title: Effect of maternal anthropometry and metabolic parameters on fetal growth.
abstract: OBJECTIVE
  The aim of this study was to determine the effect of maternal anthropometry and metabolic parameters on neonatal anthropometry.
  
  
  METHODS
  This observational cross-sectional study was conducted from January 2008 to June 2009 at a single tertiary care center. Maternal anthropometry and metabolic parameters like fasting serum insulin, lipid profile, and random blood glucose were estimated in 50 pregnant women at term. Detailed anthropometry of the neonates was performed.
  
  
  RESULTS
  Large for gestational age (LGA) babies had higher maternal body mass index (BMI), fasting serum insulin, and cord blood insulin levels, and lower maternal high density lipoprotein (HDL) compared to appropriate for gestational age (AGA) group (P < 0.001). Among the maternal parameters, BMI, gestational age, fasting serum insulin, and random blood sugar (RBS) had significant positive correlation, while HDL had negative correlation with birth weight (P < 0.05). However, only maternal BMI was the significant predictor of neonatal birth weight on multiple regression analysis (ß = 0.340, P = 0.01).
  
  
  CONCLUSIONS
  The BMI of glucose-tolerant mother is more important than metabolic parameters in determining the birth weight of term babies.
authors.affiliation: Department of Obstetrics and Gynaecology, SCB Medical College, Odisha, India.
authors.forename: Subarna
authors.initials: S
authors.lastname: Mitra
authors.forename: Sujata
authors.initials: S
authors.lastname: Misra
authors.forename: Prasanta K
authors.initials: PK
authors.lastname: Nayak
authors.forename: Jaya Prakash
authors.initials: JP
authors.lastname: Sahoo
keywords: Appropriate for gestational age; anthropometry; body mass index; large for gestational age