Identifying maternal and infant factors associated with newborn size in rural Bangladesh by partial least squares (PLS) regression analysis

PLoS One. 2017 Dec 20;12(12):e0189677. doi: 10.1371/journal.pone.0189677. eCollection 2017.

Abstract

Birth weight, length and circumferences of the head, chest and arm are key measures of newborn size and health in developing countries. We assessed maternal socio-demographic factors associated with multiple measures of newborn size in a large rural population in Bangladesh using partial least squares (PLS) regression method. PLS regression, combining features from principal component analysis and multiple linear regression, is a multivariate technique with an ability to handle multicollinearity while simultaneously handling multiple dependent variables. We analyzed maternal and infant data from singletons (n = 14,506) born during a double-masked, cluster-randomized, placebo-controlled maternal vitamin A or β-carotene supplementation trial in rural northwest Bangladesh. PLS regression results identified numerous maternal factors (parity, age, early pregnancy MUAC, living standard index, years of education, number of antenatal care visits, preterm delivery and infant sex) significantly (p<0.001) associated with newborn size. Among them, preterm delivery had the largest negative influence on newborn size (Standardized β = -0.29 - -0.19; p<0.001). Scatter plots of the scores of first two PLS components also revealed an interaction between newborn sex and preterm delivery on birth size. PLS regression was found to be more parsimonious than both ordinary least squares regression and principal component regression. It also provided more stable estimates than the ordinary least squares regression and provided the effect measure of the covariates with greater accuracy as it accounts for the correlation among the covariates and outcomes. Therefore, PLS regression is recommended when either there are multiple outcome measurements in the same study, or the covariates are correlated, or both situations exist in a dataset.

MeSH terms

  • Adult
  • Bangladesh
  • Humans
  • Infant, Newborn
  • Least-Squares Analysis
  • Mothers*
  • Rural Population*

Grants and funding

Supported by a grant from the Bill and Melinda Gates Foundation, Seattle, WA Global Control of Micronutrient Deficiency (Grant GH614); Micronutrients for Health Cooperative Agreement (HRN-A-00-97-00015); Global Research Activity Cooperative Agreement (GHS-A-00-03-00019-00) between Johns Hopkins University and the Office of Health, Infectious Diseases and Nutrition; and the US Agency for International Development, Washington, DC. Additional director in kind support was provided by the Sight and Life Research Institute (Baltimore, MD); Nutrilite Health Institute (Nutrilite Division, Access Business Group, LLC, Buena Park, CA); the Canadian International Development Agency (CIDA), Ottawa, Canada; and the National Integrated Population and Health Program of the Ministry of Health and Family Welfare of the Government of the People’s Republic of Bangladesh. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.