The Impact of Maternal Employment on Infant Weight-, Length- and BMI-for-Age Based upon WHO Growth Chart Standards
Keywords:Infant anthropometry, working mothers, nursery, z-score, overweight, obesity
Background: The infancy is a time of phenomenal growth and development. Infant of working mothers have a special concern as they have less time for their infant care.
Objective: The present study aims to assess length, weight and BMI of Jordanian infants in nursery in reference to WHO growth chart standard for age Z-score and to study the impact of mothers’ work on their infant’s growth.
Methods: A cross-sectional observational study was conducted on 92 infants aged between 3-12 months randomly and recruited from nurseries in Amman, Jordan. All selected infants their mothers are employed and working for at least 8 hour per day. The participants were divided according to gender (male; female) and age group as the following: 3-6 months; 7-9 months; and 10-12 months.
Results:The prevalence of overweight or obesity was 15.2% in all studied infants. Overweight or obesity was more prevalent among female infants aged 3-6 months and among male infants aged 7-12 months. No infant (0.00%) regardless of gender or age group was underweight, stunting nor wasting per WHO standards of BMI for age z-score.
Conclusion:Most infants of Jordanian working mothers seemingly have normal growth in weight and length and few of them were overweight or obese according to WHO standard of BMI for age z-score. These indicated that Jordan work polices support working mothers and their infants to have better health and development.
 Lamontagne JF, Engle PL, Zeitlin MF. Maternal employment, child care, and nutritional status of 12-18-month-old children in Managua, Nicaragua. Soc Sci Med 1998; 46: 403-14.
 Brush G, Harrison G, Zumrawi F. A path analysis of some determinants of infant growth in Khartoum. Ann Hum Biol 1993; 20: 381-7.
 Bureau of Labor Statistics. Employment characteristics of families in 2007. Washington, D.C: United States Department of Labor; 2008. Available from: https://www.bls.gov/news. release/archives/famee_05302008.pdf
 Jordanian Department of Statistics: Employment and Unemployment Survey. 2013. Available from: www.dos.gov. jo/dos_home_e/main/archive/Unemp/2014/Emp_2014-q1.pdf
 Shelov SP, Altmann TR, Hannemann R. Caring for your baby and young child: birth to age five. New York, NY, Bantam Books, American Academy of Pediatrics 2009.
 Unitednations development programme (UNDP) Human Development Report. Renaissance of the South: Human Development in A Diversified World: 2013. Available from: http://www.undp.org/content/undp/en/home/librarypage/hdr/human-development-report-2013.html
 Engle PL. Influences of mothers’ and fathers’ income on children’s nutritional status in Guatemala. Soc Sci Med 1993; 37: 1303-12.
 Nair M, Ariana P, Webster P. Impact of mothers’ employment on infant feeding and care: a qualitative study of the experiences of mothers employed through the Mahatma Gandhi National Rural Employment Guarantee. Act BMJ Open 2014; 4: e004434.
 Sethuraman K, Lansdown R, Sullivan K. Women’s empowerment and domestic violence: the role of sociocultural determinants inmaternal and child undernutrition in tribal and rural communities in South India. Food Nutr Bull 2006; 27: 128-43.
 Anderson P, Butcher K, Levine P. Maternal employment and overweight children. J Health Econ 2003; 22: 477-504.
 Morrissey TW, Dunifon RE, Kalil A. Maternal Employment, Work Schedules, and Children’s Body Mass Index. Child Dev 2011; 82(1): 66-81.
 Anderson P, Butcher K. Child obesity: Trends and potential causes. Future Child 2006; 16: 19-45.
 Fertig A, Glomm G, Tchernis R. The connection between maternal employment and childhood obesity: Inspecting the mechanisms. Rev Econ Household 2009; 7: 227-255.
 de Onis M, Garza C, Onyango AW, Martorell R. WHO child growth standards. Acta Paediatr Suppl 2006; 450: 1-101.
 Rao S, Simmer K. World Health Organization growth charts for monitoring the growth of Australian children: Time to begin the debate. J Paediatr Child Health 2012; 48: e84-e90.
 The Higher Population Council and the Jordanian National Commission for Women. Activating Women Participation in the Labor Market, Policy Brief 2014; 1-20. Available from: http://www.hpc.org.jo/hpc/Default.aspx
 Lee RD, Nieman DC. Nutrational Assessement, 5th edn, New Yourk: McGraw-Hill 2010.
 Woo J, Chan R, Li L, Luk, WA. A Survey of Infant and Young Child Feeding in Hong Kong: Diet and Nutrient Intake. Department of Medicine and Therapeutics. Centre for Nutritional Studies and Family Health Service 2012; 40-44.
 Charmarbagwala R, Ranger M, Waddington H, et al. The determinants of child health and nutrition: a meta-analysis: World Bank 2004.
 Whyte SR, Kariuki PW. Malnutrition and gender relations in Western Kenya. Health Transition Rev 1991; 1: 171-87.
 Cooksey E, Joshi H, Verropoulou G. Does mothers’ em-ployment affect children’s development? Evidence from the children of the British 1970 Birth Cohort and the American NLSY79. Longitudinal Life Course Stud 2009; 1: 95-115.
 Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of Obesity and Trends in Body Mass Index Among US Children and Adolescents, 1999-2010. JAMA 2012; 5: 483-490.
 Ogden CL, Flegal KM, Carroll MD. Prevalence and trends in overweight among US children and adolescents, 1999-2000. JAMA 2002; 288: 1728-1732.
 Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA 2014; 311: 806-814.
 Lee K, Won S. Effect of enrollment length in migrant head start on children’s weight outcomes. Health Soc 2015; 40: 142-150.
 Lim YM, Song S, Song WO. Prevalence and determinants of overweight and obesity in children and adolescents from migrant and seasonal farmworker families in the United States—a systematic review and qualitative assessment. Nutrients 2017; 9: 188.
 Taveras EM, Rifas-Shiman SL, Belfort MB, Kleinman KP, ken EO, Gillman, MW. Weight Status in the First 6 Months of Life and Obesity at 3 Years of Age. Pediatrics 2009; 123(4): 1177-1183.
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