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Updated: Jul 9, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Nutritional status of Vietnamese infants assessed by Fenton growth chart and related factors: A cross-sectional study
Lieu Thu Thi Nguyen1,2, Cuong Danh Tran3, Ha Thu Thi Nguyen1
1School of Preventive Medicine and Public Health Hanoi Medical University Hanoi Vietnam.
Insights
Maternal factors like age, height, anemia, and serum albumin deficiency are linked to infant malnutrition. Improving maternal understanding of prenatal care and nutrition is crucial for better infant outcomes.
Area of Science:
- Neonatal development and infant nutrition.
- Maternal health and its impact on offspring.
Background:
- Infant nutritional status, assessed by birth weight and length, is critical for neonatal development.
- Malnutrition in newborns increases risks of mortality, neurological impairment, and developmental delays.
Purpose of the Study:
- To evaluate the nutritional status of infants.
- To identify factors related to maternal anthropometric characteristics and medical history associated with infant nutritional status.
Main Methods:
- A cross-sectional study involving 340 mother-infant pairs was conducted in Vietnam.
- Infant malnutrition was assessed using Intergrowth-21 standards for low birth weight and Fenton growth charts for stunting.
- Multivariate regression models identified factors associated with infant nutritional status.
Main Results:
- 12.4% of infants were stunted and 14.1% were underweight.
- Maternal factors such as age over 35, height <150 cm, and anemia during pregnancy were linked to stunting or low birth weight.
- Maternal serum albumin deficiency and history of preterm birth were significantly associated with underweight and stunting, respectively.
Conclusions:
- Maternal nutritional status is strongly correlated with infant malnutrition, especially in preterm infants.
- Enhancing maternal knowledge on prenatal care, nutrition, and supplementation is vital for preventing infant malnutrition.
Importance:
Nutritional status of infants, measured by birth weight and length, is an essential factor in neonatal development. Malnutrition in newborns may lead to a higher risk of mortality, neurological and cognitive impairment, and poor language development.
Objective:
This study aims to assess the nutritional status of infants and related factors regarding maternal anthropometric characteristics and medical history.
Methods:
A cross-sectional study was conducted at the National Hospital of Obstetrics and Gynecology, Vietnam from May 2021 to May 2022 on 340 infants and mothers. Low birth weight was defined following the Intergrowth-21 standards. Stunting was evaluated using the Fenton growth chart when the length was below the 10% percentile line of the gestational week. Multivariate regression models were applied to identify factors associated with the nutritional status of infants.
Results:
We found that 12.4% and 14.1% of infants in our study fell into stunted and underweight categories, respectively. Infants of mothers over 35 years old, having a height lower than 150 cm or experiencing anemia during pregnancy were more likely to be stunted or have low birth weight. Serum albumin deficiency during pregnancy was strongly associated with the infant being underweight (odds ratio [OR] = 2.8, 95% confidence interval [95%CI] 1.1-7.3). Newborns were more likely to be stunted if their mothers had a history of preterm birth (OR = 3.3, 95%CI 1.1-10.2).
Interpretation:
Maternal nutritional status is closely related to infant malnutrition, particularly in preterm infants. Improving the understanding of mothers regarding prenatal care, reproductive healthcare, adequate nutritional diet, and multi-micronutrient supplements during pregnancy is therefore important.
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