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Cited by 230Birth, Development, and HealthHigh Altitude and HypoxiaMaternal and Neonatal Healthcare

The DOI matches its Crossref record; 53 of the 53 references it cites were found in a registry or an index.

Effects of Altitude versus Economic Status on Birth Weight and Body Shape at Birth

Giussani, Dino A, Phillips, P Seamus, Anstee, Syd, Barker, David J P·2001·Pediatric Research
DOI 10.1203/00006450-200104000-00009
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Abstract

The compelling evidence linking small size at birth with later cardiovascular disease has renewed and amplified a clinical and scientific interest in the determinants of fetal growth. Although the effects of maternal nutrition on fetal growth have been extensively studied, comparatively little is known about the effects of maternofetal hypoxia. This study tested the hypothesis that in highland regions, high altitude rather than maternal economic status is associated with reduced and altered fetal growth by investigating the effects of high altitude versus economic status on birth weight and body shape at birth in Bolivia. Bolivia is geographically and socioeconomically unique. It contains several highland (>3500 m above sea level) and lowland (<500 m) cities that are inhabited by very economically divergent populations. Birth weight, body length, and head circumference were compared between a high- (n = 100) and low- (n = 100) income region of La Paz (3649 m; largest high-altitude city) and a high- (n = 100) and low- (n = 100) income region of Santa Cruz (437 m; largest low-altitude city). In addition, the frequency distribution across the continuum of birth weights was plotted for babies born from high- and low-income families in La Paz and Santa Cruz. Mean birth weights were lower in babies from La Paz than in babies from Santa Cruz in both high- and low-income groups. The cumulative frequency curve across all compiled birth weights was shifted to the left in babies from La Paz compared with those from Santa Cruz, regardless of economic status. The frequency of low birth weight (<2500 g) was higher in babies from La Paz than from Santa Cruz in both high- and low-income groups. In addition, at high altitude but not at low altitude, high income was associated with an increase in the head circumference:birth weight ratio. These findings suggest that high altitude rather than economic status is associated with low birth weight and altered body shape at birth in babies from Bolivia.

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Crossref · 10.1203/00006450-200104000-00009

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53 of 53 references verified0 citation errors · 0 not checkable

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Citations

Cites

Research works printed but not linked: 13

  1. Law CM, 1996, J Hypertens, 14, 935
  2. Penrose LS, 1954, Cardiologia, 6, 521
  3. Morton NE, 1955, Ann Hum Genet, 20, 123
  4. Walton A, 1938, ci, 125, 311
  5. Giussani DA, 1999, J Soc Gynecol Invest, 6, 171A
  6. Haas JD, 1977, Hum Biol, 49, 611
  7. Ballew C, 1986, Hum Biol, 58, 871
  8. Giussani DA, 1999, J Soc Gynecol Invest, 6, 106A
  9. Howard RC, 1957, Am J Dis Child, 93, 670
  10. Jacobs R, 1988, J Dev Physiol, 10, 97
  11. Gluckman PD, 1986, Oxf Rev Reprod Biol, 8, 1
  12. Malaspina L, 1971, Ann Inst Boliviano Biol Altura, 2, 3
  13. Haas JD, 1980, Hum Biol, 52, 459

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Metadata

Authors
Giussani, D. A., Phillips, P. S., Anstee, S., & Barker, D. J. P.
Affiliations
  • University of Cambridge (GB)
  • University of Southampton (GB)
Corresponding author
Giussani, Dino A
ORCID
Venue
Pediatric Research
Publisher
Springer Science and Business Media LLC
Published
2001-04
Volume
49
Issue
4
Pages
490-494
ISSN
  • 0031-3998 (ISSN-L)
  • 1530-0447
DOI
10.1203/00006450-200104000-00009
OpenAlex
W2064681431
Cited by
230
References
53
Citations by year
2026: 5 · 2025: 12 · 2024: 6 · 2023: 7 · 2022: 8 · 2021: 10 · 2020: 7 · 2019: 8 · 2018: 9 · 2017: 11 · 2016: 8 · 2015: 19 · 2014: 6 · 2013: 15 · 2012: 11
FWCI
7.24
Type
journal article
Language
en
Open access
closed
Locations
  • Pediatric Research (publishedVersion)
  • PubMed (publishedVersion)
  • ePrints Soton (University of Southampton) (submittedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
  • Health Sciences › Medicine › Physiology (medical) › High Altitude and Hypoxia
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Keywords
high altitude, fetal growth, birth weight, low birth weight, head circumference, maternal economic status, maternal hypoxia, La Paz, Santa Cruz, Bolivia, birth weight distribution
MeSH terms
Altitude, Anthropometry, Birth Weight, Bolivia, Female, Humans, Infant, Newborn, Pregnancy, Social Class

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