RELATIONSHIP BETWEEN DIETARY PATTERN, ANTHROPOMETRIC, BIOCHEMICAL INDICES, AND BIRTH OUTCOME AMONG PREGNANT WOMEN ATTENDING ANTENATAL CLINIC AT YUSUF DANTSOHO MEMORIAL HOSPITAL
RELATIONSHIP BETWEEN DIETARY PATTERN, ANTHROPOMETRIC, BIOCHEMICAL INDICES, AND BIRTH OUTCOME AMONG PREGNANT WOMEN ATTENDING ANTENATAL CLINIC AT YUSUF DANTSOHO MEMORIAL HOSPITAL
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Date
2017-07
Authors
ALIYU, SAFIYA TIJJANI
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Abstract
Improper nutrition in pregnancy leads to unfavorable pregnancy outcome which can further influence maternal and newborn health status. This longitudinal study was undertaken to find out the relationship between maternal dietary pattern, anthropometric and some haematologicalindices, lipid profile with birth outcome among pregnant women in their 3rd trimester attending antenatal clinic at Yusuf Dantsoho Memorial Hospital, Tudun Wada, Kaduna. A validated semi structured questionnaire was administered to pregnant women to elicit information on maternal dietary pattern and demographic. Sixty seven mothers – baby pair participated in the study. Weight, height, and MUAC ofmothers were measured with unclothed newborn length, weight, head and chest circumference also taken. Determination of maternal serum lipid profile and some serum minerals (copper, zinc and iron) were done using standard methods. Hemoglobin and packed cell volume determination was conducted using hemoglobinometer. Data obtained was analyzed using SPSS version 20.0 statistical software with One way ANOVA, student’s t-test to compare the means and Pearson correlation coefficients to know the relation between parameters. Results obtained shows mean maternal age, weight, height, and MUAC of31.20±8.40years, 70.37±12.73kg, 1.620±0.07m, 26.65±4.08cm, and 26.63±3.80kg/m2 respectively. Majority of the pregnant women(77.60%) had good nutritional status while 16.40%, 6.00% are moderately and severely malnourished respectively. Maternal dietary pattern showed daily to weekly intake of all the food groups with less than 50% except for bread and cereals which is more than 50%. Maternal mean intake of total protein and total calories was close to the recommended daily intake of 60- 75 kg/day, and 2500 – 3000 kcal respectively. Maternal Heamatological level indicates 34.3% mildly anemic. Maternal reference range of serum total cholesterol (5.67 - 9.04 mmol/l), Low density cholesterol (2.62 - 5.80 mmol/l) and triglycerides (3.39 - 5.10mmol/l), zinc (7.7 – 11.8μmol/l), and iron (5 - 35μmol/l) were comparedwith recorded respondent serum micronutrient level and found to be within reference ranges except HDL-cholesterol and serum copper which were above recommended range. Newborn anthropometric measurements indicated that61.20%were mildly stunted, 70.10% mildly underweight, and 62.70% moderately wasted neonates.Head and chest circumference are within the normal range. Maternal anthropometry and dietary pattern showed a positive correlation with birth outcome and also maternal serum lipid profile except triglycerides that showed no relationship with birth outcome.
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A THESIS SUBMITTED TO THE SCHOOL OF POSTGRADUATE
STUDIES, AHMADU BELLO UNIVERSITY, ZARIA
IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD OFA
MASTER DEGREE OF SCIENCES IN NUTRITION
DEPARTMENT OF BIOCHEMISTRY,
FACULTY OF LIFE SCIENCES,
AHMADU BELLO UNIVERSITY,
ZARIA, NIGERIA
Keywords
RELATIONSHIP,, DIETARY PATTERN,, ANTHROPOMETRIC,, BIOCHEMICAL INDICES,, BIRTH OUTCOME,, PREGNANT WOMEN,, ANTENATAL CLINIC,, YUSUF DANTSOHO,, MEMORIAL HOSPITAL,