Table 2. Maternal Body Mass Index.
*ORs measured against the reference BMI <22.8 kg/m2 (implying that BMI ≥22.8 kg/m2 is protective against LBW but that BMI >27.1 kg/m2 is statistically significant with regard to low risk to LBW); $no p-value given; according to researchers this value is best cut-off limit with highest sensitivity and specificity product.
In BOLD statistically significant
MATERNAL BMI | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Study | Countries | Study population | Subjects (n) | Study type | Measured at | Cut-off value | Stat.test | LBW | IUGR | Pre-term |
Karim, Mascie-Taylor 1997 29 | Bangladesh | PW attending MCH clinics | 251 women | prospective | 3rd trimester | <18.5 kg/m2 | OR (95%CI) | 7.6 (1.89-32.54) | ||
3rd trimester | <20.5 kg/m2 | OR (95%CI) | 6.47 (3.15-13.37) | |||||||
3rd trimester | <22.5 kg/m2 | OR (95%CI) | 3.32 (1.53-7.31) | |||||||
Mohanty, Prasad, Reddy et al 20063 | India | PW from antenatal clinics | 395 women | prospective | 1st trimester | ≤20.0 kg/m2 | RR | 2.16$ | ||
Sahu, Agarwal, Das et al 200739 | India | PW delivering in a hospital | 380 women | prospective | early second trimester | <19.8 kg/m2 | RR (95%CI) | 2.1 (1.2-3.7) | 1.3 (0.5-3.6) | 0.6 (0.1-3.9) |
Ogbanna, Woelk, Ning et all 200731 | Zimbabwe | PW admitted in hospital for labour and delivery | 498 women | cross-sectional | end of pregnancy | 22.8-24.6 kg/m2 | OR (95%CI) | 0.51 (0.25-1.01)* | ||
end of pregnancy | 24.6-27.1 kg/m2 | OR (95%CI) | 0.51 (0.26-1.02)* | |||||||
end of pregnancy | >27.1 kg/m2 | OR (95%CI) | 0.25 (0.10-0.60)* | |||||||
Ojha and Malla 200733 | Nepal | PW delivering in a hospital | 308 women | prospective | measured at delivery | <18.5 kg/m2 | OR (95%CI) | 1.9 (0.61-5.65) | ||
Elshibly, Schmalisch 200835 | Sudan | PW delivering in a hospital | 1000 women | prospective | delivery | <25 kg/m2 | RR (95%CI) | 1.15 (0.81-1.62) | ||
Sen, Roy, Mondal 201036 | India | PW delivering in a hospital | 503 women | cross-sectional | delivery | <18.5 kg/m2 | RR (p-value) | 2.9 (p<0.0001) |