Evidence map›Paper›PMID 42678506›Full record

ArticleIrish journal of medical science2026

Prognostic nutritional index as a predictor of fetal growth restriction and adverse perinatal outcomes.

Gulnihal Reyhan Toptas, Atakan Tanacan, Ayse Altındis Bal, Burcu Bozkurt Ozdal, Huseyin Kayaalp, Beyza Duran, Ozgur Kara, Dilek Sahin

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Article in Irish journal of medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Gulnihal Reyhan ToptasPerinatology Department, Ankara Bilkent City Hospital, Ankara, Turkey. gulnihalreyhan@gmail.com.ORCID http://orcid.org/0000-0002-6814-8373
Atakan TanacanPerinatology Department, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0001-8209-8248
Ayse Altındis BalPerinatology Department, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0009-0003-3471-8205
Burcu Bozkurt OzdalPerinatology Department, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0009-0007-6644-3890
Huseyin KayaalpPerinatology Department, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0009-0001-8372-0518
Beyza DuranThe Gynecology and Obstetrics Department, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0003-0135-7338
Ozgur KaraPerinatology Department, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-4204-0014
Dilek SahinPerinatology Department, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0001-8567-9048

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFetal growth restriction (FGR) is a major cause of perinatal morbidity and mortality. Maternal nutritional and inflammatory status may play a role in its development. The Prognostic Nutritional Index (PNI), derived from serum albumin and lymphocyte count, reflects these pathways.

aimsTo investigate the association between maternal PNI and FGR and evaluate the predictive performance of first- and third-trimester PNI for FGR and adverse perinatal outcomes.

methodsThis retrospective study included 279 singleton pregnancies (151 FGR and 128 controls). FGR was defined as estimated fetal weight below the 3rd percentile. First- and third-trimester PNI values were calculated. Logistic regression identified independent predictors of FGR, and receiver operating characteristic analysis assessed predictive performance.

resultsFirst- and third-trimester PNI values were significantly lower in the FGR group than in controls (40.10 vs. 44.07, p<0.001; 37.09 vs. 38.36, p=0.002, respectively). Both first-trimester PNI (adjusted OR 0.80, 95% CI 0.73-0.87, p<0.001) and third-trimester PNI (adjusted OR 0.89, 95% CI 0.79-0.99, p=0.034) were independently associated with FGR. First-trimester PNI showed good predictive performance (AUC 0.76, 95% CI 0.70-0.81), with an optimal cut-off of ≤42.10 (70.9% sensitivity and 72.0% specificity), whereas third-trimester PNI showed lower accuracy (AUC 0.64, 95% CI 0.57-0.71). Lower third-trimester PNI was independently associated with preterm delivery among pregnancies complicated by FGR.

conclusionsMaternal PNI, particularly in the first trimester, was independently associated with FGR and may serve as a simple biomarker for early risk assessment.

Indexed as

Fetal growth restrictionInflammationMaternal nutritionPregnancyPrognostic nutritional index

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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.