]. These findings support the use of MUAC as an efficient, cost effective screening tool for LBW in HIV-infected women, as in HIV-uninfected women.</p>
</abstract>
<funding-group><award-group><funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source>
<award-id>R24 HD050924 || HD</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source>
<award-id>R03 HD057637 || HD</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>

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Maternal mid-upper arm circumference is associated with birth weight among HIV-infected Malawians

Maternal mid-upper arm circumference is associated with birth weight among HIV-infected Malawians

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Abstract

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