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Updated: Jul 29, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Association Between Infants Anthropometric Outcomes With Maternal AHEI-P and DII Scores
Zahra Roumi1, Abolghassem Djazayery2, Seyed Ali Keshavarz3
1Department of Nutrition, Electronic Health and Statistics Surveillance Research Center, Science and Research Branch, Islamic Azad University, Tehran 1477893855, Iran.
Insights
Maternal diet during pregnancy impacts infant growth. Higher adherence to the Alternate Healthy Eating Index for Pregnancy (AHEI-P) and lower adherence to the Dietary Inflammatory Index (DII) were linked to better infant birth weight and height.
Area of Science:
- Maternal and child health
- Nutritional epidemiology
- Perinatal outcomes
Background:
- Maternal nutrition significantly influences fetal development and infant anthropometric outcomes.
- Dietary patterns during pregnancy, assessed by indices like the Dietary Inflammatory Index (DII) and Alternate Healthy Eating Index for Pregnancy (AHEI-P), may play a crucial role.
- Understanding these associations can inform public health strategies for improving birth outcomes.
Purpose of the Study:
- To investigate the association between maternal DII and AHEI-P scores in the third trimester of pregnancy and infant anthropometric outcomes.
- To determine if maternal dietary patterns influence birth weight, birth height, and head circumference.
- To provide insights into optimizing maternal nutrition for enhanced infant development.
Main Methods:
- A prospective cohort study involving 122 pregnant women and their newborns in Tehran, Iran.
- Maternal dietary intake, body mass index (BMI), and socioeconomic status were assessed.
- Infant anthropometric data (birth weight, height, head circumference, gestational age) were collected from health records.
Main Results:
- Infants born to mothers with the highest DII quartile had significantly lower birth weight and height compared to those in the lowest quartile.
- Infants in the lowest AHEI-P quartile had significantly lower birth weight compared to those in higher quartiles.
- No significant association was found between maternal DII scores and infant head circumference.
Conclusions:
- Lower maternal DII scores and higher AHEI-P scores in the third trimester may be associated with improved infant anthropometric outcomes.
- Maternal dietary patterns are important factors influencing infant growth.
- Further research with longer follow-up is recommended to confirm these findings.
Abstract:
The present study sought to examine the association between an infant's anthropometric outcomes with maternal Dietary Inflammatory Index (DII) and Alternate Healthy Eating Index for Pregnancy (AHEI-P) scores during the third trimester of pregnancy. This prospective cohort study was applying 130 pregnant women, at the pregnancy training center in west Tehran, Iran (November 2020 to July 2021). The maternal dietary intake, and body mass index (BMI), and social economic level were evaluated. The data about birth weight, birth height, head circumference, and, gestational age at birth were extracted from each child's health records. The ultimate sample included 122 (93.8%) pairs of women/newborn children. The participants, mean age was 28.13 ± 4.66 years with gestational age between 28 to 40 weeks and the mean of BMI was 24.62 ± 3.51. Our outcomes, after adjustment for confounding factors, suggested that those newborn infants in the highest quartile of maternal DII score had a significantly lower weight (p < 0.001) and height (p = 0.05), in comparison to those in the lowest quartile, but not head circumference (p = 0.18). Moreover, after adjustment for confounding factors, results suggested that those newborn infants in the First quartile of maternal AHEI-P score had a significantly lower weight (p = 0.018) and, in comparison to those in the higher quartile. It appears that newborn infants with lower maternal DII and higher AHEI-P scores may have a better anthropometric outcome. Further longitudinal and in-depth qualitative and quantitative studies, with a longer-term follow-up, is warranted to support the integrity of our outcomes.
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