Mireku M. O., Davidson L. L., Zoumenou R., Massougbodji A., Cot Michel, Bodeau-Livinec F. (2018). Consequences of prenatal geophagy for maternal prenatal health, risk of childhood geophagy and child psychomotor development. Tropical Medicine and International Health, 23 (8), p. 841-849. ISSN 1360-2276.
Titre du document
Consequences of prenatal geophagy for maternal prenatal health, risk of childhood geophagy and child psychomotor development
Année de publication
2018
Auteurs
Mireku M. O., Davidson L. L., Zoumenou R., Massougbodji A., Cot Michel, Bodeau-Livinec F.
Source
Tropical Medicine and International Health, 2018,
23 (8), p. 841-849 ISSN 1360-2276
ObjectiveTo investigate the relationship between prenatal geophagy, maternal prenatal haematological indices, malaria, helminth infections and cognitive and motor development among offspring. MethodsAt least a year after delivery, 552 of 863 HIV-negative mothers with singleton births who completed a clinical trial comparing the efficacy of sulfadoxine-pyrimethamine and mefloquine during pregnancy in Allada, Benin, responded to a nutrition questionnaire including their geophagous habits during pregnancy. During the clinical trial, helminth infection, malaria, haemoglobin and ferritin concentrations were assessed at 1st and 2nd antenatal care visits (ANV) and at delivery. After the first ANV, women were administered daily iron and folic acid supplements until three what? post-delivery. Singleton children were assessed for cognitive function at age 1 year using the Mullen Scales of Early Learning. ResultsThe prevalence of geophagy during pregnancy was 31.9%. Pregnant women reporting geophagy were more likely to be anaemic (AOR = 1.9, 95% CI [1.1, 3.4]) at their first ANV if they reported geophagy at the first trimester. Overall, prenatal geophagy was not associated with maternal haematological indices, malaria or helminth infections, but geophagy during the third trimester and throughout pregnancy was associated with poor motor function (AOR = -3.8, 95% CI [-6.9, -0.6]) and increased odds of geophagous behaviour in early childhood, respectively. ConclusionsPrenatal geophagy is not associated with haematological indices in the presence of micronutrient supplementation. However, it may be associated with poor child motor function and infant geophagy. Geophagy should be screened early in pregnancy.
Plan de classement
Santé : généralités [050]
Description Géographique
BENIN
Localisation
Fonds IRD [F B010073748]
Identifiant IRD
fdi:010073748
