Relationship between early-life nutrition and ages at menarche and first pregnancy, and childbirth rates of young adults: Evidence from APCAPS in India
JournalMaternal and Child Nutrition
PublisherBlackwell Publishing Ltd
MetadataShow full item record
AbstractIndia's Integrated Child Development Services (ICDS) provides daily supplementary nutrition and other public health services to women and children. We estimated associations between exposure to early‐childhood ICDS nutrition and adult reproductive outcomes. During 1987–1990, a balanced protein–calorie supplement called “upma”—made from locally available corn–soya ingredients—was rolled out by subdistricts near Hyderabad and offered to pregnant women and children under age 6 years. In a controlled trial, 15 villages received the supplement and 14 did not. We used data from a 2010–2012 resurvey of adults born during the trial (n = 715 in intervention and n = 645 in control arms). We used propensity score matching methods to estimate the associations between birth in an intervention village and menarcheal age, age at first pregnancy, and fertility of adults. We found that women born in the intervention group during the trial, as compared with the control group, had menarche 0.45 (95% confidence interval [CI: 0.22, 0.68]; p < .001) years later and first pregnancy 0.53 (95% CI [0.04, 1.02]; p < .05) years later. Married women from the intervention group had menarche 0.36 (95% CI [0.09, 0.64]; p < .01) years later, first cohabitation with partner 0.8 (95% CI [0.27, 1.33]; p < .01) years later, and first pregnancy 0.53 (95% CI [0.04, 1.02]; p < .05) years later than married women in the control group. There was no significant difference between intervention and control group women regarding whether they had at least one childbirth or the total number of children born. The findings were similar when we employed inverse propensity score weighted regression models. Copyright 2019 The Authors.
Identifier to cite or link to this itemhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85068026877&doi=10.1111%2fmcn.12854&partnerID=40&md5=703415de28338967e227aa8beeab7519; http://hdl.handle.net/10713/10747
- Early-Life Nutrition Is Associated Positively with Schooling and Labor Market Outcomes and Negatively with Marriage Rates at Age 20-25 Years: Evidence from the Andhra Pradesh Children and Parents Study (APCAPS) in India.
- Authors: Nandi A, Behrman JR, Kinra S, Laxminarayan R
- Issue date: 2018 Jan 1
- Early Childhood Nutrition Is Positively Associated with Adolescent Educational Outcomes: Evidence from the Andhra Pradesh Child and Parents Study (APCAPS).
- Authors: Nandi A, Ashok A, Kinra S, Behrman JR, Laxminarayan R
- Issue date: 2015 Apr 1
- The Impact of an mHealth Voice Message Service (mMitra) on Infant Care Knowledge, and Practices Among Low-Income Women in India: Findings from a Pseudo-Randomized Controlled Trial.
- Authors: Murthy N, Chandrasekharan S, Prakash MP, Kaonga NN, Peter J, Ganju A, Mechael PN
- Issue date: 2019 Dec
- Variations in reproductive events across life: a pooled analysis of data from 505 147 women across 10 countries.
- Authors: InterLACE Study Team.
- Issue date: 2019 May 1
- Prevalence of child marriage and its impact on fertility outcomes in 34 sub-Saharan African countries.
- Authors: Yaya S, Odusina EK, Bishwajit G
- Issue date: 2019 Dec 19