Evidence map›Paper›PMID 39243026›Full record

SynthesisNutrition journal2024

Fetal malnutrition among neonates in African countries: a CAN score systematic review and meta-analysis.

Ibsa Mussa, Adera Debella, Melat B Maruta, Tamirat Getachew, Lemma Demissie Regassa, Mulugeta Gamachu, Alemayehu Deressa, Fethia Mohammed, Abdi Birhanu, Hamdi Fekredin Zakaria and 1 more

Erratum issuedAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrition journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Ibsa MussaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia. ibsamussa93@gmail.com.ORCID 0000-0002-6318-4092
Adera DebellaSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Melat B MarutaObstetrics and Gynecology, Menelik Hospital, Addis Abeba, Ethiopia.
Tamirat GetachewSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Lemma Demissie RegassaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Mulugeta GamachuSchool of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Alemayehu DeressaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Fethia MohammedDepartment of Psychiatry, School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Abdi BirhanuSchool of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Hamdi Fekredin ZakariaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Addis EyeberuSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo reduce neonatal mortality, it is necessary to identify neonates with fetal malnutrition at birth using the clinical assessment score (CAN score). Furthermore, comprehensive summary data that shows burden of fetal malnutrition in Africa is scarce. As a result, this systematic review and meta-analysis aimed to assess fetal malnutrition among newborns in Africa.

methodThe PRISMA guidelines were used for this study. Articles were obtained from databases and websites. The outcome of the study was fetal malnutrition, as determined using the CAN score. The meta-analysis of the primary and secondary outcomes was performed using Stata version 18 statistical software. The pooled prevalence with a 95% CI was estimated using the random effect method with the Der Simonian Liard model.

resultsThis meta-analysis and systematic review included 5356 newborns from 13 studies. The pooled prevalence of fetal malnutrition (FM) among newborns diagnosed using the CAN score in Africa was 19% [95% CI: 17, 22]. Based on subgroup analysis by publication year, the lowest prevalence of fetal malnutrition 17% (95% CI: 9-27) was observed in the studies published in the years 2020-2023. Maternal and fetal factors were significantly associated with fetal malnutrition.

conclusionNearly one-fifth of neonates delivered in Africa were found to have fetal malnutrition based on the clinical evaluation of nutritional status. It has also been established that maternal malnutrition, a lack of proper treatment during pregnancy, maternal malnutrition, and newborn morbidities were associated with fetal malnutrition. To prevent fetal malnutrition, integrated efforts should be made for early maternal infection screening. Furthermore, maternal nutritional therapy should be explored for malnourished pregnant women.

Indexed as

Fetal Nutrition DisordersAfricaFemaleHumansInfant, NewbornMalnutritionPregnancyPrevalenceAfricaFetal malnutritionNeonatesNewborns

Identifiers

PMID39243026
PMCPMC11380204

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