Evidence map›Paper›PMID 39716171›Full record

SynthesisBMC pregnancy and childbirth2024

Efficacy of vitamin D supplementation on the incidence of preeclampsia: a systematic review and meta-analysis.

Khaled Moghib, Thoria I Ghanm, Abdallah Abunamoos, Munia Rajabi, Shehab M Moawad, Ahmed Mohsen, Said Kasem, Khalid Elsayed, Moaaz Sayed, Ali I Dawoud and 4 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
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  9. Observational
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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

14 authors.

Khaled MoghibFaculty of Medicine, Cairo University, Cairo, Egypt.
Thoria I GhanmFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Abdallah AbunamoosFaculty of Medicine, The University of Jordan, Amman, 11942, Jordan.
Munia RajabiFaculty of Medicine, Al Quds University, Jerusalem, Palestine.
Shehab M MoawadFaculty of Medicine, Cairo University, Cairo, Egypt.
Ahmed MohsenFaculty of Medicine, Cairo University, Cairo, Egypt.
Said KasemFaculty of Medicine, October 6 University, Giza, Egypt.
Khalid ElsayedFaculty of Medicine, October 6 University, Giza, Egypt.
Moaaz SayedFaculty of Medicine, Sohag University, Sohag Al Gadida City, Sohag, Egypt.
Ali I DawoudAl-Azhar University Faculty of Medicine, Damietta, Egypt.
Izere SalomonUniversity of Rwanda, College of Medicine and Health Sciences, Kigali, Rwanda. izesajw73@gmail.com.ORCID http://orcid.org/0000-0003-3067-560X
Alaaeldin ElmaghrebyFaculty of Medicine, Cairo University, Cairo, Egypt.
Mohamed IsmailFaculty of Medicine, Menoufia University, Menoufia, Egypt.
Ahmed AmerDepartment of Obstetrics and Gynecology, Zagazig University, zagazing, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreeclampsia is a severe pregnancy complication affecting 2-8% of pregnancies globally, contributing to substantial maternal and fetal morbidity and mortality. Vitamin D deficiency has been associated with an increased risk of preeclampsia, yet the efficacy of its supplementation during pregnancy in reducing preeclampsia incidence remains uncertain.

objectivesThis systematic review and meta-analysis aimed to evaluate the impact of vitamin D supplementation on the incidence of preeclampsia and related maternal and neonatal outcomes.

methodWe systematically searched PubMed, Scopus, Cochrane Library, and Web of Science until August 2024 for randomized controlled trials (RCTs) examining the effects of vitamin D supplementation on preeclampsia. Eligible studies included pregnant women with varying doses of vitamin D supplementation compared to placebo or standard care. Primary outcomes were the incidence of pre-eclampsia and preterm labor; secondary outcomes included serum 25-hydroxyvitamin D levels, low birth weight, and APGAR scores. Data were synthesized using R statistical software, with effect measures reported as relative risk (RR) and mean difference (MD) with a 95% confidence interval (CI).

resultsA total of 33 RCTs involving 10,613 participants were included. Vitamin D supplementation significantly reduced the risk of preeclampsia by 44.8% (RR = 0.55, 95% CI [0.43, 0.71], P < 0.0001) and preterm labor by 30% (RR = 0.70, 95% CI [0.51, 0.96], P = 0.0286). Subgroup analyses indicated that the benefits were more pronounced when the control group received a placebo rather than low-dose vitamin D. Serum 25-hydroxyvitamin D levels significantly increased in the supplementation group (MD = 32.42 nmol/L, 95% CI [20.33, 44.50], P < 0.0001). However, no significant differences were observed in the incidence of low birth weight (RR = 0.65, 95% CI [0.42, 1.02], P = 0.057) or Apgar scores at 5 min (MD = 0.20, 95% CI [-0.01, 0.40], P = 0.057).

conclusionVitamin D supplementation during pregnancy significantly reduces the risk of preeclampsia and preterm labor, though its impact on neonatal outcomes remains unclear. These findings underscore the potential value of vitamin D supplementation in prenatal care for improving maternal outcomes. Further research is needed to clarify its effects on neonatal health.

Indexed as

Dietary SupplementsPre-EclampsiaVitamin DFemaleHumansIncidenceInfant, NewbornPregnancyRandomized Controlled Trials as TopicVitamin D Deficiency25-hydroxyvitamin DVitamin DMeta-analysisPreeclampsiaPregnancyPreterm laborSystematic reviewVitamin D

Identifiers

PMID39716171
PMCPMC11668112

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.