Evidence map›Paper›PMID 31640725›Full record

ArticleReproductive health2019

Associations between dietary micronutrient intake and molecular-Bacterial Vaginosis.

Susan Tuddenham, Khalil G Ghanem, Laura E Caulfield, Alisha J Rovner, Courtney Robinson, Rupak Shivakoti, Ryan Miller, Anne Burke, Catherine Murphy, Jacques Ravel and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Reproductive 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 NCT04414527 (Effects of Video-based Health Education on Health Status of Pregnant Mothers and Their Infants), which is not on this map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% 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.

NCT04414527 nacompletednot on this mapstarted 2020, after this paper: background citation

Effects of Video-based Health Education on Health Status of Pregnant Mothers and Their Infants (From 0 to 6 Months) in Dirashe District Southern Ethiopia - a Cluster Randomized Controlled Trial.

TypeinterventionalSponsorUniversity GhentRan2020 to 2021Enrolled675ConditionsAnemia, Antenatal Care, Birth Outcomes, Worm InfectionArmsStandard counselling, Health-Video
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. The Effect of Exogenous Sex Steroids on the Vaginal Microbiota: A Systematic Review.Frontiers in cellular and infection microbiology · 2021
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Importance of human microbiome: an update.Frontiers in microbiomes · 2026
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Dietary habits and vaginal environment: can a beneficial impact be expected?Frontiers in cellular and infection microbiology · 2025
    Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Characterization ofFrontiers in cellular and infection microbiology · 2024
    Article
  19. Review
  20. 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

11 authors at 4 institutions in 1 country.

Susan TuddenhamDepartment of Medicine, Johns Hopkins University School of Medicine, 5200 Eastern Ave, MFL Center Tower, Suite 381, Baltimore, MD, 21224, USA. studden1@jhmi.edu.ORCID http://orcid.org/0000-0001-5910-956X
Khalil G GhanemDepartment of Medicine, Johns Hopkins University School of Medicine, 5200 Eastern Ave, MFL Center Tower, Suite 381, Baltimore, MD, 21224, USA.
Laura E CaulfieldCenter for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Alisha J RovnerDepartment of Behavioral Health and Nutrition, University of Delaware, Newark, DE, USA.
Courtney RobinsonInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.
Rupak ShivakotiDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Ryan MillerDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, MD, USA.
Anne BurkeDepartment of Obstetrics and Gynecology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Catherine MurphyDepartment of Medicine, Johns Hopkins University School of Medicine, 5200 Eastern Ave, MFL Center Tower, Suite 381, Baltimore, MD, 21224, USA.
Jacques RavelInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.
Rebecca M BrotmanInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.
Johns Hopkins University · USUniversity of Maryland, Baltimore · USColumbia University · USUniversity of Delaware · US

Funding

Duration of Hormonal Contraceptive Use: Immune Responses & Vaginal MicrobiotaR01AI089878 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GHANEM, KHALIL G · 2011 to 2015
$3.4M
Dysbiosis, Recurrent Bacterial Vaginosis and the Vaginal MicrobiomeK23AI125715 · NIAID · JOHNS HOPKINS UNIVERSITY · PI TUDDENHAM, SUSAN ANNE · 2016 to 2020
$972k
National Institute of Allergy and Infectious Diseases K23AI125715National Institute of Allergy and Infectious Diseases R01AI089878
6 · The paper itself

Abstract

objectivesBacterial vaginosis (BV), a clinical condition characterized by decreased vaginal Lactobacillus spp., is difficult to treat. We examined associations between micronutrient intake and a low-Lactobacillus vaginal microbiota as assessed by molecular methods (termed "molecular-BV").

methodsThis cross-sectional analysis utilized data collected at the baseline visit of the Hormonal Contraception Longitudinal Study, a cohort of reproductive-aged women followed over 2 years while initiating or ceasing hormonal contraception (HC). The Block Brief 2000 Food Frequency Questionnaire was administered and micronutrient intakes were ranked. Vaginal microbiota composition was assessed using 16S rRNA gene amplicon sequencing and clustered into community state types (CSTs) based on the types and relative abundance of bacteria detected. Associations between the lowest estimated quartile intake of nutrients and having a low-Lactobacillus CST (molecular-BV) were evaluated by logistic regression. Separate models were built for each nutrient controlling for age, body mass index, behavioral factors, HC use and total energy intake. We also conducted a literature review of existing data on associations between micronutrient intakes and BV.

resultsSamples from 104 women were included in this analysis. Their mean age was 25.8 years (SD 4.3), 29.8% were African American, 48.1% were using HC, and 25% had molecular-BV. In adjusted multivariable analyses, the lowest quartile of betaine intake was associated with an increased odds of molecular-BV (aOR 9.2, p value < 0.01, [CI 2.4-35.0]).

conclusionsThis is the first study to assess the association between estimated micronutrient intake and molecular-BV. Lower energy-adjusted intake of betaine was associated with an increased risk of molecular-BV. Betaine might have direct effects on the vaginal microenvironment or may be mediated through the gut microbiota. Additional research is needed to determine reproducibility of this finding and whether improved intake of select micronutrients such as betaine decreases the risk of BV and its sequelae.

Indexed as

AdultCross-Sectional StudiesDietFemaleHumansLongitudinal StudiesMicrobiotaMicronutrientsNutritional StatusVaginaVaginosis, BacterialMicronutrientsBacterial VaginosisBetaineFood frequency questionnaireVaginal microbiome

Identifiers

PMID31640725
PMCPMC6806504
OpenAlexW2981455119

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.