Evidence map›Paper›PMID 31711436›Full record

ArticleBMC pregnancy and childbirth2019

Maternal BMI and nutritional status in early pregnancy and its impact on neonatal outcomes at birth in Bangladesh.

Bishwajit Bhowmik, Tasnima Siddique, Anindita Majumder, Ibrahimu Mdala, Israt A Hossain, Zahid Hassan, Ishrat Jahan, Nayla Cristina do V Moreira, Abdul Alim, Abdul Basit and 3 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 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

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Double Burden of Malnutrition Prevalence in Pregnant Women: Systematic Review and Meta-Analysis.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
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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

13 authors at 7 institutions in 6 countries.

Bishwajit BhowmikCentre of Global Health Research, Diabetic Association of Bangladesh, Dhaka, 1200, Bangladesh. doctorbiplob@yahoo.com.ORCID http://orcid.org/0000-0003-1114-5873
Tasnima SiddiqueCentre of Global Health Research, Diabetic Association of Bangladesh, Dhaka, 1200, Bangladesh.
Anindita MajumderDepartment of Pathology, Ibrahim Medical College, Diabetic Association of Bangladesh, Dhaka, 1200, Bangladesh.
Ibrahimu MdalaInstitute of Health and Society, Faculty of Medicine, University of Oslo, 0318, Oslo, Norway.
Israt A HossainDepartment of Biochemistry & Cell Biology, Bangladesh University of Health Sciences, Dhaka, 1216, Bangladesh.
Zahid HassanDept of Physiology and Molecular Biology, Bangladesh University of Health Sciences, Dhaka, 1216, Bangladesh.
Ishrat JahanMaternal and Child Health Training Institute, Dhaka, Azimpur, 1205, Bangladesh.
Nayla Cristina do V MoreiraInstitute of Health and Society, Faculty of Medicine, University of Oslo, 0318, Oslo, Norway.
Abdul AlimCentre of Global Health Research, Diabetic Association of Bangladesh, Dhaka, 1200, Bangladesh.
Abdul BasitBaquai Institute of Diabetology and Endocrinology, Baquai Medical University, Karachi, Pakistan.
Graham A HitmanBlizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, 4 Newark Street: London E1 2AT, London, United Kingdom.
Abul Kalam A KhanCentre of Global Health Research, Diabetic Association of Bangladesh, Dhaka, 1200, Bangladesh.
Akhtar HussainCentre of Global Health Research, Diabetic Association of Bangladesh, Dhaka, 1200, Bangladesh.
University of Oslo · NOBangladesh University of Health Sciences · BDBaqai Medical University · PKChild Health Research Foundation · BDDirectorate General of Health Services · BDNord University · NOQueen Mary University of London · GB

Funding

FP7 EU FP7 EU grant: 83599025
6 · The paper itself

Abstract

backgroundTo assess the maternal characteristics and nutritional status according to body mass index (BMI) at 6-14 weeks of gestation and to examine the relationship between maternal nutritional status in early pregnancy and its impact on neonatal birth weight.

methodsThe investigation was conducted from April 2011 to June 2012 in Dhaka, Bangladesh. A total of 498 primigravida pregnant women participated in the study; women with known diabetes or previous gestational diabetes (GDM) were excluded. Maternal demographic details, pregnancy history and anthropometric measurements were obtained from the mother at the recruitment (6-14 weeks), 2nd visit between 24 and 28 week of gestation and 3rd visit at delivery. Cord venous blood samples of newborns (n = 138) were collected immediately after delivery for blood glucose, insulin, lipid profile, leptin and micronutrients including serum folate, ferritin, homocysteine, vitamin D, and vitamin B12.

resultsThe prevalence at 6-14 weeks of pregnancy of anemia (Hb, < 11 g/dl), vitamin D deficiency (< 30 nmol/l), vitamin B12 deficiency (< 200 pg/ml), high homocysteine level (> 15 μmol/l), folate deficiency (< 3 ng/ml) and iron deficiency (ferritin < 13 ng/ml) were 19.5, 46.4, 15.1, 1.2, 0.4, and 12.7% respectively. GDM was found in 18.4% women. The prevalence of GDM was higher in overweight women (28.1%) than underweight (16.7%) and normal weight women (16.0%: p <  0.05). The incidence of low birth weight (LBW) and preterm delivery were 11.6 and 5.8% respectively and was not related to maternal BMI at 6-14 weeks of pregnancy. Maternal height was positively (p = 0.02), and homocysteine was negatively associated with neonatal birth weight (p = 0.02). In addition, the newborn's cord serum folate was positively (p = 0.03) and cord triglyceride was negatively (p = 0.03) associated with neonatal birth weight.

conclusionMultiple maternal micronutrient deficiencies were present in early pregnancy. Maternal BMI in early pregnancy was not related to preterm deliveries or LBW. LBW was associated with lower folate, elevated cord triglyceride concentrations of the neonates and mother's height and increase in maternal homocysteine levels. The data has important implications for pregnancy care in Bangladesh and other similar communities.

Indexed as

Body Mass IndexMaternal HealthBangladeshBiomarkersBirth WeightFemaleFolic AcidGestational AgeHomocysteineHumansInfant, NewbornMaleNutritional StatusPregnancyPregnancy Complications, HematologicPrognosisBiomarkersFolic AcidHomocysteineCardio-metabolic statusEarly pregnancyMaternal nutritionNewborns at birth

Identifiers

PMID31711436
PMCPMC6849244
OpenAlexW2988031867

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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.