ArticleMaternal & child nutrition2020
Aflatoxin exposure in utero and birth and growth outcomes in Tanzania.
Article in Maternal & child nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Workplace exposure to aflatoxins & its health effects: A systematic review.The Indian journal of medical research · 2025Pooled it
- Association Between Aflatoxin Exposure and Haemoglobin, Zinc, and Vitamin A, C, and E Levels/Status: A Systematic Review.Nutrients · 2025Pooled it
- Level of exposure to aflatoxins during pregnancy and its association with adverse birth outcomes in Africa: a meta-analysis.International health · 2024Pooled it
- Food-Borne Environmental Contaminants, Intestinal Injury, and Early Childhood Stunting: A Developmental Toxicology Perspective.Birth defects research · 2026Review
- Correlations of Aflatoxin Exposure from Cooking Oil and Dietary Foods During Pregnancy with Birth Weight and Gestational Age at Birth in Guangxi, China.International journal of general medicine · 2024Article
- Maternal exposure to multiple mycotoxins and adverse pregnancy outcomes: a prospective cohort study in rural Bangladesh.Archives of toxicology · 2023Article
- The mediating role of coagulation function on the association of prenatal exposure to aflatoxin B1 and postpartum hemorrhage in Guangxi, China.Environmental science and pollution research international · 2022Article
- Longitudinal Assessment of Prenatal, Perinatal, and Early-Life Aflatoxin BCurrent developments in nutrition · 2022Article
- Effects of Prenatal Exposure to Aflatoxin B1: A Review.Molecules (Basel, Switzerland) · 2021Review
- Article
- Aflatoxin exposure and child nutrition: measuring anthropometric and long-bone growth over time in Nepal.The American journal of clinical nutrition · 2021Article
- Risk of dietary and breastmilk exposure to mycotoxins among lactating women and infants 2-4 months in northern India.Maternal & child nutrition · 2021Article
- Increase in aflatoxin exposure in two populations residing in East and West Texas, United States.International journal of hygiene and environmental health · 2021Article
- Evaluation of acute and chronic exposure to aflatoxin BEnvironmental science and pollution research international · 2020Article
- Aflatoxin exposure in utero and birth and growth outcomes in Tanzania.Maternal & child nutrition · 2020Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 2 countries.
Funding
Abstract
Some evidence suggests that aflatoxin may contribute to the high prevalence of stunting observed in low-income countries. Whereas several studies have been conducted in West Africa, fewer exist in East Africa and even fewer in nonagricultural contexts. We analyzed serum samples from 400 iron-replete, nonanemic pregnant women from a cohort in Dar es Salaam, Tanzania to determine the extent and magnitude of exposure to aflatoxin and to study the relationship between levels of aflatoxin exposure in utero and infant birth and growth outcomes. Ninety-nine percent of women had detectable concentrations of aflatoxin B1-lysine (AFB1-lysine), with a median level of 1.4-pg/mg albumin, indicating a much lower level compared to studies of rural populations in sub-Saharan Africa. Our results do not show a statistically significant relationship between AFB1-lysine levels and birth weight, small for gestational age, or prematurity. We observe a small statistically significant reduction in gestational age at delivery (0.47 weeks; 95% CI: -0.86, -0.07) as the natural log of AFB1-lysine levels increases by 1 unit of pg/mg of albumin, after controlling for potential confounders. Among a nonrandom set of infants who had measurements for placental weight, haemoglobin at delivery, and follow-up z-score measurements, we find no association between aflatoxin plasma concentrations and these variables. These findings suggest a high prevalence of chronic low-level exposure to aflatoxin, though its effect on birth outcomes in this population remains unclear. Our research adds to a growing body of literature finding mixed associations between aflatoxins on pregnancy outcomes and child growth.
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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.