Maternal pre-pregnancy underweight and the risk of small-for-gestational-age in Asian-American ethnic groups
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초록
ObjectiveThis study aimed to examine the association between maternal pre-pregnancy underweight and the risk of small-forgestational-age (SGA) birth among Asian Americans compared with non-Hispanic (NH) whites. MethodsUsing 2014-2018 birth data, we categorized maternal underweight and SGA according to severity. Bivariate analyseswere performed to examine the demographics and maternal body mass index (BMI). Adjusted logistic regressionmodels were used to analyze the association between maternal BMI and SGA among Asian Americans compared withNH-Whites. ResultsIn Asian Americans, the likelihood of SGA birth was higher among underweight mothers than among mothers witha normal BMI (odds ratio [OR], 1.37; 95% confidence interval [CI], 1.30-1.46). We observed that as the severity ofmaternal underweight increased, the adjusted odds of SGA increased. Underweight Asian American mothers weremore likely to give birth to SGA infants than underweight NH-White mothers (OR, 1.36; 95% CI, 1.28-1.44). ConclusionThis study shows the association between maternal underweight and SGA birth among Asian Americans, supportingthe development of culture-sensitive interventions addressing the impact of weight on pregnancy.
Abstract
ObjectiveThis study aimed to examine the association between maternal pre-pregnancy underweight and the risk of small-forgestational-age (SGA) birth among Asian Americans compared with non-Hispanic (NH) whites. MethodsUsing 2014-2018 birth data, we categorized maternal underweight and SGA according to severity. Bivariate analyseswere performed to examine the demographics and maternal body mass index (BMI). Adjusted logistic regressionmodels were used to analyze the association between maternal BMI and SGA among Asian Americans compared withNH-Whites. ResultsIn Asian Americans, the likelihood of SGA birth was higher among underweight mothers than among mothers witha normal BMI (odds ratio [OR], 1.37; 95% confidence interval [CI], 1.30-1.46). We observed that as the severity ofmaternal underweight increased, the adjusted odds of SGA increased. Underweight Asian American mothers weremore likely to give birth to SGA infants than underweight NH-White mothers (OR, 1.36; 95% CI, 1.28-1.44). ConclusionThis study shows the association between maternal underweight and SGA birth among Asian Americans, supportingthe development of culture-sensitive interventions addressing the impact of weight on pregnancy.
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