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Updated: May 19, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Secular changes in growth and obesity in perinatal population
Hrvojka Soljacić Vranes1, Vesna Gall, Marija Jukić
1University of Zagreb, "Sestre milosrdnice" University Hospital Center, Department of Gynecology and Obstetrics, Zagreb, Croatia. hsoljacicvranes@hotmail.com
Insights
Over 25 years, maternal height and pre-pregnancy weight increased in healthy Croatian women. Higher maternal body mass index (BMI) correlated with heavier newborns, influenced by age and lifestyle.
Area of Science:
- Anthropology
- Public Health
- Maternal Health
Background:
- Secular trends in maternal and newborn anthropometric factors are crucial for understanding population health.
- Previous studies indicate shifts in women's health parameters over time.
- Investigating generational changes in Croatia provides specific regional insights.
Purpose of the Study:
- To analyze secular trends in anthropological factors among women and their newborns over two generations.
- To identify changes in maternal height, pre-pregnancy weight, and body mass index (BMI).
- To explore associations between maternal characteristics and newborn birth weight.
Main Methods:
- A 25-year longitudinal survey of 2414 healthy women and their newborns at a University Hospital Center in Zagreb, Croatia.
- Data collection included pre-pregnancy weight, BMI, height, age, residence, education, parity, and newborn weight.
- Randomized sampling included women from urban and rural environments with varying educational backgrounds and parity.
Main Results:
- Maternal height increased by 3.1 cm over 25 years, positively correlating with higher education.
- Pre-pregnancy weight increased by 2.8 kg, associated with older age, higher parity, and rural residence.
- Maternal body mass index (BMI) showed significant variations with birth order, age, and living environment, and was linked to heavier newborns.
Conclusions:
- Significant generational changes in maternal anthropometric indicators were observed in the Croatian population.
- Factors like education, age, parity, and living environment play a role in maternal weight and BMI trends.
- Higher maternal BMI is a predictor of increased newborn birth weight.
Abstract:
The survey was conducted during the last 25 years and included 2414 healthy women who delivered in "Sestre milosrdnice" University Hospital Center in Zagreb, Croatia and their newborns. The aim was to establish the secular trend of some anthropological factors through two generations. Anthropological features such as pre-pregnancy weight, body mass index before pregnancy, height, age, place of residence, educational level, parity and the newborn weight were registered. The study was randomized. The mothers from the city of Zagreb and the surrounding villages, rural areas are examined. The women age was different and also different levels of education and socioeconomic status. The study included women who had not given birth yet, who had delivered once, twice, and three or more times. Maternal height in 25 years increased by 3.1cm. and increases with education. The pre-pregnancy weight increased 2.8 kg and increases with age, parity and rural life. The body mass index (BMI) which the women had before pregnancy was calculated, and according to its value the participants were divided in three groups: with normal weight, overweight and fat. Among the studied periods BMI does not differ significantly, but does differ significantly with respect to the ordinal number of births, parity, age and living environment. Higher BMI was associated with deliveries to heavier children.
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