ArticleNutrition & diabetes2018
Consumption of dairy, fruits and dark green leafy vegetables is associated with lower risk of adverse pregnancy outcomes (APO): a prospective cohort study in rural Ethiopia.
Article in Nutrition & diabetes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 8 of them syntheses that pooled 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.
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.
Who cites it
25 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Diet diversity score might be associated with reproductive health in women and infant outcomes: a systematic review.Journal of nutritional science · 2025Pooled it
- Association between maternal dietary diversity during pregnancy and birth outcomes: evidence from a systematic review and meta-analysis.BMC nutrition · 2024Pooled it
- Association between anemia in pregnancy with low birth weight and preterm birth in Ethiopia: A systematic review and meta-analysis.PloS one · 2024Pooled it
- Maternal Consumption of Milk or Dairy Products During Pregnancy and Birth Outcomes: A Systematic Review and Dose-Response Meta-Analysis.Frontiers in nutrition · 2022Pooled it
- Maternal Dietary Patterns and Pregnancy Hypertension in Low- and Middle-Income Countries: A Systematic Review and Meta-analysis.Advances in nutrition (Bethesda, Md.) · 2021Pooled it
- Dietary diversity among pregnant women and associated factors in Ethiopia: Systematic review and meta-analysis.PloS one · 2021Pooled it
- Epidemiology of preterm birth in Ethiopia: systematic review and meta-analysis.BMC pregnancy and childbirth · 2020Pooled it
- The Impact of Mediterranean Dietary Patterns During Pregnancy on Maternal and Offspring Health.Nutrients · 2019Pooled it
- Sensory Preferences Influencing the Likelihood That African American Pregnant Women Will Consume Nutrient-Dense, Anti-Inflammatory Foods.International journal of environmental research and public health · 2026Article
- Maternal Adherence to the Mediterranean Diet and Adverse Pregnancy Outcomes: Findings from the Multi-Center PLATONE Project.Nutrients · 2026Observational
- Eating Behaviors and Skin Carotenoids in Pregnant Women: The Moderating Influence of Depressive Symptoms and Income.Nutrients · 2025Article
- Dietary factors and risk for adverse pregnancy outcome: A Mendelian randomization analysis.Food science & nutrition · 2024Article
- Review
- Dietary intake and associated risk factors among pregnant women in Mbeya, Tanzania.PLOS global public health · 2024Article
- Dietary diversity and associated factors among pregnant women attending antenatal care at public hospitals in North Shewa, Oromia, Ethiopia, 2023.Frontiers in nutrition · 2024Article
- Article
- Healthier diet associated with reduced risk of excessive gestational weight gain: A Chinese prospective cohort study.Maternal & child nutrition · 2023Article
- Maternal Dietary Diversity and Birth Weight in Offspring: Evidence from a Chinese Population-Based Study.International journal of environmental research and public health · 2023Article
- Determinants of fetal macrosomia among live births in southern Ethiopia: a matched case-control study.BMC pregnancy and childbirth · 2022Article
- Maternal minimum dietary diversity and associated factors among pregnant women, Southwest Ethiopia, 2021.BMC nutrition · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPoor maternal nutrition during pregnancy is a leading modifiable risk factor associated with risks of adverse pregnancy outcomes (APO). Nevertheless, there is paucity of evidence if consumption of some food groups is associated with lower risk of APO, particularly in low-income settings. We aimed to determine whether consumption of some food groups is associated with lower risk of APOs such as: preterm birth (PTB), low-birth weight (LBW), and stillbirth in rural Central Ethiopia.
methodsA multi-center (8 health centers) prospective cohort study, enrolling 432 pregnant women during their initial antenatal care visit, was employed. All mothers were then followed monthly (for a total of four visits) from enrollment to delivery. Midwives in respective health centers assessed dietary diversity using the Women's individual dietary diversity score and evaluated birth outcomes following standard procedures. Logistic regression models were run to predict association of food groups with the APO.
findingsOut of the 374 pregnant women who completed the study, one in five [74 (19.8%)] experienced at least one of the APO: 34 (9.1%) gave birth to LBW babies, 51(13.6%) had PTB and 17 (4.5%) experienced stillbirth. Poor or inconsistent consumption (<¾ assessments) of dark green leafy vegetables (adjusted odds ratio (AOR) = 2.01; 95% confidence interval (CI): 1.04-3.87), dairy products (AOR = 2.64; 95% CI: 1.11-6.30), and fruits and vegetables (AOR = 2.92; 95% CI: 1.49-5.67) were independently associated with higher APO risks. Whereas, being nonanemic at term (AOR = 0.24; 95% CI: 0.12-0.48) was independently associated with lower APO risks.
conclusionsPoor or inconsistent consumption of dairy, dark green leafy vegetables and fruits were associated with higher risk of APOs. While community-based trials and mechanistic studies are needed to substantiate these findings, efforts to promote dietary diversity through increased consumption of fruits, vegetables and dairy may be beneficial in this and similar settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.