Research Topics
| Usha RamakrishnanSummaryAffiliation: Emory University Country: USA Publications
Research Grants
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Detail Information
Publications
Effect of multiple micronutrient supplementation on pregnancy and infant outcomes: a systematic reviewUsha Ramakrishnan
Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
Paediatr Perinat Epidemiol 26:153-67. 2012....
Experiences and challenges in industrialized countries: control of iron deficiency in industrialized countriesUsha Ramakrishnan
Department of International Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
J Nutr 132:820S-4S. 2002..Constant vigilance and innovative approaches for screening and combating this problem are thus still required even in developed countries...- Effect of prenatal multiple micronutrient supplements on maternal weight and skinfold changes: a randomized double-blind clinical trial in MexicoUsha Ramakrishnan
Department of Global Health, Rollins School of Public Health at Emory University, Atlanta, NE, GA 30322, USA
Food Nutr Bull 26:273-80. 2005..Recent trials of prenatal multivitamin-mineral supplements have yielded mixed findings for outcomes such as birth size, but the benefits of prenatal multivitamin-mineral supplements for maternal outcomes are unknown... - Multimicronutrient interventions but not vitamin a or iron interventions alone improve child growth: results of 3 meta-analysesUsha Ramakrishnan
Department of International Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
J Nutr 134:2592-602. 2004..28 (95% CI: -0.07, 0.63) for weight. Interventions limited to only vitamin A or iron did not improve child growth. Multimicronutrient interventions, on the other hand, improved linear and possibly ponderal growth in children... - Multiple micronutrient supplements during pregnancy do not reduce anemia or improve iron status compared to iron-only supplements in Semirural MexicoUsha Ramakrishnan
Department of International Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA
J Nutr 134:898-903. 2004..Neither supplement was able to meet iron needs as evidenced by dramatic increases in anemia and iron deficiency by the end of pregnancy... - Effects of micronutrients on growth of children under 5 y of age: meta-analyses of single and multiple nutrient interventionsUsha Ramakrishnan
Nutrition and Health Sciences Program and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
Am J Clin Nutr 89:191-203. 2009..Micronutrient interventions have received much attention as a cost-effective and promising strategy to improve child health, but their roles in improving child growth remain unclear... - Nutrition and low birth weight: from research to practiceUsha Ramakrishnan
Department of International Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
Am J Clin Nutr 79:17-21. 2004.... 
Role of docosahexaenoic acid in maternal and child mental healthUsha Ramakrishnan
Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA 30322, USA
Am J Clin Nutr 89:958S-962S. 2009..Little is known about the benefits of DHA in the prevention of maternal depression and ADHD. Large, well-designed, community-based prevention trials are needed...- Multiple micronutrient supplementation during early childhood increases child size at 2 y of age only among high compliersUsha Ramakrishnan
Nutrition and Health Sciences Program and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
Am J Clin Nutr 89:1125-31. 2009..Micronutrient deficiencies are common, even in middle-income countries... - Fertility behavior and reproductive outcomes among young Guatemalan adultsUsha Ramakrishnan
Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Atlanta, GA 30322, USA
Food Nutr Bull 26:S68-77. 2005..Differences in reproductive behaviors by parental SES and current residence suggest the role of social transitions in determining family formation in Guatemala... - Multiple micronutrient supplementation during pregnancy does not lead to greater infant birth size than does iron-only supplementation: a randomized controlled trial in a semirural community in MexicoUsha Ramakrishnan
Department of International Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
Am J Clin Nutr 77:720-5. 2003..Little is known about the benefits of prenatal multivitamin and mineral supplements in reducing low birth weight... - Fatty acid status and maternal mental healthUsha Ramakrishnan
Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30332, USA
Matern Child Nutr 7:99-111. 2011..Few studies have been conducted in developing countries, and gaps remain on the influence of other nutrient deficiencies, genetic polymorphisms that influence n-3 fatty acid synthesis and total fatty acid intake... - Iron stores and cardiovascular disease risk factors in women of reproductive age in the United StatesUsha Ramakrishnan
Department of International Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
Am J Clin Nutr 76:1256-60. 2002.... - Assessment and control of vitamin A deficiency disordersUsha Ramakrishnan
Department of International Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
J Nutr 132:2947S-2953S. 2002..This meeting clearly set the agenda for the twenty-first century and called for successful implementation of integrated approaches that will eliminate VADD... - Dietary intake does not account for differences in low iron stores among Mexican American and non-Hispanic white women: Third National Health and Nutrition Examination Survey, 1988-1994Usha Ramakrishnan
Department of International Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
J Nutr 132:996-1001. 2002..80; 95% CI, 1.30-2.49) indicating that the reasons for the higher prevalence of iron deficiency in MA women warrants further investigation... - Effects of docosahexaenoic acid supplementation during pregnancy on gestational age and size at birth: randomized, double-blind, placebo-controlled trial in MexicoUsha Ramakrishnan
Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA 30322, USA
Food Nutr Bull 31:S108-16. 2010..The need for omega-3 fatty acids, especially docosahexaenoic acid (DHA), during pregnancy has received much attention, but evidence of effects on birth outcomes is limited... - Influence of prenatal and postnatal growth on intellectual functioning in school-aged childrenTippawan Pongcharoen
Nutrition and Health Sciences Program, Graduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, GA 30322, USA
Arch Pediatr Adolesc Med 166:411-6. 2012..To assess the relative influence of size at birth, infant growth, and late postnatal growth on intellectual functioning at 9 years of age... - Exposure to a nutrition supplementation intervention in early childhood and risk factors for cardiovascular disease in adulthood: evidence from GuatemalaAryeh D Stein
Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
Am J Epidemiol 164:1160-70. 2006..Interventions designed to address nutrient deficiencies and ameliorate stunting that are targeted at pregnant women and young children are unlikely to increase cardiovascular disease risk later in life and may instead lower the risk... - Growth to age 18 months following prenatal supplementation with docosahexaenoic acid differs by maternal gravidity in MexicoAryeh D Stein
Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
J Nutr 141:316-20. 2011..13 cm (95% CI = -0.59, 0.32) (P > 0.5). Maternal DHA supplementation during the second half of gestation may enhance growth through 18 mo of children born to primagravid women... - Nutritional supplementation in early childhood, schooling, and intellectual functioning in adulthood: a prospective study in GuatemalaAryeh D Stein
Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd NE, Atlanta, GA 30322, USA
Arch Pediatr Adolesc Med 162:612-8. 2008..To estimate the association of improved nutrition in early life with adult intellectual functioning, controlling for years of schooling... - The relationship between parity and overweight varies with household wealth and national developmentSonia A Kim
Nutrition and Health Sciences Program, Graduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, GA 30322, USA
Int J Epidemiol 36:93-101. 2007.... - Associations between serum C-reactive protein and serum zinc, ferritin, and copper in Guatemalan school childrenVinh Q Bui
Nutrition and Health Sciences Program, Graduate Division of Biological and Biomedical Sciences, Laney Graduate School, Emory University, Atlanta, GA, USA
Biol Trace Elem Res 148:154-60. 2012..High-sensitive CRP methods and the use of very low CRP cutoffs may be more accurate than traditional CRP methods in the adjustment of serum copper concentrations for inflammation in healthy school children... - Early childhood growth and development in rural GuatemalaElena V Kuklina
Program in Nutrition and Health Sciences, Graduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, GA, USA
Early Hum Dev 82:425-33. 2006..More evidence from developing countries will help explain the underlying mechanisms and identify appropriate interventions to prevent neurodevelopmental delay in early childhood... - Growth and diet quality are associated with the attainment of walking in rural Guatemalan infantsElena V Kuklina
Program in Nutrition and Health Sciences, Graduate Division of Biological and Biomedical Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, USA
J Nutr 134:3296-300. 2004..02). Morbidity during infancy was not associated with age of walking. These findings indicate the importance of prevention of postnatal growth retardation and improvement of diet quality for children's gross motor development... - A situation analysis of public health interventions, barriers, and opportunities for improving maternal nutrition in Bihar, IndiaElizabeth A Noznesky
Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia 30327, USA
Food Nutr Bull 33:S93-103. 2012..Although numerous programs and platforms exist for delivering efficacious interventions for improving maternal nutrition, the coverage and quality of these interventions are low... - Comparison of indicators of iron deficiency in Kenyan childrenFrederick K E Grant
Nutrition and Health Sciences program of Graduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, GA 30322, USA
Am J Clin Nutr 95:1231-7. 2012..However, the choice of an appropriate single iron biomarker to replace the multiple-criteria model for screening for ID at the population level continues to be debated... - Multivitamin-mineral supplementation is not as efficacious as is iron supplementation in improving hemoglobin concentrations in nonpregnant anemic women living in MexicoSiobhan E Moriarty-Craige
Program in Nutrition and Health Sciences, Graduate Division of Biological and Biomedical Sciences and the Department of International Health, Rollins School of Public Health, Emory University, Atlanta, USA
Am J Clin Nutr 80:1308-11. 2004..05 for interaction), and there was no significant difference in nonanemic subjects. CONCLUSIONS: MM supplements may not be as efficacious as is iron alone in improving the hemoglobin status of anemic women... - Comparison of linear growth patterns in the first three years of life across two generations in GuatemalaAryeh D Stein
Department of International Health, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA
Pediatrics 113:e270-5. 2004..It is not known whether these improvements have an impact on the growth of subsequent generations. Our objective was to estimate the intergenerational effect on offspring length of improved nutrition in the mother's early childhood... - Schooling, educational achievement, and cognitive functioning among young Guatemalan adultsAryeh D Stein
Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, N E, Atlanta, GA 30322, USA
Food Nutr Bull 26:S46-54. 2005..Migrants to Guatemala City have completed more years of school and scored higher on the tests of educational achievement and cognitive functioning than have cohort members who have remained in the study villages... - Excess gestational weight gain is associated with child adiposity among mothers with normal and overweight prepregnancy weight statusStefanie N Hinkle
Division of Biological and Biomedical Sciences, Emory University, Atlanta, GA, USA
J Nutr 142:1851-8. 2012..Excess GWG is associated with an increase in child BMI Z-score among normal and overweight mothers only. Prevention of excess GWG may be a strategy to prevent childhood obesity... - Prenatal docosahexaenoic acid supplementation and infant morbidity: randomized controlled trialBeth Imhoff-Kunsch
Nutrition and Health Sciences Program, Rollins School of Public Health, Emory University, Atlanta, Georgia 30332, USA
Pediatrics 128:e505-12. 2011..We investigated the effects of prenatal DHA supplementation on infant morbidity... - Effect of women's nutrition before and during early pregnancy on maternal and infant outcomes: a systematic reviewUsha Ramakrishnan
Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA 30032, USA
Paediatr Perinat Epidemiol 26:285-301. 2012.... - Long-term effects of iron and zinc supplementation during infancy on cognitive function at 9 y of age in northeast Thai children: a follow-up studyTippawan Pongcharoen
Nutrition and Health Sciences Program, Graduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, GA 30322, USA
Am J Clin Nutr 93:636-43. 2011..One would expect that iron and zinc supplementation in infancy would affect long-term cognitive development and school achievement, but this has not been evaluated... - Prospective study of protein-energy supplementation early in life and of growth in the subsequent generation in GuatemalaAryeh D Stein
Department of International Health, Emory University, Atlanta, GA 30322, USA
Am J Clin Nutr 78:162-7. 2003..Nutritional supplementation in early life reduces stunting in chronically undernourished populations. It is unknown whether these improvements can be transmitted to subsequent generations... - Docosahexaenoic acid supplementation from mid-pregnancy to parturition influenced breast milk fatty acid concentrations at 1 month postpartum in Mexican womenBeth Imhoff-Kunsch
Nutrition and Health Sciences Program, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
J Nutr 141:321-6. 2011..Prenatal DHA supplementation from 18-22 wk gestation to parturition increased concentrations of DHA and ALA in breast milk at 1 mo postpartum, providing a mechanism through which breast-fed infants could benefit... - Public health interventions, barriers, and opportunities for improving maternal nutrition in IndiaUsha Ramakrishnan
Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA
Food Nutr Bull 33:S71-92. 2012..Although nutrition policies are on the books and interventions are in place, child malnutrition and maternal undernutrition persist as severe public health problems... - Greater length-for-age increases the odds of attaining motor milestones in Vietnamese children aged 5-18 monthsShibani Kulkarni
Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
Asia Pac J Clin Nutr 21:241-6. 2012..High prevalence of stunting and association of length-for-age with motor milestone achievement underscore the importance of addressing chronic malnutrition to optimize children's growth and development... - Associations between prenatal and postnatal growth and adult body size and compositionHaojie Li
Division of Biological and Biomedical Sciences, Nutrition and Health Sciences Program, Emory University, Atlanta, GA 30322, USA
Am J Clin Nutr 77:1498-505. 2003..CONCLUSIONS: Growth retardation in early childhood was associated with shortness and less FFM in adulthood. Preventing growth failure in utero and preventing growth failure during the first 2 y of life are equally important for ABSC... - A simple index to measure hygiene behavioursAmy L Webb
Nutrition and Health Sciences Program, Graduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, GA 30322, USA
Int J Epidemiol 35:1469-77. 2006..Multiple measures are required to accurately estimate the true hygiene pattern of a household... - Physical activity level, dietary habits, and alcohol and tobacco use among young Guatemalan adultsAryeh D Stein
Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Atlanta, GA 30322, USA
Food Nutr Bull 26:S78-87. 2005..One-third of men reported consuming alcohol and 42% were current smokers. Very few women reported alcohol or tobacco use... - Reliability of gestational weight gain reported postpartum: a comparison to the birth certificateStefanie N Hinkle
Nutrition and Health Sciences, Division of Biological and Biomedical Sciences, Emory University, 1462 Clifton Rd, Suite 314, Atlanta, GA, 30322, USA
Matern Child Health J 17:756-65. 2013..These results suggest that for future studies, mothers' estimates of their GWG, obtained within approximately 1 year postpartum, may be a reliable substitute when birth certificate GWG data are unavailable... - Auditory- and visual-evoked potentials in Mexican infants are not affected by maternal supplementation with 400 mg/d docosahexaenoic acid in the second half of pregnancyAryeh D Stein
Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA
J Nutr 142:1577-81. 2012..10). We conclude that DHA supplementation during pregnancy did not influence brainstem auditory-evoked responses at 1 and 3 mo or visual-evoked potentials at 3 and 6 mo... - Effect of zinc on efficacy of iron supplementation in improving iron and zinc status in womenPhuong Nguyen
Nutrition and Health Sciences Program, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
J Nutr Metab 2012:216179. 2012..In conclusion, adding zinc to IFA supplements did not modify efficacy on iron status or improve zinc status, but daily supplementation was more efficacious than weekly in improving iron stores... - Iron supplement use among women in the United States: science, policy and practiceMary E Cogswell
Maternal and Child Nutrition Branch, Chronic Disease Nutrition Branch, Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA
J Nutr 133:1974S-1977S. 2003..Groups at highest risk of iron deficiency (e.g., low income and minority women) are often least likely to consume supplements containing iron, suggesting that supplement use is unrelated to actual need... - Maternal influenza immunization and reduced likelihood of prematurity and small for gestational age births: a retrospective cohort studySaad B Omer
Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, Georgia, USA
PLoS Med 8:e1000441. 2011..Infections during pregnancy have the potential to adversely impact birth outcomes. We evaluated the association between receipt of inactivated influenza vaccine during pregnancy and prematurity and small for gestational age (SGA) births... - Prevalence of micronutrient malnutrition worldwideUsha Ramakrishnan
Department of International Health, Rollins School of Public Health at Emory University, Atlanta, GA 30032, USA
Nutr Rev 60:S46-52. 2002..Finally, in many settings, more than one micronutrient deficiency exists, suggesting the need for simple approaches that evaluate and address multiple micronutrient malnutrition... - Randomized trial of the effect of zinc supplementation on the mental health of school-age children in GuatemalaAnn M DiGirolamo
Institute for Community Health, Cambridge Health Alliance Harvard Medical School, Cambridge, MA, USA
Am J Clin Nutr 92:1241-50. 2010..Rates of mental illness in children are increasing throughout the world. Observational studies of depression, anxiety, and attention-deficit hyperactivity disorder suggest that zinc is an alternative treatment... - Do multiple micronutrient interventions improve child health, growth, and development?Usha Ramakrishnan
Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA
J Nutr 141:2066-75. 2011..In summary, MMN interventions may result in improved outcomes for children in settings where micronutrient deficiencies are widespread... - Correcting for inflammation changes estimates of iron deficiency among rural Kenyan preschool childrenFrederick K E Grant
Nutrition and Health Sciences Program, Graduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, GA, USA
J Nutr 142:105-11. 2012..r = 0.20; P < 0.001, before and after adjustment, respectively). Although the use of CF to adjust for inflammation appears indicated, further work is needed to confirm that this approach improves the accuracy of assessment of ID... - Impacts of domestic violence on child growth and nutrition: a conceptual review of the pathways of influenceKathryn M Yount
Hubert Department of Global Health, Department of Sociology, Emory University, 1518 Clifton Rd NE, Room 7029, Atlanta, GA 30322, United States
Soc Sci Med 72:1534-54. 2011..Given the global burden of child malnutrition and its long-term effects on human-capital formation, improving child growth and nutrition may be another reason to prevent domestic violence and its cascading after-effects... - Is it time to replace iron folate supplements in pregnancy with multiple micronutrients?Zulfiqar A Bhutta
Division of Women and Child Health, The Aga Khan University, Karachi, Pakistan
Paediatr Perinat Epidemiol 26:27-35. 2012.... - Effect of n-3 long-chain polyunsaturated fatty acid intake during pregnancy on maternal, infant, and child health outcomes: a systematic reviewBeth Imhoff-Kunsch
Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1599 Clifton Road, Atlanta, GA 30322, USA
Paediatr Perinat Epidemiol 26:91-107. 2012..More studies in low- and middle-income countries are needed to determine any effect of n-3 LCPUFA supplementation in resource-poor settings, where n-3 PUFA intake is likely low... - Evaluation of the Integrated Management of Childhood Illness guidelines for treatment of intestinal helminth infections among sick children aged 2-4 years in western KenyaRenu Garg
International Child Survival and Emerging Infections Program Support Activity, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Mail Stop F-22, 4770 Buford Hwy, Atlanta, Georgia 30341, USA
Trans R Soc Trop Med Hyg 96:543-8. 2002..Cost-effectiveness studies are needed to help define helminth prevalence thresholds for routine anthelmintic treatment of sick preschool-age children seen at first-level health facilities... - Experiences and challenges in developing countriesRay Yip
Health and Nutrition Section, UNICEF, Beijing, China
J Nutr 132:827S-30S. 2002..In summary, effectively combining and balancing the needs of program implementation, research and community involvement will help combat Fe deficiency... - Overweight and obesity doubled over a 6-year period in young women living in poverty in MexicoLynnette M Neufeld
Division of Nutri tional Epidemiology, National Institute of Public Health, Cuernavaca, Morelos, Mexico
Obesity (Silver Spring) 16:714-7. 2008..To document the changes in BMI and the prevalence of overweight and obesity in young women living in poverty in a semi-urban community in Mexico... - Multiple micronutrient supplementation and dietary energy intake in pregnant womenMaría de Lourdes Flores
Center for Nutrition and Health Research, National Institute of Public Health, Mexico
Salud Publica Mex 49:190-8. 2007..To compare dietary intake of women supplemented with multiple micronutrients (MM) or iron only during pregnancy... - Physical fitness, body composition, blood pressure, and blood metabolic profile among young Guatemalan adultsManuel Ramirez-Zea
Institute of Nutrition of Central America and Panama INCAP, P O Box 1188, Calzada Roosevelt, Zona 11, Guatemala City, Guatemala
Food Nutr Bull 26:S88-97. 2005..Such a pattern was not evident in women, except that blood pressure was higher in urban women than in women who lived in their original villages...
Research Grants
- IRON STATUS IN WOMEN OF REPRODUCTIVE AGEUsha Ramakrishnan; Fiscal Year: 2002..The investigators state that in summary, the project is expected to provide information that can be used to examine policy options and develop guidelines to ensure adequate but safe iron status for women of reproductive age. ..
- DHA in Pregnancy and Immune Function in Mexican InfantsUsha Ramakrishnan; Fiscal Year: 2005..To our knowledge, there are no studies that have evaluated the impact of maternal DHA supplementation in pregnancy on infant immune function. ..
- Effect of prenatal DHA supplements on infant developmentUsha Ramakrishnan; Fiscal Year: 2007..The findings of this project will contribute significantly to our understanding of the functional consequences of DHA supplementation during pregnancy. ..
- Effect of prenatal DHA supplements on infant developmentUsha Ramakrishnan; Fiscal Year: 2009....
- Effect of prenatal DHA supplements on infant developmentUsha Ramakrishnan; Fiscal Year: 2010....