Skip to main content

Advertisement

Log in

Nutritional Status of Mothers and Low Birth Weight in India

  • Published:
Maternal and Child Health Journal Aims and scope Submit manuscript

Abstract

Objectives In this paper we examine the role of mothers’ nutritional status and socio-biological aspects in determining the birth weight of their most recent child. Methods We used data from the second Indian National Family Health Survey conducted in 1998–1999. Analysis is based on children born within 12 months prior to the survey date (N = 10,042). We used a subjective measure of the size of infant at birth as an indicator for birth weight and employed logistic regression to estimate the effect of BMI and other determinants on birth weight of children in India as a whole and for 17 states separately. Results and Conclusions Results show that mothers’ nutritional status is the most important determinant of newborn children’s birth weight. Safe drinking water, use of antenatal care and iron deficient anaemia were also significant contributors to low birth weight. Mothers’ BMI impact is more pervasive across India than the impact of other factors on birth weight.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. WHO & UNICEF. (2004). Low birth weight: Country, regional and global estimates. New York.

  2. UN SCN (United Nations Sub-Committee on Nutrition). (2004). 5th report on the world nutrition situation: Nutrition for improved development outcomes. New York.

  3. Behrman, J., Alderman, H., & Haddinott, J. (2004). Hunger and malnutrition. Copenhagen Consensus Challenge Paper, Copenhagen Consensus 2004, Environmental Assessment Institute, Copenhagen, Denmark.

  4. Martorell, R. (1999). The nature of child malnutrition and its long-term implications. Food and Nutrition Bulletin, 20(3), 288–292.

    Google Scholar 

  5. Pelletier, D. L., Frongillo, E. A., Jr, Schroeder, D. G., & Habicht, J. P. (1995). The effects of malnutrition on child mortality in Developing Countries. Bulletin of the World Health Organization, 73(4), 443–448.

    CAS  PubMed  Google Scholar 

  6. Hack, M., Flannery, D. J., Schluchter, M., Carter, L., Borawski, E., & Klein, N. (2002). Outcomes in young adulthood for very-low-birth-weight infants. The New England Journal of Medicine, 346(3), 149–158. doi:10.1056/NEJMoa010856.

    Article  PubMed  Google Scholar 

  7. Alderman, H., & Behrman, J. (2006). Reducing the incidence of low birth weight in low-income countries has substantial economic benefits, World Bank research observer. Washington, D.C: The World Bank.

    Google Scholar 

  8. Martorell, R., Ramakrishnan, U., Schroeder, D. G., Melgar, P., & Neufeld, L. (1998). Intrauterine growth retardation, body size, body composition and physical performance in adolescence. European Journal of Clinical Nutrition, 52(suppl), S43–S53.

    PubMed  Google Scholar 

  9. Villar, J., & Belizan, J. M. (1982). The relative contribution of prematurity and fetal growth retardation to low birth weight in developing and developed societies. American Journal of Obstetrics and Gynecology, 143, 793–798.

    CAS  PubMed  Google Scholar 

  10. Kramer, M. (1987). Determinants of low birth weight: Methodological assessment and meta-analysis. Bulletin of the World Health Organization, 65(5), 663–737.

    CAS  PubMed  Google Scholar 

  11. Kramer, M. (1987). Intrauterine growth and gestational duration determinants. Paediatrics, 80, 502–511.

    CAS  Google Scholar 

  12. Ramakrishnan, U. (2004). Nutrition and low birth weight: From research to practice. The American Journal of Clinical Nutrition, 79, 17–21.

    CAS  PubMed  Google Scholar 

  13. Dinh, P. H., To, T. H., Vuong, T. H., Hojer, B., & Persson, L. A. (1996). Maternal factors influencing the occurrence of low birthweight in northern Vietnam. Annals of Tropical Paediatrics, 16(4), 327–333.

    CAS  PubMed  Google Scholar 

  14. Kusin, J., Kardjati, S., & Renqvist, V. (1994). Maternal body mass index: The functional significance during reproduction. European Journal of Nutrition, 48, 56–67.

    Google Scholar 

  15. WHO. (2006). Promoting optimal fetal development. Geneva: Report of a Technical Consultation.

    Google Scholar 

  16. Ramakrishnan, U., Martorell, R., Schroeder, D. G., & Flores, R. (1999). Intergenerational effects on linear growth. The Journal of Nutrition, 129, 544–549.

    Google Scholar 

  17. Ramakrishnan, U., & Neufeld, L. (2001). Recent advances in nutrition and intrauterine growth. In R. Martorell & F. Haschke (Eds.), Nutrition and growth. Nestle nutrition workshop series (Vol. 47, pp. 97–121). Philadelphia: Lippincott-Williams and Wilkins.

    Google Scholar 

  18. Raman, L., Visweswara Rao, K., Adinarayana, K., Rawal, A., Vasumathi, N., Parvati, C. H., et al. (1995). Risk care approach to anaemia in pregnancy in an urban slum. Bulletin of the World Health Organization, 73(Suppl), 75–76.

    Google Scholar 

  19. Kulkarni, B., Shatrugna, V., & Balakrishna, N. (2006). Maternal lean body mass may be the major determinant of birth weight: A study from India. European Journal of Clinical Nutrition, 60, 1341–1344. doi:10.1038/sj.ejcn.1602461.

    Article  CAS  PubMed  Google Scholar 

  20. Naidu, A. N., & Rao, N. P. (1994). Body mass index: A measure of the nutritional status in Indian populations. European Journal of Clinical Nutrition, 48(Suppl 3), S131–S140.

    PubMed  Google Scholar 

  21. UNICEF (United Nations Children’s Fund). (2003). The state of the world’s children report, New York.

  22. UNICEF. (2006). The state of the world’s children. New York.

  23. Kinare, A. S., Natekar, A. S., Chinchwadkar, M. C., Yajnik, C. S., Coyaji, K. J., Fall, C. H. D., et al. (2000). Low mid-pregnancy placental volume in rural Indian women: A cause of low birth weight? American Journal of Obstetrics and Gynecology, 182, 443–448. doi:10.1016/S0002-9378(00)70237-7.

    Article  CAS  PubMed  Google Scholar 

  24. IIPS (International Institute for Population Sciences), & ORC Macro. (2000). National family health survey (NFHS-2), 1998–99: India. Mumbai: IIPS.

    Google Scholar 

  25. Channon, A., McDonald, M., & Padmadas, S. (n.d). Calculating low birth weight from DHS: Can mothers help improve estimation? University of Southampton.

  26. Blanc, A. K., & Wardlaw, T. (2005). Monitoring low birth weight: An evaluation of international estimates and an updated estimation procedure. Bulletin of the World Health Organization, 83, 178–185.

    PubMed  Google Scholar 

  27. Ghosh, S. (2006). Indoor air pollution in India and a baby’s size at birth: Is there a link? World Health & Population, (November), 1–17.

  28. Da Vanzo, J., Habicht, P. P., & Butz, W. P. (1984). Assessing socioeconomic correlates of low birth weight in Peninsular Malaysia: Ethnic differences and changes over time. Social Science and Medicine, 18(5), 387–404. doi:10.1016/0277-9536(84)90056-X.

    Article  CAS  Google Scholar 

  29. Boerma, J. T., Weinstein, K. I., Rutstein, S. O., & Sommerfelt, A. E. (1996). Data on birth weight in developing countries: Can surveys help? Bulletin of the World Health Organization, 74, 209–216.

    CAS  PubMed  Google Scholar 

  30. Magadi, M., Diamond, I., Madise, N., & Smith, P. (2004). Pathways of the determinants of birth outcomes in Kenya. Journal of Biosocial Science, 36, 153–176. doi:10.1017/S0021932003006163.

    Article  PubMed  Google Scholar 

  31. Hosmer, D. W., & Lemeshow, S. (2000). Applied logistic regression (2nd ed.). New York: Wiley.

    Google Scholar 

  32. Subramanian, S. V., & Davey Smith, G. (2006). Patterns, distribution, and determinants of under- and over nutrition: A population-based study of women in India. The American Journal of Clinical Nutrition, 84, 633–640.

    CAS  PubMed  Google Scholar 

  33. Shetty, P. S., & James, W. P. (1994). Body mass index: A measure of chronic energy deficiency in adults, food and nutrition paper No. 56. Rome: Food and Agricultural Organisation.

    Google Scholar 

  34. Ram, F., & Mohanty, S. K. (2005). State of human development in states and districts of india. Research Report, Mumbai: International Institute for Population Sciences.

    Google Scholar 

  35. Navaneetham, K., & Dharmalingam, A. (2002). Utilization of maternal health care services in Southern India. Social Science and Medicine, 55, 1849–1869. doi:10.1016/S0277-9536(01)00313-6.

    Article  CAS  PubMed  Google Scholar 

  36. Ehrenberg, H. M., Dierker, L., Milluzzi, C., & Mercer, B. M. (2003). Low maternal weight, failure to thrive in pregnancy and adverse pregnancy outcomes. American Journal of Obstetrics and Gynecology, 189, 1726–1730. doi:10.1016/S0002-9378(03)00860-3.

    Article  PubMed  Google Scholar 

  37. Yajnik, C. S. (2001). The insulin resistance epidemic in India. Fetal origins, later lifestyle or both. Nutrition Reviews, 50, 1–9.

    Google Scholar 

  38. Barker, D. J. P. (2004). The developmental origins of adult disease. Journal of the American College of Nutrition, 23(6, Suppl), 588S–595S.

    CAS  PubMed  Google Scholar 

  39. WHO. (1995). Maternal anthropometry and pregnancy outcomes: A WHO collaborative study. Bulletin of the World Health Organization, 73(1), 1–98.

    Google Scholar 

  40. Kramer, M. (1998). Socio-economic determinants of intrauterine growth retardation. European Journal of Clinical Nutrition, 52(S1), S29–S33. doi:10.1038/sj.ejcn.1600508.

    PubMed  Google Scholar 

  41. ACC/SCN (1992). Second report on the world nutrition situation. Geneva: ACC/SCN, WHO, and Washington, DC: IFPRI.

  42. Letamo, G., & Majelantle, R. (2001). Factors influencing low birth weight and prematurity in Botswana. Journal of Biosocial Science, 33, 391–403. doi:10.1017/S0021932001003911.

    Article  CAS  PubMed  Google Scholar 

  43. Bhutta, Z. A., Gupta, I., de Silva, H., Manandhar, D., Awasthi, S., Moazzem Hossain, S. M., et al. (2004). Maternal and child health: Is South Asia ready for change? British Medical Journal, 328, 816–819. doi:10.1136/bmj.328.7443.816.

    Article  PubMed  Google Scholar 

  44. Osmani, S., & Sen, A. (2003). The hidden penalties of gender inequality: Fetal origins of ill-health. Economics and Human Biology, 1, 105–121. doi:10.1016/S1570-677X(02)00006-0.

    Article  PubMed  Google Scholar 

  45. Caldwell, J. C. (1993). Health transition: The cultural, social and behavioural determinants of health in the third world. Social Science & Medicine, 36(2). doi:10.1016/0277-9536(93)90204-H.

  46. Basu, A. (1989). Girl’s schooling, women’s autonomy and fertility change in south Asia. London: Sage Publications.

    Google Scholar 

Download references

Conflict of Interest

The research uses secondary data, and there was no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A. Dharmalingam.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dharmalingam, A., Navaneetham, K. & Krishnakumar, C.S. Nutritional Status of Mothers and Low Birth Weight in India. Matern Child Health J 14, 290–298 (2010). https://doi.org/10.1007/s10995-009-0451-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10995-009-0451-8

Keywords

Navigation