دورية أكاديمية
Maternal mid-upper arm circumference to predict small for gestational age: Findings in a Zambian cohort.
| العنوان: | Maternal mid-upper arm circumference to predict small for gestational age: Findings in a Zambian cohort. |
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| المؤلفون: | Appiagyei A; Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA., Vwalika B; Department of Obstetrics and Gynaecology, University of Zambia School of Medicine, Lusaka, Zambia., Spelke MB; Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA., Conner MG; Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA., Mabula-Bwalya CM; UNC Global Projects Zambia, Lusaka, Zambia., Kasaro MP; UNC Global Projects Zambia, Lusaka, Zambia., Honart AW; Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, North Carolina, USA., Kumwenda A; Department of Obstetrics and Gynaecology, University of Zambia School of Medicine, Lusaka, Zambia., Stringer EM; Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA., Stringer JSA; Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA., Price JT; Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA. |
| المصدر: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2023 May; Vol. 161 (2), pp. 462-469. Date of Electronic Publication: 2022 Oct 31. |
| نوع المنشور: | Clinical Trial; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 0210174 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-3479 (Electronic) Linking ISSN: 00207292 NLM ISO Abbreviation: Int J Gynaecol Obstet Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2017- : Malden, MA : Wiley Original Publication: [New York, NY] Hoeber Medical Division, Harper & Row, [c1969- |
| مواضيع طبية MeSH: | HIV Infections*/complications , Infant, Newborn, Diseases*, Female ; Humans ; Infant ; Infant, Newborn ; Pregnancy ; Anthropometry ; Arm/anatomy & histology ; Birth Weight ; Fetal Growth Retardation ; Gestational Age ; Zambia |
| مستخلص: | Objective: To compare the performance of mid upper arm circumference (MUAC) and body mass index (BMI) for prediction of small for gestational age (SGA) in Zambia. Methods: This is a secondary analysis of an ongoing clinical cohort that included women with a single gestation and MUAC measured before 24 weeks of pregnancy. We assessed relationships between maternal MUAC and birth weight centile using regression. The performance of MUAC and BMI to predict SGA was compared using receiver operating characteristic curves and the effect of maternal HIV was investigated in sub-group analyses. Results: Of 1117 participants, 847 (75%) were HIV-negative (HIV-) and 270 (24%) were HIV-positive (HIV+). Seventy-four (7%) delivered severe SGA infants (<3rd centile), of whom 56 (76%) were HIV- and 18 (24%) were HIV+ (odds ratio [OR] 1.01, 95% confidence interval [CI] 0.58-1.75). MUAC was associated with higher birth weight centile (+1.2 centile points, 95% CI 0.7-1.6; P < 0.001); this relationship was stronger among HIV+ women (+1.7 centile points, 95% CI 0.8-2.6; P < 0.001) than HIV- women (+0.9 centile points, 95% CI 0.4-1.4; P = 0.001). The discriminatory power was similar, albeit poor (area under the curve [AUC] < 0.7), between MUAC and BMI for the prediction of SGA. In stratified analysis, MUAC and BMI showed excellent discrimination predicting severe SGA among HIV+ (AUC 0.83 and 0.81, respectively) but not among HIV- women (AUC 0.64 and 0.63, respectively). Conclusion: Maternal HIV infection increased the discrimination of both early pregnancy MUAC and BMI for prediction of severe SGA in Zambia. Clinical Trial Number: ClinicalTrials.gov (NCT02738892). (© 2022 International Federation of Gynecology and Obstetrics.) |
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| معلومات مُعتمدة: | D43 TW010558 United States TW FIC NIH HHS; United States NH NIH HHS; D43 TW009340 United States TW FIC NIH HHS; P30 AI050410 United States AI NIAID NIH HHS; K01 TW010857 United States TW FIC NIH HHS; T32 HD075731 United States HD NICHD NIH HHS |
| فهرسة مساهمة: | Keywords: HIV; Sub-Saharan Africa; anthropometry; fetal growth; mid-upper arm circumference; nutrition; small for gestational age |
| سلسلة جزيئية: | ClinicalTrials.gov NCT02738892 |
| تواريخ الأحداث: | Date Created: 20221020 Date Completed: 20230426 Latest Revision: 20240502 |
| رمز التحديث: | 20240502 |
| مُعرف محوري في PubMed: | PMC10115906 |
| DOI: | 10.1002/ijgo.14517 |
| PMID: | 36263879 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1879-3479 |
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| DOI: | 10.1002/ijgo.14517 |