The effect of high altitude and other risk factors on birthweight: independent or interactive effects?

Autor: G M Jensen, Lorna G. Moore
Rok vydání: 1997
Předmět:
Zdroj: American Journal of Public Health. 87:1003-1007
ISSN: 1541-0048
0090-0036
DOI: 10.2105/ajph.87.6.1003
Popis: OBJECTIVES: This study examined whether the decline in birth-weight with increasing altitude is due to an independent effect of altitude or an exacerbation of other risk factors. METHODS: Maternal, paternal, and infant characteristics were obtained from 3836 Colorado birth certificates from 1989 through 1991. Average altitude of residence for each county was determined. RESULTS: None of the characteristics related to birthweight (gestational age, maternal weight gain, parity, smoking, prenatal care visits, hypertension, previous small-for-gestational-age infant, female newborn) interacted with the effect of altitude. Birthweight declined an average of 102 g per 3300 ft (1000 m) elevation when the other characteristics were taken into account, increasing the percentage of low birthweight by 54% from the lowest to the highest elevations in Colorado. CONCLUSIONS: High altitude acts independently from other factors to reduce birthweight and accounts for Colorado's high rate of low birthweight.
Databáze: OpenAIRE