Evidence map›Paper›PMID 25222882›Full record

ArticlePublic health nutrition2015

The aetiology of anaemia during pregnancy: a study to evaluate the contribution of iron deficiency and common infections in pregnant Ugandan women.

Rhona K Baingana, John K Enyaru, Harold Tjalsma, Dorine W Swinkels, Lena Davidsson

Open access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  14. Association betweenAnemia · 2020
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  17. Determinants of prenatal anemia in Ethiopia.Archives of public health = Archives belges de sante publique · 2017
    Article
  18. Women's health (London, England)
    Article
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

5 authors at 2 institutions in 1 country.

Rhona K Baingana1Department of Biochemistry and Sports Science,College of Natural Sciences,Makerere University,PO Box 7062,Kampala,Uganda.
John K Enyaru1Department of Biochemistry and Sports Science,College of Natural Sciences,Makerere University,PO Box 7062,Kampala,Uganda.
Harold Tjalsma2Department of Laboratory Medicine,Radboud University Medical Center,Nijmegen,The Netherlands.
Dorine W Swinkels2Department of Laboratory Medicine,Radboud University Medical Center,Nijmegen,The Netherlands.
Lena Davidsson3Kuwait Institute for Scientific Research,Food and Nutrition Program,Environment and Life Sciences Research Center,Kuwait.
Radboud University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the aetiology of anaemia in pregnant Ugandan women and explore Fe deficiency and common infections as contributors to anaemia in this population.

designCross-sectional study in which Hb, ferritin, transferrin receptor (sTfR), C-reactive protein, α-1 acid glycoprotein, hepcidin, malaria, hookworm infestation, syphilis and Helicobacter pylori infection were assessed.

settingAntenatal care clinic at Kawempe Health Centre, Kampala, Uganda. SUBJECTS: HIV-negative women (n 151) in their first or second pregnancy at 10-16 weeks' gestation.

resultsThe prevalence of anaemia was 29·1 %. Fe deficiency was 40·4 % and 14·6 % based on ferritin 8·3 μg/ml. The prevalence of Fe-deficiency anaemia was 9·3 % based on ferritin 8·3 μg/ml. Hepcidin concentration was positively correlated with ferritin concentration (n 151, r=0·578, P1 g/l and/or C-reactive protein >5 mg/l. Malaria parasitaemia (OR=6·85; 95 % CI 1·25, 37·41, P=0·026) and Fe deficiency defined using sTfR (OR=5·58; 95 % CI 1·26, 24·80, P=0·024) were independently and positively associated with anaemia. Population-attributable risk factors for anaemia for raised C-reactive protein, Fe deficiency defined by sTfR >8·3 μg/ml and presence of malaria parasites were 41·6 (95 % CI 11·1, 72·2) %, 13·5 (95 % CI 2·0, 25·0) % and 12·0 (95 % CI 1·4, 22·6) %, respectively.

conclusionsInfections and inflammation are of greater significance than Fe deficiency in the aetiology of anaemia in pregnant Ugandan women during the first trimester.

Indexed as

Iron DeficienciesAdultAnemia, Iron-DeficiencyC-Reactive ProteinCross-Sectional StudiesFemaleFerritinsHemoglobinsHepcidinsHumansIronLogistic ModelsMalariaOrosomucoidPregnancyPregnancy Complications, HematologicC-Reactive ProteinFerritinsHemoglobinsHepcidinsIronOrosomucoidReceptors, TransferrinUganda

Identifiers

PMID25222882
PMCPMC10271691
OpenAlexW2099552740

What OpenQuestion holds

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Registered trials

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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.