Maternal pre-pregnancy underweight and the risk of small-for-gestational-age in Asian-American ethnic groups.

Autor:	Salihu HM; Center of Excellence in Health Equity, Training, and Research, Baylor College of Medicine, Houston, TX, USA.; Department of Family Medicine, Baylor College of Medicine, Houston, TX, USA., Garcia BY; Center of Excellence in Health Equity, Training, and Research, Baylor College of Medicine, Houston, TX, USA., Dongarwar D; Center of Excellence in Health Equity, Training, and Research, Baylor College of Medicine, Houston, TX, USA., Maiyegun SO; Department of Pediatrics, Texas Tech University Health Sciences Center, El Paso, TX, USA., Yusuf KK; College of Nursing & Public Health, Adelphi University, Garden City, NY, USA., Agili DEA; Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Obstetrics & gynecology science [Obstet Gynecol Sci] 2021 Nov; Vol. 64 (6), pp. 496-505. Date of Electronic Publication: 2021 Oct 20.
DOI:	10.5468/ogs.21243
Abstrakt:	Objective: This study aimed to examine the association between maternal pre-pregnancy underweight and the risk of small-forgestational-age (SGA) birth among Asian Americans compared with non-Hispanic (NH) whites. Methods: Using 2014-2018 birth data, we categorized maternal underweight and SGA according to severity. Bivariate analyses were performed to examine the demographics and maternal body mass index (BMI). Adjusted logistic regression models were used to analyze the association between maternal BMI and SGA among Asian Americans compared with NH-Whites. Results: In Asian Americans, the likelihood of SGA birth was higher among underweight mothers than among mothers with a normal BMI (odds ratio [OR], 1.37; 95% confidence interval [CI], 1.30-1.46). We observed that as the severity of maternal underweight increased, the adjusted odds of SGA increased. Underweight Asian American mothers were more likely to give birth to SGA infants than underweight NH-White mothers (OR, 1.36; 95% CI, 1.28-1.44). Conclusion: This study shows the association between maternal underweight and SGA birth among Asian Americans, supporting the development of culture-sensitive interventions addressing the impact of weight on pregnancy.
Databáze:	MEDLINE
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