First trimester maternal upper arm circumference correlated to placental size and neonatal anthropometry
BACKGROUND First maternal nutrition, represented by anthropometrics, is an important factor for fetal growth. This study aimed to determine the correlation between maternal nutritional status of first trimester pregnant women with placental size and neonatal anthropometry.
METHODS A retrospective cohort study (N = 134) was conducted in Jakarta and Riau during August–September 2017. Correlation between first trimester maternal nutritional status, placental size (placental weight and volume), and neonatal anthropometry (birth weight, birth length, head circumference, and abdominal circumference) were examined using Spearman correlation test.
RESULTS High maternal body mass index and upper arm circumference (UAC) are weakly correlated with high birth weight (r = 0.281, p<0.001 and r = 0.271, p<0.001), birth length (r = 0.176, p = 0.022 and r= 0.238, p = 0.002), head circumference (r = 0.251, p = 0.001 and r = 0.297, p<0.001), abdominal circumference (r = 0.227, p = 0.003 and r = 0.226, p = 0.003), placental weight (r = 0.198, p = 0.01 and r = 0.228, p<0.001), and placental volume (r = 0.194, p = 0.01 and r = 0.203, p = 0.008). In addition, high maternal height is also weakly correlated with high birth weight (r = 0.157, p = 0.043) and birth length (r = 0.158, p = 0.041).
CONCLUSIONS UAC can be reliably used to assess the nutritional status of pregnant women and to predict placental and newborn sizes.
Aurangzeb B, Whitten KE, Harrison B, Mitchell M, Kepreotes H, Sidler M, et al. Prevalence of malnutrition and risk of under- nutrition in hospitalized children. Clin Nutr. 2012;31(1):35-40. https://doi.org/10.1016/j.clnu.2011.08.011
Uauy R, Corvalan C, Casanello P, Kuzanovic J. Intervention strategies for preventing low birthweight in developing countries: importance of considering multiple interactive factors. Nestle Nutr Inst Workshop Ser. 2013;74:31-52. https://doi.org/10.1159/000348391
Deierlein AL, Siega-Riz AM, Adair LS, Herring AH. Effects of pre-pregnancy body mass index and gestational weight gain on infant anthropometric outcomes. J Pediatr. 2010;158(2):221-6. https://doi.org/10.1016/j.jpeds.2010.08.008
Togni FA, Araujo Júnior E, Vasques FA, Moron AF, Torloni MR, Nardozza LM. The cross-sectional area of umbilical cord components in normal pregnancy. Int J Gynaecol Obstet. 2006;96(3):156-61. https://doi.org/10.1016/j.ijgo.2006.10.003
Ilmonen J, Isolauri E, Poussa T, Laitinen K. Impact of dietary counselling and probiotic intervention on maternal anthropometric measurements during and after pregnancy: a randomized placebo-controlled trial. Clin Nutr. 2010;30(2):156- 64. https://doi.org/10.1016/j.clnu.2010.09.009
Sohlberg S, Mulic-Lutvica A, Lindgren P, Ortiz-Nieto F, Wikström AK, Wikström J. Placental perfusion in normal pregnancy and early and late preeclampsia: a magnetic resonance imaging study. Placenta. 2014;35(3):202-6. https://doi.org/10.1016/j.placenta.2014.01.008
Effendi M, Demers S, Giguère Y, Forest JC, Brassard N, Girard M, et al. Association between first-trimester placental volume and birth weight. Placenta. 2014;35(2):99-102. https://doi.org/10.1016/j.placenta.2013.11.015
Morrison JL, Regnault TR. Nutrition in pregnancy: optimising maternal diet and fetal adaptation to altered nutrient supply. Nutrients. 2016;8(6):342. https://doi.org/10.3390/nu8060342
Gernand AD, Christian P, Paul RR, Shaikh S, Labrique AB, Schulze KJ, et al. Maternal weight and body composition during pregnancy are associated with placental and birth weight in rural Bangladesh. J Nutr. 2012;142(11): 2010-6. https://doi.org/10.3945/jn.112.163634
Tang AM, Dong K, Deitchler M, Chung M, Maalouf-Manasseh Z, Tumilowicz A, et al. Use of cutoffs for mid-upper arm circumference (MUAC) as an indicator or predictor of nutritional and health-related outcomes in adolescents and adults: a systematic review. Washington: Food and Nutrition Technical Assistance III Project (FANTA); 2013.
The Indonesian Basic National Health Survey [Internet]. 2014 [cited 2014 Mar 31]. p. 1-362. Available from: http://terbitan.litbang.depkes.go.id/penerbitan/index.php/blp/catalog/book/64.
Wallace JM, Horgan GW, Bhattacharya S. Placental weight and efficiency in relation to maternal body mass index and the risk of pregnancy complication in women delivering singletons babies. Placenta. 2012;33(8):611-8. https://doi.org/10.1016/j.placenta.2012.05.006
Shaikh F, Zeeshan F, Hakeem R, Basit A, Fawwad A, Hussain A. Matenal dietary intake and athropometric measurement of newborn at birth. Open Diabetes J. 2014;7:14-9. https://doi.org/10.2174/1876524601407010014
Rask-Andersen M, Karlsson T, Ek WE, Johansson Å. Genome-wide association study of body fat distribution identifies adiposity loci and sex-specific genetic effects. Nat Commun. 2019;10(339). https://doi.org/10.1038/s41467-018-08000-4
Copyright (c) 2020 Noroyono Wibowo, Rima Irwinda, Lazuardy Rachman
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with Medical Journal of Indonesia agree to the following terms:
- Authors retain copyright and grant Medical Journal of Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial License that allows others to remix, adapt, build upon the work non-commercially with an acknowledgment of the work’s authorship and initial publication in Medical Journal of Indonesia.
- Authors are permitted to copy and redistribute the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Medical Journal of Indonesia.