Nutritional status before and during pregnancy of mothers and length and weight of newborns in Binh Duong province in 2010 - 2012 - 1


MINISTRY OF EDUCATION AND TRAINING MINISTRY OF HEALTH UNIVERSITY OF PUBLIC HEALTH

--------------


VAN QUANG TAN


NUTRITIONAL STATUS BEFORE AND DURING PREGNANCY OF MOTHERS AND LENGTH AND WEIGHT OF NEWBORNS

BORN IN BINH DUONG PROVINCE 2010 - 2012


DOCTORAL THESIS IN PUBLIC HEALTH


HANOI – 2015


.


MINISTRY OF EDUCATION AND TRAINING MINISTRY OF HEALTH UNIVERSITY OF PUBLIC HEALTH

--------------


VAN QUANG TAN


NUTRITIONAL STATUS BEFORE AND DURING PREGNANCY OF MOTHERS AND LENGTH AND WEIGHT OF NEWBORNS

BORN IN BINH DUONG PROVINCE 2010 - 2012


MAJORITY: PUBLIC HEALTH CODE: 62-72-03-01


SCIENTIFIC INSTRUCTOR: PROFESSOR LE THI HOP


HANOI – 2015

.


COMMITMENT


I hereby certify that this is my own research work. The data and results in this thesis are true and have not been published in any other work.


PhD student


Van Quang Tan

INDEX



INDEX


LIST OF ABBREVIATIONS


LIST OF TABLES - CHARTS - DIAGRAMS


PROBLEM STATEMENT

1

RESEARCH OBJECTIVES

3

CHAPTER 1. OVERVIEW OF DOCUMENTS

4

1.1. Nutritional status in women of childbearing age

4

1.1.1. Concept of malnutrition

4

1.1.2. Methods for assessing the nutritional status of adults

4

1.1.3. Chronic energy deficiency

6

1.1.4. Nutritional anemia

7

1.1.5. Nutritional status in women of childbearing age

10

1.2. Nutritional status of infants

19

1.2.1. Characteristics of normal fetal development in the uterus.

19

1.2.2. Classification of low birth weight babies

19

1.2.3. Current status of low birth weight babies

21

1.2.4. Current status of child malnutrition

24

1.3. Maternal nutrition and health factors related to children

30

1.3.1. Mother's nutrition before pregnancy

30

1.3.2. Maternal nutrition during pregnancy

32

1.3.3. Other factors

33

CHAPTER 2. RESEARCH OBJECTS AND METHODS

36

2.1. Research subjects

36

2.1.1. Selection criteria for research

36

2.1.2. Research location and time

37

2.2. Research method

38

2.2.1. Research design

38

2.2.2. Sample size

38

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Nutritional status before and during pregnancy of mothers and length and weight of newborns in Binh Duong province in 2010 - 2012 - 1

38

2.2.4. Description of research steps

42

2.2.5. Definition and listing of research variables

44

2.2.6. Data collection methods and evaluation criteria

45

2.2.7. Standards for evaluating nutritional anthropometric and hematological indices

47

2.2.8. Data processing and analysis

48

2.2.9. Error control measures

49

2.2. 10. Ethics in research

50

CHAPTER 3. RESULTS

51

3.1. Mother's nutritional status before and during pregnancy

51

3.1.1. General characteristics of PNTSD with screening stage

51

3.1.2. General characteristics of PNCT participating in the cohort study

55

3.2. Status of length and weight of children at birth

64

3.3. Relationship between maternal nutritional factors and length and weight

birth weight

69

3.3.1. Relationship between maternal nutritional status and child length at birth

69

3.3.2. The relationship between maternal nutritional status and child weight at birth

born.

74

CHAPTER 4. DISCUSSION

85

4.1. Mother's nutritional status before and during pregnancy

86

4.2. Nutritional status of children at birth

4.3. Relationship between newborn weight and length and maternal factors

96

99

CONCLUDE

108

RECOMMENDATION

111

REFERENCES – APPENDIX


2.2.3. Sampling and research grouping


LIST OF ABBREVIATIONS


ACC

World Health Organization Commission on Nutrition

(Administrative Committee on Coordination)

BMI

Body Mass Index

BVSKBMTE

Protecting maternal and child health

CC

CD

Height

Length

CN

SS

Weight

Newborn

CNSS

Birth weight

CNSST

Low birth weight

EU

European Union

FAO

Food and Agriculture Organization of the United Nations (Food and

Agriculture Organization)

IUGR

Intrauterin Growth Retardation

Restoration)

Family Planning

Family planning

LBW

Low Birth Weight

PN

Women

PNTSD

PNCT

Women of childbearing age

Pregnant women

SD

Standard Deviation

SDD

Malnutrition

SDDBT

Fetal malnutrition

SSNC

Low birth weight

WHO

World Health Organization

TB

Medium


TNLTD

Chronic lack of energy

TSĐ

Childbearing age

TT - GDSK

Health education communication

TTDD

Nutritional status

VDD

Institute of Nutrition

WHO

World Health Organization

YNSKCĐ

Public health significance


LIST OF TABLES


Table 1.1

Rate of anemia in pregnant Vietnamese women by ecological region

15

Table 1.2

Prevalence of anemia in non-pregnant Vietnamese women by ecological region

16

Table 1.3

Rate of malnutrition among children under 5 years old in the period 2009 - 2013 in Binh Duong

28

Table 3.1

Some general information of PNTSĐ – PNCT participating in the research.

52

Table 3.2

Characteristics of weight, height and BMI of PNTĐ participating in the study

save the screening stage

53

Table 3.3

The relationship between epidemiological factors and the health status of PWD participants

screening study

54

Table 3.4

General information of PNCT by BMI group participating in the pure study

practice.

56

Table 3.5

Distribution of characteristics of age, weight, height, BMI and

Hemoglobin of PNCT by TTDD group.

57

Table 3.6

Maternal weight gain during pregnancy

59

Table 3.7

Characteristics of weight and blood hemoglobin of pregnant women before pregnancy

born in 2 groups of TTDD.

61

Table 3.8

Understanding of prenatal check-ups, weight gain, and anemia in women before pregnancy

pregnancy

62

Table 3.9

Work practices, iron intake, sleep duration during pregnancy

Mothers follow 2 TTDD groups.

63

Table 3.10

Distribution of weight and length by sex of newborn babies .

65

Table 3.11

Distribution of gestational age at birth of children according to 2 groups of maternal nutritional status

66

Table 3.12

Distribution of newborn weight according to 2 groups of maternal nutritional status

68

Table 3.13

Distribution of length of children at birth according to 2 groups of maternal height.

69

Table 3.14

The relationship between maternal epidemiological factors and child length at birth.

70

Table 3.15

The relationship between height, weight, BMI, and anemia during pregnancy

mother with the length of the child at birth.

71

Table 3.16

The relationship between maternal weight and anemia before birth

72

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