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Published in: BMC Pediatrics 1/2018

Open Access 01-12-2018 | Research article

Observations on the health of infants at a time of rapid societal change: a longitudinal study from birth to fifteen months in Abu Dhabi

Authors: Hazel Gardner, Katherine Green, Andrew S. Gardner, Donna Geddes

Published in: BMC Pediatrics | Issue 1/2018

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Abstract

Background

Rapid economic and cultural transition in the United Arab Emirates has been accompanied by a rise in chronic disease. Early childhood is known to affect health outcomes in adulthood. This prospective longitudinal study examined the general health of Emirati infants born in a government maternity hospital in the Emirate of Abu Dhabi in October 2002.

Methods

One hundred twenty-five women, who had recently given birth, were interviewed as part of a larger study encompassing a wide range of cultural, social, and behavioural aspects of health. They were then re-interviewed at three (n = 94), six (n = 59) and 15 months postpartum (n = 52). Data are presented using univariate statistics.

Results

In this study seven infants (6%) were born prematurely and four infants (3%) were classified as small for gestational age, while 11 (9%) of the infants weighed less than 2500 g. Low birth weight infants (LBW) were significantly more likely to require treatment in the neonatal intensive care unit (OR = 30.83, p = 0.00). Iron supplementation during pregnancy was associated with fewer underweight infants (OR = 3.92, p = 0.042). No associations were found between infant birth weight and maternal age, age at marriage, consanguinity, education level, current maternal employment, parity, pre-existing anaemia or anaemia in pregnancy, diabetes, folic acid intake, multivitamin intake or infant gender.
Maternally-reported infant health issues, vaccination, medication, breast-feeding and infant nutrition, and use of secure car seats are also reported.

Conclusions

The health of infants at birth in this UAE sample showed improvements compared to previous studies. The proportion of LBW infants is decreasing and continuing improvements in health care in the UAE are having a positive impact on infant health.
Literature
1.
go back to reference Hajat C, Harrison O, Shather Z. A profile and approach to chronic disease in Abu Dhabi. Glob Health. 2012;8:18.CrossRef Hajat C, Harrison O, Shather Z. A profile and approach to chronic disease in Abu Dhabi. Glob Health. 2012;8:18.CrossRef
2.
3.
go back to reference Barker DJ, Eriksson JG, Forsen T, Osmond C. Fetal origins of adult disease: strength of effects and biological basis. Int J Epidemiol. 2002;31(6):1235–9.CrossRefPubMed Barker DJ, Eriksson JG, Forsen T, Osmond C. Fetal origins of adult disease: strength of effects and biological basis. Int J Epidemiol. 2002;31(6):1235–9.CrossRefPubMed
4.
go back to reference UNICEF. Levels and trends in child mortality. Report 2015. In: Estimates developed by the UN inter-agency Group for Child Mortality Estimation. New York: United Nations Children’s Fund. p. 2015. UNICEF. Levels and trends in child mortality. Report 2015. In: Estimates developed by the UN inter-agency Group for Child Mortality Estimation. New York: United Nations Children’s Fund. p. 2015.
5.
go back to reference Liu L, Oza S, Hogan D, Perin J, Rudan I, Lawn JE, Cousens S, Mathers C, Black RE. Global, regional, and national causes of child mortality in 2000–13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet. 2015;385(9966):430–40.CrossRefPubMed Liu L, Oza S, Hogan D, Perin J, Rudan I, Lawn JE, Cousens S, Mathers C, Black RE. Global, regional, and national causes of child mortality in 2000–13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet. 2015;385(9966):430–40.CrossRefPubMed
6.
go back to reference Lawn J, Shibuya K, Stein C. No cry at birth: global estimates of intrapartum stillbirths and intrapartum-related neonatal deaths. Bull World Health Organ. 2005;83(6):409–17.PubMedPubMedCentral Lawn J, Shibuya K, Stein C. No cry at birth: global estimates of intrapartum stillbirths and intrapartum-related neonatal deaths. Bull World Health Organ. 2005;83(6):409–17.PubMedPubMedCentral
7.
go back to reference UN Inter-agency Group for Child Mortality Estimation. Estimates for under-five, infant and neonatal mortality. Edited by estimation UI-aGfCM, 9 September 2015 edn; 2015. UN Inter-agency Group for Child Mortality Estimation. Estimates for under-five, infant and neonatal mortality. Edited by estimation UI-aGfCM, 9 September 2015 edn; 2015.
8.
go back to reference Lawn JE, Cousens S, Zupan J. 4 million neonatal deaths: when? Where? Why? Lancet. 2005;365:891–900.CrossRefPubMed Lawn JE, Cousens S, Zupan J. 4 million neonatal deaths: when? Where? Why? Lancet. 2005;365:891–900.CrossRefPubMed
9.
go back to reference UNICEF. Improving child nutrition: the achievable imperatives for global progress. 3 United Nations Plaza NewYork, NY 10017, USA: United Nations Children's Fund; 2013. p. 1–125. UNICEF. Improving child nutrition: the achievable imperatives for global progress. 3 United Nations Plaza NewYork, NY 10017, USA: United Nations Children's Fund; 2013. p. 1–125.
10.
go back to reference United Nations Children’s Fund and World Health Organization. Low birthweight: country, regional and global estimates. New York; 2004. United Nations Children’s Fund and World Health Organization. Low birthweight: country, regional and global estimates. New York; 2004.
12.
go back to reference Hughes PF, Morrison J. Birth weight distribution in the United Arab Emirates. Asia Oceania Journal of Obstetrics and Gynaecology. 1994;20(1):67–72.CrossRefPubMed Hughes PF, Morrison J. Birth weight distribution in the United Arab Emirates. Asia Oceania Journal of Obstetrics and Gynaecology. 1994;20(1):67–72.CrossRefPubMed
13.
go back to reference Dawodu A, Varady E, Verghese M, Al-Gazali LI. Neonatal audit in the United Arab Emirates: a country with a rapidly developing economy. East Mediterr Health J. 2000;6(1):55–64.PubMed Dawodu A, Varady E, Verghese M, Al-Gazali LI. Neonatal audit in the United Arab Emirates: a country with a rapidly developing economy. East Mediterr Health J. 2000;6(1):55–64.PubMed
14.
go back to reference Knudsen HC, Vasuez-Barquero JL, Welcher B, Gaite L, Becker T, Chishom D, Ruggeri M, Schene AH, Thornicroft G. The EPSILON STUDY GROUP. Translation and cross-cultural adaptation of outcome measurements for schizophrenia. Br J Psychiatry. 2000;177:s8–s14.CrossRef Knudsen HC, Vasuez-Barquero JL, Welcher B, Gaite L, Becker T, Chishom D, Ruggeri M, Schene AH, Thornicroft G. The EPSILON STUDY GROUP. Translation and cross-cultural adaptation of outcome measurements for schizophrenia. Br J Psychiatry. 2000;177:s8–s14.CrossRef
15.
go back to reference Brislin RW. Comparative research methodology: cross-cultural studies. Int J Psychol. 1976;11(3):215–29.CrossRef Brislin RW. Comparative research methodology: cross-cultural studies. Int J Psychol. 1976;11(3):215–29.CrossRef
16.
go back to reference Apgar V. A proposal for a new method of evaluation of the newborn infant. Current Researches in Anesthesia & Analgesia. 1953;32(4):260–7. Apgar V. A proposal for a new method of evaluation of the newborn infant. Current Researches in Anesthesia & Analgesia. 1953;32(4):260–7.
17.
go back to reference Gardner H, Green K, Gardner A. Infant feeding practices of Emirati women in the rapidly developing city of Abu Dhabi, United Arab Emirates. Int J Environ Res Public Health. 2015;12(9):10923–40.CrossRefPubMedPubMedCentral Gardner H, Green K, Gardner A. Infant feeding practices of Emirati women in the rapidly developing city of Abu Dhabi, United Arab Emirates. Int J Environ Res Public Health. 2015;12(9):10923–40.CrossRefPubMedPubMedCentral
18.
go back to reference Fikri M, Farid S. United Arab Emirates family health survey. United Arab Emirates Ministry of Health: Abu Dhabi; 2000. Fikri M, Farid S. United Arab Emirates family health survey. United Arab Emirates Ministry of Health: Abu Dhabi; 2000.
19.
go back to reference Dawodu A, Varady E, Nath KNR, Rajan TV. Neonatal outcome in the United Arab Emirates: the effect of changes in resources and practices. East Mediterr Health J. 2005;11(4):673–9.PubMed Dawodu A, Varady E, Nath KNR, Rajan TV. Neonatal outcome in the United Arab Emirates: the effect of changes in resources and practices. East Mediterr Health J. 2005;11(4):673–9.PubMed
20.
go back to reference Al Hosani H, Salah M, Saade D, Osman H, Al Zahid J. United Arab Emirates national newborn screening programme: an evaluation 1998-2000. East Mediterr Health J. 2003;9(3):324–32.PubMed Al Hosani H, Salah M, Saade D, Osman H, Al Zahid J. United Arab Emirates national newborn screening programme: an evaluation 1998-2000. East Mediterr Health J. 2003;9(3):324–32.PubMed
21.
go back to reference Al-Gazali L, Bener A, Abdulrazzaq Y, Micallef R, Al-Khayat A, Gaber T. Consanguineous marriages in the United Arab Emirates. J Biosoc Sci. 1997;29(04):491–7.CrossRefPubMed Al-Gazali L, Bener A, Abdulrazzaq Y, Micallef R, Al-Khayat A, Gaber T. Consanguineous marriages in the United Arab Emirates. J Biosoc Sci. 1997;29(04):491–7.CrossRefPubMed
22.
go back to reference Tadmouri GO, Baysal E, Al Zarooni M, Naveed M, Rashid N, Ali SA-H, Al Ali MT. Genetic disorders in the united Arab Emiirates, vol. 1. Dubai: Centre for Arab Genomic Studies; 2004. Tadmouri GO, Baysal E, Al Zarooni M, Naveed M, Rashid N, Ali SA-H, Al Ali MT. Genetic disorders in the united Arab Emiirates, vol. 1. Dubai: Centre for Arab Genomic Studies; 2004.
23.
go back to reference Bener A, Abdulrazzaq, Y.M., Al Gazali, L.I., Micallef, R., Al-Khayat A.I., Gaber, T. Consanguinity and associated socio-demographic factors in the United Arab Emirates. Hum Hered 1996; 46:256-264. Bener A, Abdulrazzaq, Y.M., Al Gazali, L.I., Micallef, R., Al-Khayat A.I., Gaber, T. Consanguinity and associated socio-demographic factors in the United Arab Emirates. Hum Hered 1996; 46:256-264.
24.
go back to reference Green K, Smith D. Change and continuity: childbirth and parenting across three generations of women in the United Arab Emirates. Child Care Health Dev. 2007;33(3):266–74.CrossRefPubMed Green K, Smith D. Change and continuity: childbirth and parenting across three generations of women in the United Arab Emirates. Child Care Health Dev. 2007;33(3):266–74.CrossRefPubMed
25.
go back to reference Shawky S, Milaat W. Early teenage marriage and subsequent pregnancy outcome. 2000. Shawky S, Milaat W. Early teenage marriage and subsequent pregnancy outcome. 2000.
26.
go back to reference Fathalla MF. Reproductive health: a call to the research community. Eastern Mediterranean Health J. 2006;12(Suppl. 2):S8-21. Fathalla MF. Reproductive health: a call to the research community. Eastern Mediterranean Health J. 2006;12(Suppl. 2):S8-21.
27.
go back to reference Bagchi K. Iron deficiency anaemia - an old enemy. East Mediterr Health J. 2004;10(6):754–60.PubMed Bagchi K. Iron deficiency anaemia - an old enemy. East Mediterr Health J. 2004;10(6):754–60.PubMed
28.
go back to reference Fareh OI, Rizk DEE, Thomas L, Berg B. Obstetric impact of anaemia in pregnant women in United Arab Emirates. J Obstet Gynaecol. 2005;25(5):440–4.CrossRefPubMed Fareh OI, Rizk DEE, Thomas L, Berg B. Obstetric impact of anaemia in pregnant women in United Arab Emirates. J Obstet Gynaecol. 2005;25(5):440–4.CrossRefPubMed
29.
go back to reference Rizk DE, Nasser M, Thomas L, Ezimokhai M. Women’s perceptions and experiences of childbirth in United Arab Emirates. J Perinat Med. 2001;29(4):298–307.CrossRefPubMed Rizk DE, Nasser M, Thomas L, Ezimokhai M. Women’s perceptions and experiences of childbirth in United Arab Emirates. J Perinat Med. 2001;29(4):298–307.CrossRefPubMed
30.
go back to reference Hercberg S, Galan P, Preziosi P, Aissa M. Consequences of iron deficiency in pregnant women. Clin Drug Investig. 2000;19(1):1–7.CrossRef Hercberg S, Galan P, Preziosi P, Aissa M. Consequences of iron deficiency in pregnant women. Clin Drug Investig. 2000;19(1):1–7.CrossRef
31.
go back to reference Yip R, Ramakrishnan U. Experiences and challenges in developing countries. J Nutr. 2002;132(4):827S–30S.CrossRefPubMed Yip R, Ramakrishnan U. Experiences and challenges in developing countries. J Nutr. 2002;132(4):827S–30S.CrossRefPubMed
32.
go back to reference Malik M, Bakir A. Prevalence of overweight and obesity among children in the United Arab Emirates. Obes Rev. 2007;8(1):15–20.CrossRefPubMed Malik M, Bakir A. Prevalence of overweight and obesity among children in the United Arab Emirates. Obes Rev. 2007;8(1):15–20.CrossRefPubMed
33.
go back to reference Al-Maskari F, Bener A, Al-Kaabi A, Al-Suwaidi N, Norman N, Brebner J. Asthma and respiratory symptoms among school children in United Arab Emirates. Allerg Immunol (Paris). 2000;32(4):159–63. Al-Maskari F, Bener A, Al-Kaabi A, Al-Suwaidi N, Norman N, Brebner J. Asthma and respiratory symptoms among school children in United Arab Emirates. Allerg Immunol (Paris). 2000;32(4):159–63.
34.
go back to reference Al-Hammadi S, Al-Maskari F, Bernsen R. Prevalence of food allergy among children in al-Ain city, United Arab Emirates. Int Arch Allergy Immunol. 2009;151(4):336–42.CrossRefPubMed Al-Hammadi S, Al-Maskari F, Bernsen R. Prevalence of food allergy among children in al-Ain city, United Arab Emirates. Int Arch Allergy Immunol. 2009;151(4):336–42.CrossRefPubMed
35.
go back to reference Prescott SL. Early-life environmental determinants of allergic diseases and the wider pandemic of inflammatory noncommunicable diseases. J Allergy Clin Immunol. 2013;131(1):23–30.CrossRefPubMed Prescott SL. Early-life environmental determinants of allergic diseases and the wider pandemic of inflammatory noncommunicable diseases. J Allergy Clin Immunol. 2013;131(1):23–30.CrossRefPubMed
36.
37.
go back to reference El-Sadig M, Norman JN, Lloyd OL, Romilly P, Bener A. Road traffic accidents in the United Arab Emirates: trends of morbidity and mortality during 1977–1998. Accid Anal Prev. 2002;34(4):465–76.CrossRefPubMed El-Sadig M, Norman JN, Lloyd OL, Romilly P, Bener A. Road traffic accidents in the United Arab Emirates: trends of morbidity and mortality during 1977–1998. Accid Anal Prev. 2002;34(4):465–76.CrossRefPubMed
38.
go back to reference Grivna M, Barss P, Stanculescu C, Eid HO, Abu-Zidan FM. Child and youth traffic-related injuries: use of a trauma registry to identify priorities for prevention in the United Arab Emirates. Traffic injury prevention. 2013;14(3):274–82.CrossRefPubMed Grivna M, Barss P, Stanculescu C, Eid HO, Abu-Zidan FM. Child and youth traffic-related injuries: use of a trauma registry to identify priorities for prevention in the United Arab Emirates. Traffic injury prevention. 2013;14(3):274–82.CrossRefPubMed
39.
go back to reference Sherif I. New rules issued on installing children’s car seats. Available at: http://gulfnews.com/news/gulf/uae/new-rules-issued on-installing-children-s-car-seats-1.828484. Accessed September 12, 2011. Dubai; 2011. Sherif I. New rules issued on installing children’s car seats. Available at: http://​gulfnews.​com/​news/​gulf/​uae/​new-rules-issued on-installing-children-s-car-seats-1.828484. Accessed September 12, 2011. Dubai; 2011.
40.
go back to reference Bromfield N, Mahmoud M. An exploratory investigation of child safety seat use among citizens of the United Arab Emirates. Journal of Transportation Safety & Security. 2017;9(sup1):130–48.CrossRef Bromfield N, Mahmoud M. An exploratory investigation of child safety seat use among citizens of the United Arab Emirates. Journal of Transportation Safety & Security. 2017;9(sup1):130–48.CrossRef
Metadata
Title
Observations on the health of infants at a time of rapid societal change: a longitudinal study from birth to fifteen months in Abu Dhabi
Authors
Hazel Gardner
Katherine Green
Andrew S. Gardner
Donna Geddes
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2018
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-018-1016-z

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