Evidence map›Paper›PMID 34120669›Full record

ArticlePublic health nutrition2021

Associations of the pre-pregnancy weight status with anaemia and the erythropoiesis-related micronutrient status.

Noor Rohmah Mayasari, Tzu-Yu Hu, Jane C-J Chao, Chyi-Huey Bai, Yi Chun Chen, Ya Li Huang, Chun-Chao Chang, Fan-Fen Wang, Hamam Hadi, Esti Nurwanti and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

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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

11 authors at 4 institutions in 2 countries.

Noor Rohmah Mayasari *School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, 250 Wu-Xing Street, Taipei11031, Taiwan.ORCID 0000-0003-3742-7705
Tzu-Yu Hu *School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, 250 Wu-Xing Street, Taipei11031, Taiwan.
Jane C-J ChaoSchool of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, 250 Wu-Xing Street, Taipei11031, Taiwan.
Chyi-Huey BaiSchool of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan.
Yi Chun ChenSchool of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, 250 Wu-Xing Street, Taipei11031, Taiwan.ORCID 0000-0002-6930-1712
Ya Li HuangSchool of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan.
Chun-Chao ChangDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan.
Fan-Fen WangDepartment of Internal Medicine, Yangming Branch, Taipei City Hospital, Taipei, Taiwan.
Hamam HadiAlma Ata Graduate School of Public Health, Universitas Alma Ata, Yogyakarta, Indonesia.
Esti NurwantiDepartment of Nutrition, Faculty of Health Sciences, University of Pembangunan Nasional Veteran Jakarta, Jakarta, Indonesia.
Jung-Su ChangSchool of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, 250 Wu-Xing Street, Taipei11031, Taiwan.ORCID 0000-0001-8608-9349
Taipei Medical University · TWTaipei Medical University Hospital · TWTaipei City Hospital · TWUniversity of Pembangunan Nasional Veteran Jawa Timur · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe coexistence of underweight (UW) and overweight (OW)/obese (OB) at the population level is known to affect iron deficiency (ID) anaemia (IDA), but how the weight status affects erythropoiesis during pregnancy is less clear at a population scale. This study investigated associations between the pre-pregnancy BMI (pBMI) and erythropoiesis-related nutritional deficiencies.

designAnthropometry, blood biochemistry and 24-h dietary recall data were collected during prenatal care visits. The weight status was defined based on the pBMI. Mild nutrition deficiency-related erythropoiesis was defined if individuals had an ID, folate depletion or a vitamin B12 deficiency.

settingThe Nationwide Nutrition and Health Survey in Taiwan (Pregnant NAHSIT 2017-2019).

participantsWe included 1456 women aged 20 to 45 years with singleton pregnancies.

resultsAmong these pregnant women, 9·6 % were UW, and 29·2 % were either OW (15·8 %) or OB (13·4 %). A U-shaped association between the pBMI and IDA was observed, with decreased odds (OR; 95 % CI) for OW subjects (0·6; 95 % CI (0·4, 0·9)) but increased odds for UW (1·2; 95 % CI (0·8, 2·0)) and OB subjects (1·2; 95 % CI (0·8, 1·8)). The pBMI was positively correlated with the prevalence of a mild nutritional deficiency. Compared to normal weight, OB pregnant women had 3·4-fold (3·4; 95 % CI (1·4, 8·1)) higher odds for multiple mild nutritional deficiencies, while UW individuals had lowest odds (0·3; 95 % CI (0·1, 1·2)). A dietary analysis showed negative relationships of pBMI with energy, carbohydrates, protein, Fe and folate intakes, but positive relationship with fat intakes.

conclusionThe pre-pregnancy weight status can possibly serve as a good nutritional screening tool for preventing IDA during pregnancy.

Indexed as

AnemiaAnemia, Iron-DeficiencyAdultErythropoiesisFemaleHumansMicronutrientsMiddle AgedNutritional StatusNutrition AssessmentPregnancyPrevalenceYoung AdultMicronutrientsDouble burden of malnutritionErythropoiesis-related nutritional deficiencyIron deficiency anaemiaPre-pregnancy BMI

Identifiers

PMID34120669
PMCPMC11148615
OpenAlexW3168395355

What OpenQuestion holds

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Registered trials

None linked

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.