Evidence map›Paper›PMID 37457158›Full record

ReviewFood science & nutrition2023

Inadequate dietary diversity during pregnancy increases the risk of maternal anemia and low birth weight in Africa: A systematic review and meta-analysis.

Awole Seid, Desta Dugassa Fufa, Misrak Weldeyohannes, Zuriyash Tadesse, Selamawit Lake Fenta, Zebenay Workneh Bitew, Getenet Dessie

Open access · hybridAbstract readReview
In one paragraph

Review in Food science & nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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.

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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  4. Article
  5. Food desert residence and prenatal diet quality.Pregnancy (Hoboken, N.J.) · 2026
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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

7 authors at 6 institutions in 2 countries.

Awole SeidDepartment of Adult Health Nursing College of Medicine and Health Sciences, Bahir Dar University Bahir Dar Ethiopia.ORCID https://orcid.org/0000-0002-7457-4053
Desta Dugassa FufaCenter for Food Sciences and Nutrition Addis Ababa University Addis Ababa Ethiopia.ORCID https://orcid.org/0000-0002-1267-2010
Misrak WeldeyohannesDepartment of Anesthesia Addis Ababa University Addis Ababa Ethiopia.
Zuriyash TadesseDepartment of Nutrition and Dietetics Mekelle University Mekelle Ethiopia.
Selamawit Lake FentaDepartment of Midwifery College of Medicine and Health Sciences, Bahir Dar University Bahir Dar Ethiopia.ORCID https://orcid.org/0000-0001-8010-1482
Zebenay Workneh BitewCenter for Food Sciences and Nutrition Addis Ababa University Addis Ababa Ethiopia.ORCID https://orcid.org/0000-0001-5695-3896
Getenet DessieDepartment of Adult Health Nursing College of Medicine and Health Sciences, Bahir Dar University Bahir Dar Ethiopia.
Addis Ababa University · ETAustralian National University · AUBahir Dar University · ETHaramaya University · ETMekelle University · ETSt. Paul's Hospital Millennium Medical College · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inadequately diversified food consumption during pregnancy can lead to micronutrient deficiencies, which can affect maternal and newborn health outcomes. Previous studies on maternal dietary diversity have either been limited to a specific geographical region or consist entirely of systematic reviews, without meta-analyses. Thus, this study aimed to determine the pooled estimate of the association between inadequate dietary diversity during pregnancy, maternal anemia, and low birth weight in Africa. A systematic review of observational studies published between January 2000 and April 2022 was undertaken using the Google Scholar, PubMed, and CINAHL databases. The PRISMA checklist was followed to present the results. Microsoft Excel was used to abstract the data. STATA version 17 was used to analyze the data, and a random-effects meta-analysis model was applied to compute the pooled estimates. The study was registered in PROSPERO with protocol number CRD42022320873. A total of 22 publications with 9,696 participants were included in the final meta-analysis. The pooled adjusted odds ratio (AOR) for inadequate dietary diversity and maternal anemia was 2.15 (95% CI, 1.66-2.65), while that for low birth weight was 2.04 (95% CI, 1.46-2.63). The highest pooled estimate of maternal anemia was reported in Cameroon (AOR = 9.8, 95% CI: 1.68-17.92), followed by Ethiopia (AOR = 2.6, 95% CI: 1.95-3.25). Similarly, the pooled estimates of low birth weight were highest in Cameroon (AOR = 3.04, 95% CI: 1.19-4.88) and Ethiopia (AOR = 1.8, 95% CI: 1.29-2.39). In Africa, pregnant mothers with inadequate dietary diversity are two times more likely to develop anemia and low birth weight. Social protection policies that prioritize pregnant women, maternal nutrition promotion in the community, and dietary counseling during antenatal care visits, using national food-based dietary guidelines, should be strengthened.

Indexed as

Africaanemiadietary diversitylow birth weightpregnancysystematic review

Identifiers

PMID37457158
PMCPMC10345738
OpenAlexW4372342859

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.