Evidence map›Paper›PMID 30975203›Full record

ArticleBMC public health2019

Iron status and risk factors of iron deficiency among pregnant women in Singapore: a cross-sectional study.

See Ling Loy, Li Min Lim, Shiao-Yng Chan, Pei Ting Tan, Yen Lin Chee, Phaik Ling Quah, Jerry Kok Yen Chan, Kok Hian Tan, Fabian Yap, Keith M Godfrey and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01174875 (Developmental Pathways to Health and Disease), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% 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.

NCT01174875 active not recruitingnot on this map

Developmental Pathways to Health and Disease: Metabolic, Neurodevelopmental and Related Outcomes

TypeobservationalSponsorNational University Hospital, SingaporeRan2009 to 2029Enrolled1,247ConditionsMetabolic Diseases, Neurological and Mental Health Conditions, Genetic Predisposition, Skin Condition
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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  12. Fructosamine and HbA1c: A Correlational Study in a Southeast Asian Population.Journal of the ASEAN Federation of Endocrine Societies · 2024
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  14. [Analysis on the iron status and associated factors during the first trimester of pregnancy].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023
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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

15 authors at 8 institutions in 3 countries.

See Ling LoyDepartment of Reproductive Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore.
Li Min LimDepartment of Obstetrics & Gynaecology, National University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.
Shiao-Yng ChanSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, (A*STAR), 30 Medical Drive, Singapore, 117609, Singapore.
Pei Ting TanDepartment of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, 1E Kent Ridge Road, Singapore, 119228, Singapore.
Yen Lin CheeDepartment of Haematology-Oncology, National University Cancer Institute, NUH Medical Centre, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.
Phaik Ling QuahSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, (A*STAR), 30 Medical Drive, Singapore, 117609, Singapore.
Jerry Kok Yen ChanDepartment of Reproductive Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore.
Kok Hian TanDuke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.
Fabian YapDuke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.
Keith M GodfreyMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, SO16 6YD, UK.
Lynette Pei-Chi ShekSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, (A*STAR), 30 Medical Drive, Singapore, 117609, Singapore.
Mary Foong-Fong ChongSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, (A*STAR), 30 Medical Drive, Singapore, 117609, Singapore.
Michael S KramerDepartment of Obstetrics & Gynaecology, National University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.
Yap-Seng ChongSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research, (A*STAR), 30 Medical Drive, Singapore, 117609, Singapore.
Claudia ChiDepartment of Obstetrics & Gynaecology, National University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074, Singapore. claudia_chi@nuhs.edu.sg.
Agency for Science, Technology and Research · SGNational University Hospital · SGDuke-NUS Medical School · SGSingapore Institute for Clinical Sciences · SGKK Women's and Children's Hospital · SGNational Health Service · GBNational University Cancer Institute, Singapore · SGNational University Health System · SG

Funding

British Heart Foundation RG/15/17/31749Medical Research Council MC_UU_12011/4National Research Foundation Singapore NMRC/TCR/004-NUS/2008; NMRC/TCR/012-NUHS/2014Singapore Institute for Clinical Sciences NA
6 · The paper itself

Abstract

backgroundIron deficiency is the most prevalent nutrient deficiency and the most common cause of anaemia worldwide. Because of the increased iron requirements during pregnancy, iron deficiency can lead to maternal anaemia and reduced newborn iron stores. We examined the proportion and risk factors of iron deficiency among pregnant women in a developed Asian country.

methodsWithin a prospective cohort in Singapore, 985 Asian women were assessed for iron status at 26-28 weeks' gestation, with plasma ferritin and soluble transferrin receptor (sTfR) measurements. Iron status was determined according to plasma ferritin concentrations at ≥30 μg/L (iron sufficiency), 15 to < 30 μg/L (modest iron depletion) and < 15 μg/L (severe iron depletion). Multivariable ordinal logistic regression was used to analyze risk factors for modest and severe iron depletion.

resultsThe median (25-75th percentile) plasma ferritin concentration was 24.2 (19.9-30.6) μg/L. Overall, 660 (67.0%) and 67 (6.8%) women had modest and severe iron depletion, respectively. Higher plasma sTfR was observed in women with severe iron depletion than among those with iron sufficiency (median 17.6 versus 15.5 nmol/L; p < 0.001). Age < 25 years (odds ratio 2.36; 95% confidence interval 1.15-4.84), Malay (2.05; 1.30-3.24) and Indian (1.98; 1.14-3.44) ethnicities (versus Chinese), university qualification (1.64; 1.13-2.38), multiparity (1.73; 1.23-2.44) and lack of iron-containing supplementation (3.37; 1.25-8.53) were associated with increased odds of modest and severe iron depletion.

conclusionsNearly three-quarters of Singaporean women were iron deficient in the early third trimester of pregnancy. These results suggest universal screening and supplementation of at-risk pregnancies may be evaluated as a preventive strategy.

trial registrationNCT01174875 . Registered 1 July 2010 (retrospectively registered).

Indexed as

AdultAnemia, Iron-DeficiencyBiomarkersCohort StudiesCross-Sectional StudiesFemaleFerritinsHumansIronIron, DietaryPregnancyPregnancy Complications, HematologicPregnancy Trimester, ThirdProspective StudiesReceptors, TransferrinRisk FactorsBiomarkersFerritinsIronIron, DietaryReceptors, TransferrinAnaemiaFerritinIron statusPregnancyRisk factorSingaporeSoluble transferrin receptor

Identifiers

PMID30975203
PMCPMC6460529
OpenAlexW2944799554

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LicenceCC BY
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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.