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. 2018 Jun 14;8(6):e020694. doi: 10.1136/bmjopen-2017-020694

Table 4.

Indirect and total effects of socioeconomic status and maternal characteristics and lifestyles during pregnancy on SGA

Pathway SES→mediators Mediators→birth
outcomes
B SE 95% CI P values ß
a b a*b
Small-for-gestational-age (SGA)
Total effect −0.067 −0.030
Direct effect (c) −0.046 0.044 (−0.132 to 0.040) 0.299 −0.034
Indirect effect −0.067 0.021 (−0.108 to -0.026) 0.001 −0.030
SES→Prepregnancy BMI18.50→GWG
not below IOM recommendations
0.033*, −0.253** 0.321** −0.003 0.001 (−0.005 to -0.001) 0.007 −0.001
SES→GWG not below IOM recommendations −0.045 0.321** −0.014 0.013 (−0.039 to 0.011) 0.273 −0.006
SES→Prepregnancy BMI18.50 0.033* −0.274** −0.009 0.003 (−0.015 to -0.003) 0.010 −0.004
SES→a multivitamin supplement during the first trimester of pregnancy 0.317** −0.066* −0.021 0.008 (−0.037 to -0.005) 0.010 −0.009
SES→Physical activity during the last trimester of pregnancy 0.284** 0.017 0.005 0.003 (−0.001 to 0.011) 0.063 0.002
SES→Sleep quality in the
month before the birth
0.150** 0.027 0.004 0.004 (−0.004 to 0.012) 0.297 0.002
SES→PIH −0.176* 0.166** −0.029 0.013 (−0.054 to -0.004) 0.021 −0.013
Goodness-of-fit RMSEA=0.012, CFI=0.967

Covariates of maternal age, passive smoking during pregnancy were adjusted for SGA.

*P<0.05; **P<0.001.

BMI, body mass index; CFI, comparative fit index; GWG, gestational weight gain; IOM, Institute of Medicine; PIH, pregnancy-induced hypertension syndrome; RMSEA, the root mean square error of approximation; SES, socioeconomic status.