Evidence map›Paper›PMID 35215507›Full record

Trial reportNutrients2022

Maternal Hemoglobin Concentrations and Birth Weight, Low Birth Weight (LBW), and Small for Gestational Age (SGA): Findings from a Prospective Study in Northwest China.

Danmeng Liu, Shanshan Li, Binyan Zhang, Yijun Kang, Yue Cheng, Lingxia Zeng, Fangyao Chen, Baibing Mi, Pengfei Qu, Doudou Zhao and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Daily oral iron supplementation during pregnancy.The Cochrane database of systematic reviews · 2024
    Pooled it
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  4. Observational
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  11. Prenatal Hemoglobin Concentration and Long-Term Child Neurocognitive Development.The American journal of tropical medicine and hygiene · 2025
    Article
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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

14 authors.

Danmeng LiuDepartment of Epidemiology and Health Statistics, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China.
Shanshan LiSchool of Public Health, Shandong First Medical University & Shandong Academy of Medical Sciences, Taian 271016, China.ORCID 0000-0001-7952-4621
Binyan ZhangDepartment of Epidemiology and Health Statistics, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China.
Yijun KangDepartment of Epidemiology and Health Statistics, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China.
Yue ChengDepartment of Nutrition, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China.
Lingxia ZengDepartment of Epidemiology and Health Statistics, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China.
Fangyao ChenDepartment of Epidemiology and Health Statistics, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China.ORCID 0000-0002-7433-9424
Baibing MiDepartment of Epidemiology and Health Statistics, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China.ORCID 0000-0002-5208-7633
Pengfei QuTranslational Medicine Center, Northwest Women's and Children's Hospital, Xi'an 710061, China.
Doudou ZhaoTranslational Medicine Center, Northwest Women's and Children's Hospital, Xi'an 710061, China.
Zhonghai ZhuDepartment of Epidemiology and Health Statistics, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China.
Hong YanDepartment of Epidemiology and Health Statistics, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China.
Duolao WangDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK.ORCID 0000-0003-2788-2464
Shaonong DangDepartment of Epidemiology and Health Statistics, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an 710061, China.ORCID 0000-0002-6980-8169

Funding

National Key Research and Development Program of China 2017YFC0907200 and 2017YFC0907201National Natural Science Foundation of China 81230016 and 81202218Shaanxi Health and Family Planning Commission Sxwsjswzfcght2016-013
6 · The paper itself

Abstract

Birth weight and related outcomes have profound influences on life cycle health, but the effect of maternal hemoglobin concentration during pregnancy on birth weight is still unclear. This study aims to reveal the associations between maternal hemoglobin concentrations in different trimesters of pregnancy and neonatal birth weight, LBW, and SGA. This was a prospective study based on a cluster-randomized controlled trial conducted from July 2015 to December 2019 in rural areas of Northwest China. Information on maternal socio-demographic status, health-related factors, antenatal visits, and neonatal birth outcomes were collected. A total of 3748 women and their babies were included in the final analysis. A total of 65.1% and 46.3% of the participants had anemia or hemoglobin ≥ 130 g/L during pregnancy. In the third trimester, maternal hemoglobin concentration was associated with birth weight in an inverted U-shaped curve and with the risks of LBW and SGA in extended U-shaped curves. The relatively higher birth weight and lower risks for LBW and SGA were observed when hemoglobin concentration was 100-110 g/L. When maternal hemoglobin was <70 g/L or >130 g/L, the neonatal birth weight was more than 100 g lower than that when the maternal hemoglobin was 100 g/L. In conclusion, both low and high hemoglobin concentrations in the third trimester could be adverse to fetal weight growth and increase the risks of LBW and SGA, respectively. In addition to severe anemia, maternal hemoglobin >130 g/L in the third trimester should be paid great attention to in the practice of maternal and child health care.

Indexed as

Infant, Low Birth WeightPremature BirthBirth WeightChildChinaFemaleGestational AgeHemoglobinsHumansInfant, NewbornInfant, Small for Gestational AgePregnancyProspective StudiesHemoglobinsLBWmaternal hemoglobin concentrationneonatal birth weightnonlinear associationprospective studySGA

Identifiers

PMID35215507
PMCPMC8879779

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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.