Analysis of correlation between maternal anemia during pregnancy and developmental delay among children in 8 counties in central and western China

YANG Chen-lu, LIU Xiao-li, SONG Qi-ying, ZHOU Hong, WANG Yan

Chinese Journal of Child Health Care ›› 2019, Vol. 27 ›› Issue (4) : 374-377.

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Chinese Journal of Child Health Care ›› 2019, Vol. 27 ›› Issue (4) : 374-377. DOI: 10.11852/zgetbjzz2018-0367
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Analysis of correlation between maternal anemia during pregnancy and developmental delay among children in 8 counties in central and western China

  • YANG Chen-lu, LIU Xiao-li, SONG Qi-ying, ZHOU Hong, WANG Yan
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Abstract

Objective To understand the status of maternal anemia during pregnancy,and to explore its correlation with developmental delay among children in 8 counties in central and western China,in order to provide evidence for intervention. Methods A cross-sectional study with probability proportional to size (PPS) sampling method was conducted in 8 counties in central and western China from October 2016 to January 2017. Data of maternal anemia during pregnancy of 1 100 children aged 1-59 months were obtained. Ages and Stages Questionnaires (ASQ) were used to evaluate the developmental outcomes of children. Multivariate Logistic regression model was applied to estimate the odds ratios (OR) and 95% confidence intervals (95%CI) after adjustment for potential confounding variables. Results Totally 419(38.1%) mothers had maternal anemia during pregnancy in surveyed areas. Maternal anemia during pregnancy was a risk factor for suspected developmental delay in communication domain (OR=2.02,95%CI:1.09-3.75,P=0.025) and overall ASQ (OR=1.63,95%CI:1.12-2.38,P=0.011) after adjustment for children's gender,children's age,parity,delivery mode,gestational age,birth weight,malnutrition,anemia in children,annual per capita net income of the family and maternal education. Conclusion Maternal anemia during pregnancy is correlated with suspected developmental delay among children in in central and western China.

Key words

anemia during pregnancy / suspected developmental delay / Ages and Stages Questionnaires

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YANG Chen-lu, LIU Xiao-li, SONG Qi-ying, ZHOU Hong, WANG Yan. Analysis of correlation between maternal anemia during pregnancy and developmental delay among children in 8 counties in central and western China[J]. Chinese Journal of Child Health Care. 2019, 27(4): 374-377 https://doi.org/10.11852/zgetbjzz2018-0367

References

[1] Lin L,Wei Y,Zhu W,et al.Prevalence,risk factors and associated adverse pregnancy outcomes of anaemia in Chinese pregnant women:a multicentre retrospective study[J]. BMC Pregnancy Childbirth,2018,18(1):111.
[2] 李辉霞,冯娜,郑剑飞,等. 5012名单胎活产儿小于胎龄儿和大于胎龄儿发生率及其影响因素研究[J]. 中国儿童保健杂志,2017,25(5):463-466.
[3] Bakacak M,Avci F,Ercan O,et al.The effect of maternal hemoglobin concentration on fet al birth weight according to trimesters[J]. J Matern Fetal Neonatal Med,2015,28(17):2106-2110.
[4] Stevens GA,Finucane MM,De-Regil LM,et al.Global,regional,and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011:a systematic analysis of population-representative data[J]. Lancet Glob Health,2013,1(1):e16-e25.
[5] 魏梅,卞晓燕,Squires J,等. 年龄与发育进程问卷中国常模及心理测量学特性研究[J]. 中华儿科杂志,2015,53(12):913-918.
[6] 崔珍珍,于盼,赵艾,等. 孕期贫血对出生结局及婴幼儿贫血、生长发育的影响[J]. 中国儿童保健杂志,2016,24(11):1132-1134.
[7] 董悦,魏丽惠. 妇产科学[M].北京:北京大学医学出版社,2003.
[8] 韩俊. 孕期营养保健对妊娠期缺铁性贫血及母婴结局的改善作用[J]. 中国妇幼保健,2017,32(3):487-488. [9] 范春丽,罗家有,龚雯洁,等. 妊娠期并发贫血影响因素的巢式病例对照研究[J]. 中华流行病学杂志,2017,38(9):1269-1273.
[10] 杨月欣,张环美. 《中国居民膳食指南(2016)》简介[J]. 营养学报,2016,38(3):209-217.
[11] Martorell R,Ascencio M,Tacsan L,et al.Effectiveness evaluation of the food fortification program of Costa Rica:impact on anemia prevalence and hemoglobin concentrations in women and children[J]. Am J Clin Nutr,2015,101(1):210-217.
[12] 吴希如,秦炯.儿科学[M].北京:北京大学医学出版社,2003.
[13] Berglund SK,Torres-Espinola FJ,Garcia-Valdes L,et al.The impacts of maternal iron deficiency and being overweight during pregnancy on neurodevelopment of the offspring[J]. Br J Nutr,2017,118(7):533-540.
[14] Georgieff MK.Long-term brain and behavioral consequences of early iron deficiency[J]. Nutrition Reviews,2011,69(Suppl 1):43-48.
[15] 朱柳燕,邵洁. 铁缺乏与儿童执行功能的研究进展[J]. 中国儿童保健杂志,2017,25(4):365-368.
[16] Christian P,Murray-Kolb LE,Khatry SK,et al.Prenatal micronutrient supplementation and intellectual and motor function in early school-aged children in Nepal[J]. JAMA,2010,304(24):2716-2723.
[17] 谭忠友,余超,周平. 儿童缺铁性贫血危险因素及影响贫血程度的相关因素分析[J]. 检验医学与临床,2016,13(17):2444-2446.
[18] Black MM,Walker SP,Fernald L,et al.Early childhood development coming of age:science through the life course[J]. Lancet,2017,389(10064):77-90.
[19] Luo R,Shi Y,Zhou H,et al.Micronutrient deficiencies and developmental delays among infants:evidence from a cross-sectional survey in rural China[J]. BMJ Open,2015,5(10):e8400.
[20] Xu X,Liu S,Rao Y,et al.Prevalence and sociodemographic and lifestyle determinants of anemia during pregnancy:A cross-sectional study of pregnant women in China[J]. Int J Environ Res Public Health,2016,13(9):908.
[21] Hair NL,Hanson JL,Wolfe BL,et al.Association of child poverty,brain development,and academic achievement[J]. JAMA Pediatrics,2015,169(9):822.
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