PMID- 34724208
OWN - NLM
STAT- MEDLINE
DCOM- 20211103
LR  - 20240404
IS  - 1879-3479 (Electronic)
IS  - 0020-7292 (Print)
IS  - 0020-7292 (Linking)
VI  - 155
IP  - 3
DP  - 2021 Dec
TI  - Population estimates and determinants of severe maternal thinness in India.
PG  - 380-397
LID - 10.1002/ijgo.13940 [doi]
AB  - OBJECTIVE: To examine prevalence, risk factors, and consequences of maternal 
      severe thinness in India. METHODS: This mixed methods study analyzed data from 
      the Indian National Family Health Survey (NFHS)-4 (2015-2016) to estimate the 
      prevalence of and risk factors for severe thinness, followed by a desk review of 
      literature from India. RESULTS: Prevalence of severe thinness (defined by World 
      Health Organization as body mass index [BMI] <16 in adult and BMI for age Z 
      score < -2 SD in adolescents) was higher among pregnant adolescents (4.3%) 
      compared with pregnant adult women (1.9%) and among postpartum adolescent women 
      (6.3%) than postpartum adult women (2.4%) 2-6 months after delivery. Identified 
      research studies showed prevalence of 4%-12% in pregnant women. Only 13/640 
      districts had at least three cases of severely thin pregnant women; others had 
      lower numbers. Three or more postpartum women aged >/=20 years were severely thin 
      in 32 districts. Among pregnant adolescents, earlier parity increased odds (OR 
      1.96; 95% CI, 1.18-3.27) of severe thinness. Access to household toilet facility 
      reduced odds (OR 0.72; 95% CI, 0.52-0.99]. Among mothers aged >/=20 years, 
      increasing education level was associated with decreasing odds of severe thinness 
      (secondary: OR 0.74; 95% CI, 0.57-0.96 and Higher: OR 0.54; 95% CI, 0.32-0.91, 
      compared with no education); household wealth and caste were also associated with 
      severe thinness. CONCLUSION: This paper reveals the geographic pockets that need 
      priority focus for managing severe thinness among pregnant women and mothers in 
      India to limit the immediate and intergenerational adverse consequences emanating 
      from these deprivations.
CI  - (c) 2021 The Authors. International Journal of Gynecology & Obstetrics published by 
      John Wiley & Sons Ltd on behalf of International Federation of Gynecology and 
      Obstetrics.
FAU - Choedon, Tashi
AU  - Choedon T
AD  - Institute of Economic Growth, New Delhi, India.
FAU - Sethi, Vani
AU  - Sethi V
AD  - Nutrition Section, United Nations Children's Fund, New Delhi, India.
FAU - Chowdhury, Ranadip
AU  - Chowdhury R
AD  - Centre for Health Research and Development, Society for Applied Studies, New 
      Delhi, India.
FAU - Bhatia, Neena
AU  - Bhatia N
AD  - NITI Aayog, Government of India, New Delhi, India.
FAU - Dinachandra, Konsam
AU  - Dinachandra K
AD  - Independent Consultant, New Delhi, India.
FAU - Murira, Zivai
AU  - Murira Z
AD  - Regional Office for South Asia, UNICEF, Kathmandu, Nepal.
FAU - Bhanot, Arti
AU  - Bhanot A
AD  - Independent Consultant, New Delhi, India.
FAU - Baswal, Dinesh
AU  - Baswal D
AD  - Programmes, Mamta Health Institute for Mother and Child, New Delhi, India.
FAU - de Wagt, Arjan
AU  - de Wagt A
AD  - Nutrition Section, United Nations Children's Fund, New Delhi, India.
FAU - Bhargava, Madhavi
AU  - Bhargava M
AD  - Department of Community Medicine, Yenepoya Medical College, Mangalore, India.
FAU - Meshram, Indrapal Ishwarji
AU  - Meshram II
AD  - Indian Council of Medical Research, National Institute of Nutrition, Hyderabad, 
      India.
FAU - Babu, Giridhara R
AU  - Babu GR
AD  - Department of Epidemiology, Indian Institute of Public Health, Bengaluru, India.
FAU - Kulkarni, Bharati
AU  - Kulkarni B
AD  - Indian Council of Medical Research, National Institute of Nutrition, Hyderabad, 
      India.
FAU - Divakar, Hema
AU  - Divakar H
AD  - Divakars Specialty Hospital, Bengaluru, India.
FAU - Jacob, Chandni Maria
AU  - Jacob CM
AD  - NIHR Southampton Biomedical Research Centre, University Hospital Southampton, 
      Southampton, UK.
AD  - Institute of Developmental Sciences, University of Southampton, Southampton, UK.
FAU - Killeen, Sarah Louise
AU  - Killeen SL
AD  - UCD Perinatal Research Centre, School of Medicine, University College Dublin, 
      National Maternity Hospital, Dublin, Ireland.
FAU - McAuliffe, Fionnuala
AU  - McAuliffe F
AD  - UCD Perinatal Research Centre, School of Medicine, University College Dublin, 
      National Maternity Hospital, Dublin, Ireland.
FAU - Alambusha, Ruby
AU  - Alambusha R
AD  - Institute of Economic Growth, New Delhi, India.
FAU - Joe, William
AU  - Joe W
AD  - Institute of Economic Growth, New Delhi, India.
FAU - Hanson, Mark
AU  - Hanson M
AD  - NIHR Southampton Biomedical Research Centre, University Hospital Southampton, 
      Southampton, UK.
AD  - Institute of Developmental Sciences, University of Southampton, Southampton, UK.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Int J Gynaecol Obstet
JT  - International journal of gynaecology and obstetrics: the official organ of the 
      International Federation of Gynaecology and Obstetrics
JID - 0210174
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Body Mass Index
MH  - Educational Status
MH  - Female
MH  - Health Surveys
MH  - Humans
MH  - India/epidemiology
MH  - Infant
MH  - Pregnancy
MH  - Prevalence
MH  - *Thinness/epidemiology
PMC - PMC8597590
OTO - NOTNLM
OT  - India
OT  - consequences of severe thinness
OT  - postpartum
OT  - pregnancy
OT  - prevalence
OT  - risk factors for severe thinness
OT  - severe thinness
COIS- The authors have no conflicts of interest.
EDAT- 2021/11/02 06:00
MHDA- 2021/11/04 06:00
PMCR- 2021/11/17
CRDT- 2021/11/01 16:58
PHST- 2021/09/15 00:00 [revised]
PHST- 2021/06/17 00:00 [received]
PHST- 2021/09/17 00:00 [accepted]
PHST- 2021/11/01 16:58 [entrez]
PHST- 2021/11/02 06:00 [pubmed]
PHST- 2021/11/04 06:00 [medline]
PHST- 2021/11/17 00:00 [pmc-release]
AID - IJGO13940 [pii]
AID - 10.1002/ijgo.13940 [doi]
PST - ppublish
SO  - Int J Gynaecol Obstet. 2021 Dec;155(3):380-397. doi: 10.1002/ijgo.13940.