Evidence map›Paper›PMID 30332997›Full record

ArticleBMC pregnancy and childbirth2018

The association between daily 500 mg calcium supplementation and lower pregnancy-induced hypertension risk in Bangladesh.

Fouzia Khanam, Belal Hossain, Sabuj Kanti Mistry, Dipak K Mitra, Wameq Azfar Raza, Mahfuza Rifat, Kaosar Afsana, Mahfuzar Rahman

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 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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  8. Dietary factors that affect the risk of pre-eclampsia.BMJ nutrition, prevention & health · 2022
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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

8 authors at 3 institutions in 1 country.

Fouzia KhanamResearch and Evaluation Division, BRAC Center, Dhaka, 1212, Bangladesh.
Belal HossainResearch and Evaluation Division, BRAC Center, Dhaka, 1212, Bangladesh.
Sabuj Kanti MistryResearch and Evaluation Division, BRAC Center, Dhaka, 1212, Bangladesh.
Dipak K MitraDepartment of Public Health, North South University, Dhaka, Bangladesh.
Wameq Azfar RazaPoverty and Equity, The World Bank, Dhaka, Bangladesh.
Mahfuza RifatHealth, Nutrition and Population Program, BRAC Center, Dhaka, Bangladesh.
Kaosar AfsanaHealth, Nutrition and Population Program, BRAC Center, Dhaka, Bangladesh.
Mahfuzar RahmanResearch and Evaluation Division, BRAC Center, Dhaka, 1212, Bangladesh. mahfuzar.rahman@brac.net.
BRAC · BDBangladesh Bank · BDNorth South University · BD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence suggests that daily supplementation of 1500 to 2000 mg of calcium during pregnancy reduces pregnancy-induced hypertension (PIH). However, the evidence on the efficacy of low-dose calcium supplementation on PIH is limited. This paper assesses the longitudinal correlation between low-dose calcium intake (500 mg daily) and change in blood pressure during pregnancy among a homogeneous population in terms of hypertension and pre-eclampsia.

methodsThe study followed a retrospective cohort study design, and was carried out among 11,387 pregnant women from 10 rural upazilas (sub-districts) of Bangladesh where maternal nutrition initiative (MNI), implemented by Building Resources Across Communities (BRAC), was ongoing. The modified Poisson regression model was used to estimate the association (risk ratio) between consumption of calcium tablets and PIH.

resultsThe present research found that women who consumed 500 mg/d calcium tablets for more than 6 months during their pregnancy had a 45% lower risk of developing hypertension compared to those who consumed less calcium (RR = 0.55, 95% CI = 0.33-0.93).

conclusionsDaily supplementation of 500 mg oral calcium during pregnancy for at least 180 tablets is associated with a considerably reduced risk of PIH, but this study is unable to confirm whether this association is causal. The causal relationship needs to be confirmed through a large scale randomized controlled trial.

Indexed as

Dietary SupplementsAdultBangladeshBlood PressureCalcium, DietaryFemaleHumansHypertension, Pregnancy-InducedIncidenceLongitudinal StudiesOdds RatioPregnancyProtective FactorsRetrospective StudiesYoung AdultCalcium, DietaryCalcium supplementationGlobal healthMaternal mortalityMaternal nutrition initiative (MNI)Pregnancy-induced hypertension

Identifiers

PMID30332997
PMCPMC6192122
OpenAlexW2897038224

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.