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Relationship between early‐life nutrition and ages at menarche and first pregnancy, and childbirth rates of young adults: Evidence from APCAPS in India.
- Source :
-
Maternal & Child Nutrition . Jan2020, Vol. 16 Issue 1, pN.PAG-N.PAG. 1p. - Publication Year :
- 2020
-
Abstract
- India's Integrated Child Development Services (ICDS) provides daily supplementary nutrition and other public health services to women and children. We estimated associations between exposure to early‐childhood ICDS nutrition and adult reproductive outcomes. During 1987–1990, a balanced protein–calorie supplement called "upma"—made from locally available corn–soya ingredients—was rolled out by subdistricts near Hyderabad and offered to pregnant women and children under age 6 years. In a controlled trial, 15 villages received the supplement and 14 did not. We used data from a 2010–2012 resurvey of adults born during the trial (n = 715 in intervention and n = 645 in control arms). We used propensity score matching methods to estimate the associations between birth in an intervention village and menarcheal age, age at first pregnancy, and fertility of adults. We found that women born in the intervention group during the trial, as compared with the control group, had menarche 0.45 (95% confidence interval [CI: 0.22, 0.68]; p <.001) years later and first pregnancy 0.53 (95% CI [0.04, 1.02]; p <.05) years later. Married women from the intervention group had menarche 0.36 (95% CI [0.09, 0.64]; p <.01) years later, first cohabitation with partner 0.8 (95% CI [0.27, 1.33]; p <.01) years later, and first pregnancy 0.53 (95% CI [0.04, 1.02]; p <.05) years later than married women in the control group. There was no significant difference between intervention and control group women regarding whether they had at least one childbirth or the total number of children born. The findings were similar when we employed inverse propensity score weighted regression models. [ABSTRACT FROM AUTHOR]
- Subjects :
- *AGE distribution
*ANTHROPOMETRY
*BIRTH weight
*CHILD development
*CHILD health services
*CHILDBIRTH
*CLINICAL trials
*CONFIDENCE intervals
*DIETARY supplements
*FERTILITY
*MATERNAL age
*MATERNAL health services
*EVALUATION of medical care
*MENARCHE
*MULTIVARIATE analysis
*NUTRITIONAL assessment
*PREGNANCY
*PUBLIC health
*REGRESSION analysis
*RESEARCH funding
*RURAL health
*SPIROMETRY
*T-test (Statistics)
*REPRODUCTIVE health
*SOCIOECONOMIC factors
*LIFESTYLES
*PROPORTIONAL hazards models
*DESCRIPTIVE statistics
*NUTRITIONAL status
*ADULTS
*CHILDREN
*FETUS
Subjects
Details
- Language :
- English
- ISSN :
- 17408695
- Volume :
- 16
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Maternal & Child Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 140955105
- Full Text :
- https://doi.org/10.1111/mcn.12854