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Explaining differences in birthweight between ethnic populations. The Generation R Study.

E J W M Troe1, H Raat, V W V Jaddoe

  • 1The Generation R Study Group, Erasmus Medical Centre, Rotterdam, The Netherlands. j.troe@erasmusmc.nl

BJOG : an International Journal of Obstetrics and Gynaecology
|October 2, 2007
PubMed
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Ethnic differences in birthweight exist in The Netherlands, with lower birthweights observed in most non-Dutch populations. While some differences are explained by factors like parental height, others remain unclear, necessitating further research into birthweight determinants.

Area of Science:

  • Perinatal epidemiology
  • Public health
  • Human genetics

Background:

  • Birthweight is a key indicator of neonatal health and long-term outcomes.
  • Ethnic disparities in birthweight have been observed globally, but determinants require further investigation.
  • Understanding these disparities is crucial for developing targeted public health interventions.

Purpose of the Study:

  • To investigate ethnic variations in birthweight among diverse populations in The Netherlands.
  • To determine the extent to which known biomedical, socio-demographic, and lifestyle factors explain these ethnic birthweight differences.

Main Methods:

  • A population-based birth cohort study was conducted in Rotterdam, The Netherlands.
  • Data from 6044 pregnant women and their partners across various ethnic backgrounds (Dutch, Moroccan, Turkish, Capeverdean, Antillean, Surinamese-Creole, Surinamese-Hindustani, Surinamese-other) were analyzed.

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  • Regression analyses were employed to assess the influence of key determinants on birthweight.

    • Main Results:

    • Mean birthweight was lower in most non-Dutch ethnic groups compared to the Dutch reference group, with notable exceptions like the Moroccan population.
    • Significant differences were observed, ranging from 88g lower for Turkish to 424g lower for Surinamese-Hindustani offspring.
    • Gestational age and parental height largely explained lower birthweights in Turkish, Antillean, Surinamese-Creole, and Surinamese-other groups, but not fully for Capeverdean and Surinamese-Hindustani groups.

    Conclusions:

    • Ethnic disparities in birthweight are confirmed in The Netherlands, with established determinants only partially explaining these variations.
    • Factors such as parental height, which are difficult to modify, play a significant role.
    • Further research is essential to fully elucidate the complex factors contributing to ethnic differences in birthweight.