Evidence map›Paper›PMID 36925072›Full record

Trial reportThe Journal of nutrition2023

Long-Term Association Between Maternal Preconception Hemoglobin Concentration, Anemia, and Child Health and Development in Vietnam.

Melissa F Young, Phuong Nguyen, Lan Mai Tran, Long Quynh Khuong, Reynaldo Martorell, Usha Ramakrishnan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Trial
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  6. Review
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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

6 authors.

Melissa F YoungHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States. Electronic address: melissa.young@emory.edu.
Phuong NguyenPoverty, Health and Nutrition Division, International Food Policy Research Institute, Washington, DC, United States; Thai Nguyen University of Pharmacy and Medicine, Thai Nguyen, Vietnam.
Lan Mai TranHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States.
Long Quynh KhuongHanoi School of Public Health, Hanoi, Vietnam.
Reynaldo MartorellHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States.
Usha RamakrishnanHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States.

Funding

Mother-child hemoglobin at preconception and first 1000 days and child development at 6 yearsR03HD102513 · NICHD · EMORY UNIVERSITY · PI YOUNG, MELISSA FOX · 2020 to 2021
$156k
NICHD NIH HHS R03 HD102513
6 · The paper itself

Abstract

backgroundThe long-term association between preconception maternal hemoglobin (Hb) concentrations and child health and development is unclear.

objectivesWe examined associations between maternal preconception Hb concentrations and anemia with 1) birth outcomes (weight, length, preterm, gestational age, small for gestational age); 2) child Hb at 3 mo, 6 mo, 12 mo, and 24 mo; and 3) motor and mental development at 12 mo and 24 mo (Bayley scales for infant development) and cognitive functioning at 6-7 y (Wechsler Intelligence Scale for Children).

methodsWe used data from a randomized controlled trial (PRECONCEPT) conducted in Vietnam. Over 5000 women who were intending to conceive were recruited, and offspring were prospectively followed from birth (n = 1599) through 6-7 y (n = 1318). Multivariable linear and logistic regressions were used to assess the association between preconception Hb or anemia (Hb < 12g/dL) on child health and development outcomes, adjusted by supplementation group (tested for interactions) and confounding at maternal, child, and household levels.

resultsAt preconception enrollment, 20% of the women were anemic. Maternal preconception Hb was positively associated with child Hb at 3 mo (0.06; 95% CI: 0.01, 0.12), 6 mo (0.08; 95% CI: 0.03, 0.13), 12 mo (0.10; 95% CI: 0.04, 0.15), and 24 mo (0.07; 95% CI: 0.02, 0.12). Likewise, maternal preconception Hb was associated with reduced risk of child anemia at 6 mo (0.89; 95% CI: 0.81, 0.98), 12 mo (0.81; 95% CI: 0.74, 0.89), and 24 mo (0.87; 95% CI: 0.79, 0.95). Maternal preconception anemia was negatively associated with cognition (-1.64; 95% CI: -3.09, -0.19) and language development (-1.61; 95% CI: -3.20, -0.03) at 24 mo. Preconception Hb was not associated with birth outcomes or cognitive outcomes at 6-7 y.

conclusionsMaternal preconception Hb was associated with child Hb across the first 1000 d of life. However, preconception Hb was not a significant predictor of birth outcomes or cognitive outcomes at 6-7 y in this cohort from Vietnam. CLINICAL

trial registrationPRECONCEPT study (NCT: 01665378).

Indexed as

AnemiaChild HealthChildFemaleHemoglobinsHumansInfantInfant, NewbornInfant, Small for Gestational AgeVietnamHemoglobinsanemiabirth outcomeschild developmenthemoglobinpreconception

Identifiers

PMID36925072
PMCPMC10367189

What OpenQuestion holds

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LicenceCC BY
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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.