Evidence map›Paper›PMID 27852338›Full record

SynthesisPublic health nutrition2017

Determinants of dietary patterns and diet quality during pregnancy: a systematic review with narrative synthesis.

Ina-Merle Doyle, Brigitte Borrmann, Angelique Grosser, Oliver Razum, Jacob Spallek

Abstract readSystematic Review
In one paragraph

Synthesis in Public health nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

70 citing papers in PubMed, 1 synthesis or guideline pooled it.

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10 more citing papers are in PubMed but not listed here.

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.

Ina-Merle Doyle1Department of Epidemiology and International Public Health,Bielefeld School of Public Health,Bielefeld University,PO Box 10 01 31;D-33501 Bielefeld,Germany.
Brigitte Borrmann2NRW Centre for Health (LZG.NRW),Bielefeld,Germany.
Angelique Grosser1Department of Epidemiology and International Public Health,Bielefeld School of Public Health,Bielefeld University,PO Box 10 01 31;D-33501 Bielefeld,Germany.
Oliver Razum1Department of Epidemiology and International Public Health,Bielefeld School of Public Health,Bielefeld University,PO Box 10 01 31;D-33501 Bielefeld,Germany.
Jacob Spallek1Department of Epidemiology and International Public Health,Bielefeld School of Public Health,Bielefeld University,PO Box 10 01 31;D-33501 Bielefeld,Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify determinants of diet in pregnancy, by detecting factors in our multiple-determinants life course framework that are associated with dietary patterns, quality or guideline adherence.

designA systematic review of observational studies, published in English or German, was conducted. Sociodemographic, lifestyle, environmental and pregnancy-related determinants were considered. Four electronic databases were searched in January 2015 and updated in April 2016 and a total of 4368 articles identified. Risk of bias was assessed using adapted Newcastle-Ottawa Scales.

settingHigh- and upper-middle-income countries. SUBJECTS: Pregnant or postpartum women reporting their dietary intake during pregnancy.

resultsSeventeen publications of twelve studies were included and compared narratively due to heterogeneity. Diet in pregnancy was patterned along a social gradient and aligned with other health behaviours before and during pregnancy. Few studies investigated the influence of the social and built environment and their findings were inconsistent. Except for parity, pregnancy determinants were rarely assessed even though pregnancy is a physiologically and psychologically unique period. Various less well-researched factors such as the role of ethnicity, pregnancy intendedness, pregnancy ailments and macro-level environment were identified that need to be studied in more detail.

conclusionsThe framework was supported by the literature identified, but more research of sound methodology is needed in order to conclusively disentangle the interplay of the different determinants. Practitioners should be aware that pregnant women who are young, have a low education or do not follow general health advice appear to be at higher risk of inadequate dietary intake.

Indexed as

DietFood QualityMaternal Nutritional Physiological PhenomenaPregnancyDatabases, FactualFemaleHumansLife StyleMeta-Analysis as TopicNon-Randomized Controlled Trials as TopicSocioeconomic FactorsDeterminantsDietary behaviourDietary patternsDietary qualityInfluencesPregnancySystematic review

Identifiers

PMID27852338
PMCPMC10261556

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.