Study protocol: Mother and Infant Nutritional Assessment (MINA) cohort study in Qatar and Lebanon

BMC Pregnancy and Childbirth

Study Protocol

Zelaikha Bashwar¹  Nibal Lubbad¹  Hiba Bawadi²  Eman Sadoun³  Lara Nasreddine⁴  Sara Farhat Jarrar⁴  Patricia Moghames⁴  Farah Naja⁴  Ghina Ghazeeri⁵  Anwar Nassar⁵  Khaled Yunis⁶  Sajjad Rahman⁷  Nahla Hwalla⁸  Walaa Al-Chetachi⁹  Al Anoud Al Thani⁹  Michael Clinton^1,10 

[1] Department of Family Medicine, Primary Health Care Corporation, Doha, Qatar;Department of Health Sciences, Qatar University, Doha, Qatar;Department of Healthcare Quality Management, Supreme Council of Health, Doha, Qatar;Department of Nutrition and Food Sciences, American University of Beirut, Beirut, Lebanon;Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon;Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon;Department of Pediatrics, Al Ahli Hospital, Doha, Qatar;Faculty of Agricultural and Food Sciences, American University of Beirut, Beirut, Lebanon;Health Promotion and Non Communicable Disease Prevention Division, Supreme Council of Health, Al Rumaila West, Doha, Qatar;Social and Behavioral Institutional Review Board, American University of Beirut, Beirut, Lebanon;

关键词: Nutrition;    Pregnancy;    Growth;    Development;    Non-communicable diseases;    Cohort;    Middle East and North Africa;    Feeding practices;   

DOI  :  10.1186/s12884-016-0864-5

 received in 2015-06-29, accepted in 2016-04-06,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe Middle East and North Africa region harbors significant proportions of stunting and wasting coupled with surging rates of non-communicable diseases (NCDs). Recent evidence identified nutrition during the first 1000 days of life as a common denominator not only for optimal growth but also for curbing the risk of NCDs later in life. The main objective of this manuscript is to describe the protocol of the first cohort in the region to investigate the association of nutrition imbalances early in life with birth outcomes, growth patterns, as well as early determinants of non-communicable diseases. More specifically the cohort aims to1) examine the effects of maternal and early child nutrition and lifestyle characteristics on birth outcomes and growth patterns and 2) develop evidence-based nutrition and lifestyle guidelines for pregnant women and young children.Methods/designA multidisciplinary team of researchers was established from governmental and private academic and health sectors in Lebanon and Qatar to launch the Mother and Infant Nutritional Assessment 3-year cohort study. Pregnant women (n = 250 from Beirut, n = 250 from Doha) in their first trimester are recruited from healthcare centers in Beirut, Lebanon and Doha, Qatar. Participants are interviewed three times during pregnancy (once every trimester) and seven times at and after delivery (when the child is 4, 6, 9, 12, 18, and 24 months old). Delivery and birth data is obtained from hospital records. Data collection includes maternal socio-demographic and lifestyle characteristics, dietary intake, anthropometric measurements, and household food security data. For biochemical assessment of various indicators of nutritional status, a blood sample is obtained from women during their first trimester. Breastfeeding and complementary feeding practices, dietary intake, as well as anthropometric measurements of children are also examined. The Delphi technique will be used for the development of the nutrition and lifestyle guidelines.DiscussionThe Mother and Infant Nutritional Assessment study protocol provides a model for collaborations between countries of different socio-economic levels within the same region to improve research efficiency in the field of early nutrition thus potentially leading to healthier pregnancies, mothers, infants, and children.

【 授权许可】

CC BY   
© Naja et al. 2016