Evidence map›Paper›PMID 34027296›Full record

ArticleCurrent developments in nutrition2021

Anemia and Vitamin B-12 and Folate Status in Women of Reproductive Age in Southern India: Estimating Population-Based Risk of Neural Tube Defects.

Julia L Finkelstein, Amy Fothergill, Christina B Johnson, Heather M Guetterman, Beena Bose, Shameem Jabbar, Mindy Zhang, Christine M Pfeiffer, Yan Ping Qi, Charles E Rose and 3 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Current developments in nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 pooled it
3.7field-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.

NCT03853304 naunknown statusnot on this mapstarted 2023, after this paper: background citation

A Randomized Trial of Quadruple Fortified Salt for Anemia and Birth Defects Prevention in Southern India

TypeinterventionalSponsorCornell UniversityRan2023 to 2024Enrolled1,000ConditionsAnemia, Folate Deficiency, Vitamin B 12 DeficiencyArms+ Folic acid, + Vitamin B12, DFS
NCT04048330 unknown statusnot on this map

Periconceptional Surveillance for Prevention of Anemia and Birth Defects in India

TypeobservationalSponsorCornell UniversityRan2018 to 2024Enrolled2,000ConditionsAnemia, Folate Deficiency, Vitamin B12 Deficiency
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 5 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Vitamin BThe Cochrane database of systematic reviews · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Vitamin BClinical nutrition ESPEN · 2025
    Observational
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Folate and vitamin BBirth defects research · 2024
    Article
  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

13 authors at 5 institutions in 2 countries.

Julia L FinkelsteinDivision of Nutritional Sciences, Cornell University, Ithaca, NY, USA.
Amy FothergillDivision of Nutritional Sciences, Cornell University, Ithaca, NY, USA.
Christina B JohnsonArogyavaram Medical Centre, Andhra Pradesh, India.
Heather M GuettermanDivision of Nutritional Sciences, Cornell University, Ithaca, NY, USA.
Beena BoseSt John's Research Institute, Bangalore, Karnataka, India.
Shameem JabbarNational Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Mindy ZhangNational Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Christine M PfeifferNational Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Yan Ping QiNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Charles E RoseNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Jennifer L WilliamsNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Wesley BonamArogyavaram Medical Centre, Andhra Pradesh, India.
Krista S CriderNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Cornell University · USNational Center on Birth Defects and Developmental Disabilities · USCenters for Disease Control and Prevention · USNational Center for Environmental Health · USSt.John's Medical College Hospital · IN

Funding

NUTRITION TRAININGT32DK007158 · NIDDK · CORNELL UNIVERSITY ITHACA · PI PATRICIA A CASSANO, Julia L. Finkelstein · 1986 to 2026
$7.4M
TRAINING IN MATERNAL AND CHILD NUTRITIONT32HD087137 · NICHD · CORNELL UNIVERSITY · PI Laura Bellows, Julia L. Finkelstein · 2016 to 2026
$2.0M
ACL HHS U19DD001218NCBDD CDC HHS U19 DD001218NICHD NIH HHS T32 HD087137NIDDK NIH HHS T32 DK007158
6 · The paper itself

Abstract

backgroundWomen of reproductive age (WRA) are a high-risk population for anemia and micronutrient deficiencies. However, there are few representative population-level data from India, which could help inform evidence-based recommendations and policy.

objectiveTo conduct a population-based biomarker survey of anemia and vitamin B-12 and folate status in WRA as part of a periconceptional surveillance program in southern India.

methodsParticipants were WRA (15-40 y) who were not pregnant or lactating. Whole blood (

resultsA total of 41.5% of WRA had anemia and 3.0% had severe anemia. A total of 48.3% of WRA had vitamin B-12 deficiency and 74.3% had vitamin B-12 insufficiency. The prevalence of RBC folate deficiency was 7.6%, and 79.3% of WRA had RBC folate <748 nmol/L, the threshold for optimal NTD prevention. Predicted NTD prevalence per 10,000 births based on RBC folate concentrations was 20.6 (95% uncertainty interval: 16.5-25.5).

conclusionsThe substantial burden of anemia, vitamin B-12 deficiency, and RBC folate insufficiency in WRA in this setting suggests an opportunity for anemia and birth defects prevention. Findings will directly inform the development of a randomized trial for anemia and birth defects prevention in southern India.This study was registered at clinicaltrials.gov as NCT04048330.

Indexed as

anemiafolateIndiaNTDspericonceptionalsurveillancevitamin B-12

Identifiers

PMID34027296
PMCPMC8128722
OpenAlexW3160263087

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.