Evidence map›Paper›PMID 29973170›Full record

ArticleBMC pregnancy and childbirth2018

A village-matched evaluation of providing a local supplemental food during pregnancy in rural Bangladesh: a preliminary study.

Briony Stevens, Kerrianne Watt, Julie Brimbecombe, Alan Clough, Jenni A Judd, Daniel Lindsay

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

6 authors at 3 institutions in 1 country.

Briony StevensCollege of Public Health, Medical and Veterinary Sciences, James Cook University, QLD, Townsville, Australia. briony.stevens@my.jcu.edu.au.ORCID http://orcid.org/0000-0002-2502-1567
Kerrianne WattCollege of Public Health, Medical and Veterinary Sciences, James Cook University, QLD, Townsville, Australia.
Julie BrimbecombeDepartment of Nutrition, Dietetics and Food, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic, Australia.
Alan CloughCollege of Public Health, Medical and Veterinary Sciences, James Cook University, QLD, Townsville, Australia.
Jenni A JuddAnton Breinl Centre for Health Systems Strengthening, James Cook University, QLD, Townsville, Australia.
Daniel LindsayCollege of Public Health, Medical and Veterinary Sciences, James Cook University, QLD, Townsville, Australia.
James Cook University · AUAustralian Institute of Tropical Health and Medicine · AUMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrenatal balanced protein energy supplementation consumed by undernourished women improves mid-upper arm circumference in early infancy. This study aimed to identify whether locally produced maternal food-based supplementation improved anthropometric measures at birth and early infancy.

methodsA village-matched evaluation, applying principles of a cluster randomised controlled trial, of a locally produced supplemental food to 87 undernourished pregnant women. 12 villages (intervention: n = 8; control: n = 4) in Pirganj sub-district, Rangpur District, northern Bangladesh. Daily supplements were provided.

resultsAnthropometric data at birth were available for 77 mother-infant dyads and longer-term infant growth data for 75 infants. Mid-upper arm circumference (MUAC) was significantly larger in infants of mothers in the intervention group compared with the control group at 6 months (p < 0.05). The mean birth weight in babies of supplemented mothers (mean: 2·91 kg; SD: 0·19) was higher than in babies of mothers in the control group (mean: 2·72 kg; SD: 0·13), and these changes persisted until 6 months. Also, the proportion of low birth weight babies in the intervention group was much lower (event rate = 0.04) than in the control group (event rate = 0.16). However, none of these differences were statistically significant (p > 0·05; most likely due to small sample size). The intervention reduced the risk of wasting at 6 months by 63.38% (RRR = 0.6338), and of low birth weight by 88·58% (RRR = 0.8858), with NNT of 2.22 and 6.32, respectively. Only three pregnant women require this intervention in order to prevent wasting at 6 months in one child, and seven need the intervention to prevent low birth weight of one child.

conclusionsLocally produced food-based balanced protein energy supplementation in undernourished pregnant women in northern Bangladesh resulted in larger MUAC in infants at 6 months. Further research, with larger sample sizes, is required to confirm the role of locally produced supplementation for undernourished pregnant women on weight and linear growth in newborns and infants.

trial registrationThis research was registered with the ISRCTN registry (ISRCTN97447076). This project had human research ethical approval from the James Cook University (Australia) Ethics committee (H4498) and the Bangladesh Medical Research Council (BMRC/NREC/2010-2013/58).

Indexed as

Birth WeightDietary SupplementsEnergy IntakePregnancy ComplicationsProtein-Energy MalnutritionAdultAnthropometryBangladeshDietary ProteinsFemaleHumansInfant, Low Birth WeightInfant, NewbornOutcome Assessment, Health CarePregnancyDietary ProteinsBalanced protein energy supplementationBangladeshLow birth weightLow-income countryMaternal undernutrition

Identifiers

PMID29973170
PMCPMC6030796
OpenAlexW2810675582

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.