E. Karim et Cgn. Mascietaylor, THE ASSOCIATION BETWEEN BIRTH-WEIGHT, SOCIODEMOGRAPHIC VARIABLES AND MATERNAL ANTHROPOMETRY IN AN URBAN SAMPLE FROM DHAKA, BANGLADESH, Annals of human biology, 24(5), 1997, pp. 387-401
The relationship between birthweight, sociodemographic variables and m
aternal anthropometry was examined in a sample from an inner urban are
a of Dhaka, Bangladesh. About 21% of babies were of low birthweight (L
BW) using the World Health Organization cut-off of <2500 g. LBW was mo
re common in younger (<20 years) and older (>30 years) mothers, the lo
w-income group and those with little or no education. The mean birthwe
ights of the higher-educated, higher-income group and male children we
re on average 290, 260 and 120 g, respectively, higher than uneducated
, lower-income groups and female children. The best cut-offs for detec
ting LBW and normal-weight infants was maternal weight of 50 kg (odds
ratio = 4.6), maternal ann circumference of 23 cm (odds ratio = 5.0) a
nd body mass index of 20.5 (odds ratio = 6.5). The sensitivity and spe
cificity were best for maternal weight (69% and 68%, respectively). Lo
gistic regression analyses show that mothers' weight at term was the b
est single predictor of LBW (31%), while maternal weight along with ag
e, educational level and income group correctly predicted just over 35
% of LBW. Regression analyses also confirmed that mothers' weight at t
erm was the best predictor of birthweight, with a correlation coeffici
ent of 0.49.