Evidence map›Paper›PMID 40739076›Full record

SynthesisArchives of gynecology and obstetrics2025

Oxidative stress biomarkers in fetal growth restriction: a systematic review and meta-analysis.

Lili Li, Longping Zhou, Wenzhong Li, Fengquan Shi, Xufen Feng, Jian Zhuang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Elevated Amniotic Fluid 8-Iso-Prostaglandin FAntioxidants (Basel, Switzerland) · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Trimester-specific exposure to PMBMC pregnancy and childbirth · 2026
    Article
  10. Article
  11. Article
  12. Review
  13. Article
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.

Lili LiDepartment of Clinical Laboratory, Ganzhou Women and Children's Health Care Hospital, Ganzhou, China.
Longping ZhouDepartment of Reproduction and Genetics, Ganzhou Women and Children's Health Care Hospital, Ganzhou, China. zlp432580@163.com.
Wenzhong LiDepartment of Reproduction and Genetics, Ganzhou Women and Children's Health Care Hospital, Ganzhou, China.
Fengquan ShiDepartment of Reproduction and Genetics, Ganzhou Women and Children's Health Care Hospital, Ganzhou, China.
Xufen FengDepartment of Reproduction and Genetics, Ganzhou Women and Children's Health Care Hospital, Ganzhou, China.
Jian ZhuangDepartment of Reproduction and Genetics, Ganzhou Women and Children's Health Care Hospital, Ganzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFetal growth restriction (FGR) affects about 10% of pregnancies and is linked to higher risks of perinatal mortality and long-term health issues, largely due to placental insufficiency and oxidative stress caused by hypoxia and inflammation. This study examines key oxidative stress biomarkers to assess significant differences in FGR versus appropriate for gestational age (AGA) neonates.

methodsThis meta-analysis reviewed studies up to December analyzing oxidative stress biomarkers in cord blood from FGR versus AGA newborns. Key markers analyzed included malondialdehyde (MDA), superoxide dismutase (SOD), catalase, ischemia-modified albumin (IMA), homocysteine, nitric oxide (NO), and nucleated red blood cells (NRBCs). Standardized mean differences (Cohen's d) and 95% confidence intervals (CIs) were calculated.

resultsA total of 48 studies involving 4684 participants were included. MDA levels were significantly higher in FGR infants (d = 0.37, p = 0.01), especially in those with intrauterine growth restriction (IUGR) (d = 0.58, p = 0.02). SOD activity was markedly lower in FGR (d = - 1.98, p < 0.001), most notably in mixed FGR cases (d = - 4.95). Catalase was also reduced (d = - 2.64, p < 0.001), while NRBC (d = 2.24, p < 0.001) and IMA (d = 0.74, p < 0.001) were elevated. Homocysteine and NO levels showed no significant differences.

conclusionFGR is associated with distinct oxidative stress patterns in cord blood. These biomarkers, especially MDA, SOD, catalase, NRBC, and IMA, may hold promise for improving FGR diagnosis.

Indexed as

Fetal Growth RetardationOxidative StressBiomarkersCatalaseFemaleFetal BloodHomocysteineHumansInfant, NewbornMalondialdehydeNitric OxidePregnancySerum Albumin, HumanSuperoxide DismutaseBiomarkersCatalaseHomocysteineischemia-modified albuminMalondialdehydeNitric OxideSerum Albumin, HumanSuperoxide DismutaseBiomarkersFGROxidative stressROSSOD

Identifiers

PMID40739076
PMCPMC12414047

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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.