Evidence map›Paper›PMID 21652290›Full record

Trial reportEnvironmental health perspectives2011

Impact of reduced maternal exposures to wood smoke from an introduced chimney stove on newborn birth weight in rural Guatemala.

Lisa M Thompson, Nigel Bruce, Brenda Eskenazi, Anaite Diaz, Daniel Pope, Kirk R Smith

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Environmental health perspectives, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 7 pooled it
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 7 syntheses or guidelines pooled it, 118 citations in OpenAlex.

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  16. Observational
  17. Kitchen fine particulate matter (PMFrontiers in public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 3 countries.

Lisa M ThompsonFamily Health Care Nursing, School of Nursing, University of California, San Francisco, California, USA. lisa.thompson@nursing.ucsf.edu
Nigel Bruce
Brenda Eskenazi
Anaite Diaz
Daniel Pope
Kirk R Smith
University of Liverpool · GBCenter for Environmental Health · USUniversidad del Valle de Guatemala · GTUniversity of California, Berkeley · USUniversity of California, San Francisco · US

Funding

INDOOR AIR POLLUTION AND CHILD ARI: A RANDOMIZED TRIALR01ES010178 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI SMITH, KIRK R · 2001 to 2009
$4.5M
NIEHS NIH HHS R01 ES010178NIEHS NIH HHS R01ES010178
6 · The paper itself

Abstract

backgroundA growing body of evidence indicates a relationship between household indoor air pollution from cooking fires and adverse neonatal outcomes, such as low birth weight (LBW), in resource-poor countries.

objectiveWe examined the effect of reduced wood smoke exposure in pregnancy on LBW of Guatemalan infants in RESPIRE (Randomized Exposure Study of Pollution Indoors and Respiratory Effects).

methodsPregnant women (n = 266) either received a chimney stove (intervention) or continued to cook over an open fire (control). Between October 2002 and December 2004 we weighed 174 eligible infants (69 to mothers who used a chimney stove and 105 to mothers who used an open fire during pregnancy) within 48 hr of birth. Multivariate linear regression and adjusted odds ratios (ORs) were used to estimate differences in birth weight and LBW (< 2,500 g) associated with chimney-stove versus open-fire use during pregnancy.

resultsPregnant women using chimney stoves had a 39% reduction in mean exposure to carbon monoxide compared with those using open fires. LBW prevalence was high at 22.4%. On average, infants born to mothers who used a stove weighed 89 g more [95% confidence interval (CI), -27 to 204 g] than infants whose mothers used open fires after adjusting for maternal height, diastolic blood pressure, gravidity, and season of birth. The adjusted OR for LBW was 0.74 (95% CI, 0.33-1.66) among infants of stove users compared with open-fire users. Average birth weight was 296 g higher (95% CI, 109-482 g) in infants born during the cold season (after harvest) than in other infants; this unanticipated finding may reflect the role of maternal nutrition on birth weight in an impoverished region.

conclusionsA chimney stove reduced wood smoke exposures and was associated with reduced LBW occurrence. Although not statistically significant, the estimated effect was consistent with previous studies.

Indexed as

Air Pollution, IndoorCookingWoodAdolescentAdultBirth WeightCarbon MonoxideFemaleGuatemalaHumansInfant, NewbornMaternal ExposurePregnancySmokeYoung AdultCarbon MonoxideSmoke

Identifiers

PMID21652290
PMCPMC3230429
OpenAlexW2022251751

What OpenQuestion holds

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LicenceCC0
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.