Parul Christian

Summary

Affiliation: Johns Hopkins Bloomberg School of Public Health
Country: USA

Publications

  1. pmc Risk factors for pregnancy-related mortality: a prospective study in rural Nepal
    Parul Christian
    Department of International Health and Center for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, 615 N Wolfe St, Room W2041, Baltimore, MD 21205, USA
    Public Health 122:161-72. 2008
  2. doi request reprint Associations between preterm birth, small-for-gestational age, and neonatal morbidity and cognitive function among school-age children in Nepal
    Parul Christian
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N, Wolfe St, Room E2541, Baltimore, MD 21205, USA
    BMC Pediatr 14:58. 2014
  3. doi request reprint Effects of vitamin A and β-carotene supplementation on birth size and length of gestation in rural Bangladesh: a cluster-randomized trial
    Parul Christian
    Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
    Am J Clin Nutr 97:188-94. 2013
  4. doi request reprint Maternal vitamin A and β-carotene supplementation and risk of bacterial vaginosis: a randomized controlled trial in rural Bangladesh
    Parul Christian
    Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
    Am J Clin Nutr 94:1643-9. 2011
  5. doi request reprint Preschool micronutrient supplementation effects on intellectual and motor function in school-aged Nepalese children
    Laura E Murray-Kolb
    Department of Nutritional Sciences, The Pennsylvania State University, University Park, USA
    Arch Pediatr Adolesc Med 166:404-10. 2012
  6. doi request reprint Evidence for multiple micronutrient effects based on randomized controlled trials and meta-analyses in developing countries
    Parul Christian
    Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
    J Nutr 142:173S-7S. 2012
  7. doi request reprint Effects of prenatal micronutrient supplementation on complications of labor and delivery and puerperal morbidity in rural Nepal
    Parul Christian
    Department of International Health, Center for Human Nutrition, Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Int J Gynaecol Obstet 106:3-7. 2009
  8. ncbi request reprint Antenatal anthelmintic treatment, birthweight, and infant survival in rural Nepal
    Parul Christian
    Johns Hopkins Bloomberg School of Public Health, Department of International Health and Center for Human Nutrition, Baltimore, MD, USA
    Lancet 364:981-3. 2004
  9. pmc Preschool iron-folic acid and zinc supplementation in children exposed to iron-folic acid in utero confers no added cognitive benefit in early school-age
    Parul Christian
    Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
    J Nutr 141:2042-8. 2011
  10. pmc Prevalence and risk factors of chlamydia and gonorrhea among rural Nepali women
    P Christian
    Department of International Health, The Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, Room W2041, Baltimore, MD 21205, USA
    Sex Transm Infect 81:254-8. 2005

Research Grants

Collaborators

Detail Information

Publications77

  1. pmc Risk factors for pregnancy-related mortality: a prospective study in rural Nepal
    Parul Christian
    Department of International Health and Center for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, 615 N Wolfe St, Room W2041, Baltimore, MD 21205, USA
    Public Health 122:161-72. 2008
    ..This study examined the risk factors of mortality related to pregnancy for the first year post partum in a cohort of 25,580 pregnancies...
  2. doi request reprint Associations between preterm birth, small-for-gestational age, and neonatal morbidity and cognitive function among school-age children in Nepal
    Parul Christian
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N, Wolfe St, Room E2541, Baltimore, MD 21205, USA
    BMC Pediatr 14:58. 2014
    ....
  3. doi request reprint Effects of vitamin A and β-carotene supplementation on birth size and length of gestation in rural Bangladesh: a cluster-randomized trial
    Parul Christian
    Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
    Am J Clin Nutr 97:188-94. 2013
    ..Micronutrient deficiencies may be related to poor fetal growth and short gestation. Few studies have investigated the contribution of maternal vitamin A deficiency to these outcomes...
  4. doi request reprint Maternal vitamin A and β-carotene supplementation and risk of bacterial vaginosis: a randomized controlled trial in rural Bangladesh
    Parul Christian
    Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
    Am J Clin Nutr 94:1643-9. 2011
    ..Bacterial vaginosis (BV) in pregnancy is linked to preterm birth, but its risk factors are not well understood. Micronutrient deficiencies may be associated with an increased risk of this condition...
  5. doi request reprint Preschool micronutrient supplementation effects on intellectual and motor function in school-aged Nepalese children
    Laura E Murray-Kolb
    Department of Nutritional Sciences, The Pennsylvania State University, University Park, USA
    Arch Pediatr Adolesc Med 166:404-10. 2012
    ..To examine intellectual and motor functioning of children who received micronutrient supplementation from 12 to 35 months of age...
  6. doi request reprint Evidence for multiple micronutrient effects based on randomized controlled trials and meta-analyses in developing countries
    Parul Christian
    Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
    J Nutr 142:173S-7S. 2012
    ..Gaps in research and future challenges for programmatic application of this strategy for both pregnant women and young children are discussed...
  7. doi request reprint Effects of prenatal micronutrient supplementation on complications of labor and delivery and puerperal morbidity in rural Nepal
    Parul Christian
    Department of International Health, Center for Human Nutrition, Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Int J Gynaecol Obstet 106:3-7. 2009
    ..To examine the effect of supplemental prenatal folic acid, folic acid-iron, folic acid-iron-zinc, and multiple micronutrients on maternal morbidity in rural Nepal...
  8. ncbi request reprint Antenatal anthelmintic treatment, birthweight, and infant survival in rural Nepal
    Parul Christian
    Johns Hopkins Bloomberg School of Public Health, Department of International Health and Center for Human Nutrition, Baltimore, MD, USA
    Lancet 364:981-3. 2004
    ..59; 95% CI 0.43-0.82). Antenatal anthelmintics could be effective in reducing maternal anaemia and improving birthweight and infant survival in hookworm-endemic regions...
  9. pmc Preschool iron-folic acid and zinc supplementation in children exposed to iron-folic acid in utero confers no added cognitive benefit in early school-age
    Parul Christian
    Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
    J Nutr 141:2042-8. 2011
    ..The late timing of supplementation during preschool may explain the lack of impact of iron and/or zinc...
  10. pmc Prevalence and risk factors of chlamydia and gonorrhea among rural Nepali women
    P Christian
    Department of International Health, The Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, Room W2041, Baltimore, MD 21205, USA
    Sex Transm Infect 81:254-8. 2005
    ..We estimated the prevalence and risk factors of Neisseria gonorrhoeae and Chlamydia trachomatis in a female population in rural Nepal...
  11. ncbi request reprint Antenatal supplementation with micronutrients and biochemical indicators of status and subclinical infection in rural Nepal
    Parul Christian
    Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA
    Am J Clin Nutr 83:788-94. 2006
    ..Previously we showed that women in rural Nepal experience multiple micronutrient deficiencies in early pregnancy...
  12. doi request reprint Micronutrients, birth weight, and survival
    Parul Christian
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA
    Annu Rev Nutr 30:83-104. 2010
    ..Currently, data are unconvincing for replacing supplementation of antenatal iron-folic acid with multiple micronutrients...
  13. doi request reprint Treatment response to standard of care for severe anemia in pregnant women and effect of multivitamins and enhanced anthelminthics
    Parul Christian
    Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
    Am J Clin Nutr 89:853-61. 2009
    ..Severe anemia (hemoglobin < 70 g/L) in pregnancy may increase the risk of maternal and perinatal mortality...
  14. doi request reprint The effect of maternal micronutrient supplementation on early neonatal morbidity in rural Nepal: a randomised, controlled, community trial
    P Christian
    Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Maryland, USA
    Arch Dis Child 93:660-4. 2008
    ..Micronutrient deficiencies during pregnancy may be linked to poor newborn health and poor host defences against infection. We assessed newborn morbidity to determine the effect of four combinations of antenatal micronutrient supplements...
  15. ncbi request reprint Cigarette smoking during pregnancy in rural Nepal. Risk factors and effects of beta-carotene and vitamin A supplementation
    P Christian
    Division of Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
    Eur J Clin Nutr 58:204-11. 2004
    ..We examined risk factors of smoking and the association between smoking and pregnancy-related and 6-month infant mortality in rural Nepal, where 30% women reported smoking during pregnancy...
  16. ncbi request reprint Effects of maternal micronutrient supplementation on fetal loss and infant mortality: a cluster-randomized trial in Nepal
    Parul Christian
    Department of International Health, The Johns Hopkins University Bloomberg School of Public Health, 615 North Wolfe Street, Room 2041, Baltimore, MD 21205 2179, USA
    Am J Clin Nutr 78:1194-202. 2003
    ..We previously reported that maternal micronutrient supplementation in rural Nepal decreased low birth weight by approximately 15%...
  17. ncbi request reprint Interactions between zinc and vitamin A: an update
    P Christian
    Center for Human Nutrition and the Department of International Health, Johns Hopkins School of Public Health, Baltimore, USA
    Am J Clin Nutr 68:435S-441S. 1998
    ..Research should focus on understanding this interaction in the context of coexisting moderate-to-severe zinc and vitamin A deficiencies in the population...
  18. doi request reprint Maternal micronutrient deficiency, fetal development, and the risk of chronic disease
    Parul Christian
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21200, USA
    J Nutr 140:437-45. 2010
    ....
  19. pmc Impact of the economic crisis and increase in food prices on child mortality: exploring nutritional pathways
    Parul Christian
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    J Nutr 140:177S-81S. 2010
    ..But, ensuring that vulnerable populations are also targeted with known nutritional interventions at all times is likely to have a substantial impact on child mortality...
  20. ncbi request reprint Maternal night blindness increases risk of mortality in the first 6 months of life among infants in Nepal
    P Christian
    Johns Hopkins School of Public Health, Baltimore, MD 21205, USA
    J Nutr 131:1510-2. 2001
    ..Thus, 6-mo mortality was higher among infants of women who had night blindness during pregnancy. Maternal receipt of vitamin A reduced this risk...
  21. ncbi request reprint Zinc supplementation might potentiate the effect of vitamin A in restoring night vision in pregnant Nepalese women
    P Christian
    Division of Human Nutrition, School of Hygiene and Public Health, The Johns Hopkins University, Baltimore, MD 21205, USA
    Am J Clin Nutr 73:1045-51. 2001
    ..During a placebo-controlled trial in Nepal, weekly vitamin A supplementation of women reduced but failed to eliminate the incidence of night blindness during pregnancy, suggesting a role for zinc...
  22. ncbi request reprint Hyporetinolemia, illness symptoms, and acute phase protein response in pregnant women with and without night blindness
    P Christian
    Center for Human Nutrition, Department of International Health, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
    Am J Clin Nutr 67:1237-43. 1998
    ..AGP and CRP may provide useful information about the effect of reported illness on hyporetinolemia in pregnancy. Infection-related hyporetinolemia may predispose women to night blindness during pregnancy in Nepal...
  23. doi request reprint Antenatal micronutrient supplementation reduces metabolic syndrome in 6- to 8-year-old children in rural Nepal
    Christine P Stewart
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    J Nutr 139:1575-81. 2009
    ..Supplementation with multiple micronutrients had no such affect. Future follow-up studies are needed to examine long-term supplementation effects on risk of chronic diseases in adults...
  24. doi request reprint Low maternal vitamin B-12 status is associated with offspring insulin resistance regardless of antenatal micronutrient supplementation in rural Nepal
    Christine P Stewart
    Program in International and Community Nutrition, University of California, Davis, CA, USA
    J Nutr 141:1912-7. 2011
    ..Maternal vitamin B-12 deficiency is associated with an elevated risk of insulin resistance, but supplementation with folic acid or other micronutrients led to no significant change in insulin resistance in school-aged offspring...
  25. doi request reprint Prenatal micronutrient supplementation and intellectual and motor function in early school-aged children in Nepal
    Parul Christian
    Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Room W2041, Baltimore, MD 21205, USA
    JAMA 304:2716-23. 2010
    ..Few studies have examined whether iron and zinc supplementation during gestation, a critical period of central nervous system development, affects children's later functioning...
  26. pmc Effects of alternative maternal micronutrient supplements on low birth weight in rural Nepal: double blind randomised community trial
    Parul Christian
    Division of Human Nutrition, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA
    BMJ 326:571. 2003
    ..To assess the impact on birth size and risk of low birth weight of alternative combinations of micronutrients given to pregnant women...
  27. ncbi request reprint Micronutrients and reproductive health issues: an international perspective
    Parul Christian
    Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
    J Nutr 133:1969S-1973S. 2003
    ..Data are also suggestive that adding zinc may negate the beneficial effect of iron and folic acid on birth weight. Research is needed to further our understanding of nutrient-nutrient interactions...
  28. ncbi request reprint Supplementation with micronutrients in addition to iron and folic acid does not further improve the hematologic status of pregnant women in rural Nepal
    Parul Christian
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    J Nutr 133:3492-8. 2003
    ..The level of compliance and baseline Hb concentrations modified the effect of iron...
  29. doi request reprint Effects of vitamin A or beta carotene supplementation on pregnancy-related mortality and infant mortality in rural Bangladesh: a cluster randomized trial
    Keith P West
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, USA
    JAMA 305:1986-95. 2011
    ..Maternal vitamin A deficiency is a public health concern in the developing world. Its prevention may improve maternal and infant survival...
  30. pmc Antenatal and postnatal iron supplementation and childhood mortality in rural Nepal: a prospective follow-up in a randomized, controlled community trial
    Parul Christian
    Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Center for Human Nutrition, Baltimore, Maryland 21205, USA
    Am J Epidemiol 170:1127-36. 2009
    ..Maternal iron-folic acid supplementation reduced mortality among these children by 31% between birth and age 7 years. These results provide additional motivation for strengthening antenatal iron-folic acid programs...
  31. pmc A cluster-randomized, placebo-controlled, maternal vitamin A or beta-carotene supplementation trial in Bangladesh: design and methods
    Alain B Labrique
    Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
    Trials 12:102. 2011
    ....
  32. doi request reprint Predictors of stunting and thinness in post-menarcheal adolescent girls in rural Bangladesh
    Jee H Rah
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, Center for Human Nutrition, Room W2041, Baltimore, MD 21205, USA
    Public Health Nutr 12:2400-9. 2009
    ..To assess the nutritional status and risk factors of undernutrition in post-menarcheal girls in rural northern Bangladesh...
  33. doi request reprint Early neonatal feeding is common and associated with subsequent breastfeeding behavior in rural Bangladesh
    Maria E Sundaram
    Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
    J Nutr 143:1161-7. 2013
    ..Maternal education, antenatal care, and support during labor and delivery may help reduce ENF and promote exclusive breastfeeding. ..
  34. doi request reprint Difference in ponderal growth and body composition among pregnant vs. never-pregnant adolescents varies by birth outcomes
    Jee H Rah
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA
    Matern Child Nutr 6:27-37. 2010
    ..Linear growth ceased among pregnant girls regardless of birth outcome. Maternal weight loss and depletion of fat and lean mass at 6 months post-partum were more pronounced when the infants survived through the neonatal period...
  35. pmc Preterm delivery but not intrauterine growth retardation is associated with young maternal age among primiparae in rural Nepal
    Christine P Stewart
    Department of International Health, Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, Room W2505, Baltimore, MD 21205 2103, USA
    Matern Child Nutr 3:174-85. 2007
    ..Thus, we conclude that young maternal age (<or=18 years) increased the risk of preterm delivery, but not intrauterine growth retardation, for the first but not second liveborn infant...
  36. pmc Care-seeking patterns for fatal non-communicable diseases among women of reproductive age in rural northwest Bangladesh
    Shegufta S Sikder
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    BMC Womens Health 12:23. 2012
    ..This analysis seeks to describe care-seeking behavior among women of reproductive age who died from fatal non-communicable diseases as recorded in northwest rural Bangladesh between 2001 and 2007...
  37. doi request reprint Newborn vitamin A supplementation reduced infant mortality in rural Bangladesh
    Rolf D W Klemm
    DRPH, Johns Hopkins University, Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, 615 North Wolfe St, Baltimore, MD 21205
    Pediatrics 122:e242-50. 2008
    ..We assessed the effect of supplementing newborns with 50000 IU of vitamin A on all-cause infant mortality through 24 weeks of age...
  38. pmc Risk factors for early infant mortality in Sarlahi district, Nepal
    Joanne Katz
    Division of Disease Prevention and Control, Center for Human Nutrition, Sight and Life Research Institute, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Bull World Health Organ 81:717-25. 2003
    ..Early infant mortality has not declined as rapidly as child mortality in many countries. Identification of risk factors for early infant mortality may help inform the design of intervention strategies...
  39. doi request reprint Maternal and child undernutrition and overweight in low-income and middle-income countries
    Robert E Black
    Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Lancet 382:427-51. 2013
    ..The high present and future disease burden caused by malnutrition in women of reproductive age, pregnancy, and children in the first 2 years of life should lead to interventions focused on these groups...
  40. ncbi request reprint High prevalence of anemia with lack of iron deficiency among women in rural Bangladesh: a role for thalassemia and iron in groundwater
    Rebecca D Merrill
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Asia Pac J Clin Nutr 21:416-24. 2012
    ..In such settings, the influence of environmental sources of iron and the role of thalassemias in contributing to anemia at the population level may be underappreciated...
  41. pmc Risk of death following pregnancy in rural Nepal
    Elizabeth Kimbrough Pradhan
    Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205 2103, USA
    Bull World Health Organ 80:887-91. 2002
    ..To investigate the length of time following pregnancy during which the risk of mortality was elevated among women in rural Nepal...
  42. pmc Antenatal supplementation with folic acid + iron + zinc improves linear growth and reduces peripheral adiposity in school-age children in rural Nepal
    Christine P Stewart
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Am J Clin Nutr 90:132-40. 2009
    ..We previously reported that a randomized controlled trial of antenatal micronutrient supplements in rural Nepal decreased the risk of low birth weight by approximately 15%...
  43. doi request reprint Maternal morbidity in early pregnancy in rural northern Bangladesh
    Julia M Kim
    Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, USA
    Int J Gynaecol Obstet 119:227-33. 2012
    ..To determine the burden of maternal morbidity in early pregnancy in rural northern Bangladesh...
  44. doi request reprint Maternal-fetal disproportion and birth asphyxia in rural Sarlahi, Nepal
    Anne C C Lee
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, USA
    Arch Pediatr Adolesc Med 163:616-23. 2009
    ..To assess the risk of birth asphyxia associated with maternal and newborn size...
  45. doi request reprint Iron status of women is associated with the iron concentration of potable groundwater in rural Bangladesh
    Rebecca D Merrill
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    J Nutr 141:944-9. 2011
    ..These findings suggest that iron intake from water should be included in dietary assessments in such settings...
  46. pmc Newborn vitamin A supplementation does not affect nasopharyngeal carriage of Streptococcus pneumoniae in Bangladeshi infants at age 3 months
    Christian L Coles
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    J Nutr 141:1907-11. 2011
    ..78 [(95% CI: 0.58-1.04); P = 0.095], which may imply a modest impact on carriage. If so, then the evidence thus far would suggest that Spn carriage reduction is unlikely to be a primary ancillary benefit of newborn VA supplementation...
  47. doi request reprint Maternal vitamin A supplementation and lung function in offspring
    William Checkley
    Division of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
    N Engl J Med 362:1784-94. 2010
    ....
  48. pmc The post-partum mid-upper arm circumference of adolescents is reduced by pregnancy in rural Nepal
    Joanne Katz
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA
    Matern Child Nutr 6:287-95. 2010
    ..Such a loss of fat, muscle or both may put younger women and their breastfed offspring at greater risk of other adverse health and nutritional outcomes...
  49. pmc Age of onset, nutritional determinants, and seasonal variations in menarche in rural Bangladesh
    Jee H Rah
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    J Health Popul Nutr 27:802-7. 2009
    ..0 years in Bangladesh. An early onset of menarche was associated with season and better nutritional status of the female adolescents and may be associated with early marriage...
  50. pmc Determinants of maternal vitamin A or beta-carotene supplementation coverage: village-based female distributors in Nepal
    Joanne Katz
    Department of International Health, Center for Human Nutrition, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD 21205 2103, USA
    Am J Public Health 92:1105-7. 2002
  51. ncbi request reprint Micronutrient deficiencies in early pregnancy are common, concurrent, and vary by season among rural Nepali pregnant women
    Tianan Jiang
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    J Nutr 135:1106-12. 2005
    ..Women in rural South Asia are likely to begin a pregnancy with multiple micronutrient deficiencies that may vary with seasonality in micronutrient-rich food availability...
  52. pmc Maternal nutritional status in early pregnancy is associated with body water and plasma volume changes in a pregnancy cohort in rural Bangladesh
    Alison D Gernand
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    J Nutr 142:1109-15. 2012
    ..Women with low BMI and height in early pregnancy have lower ECW and TBW in early, mid, and late pregnancy and lower late pregnancy plasma volume expansion, potentially increasing risk of fetal growth restriction...
  53. pmc Maternal weight and body composition during pregnancy are associated with placental and birth weight in rural Bangladesh
    Alison D Gernand
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    J Nutr 142:2010-6. 2012
    ..01). Overall, higher maternal weight and measures of fat-free mass at ∼10 wk gestation and gains from 20 to 32 wk are independently associated with higher placental and birth weight...
  54. ncbi request reprint Pregnancy and lactation hinder growth and nutritional status of adolescent girls in rural Bangladesh
    Jee H Rah
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    J Nutr 138:1505-11. 2008
    ..40 +/- 0.18 vs. -0.60 +/- 0.11 kg/m(2); all interaction terms, P < 0.05). Pregnancy and lactation during adolescence ceased linear growth and resulted in weight loss and depletion of fat and lean body mass of young girls...
  55. pmc A cross-sectional study of the prevalence and risk factors for hypertension in rural Nepali women
    Rumana J Khan
    Program in Human Nutrition, Department of International Health Bloomberg, School of Public Health Johns Hopkins University, Baltimore, 21205 MD, USA
    BMC Public Health 13:55. 2013
    ..The prevalence of hypertension is increasing in much of the South Asian region, including Nepal. This paper reports the prevalence and risk factors of hypertension and pre-hypertension among adult women in a rural community of Nepal...
  56. ncbi request reprint Treatment effects of maternal micronutrient supplementation vary by percentiles of the birth weight distribution in rural Nepal
    Joanne Katz
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205 2103, USA
    J Nutr 136:1389-94. 2006
    ..Future analytic approaches to estimating benefits of maternal supplementation on birth weight should examine whether there is a constant or variable treatment effect across the distribution of birth weight...
  57. doi request reprint Antenatal micronutrients in undernourished people
    Keith P West
    Center for Human Nutrition, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Lancet 371:452-4. 2008
  58. ncbi request reprint Evaluation of neonatal verbal autopsy using physician review versus algorithm-based cause-of-death assignment in rural Nepal
    James V Freeman
    Department of Internal Medicine, Stanford University Medical Center, Stanford, CA, USA
    Paediatr Perinat Epidemiol 19:323-31. 2005
    ..We recommend an analysis technique that combines both methods, and further validation studies to improve performance of the VA for assigning causes of neonatal death...
  59. pmc Miscarriage but not stillbirth rates are higher among younger nulliparas in rural Southern Nepal
    Joanne Katz
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205 2103, USA
    J Adolesc Health 42:587-95. 2008
    ..To examine the impact of young maternal age on miscarriages and stillbirths in rural Southern Nepal...
  60. doi request reprint Groundwater iron assessment and consumption by women in rural northwestern Bangladesh
    Rebecca D Merrill
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA
    Int J Vitam Nutr Res 82:5-14. 2012
    ..Groundwater contributes substantially to daily iron intake of rural Bangladeshi women and currently represents an under-assessed potential source of dietary iron...
  61. pmc Accounts of severe acute obstetric complications in rural Bangladesh
    Shegufta S Sikder
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    BMC Pregnancy Childbirth 11:76. 2011
    ..We aim to describe the health care decision-making process during severe acute obstetric complications among women and their families in rural Bangladesh...
  62. ncbi request reprint Impact of multiple micronutrient versus iron-folic acid supplements on maternal anemia and micronutrient status in pregnancy
    Lindsay H Allen
    U S Department of Agriculture, ARS Western Human Nutrition Research Center, University of California, Davis, California, USA
    Food Nutr Bull 30:S527-32. 2009
    ..Multiple micronutrient supplements could increase hemoglobin and improve micronutrient status of pregnant women more than iron supplements alone or iron with folic acid...
  63. doi request reprint Elevated and variable groundwater iron in rural northwestern Bangladesh
    Rebecca D Merrill
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, Baltimore, MD 21205, USA
    J Water Health 8:818-25. 2010
    ..001). Water source iron content can be readily quantified in population settings offering the potential to evaluate the health relevance of groundwater iron exposure in rural communities...
  64. doi request reprint Prenatal origins of undernutrition
    Parul Christian
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    Nestle Nutr Workshop Ser Pediatr Program 63:59-73; discussion 74-7, 259-68. 2009
    ..More research is needed to determine the proportion of childhood under-nutrition attributable to IUGR so that interventions can be targeted to the appropriate life stages...
  65. ncbi request reprint Antenatal micronutrient supplements in Nepal
    Parul Christian
    Lancet 366:711-2. 2005
  66. pmc Validation of two portable instruments to measure iron concentration in groundwater in rural Bangladesh
    Rebecca D Merrill
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA
    J Health Popul Nutr 27:414-8. 2009
    ..Results of the study suggest that the HACH test-kit delivers more accurate point-of-use results across a wide range of iron concentrations under challenging field conditions...
  67. pmc Hepcidin and iron status among pregnant women in Bangladesh
    Kerry J Schulze
    Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    Asia Pac J Clin Nutr 17:451-6. 2008
    ..Among pregnant women in a community-based study in rural Bangladesh, urinary hepcidin levels were related to iron status and AGP but not hemoglobin, erythropoietin, or C-reactive protein...
  68. ncbi request reprint Recommendations for indicators: night blindness during pregnancy--a simple tool to assess vitamin A deficiency in a population
    Parul Christian
    Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205
    J Nutr 132:2884S-2888S. 2002
    ..Finally, it is recommended that night blindness history be elicited for a previous pregnancy that ended in a live birth in the past 3 y, using the local term for night blindness whenever possible...
  69. doi request reprint Iodine status in pregnancy and household salt iodine content in rural Bangladesh
    Abu Ahmed Shamim
    The JiVitA Maternal and Child Research Project, Godown Road, Gaibandha 5700, Gaibandha, Bangladesh
    Matern Child Nutr 8:162-73. 2012
    ..Alternative measures like direct iodine supplementation during pregnancy could be considered to assure adequate iodine status during this high-risk period of life...
  70. pmc Hepatitis E, a vaccine-preventable cause of maternal deaths
    Alain B Labrique
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Rm E5543, Baltimore, MD 21205, USA
    Emerg Infect Dis 18:1401-4. 2012
    ..If these numbers are representative of southern Asia, as many as 10,500 maternal deaths each year in this region alone may be attributable to hepatitis E and could be prevented by using existing vaccines...
  71. pmc Development and management of a geographic information system for health research in a developing-country setting: a case study from Bangladesh
    Jonathan D Sugimoto
    Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    J Health Popul Nutr 25:436-47. 2007
    ..These basic steps can produce a household-level, updated, scaleable GIS that can both enhance field efficiency and support epidemiologic analyses of demographic patterns, diseases, and health outcomes...
  72. ncbi request reprint Twinning rates and survival of twins in rural Nepal
    J Katz
    The Division of Disease Control and Prevention, and the Center for Human Nutrition CHN, Department of International Health, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205 2103, USA
    Int J Epidemiol 30:802-7. 2001
    ..Twin pregnancies are common but there are few data on rates of twinning or survival of liveborn twin infants in developing countries...
  73. ncbi request reprint Maternal low-dose vitamin A or beta-carotene supplementation has no effect on fetal loss and early infant mortality: a randomized cluster trial in Nepal
    J Katz
    Department of International Health, The Center for Human Nutrition, the Sight and Life Institute, and the Dean s Office, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD 21205 2103, USA
    Am J Clin Nutr 71:1570-6. 2000
    ..The effect of vitamin A supplementation on the survival of infants aged <6 mo is unclear. Because most infant deaths occur in the first few month of life, maternal supplementation may improve infant survival...
  74. pmc Double blind, cluster randomised trial of low dose supplementation with vitamin A or beta carotene on mortality related to pregnancy in Nepal. The NNIPS-2 Study Group
    K P West
    Johns Hopkins School of Hygiene and Public Health, Division of Human Nutrition, Room 2041, 615 N Wolfe Street, Baltimore, MD 21205, USA
    BMJ 318:570-5. 1999
    ..To assess the impact on mortality related to pregnancy of supplementing women of reproductive age each week with a recommended dietary allowance of vitamin A, either preformed or as beta carotene...
  75. ncbi request reprint Reducing maternal mortality where rates are greatest
    Parul Christian
    Lancet 368:2122-3. 2006
  76. ncbi request reprint Maternal nutrition, health, and survival
    Parul Christian
    Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21201, USA
    Nutr Rev 60:S59-63. 2002
    ..The scope for research in the area of maternal nutrition and health is large and the onus is on nutritionists to bring to the forefront the role of nutrition in maternal health and survival...
  77. doi request reprint Pregnancy registration systems can enhance health systems, increase accountability and reduce mortality
    Alain B Labrique
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    Reprod Health Matters 20:113-7. 2012
    ....

Research Grants3

  1. Antenatal and preschool iron and zinc use and cognition
    Parul Christian; Fiscal Year: 2007
    ..The study will fill critical gaps in knowledge and inform policy on the efficacy of selective micronutrient interventions in pregnancy and early childhood to improve school-aged cognition. ..