Short maternal stature increases risk of small for-gestational-age and preterm births in lowand middle-income countries: Individual participant data meta-analysis and population attributable fraction

N. Kozuki, J. Katz, A.C.C. Lee, Joshua Vogel, M.F. Silveira, A. Sania, G.A. Stevens, S. Cousens, L.E. Caulfield, P. Christian, L. Huybregts, D. Roberfroid, C. Schmiegelow, L.S. Adair, F.C. Barros, M. Cowan, W. Fawzi, P. Kolsteren, M. Merialdi, A. MongkolchatiN. Saville, C.G. Victora, Z.A. Bhutta, H. Blencowe, M. Ezzati, J.E. Lawn, R.E. Black

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Abstract

© 2015 American Society for Nutrition. Background: Small-for-gestational-age (SGA) and preterm births are associated with adverse health consequences, including neonatal and infant mortality, childhood undernutrition, and adulthood chronic disease. Objectives: The specific aims of this study were to estimate the association between short maternal stature and outcomes of SGA alone, preterm birth alone, or both, and to calculate the population attributable fraction of SGA and preterm birth associated with short maternal stature. Methods: We conducted an individual participant data meta-analysis with the use of data sets from 12 population-based cohort studies and the WHO Global Survey on Maternal and Perinatal Health (13 of 24 available data sets used) from lowand middle-income countries (LMIC). We included those with weight taken within 72 h of birth, gestational age, and maternal height data (n = 177,000). For each of these studies, we individually calculated RRs between height exposure categories of
Original languageEnglish
Pages (from-to)2542-2550
JournalJournal of Nutrition
Volume145
Issue number11
DOIs
Publication statusPublished - 2015

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    Kozuki, N., Katz, J., Lee, A. C. C., Vogel, J., Silveira, M. F., Sania, A., Stevens, G. A., Cousens, S., Caulfield, L. E., Christian, P., Huybregts, L., Roberfroid, D., Schmiegelow, C., Adair, L. S., Barros, F. C., Cowan, M., Fawzi, W., Kolsteren, P., Merialdi, M., ... Black, R. E. (2015). Short maternal stature increases risk of small for-gestational-age and preterm births in lowand middle-income countries: Individual participant data meta-analysis and population attributable fraction. Journal of Nutrition, 145(11), 2542-2550. https://doi.org/10.3945/jn.115.216374