Evidence map›Paper›PMID 40421123›Full record

ReviewThe Lancet regional health. Southeast Asia2025

Preconception malnutrition among women and girls in south Asia: prevalence, determinants, and association with pregnancy and birth outcomes.

Faith Miller, Vani Sethi, Danielle Schoenaker, Ranadip Chowdhury, Raj Kumar Verma, Jane Hirst, Manisha Nair, Chiara Benedetto, Usha Sriram, Zivai Murira and 1 more

Abstract readReview
In one paragraph

Review in The Lancet regional health. Southeast Asia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. The paradoxical protective effect of malnutrition in acetaminophen-induced liver injury.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Maintaining nutrition as a woman's right through the life course.The Lancet regional health. Southeast Asia · 2025
    Article
  8. Optimizing pre-conception care in South Asia.The Lancet regional health. Southeast Asia · 2025
    Article
  9. Policies and programmes to improve preconception nutrition in South Asia.The Lancet regional health. Southeast Asia · 2025
    Review
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

11 authors.

Faith MillerInstitute for Global Health, University College London, UK.
Vani SethiUNICEF Regional Office for South Asia, Kathmandu, Nepal.
Danielle SchoenakerSchool of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
Ranadip ChowdhurySociety for Applied Studies, New Delhi, India.
Raj Kumar VermaPopulation Council, New Delhi, India.
Jane HirstThe George Institute for Global Health, Imperial College London, London, UK.
Manisha NairNuffield Department of Population Health, University of Oxford, UK.
Chiara BenedettoUniversity Department of Surgical Sciences, University of Torino, Italy.
Usha SriramDepartment of Diabetes and Endocrinology, Voluntary Health Service Chennai, India.
Zivai MuriraUNICEF Regional Office for South Asia, Kathmandu, Nepal.
Naomi M SavilleInstitute for Global Health, University College London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review highlights the growing double burden of malnutrition among women of reproductive age in South Asia. Using nationally-representative survey data, we highlight that the prevalence of overweight now exceeds that of underweight, while anaemia remains persistently high despite intervention efforts. Underweight and anaemia are more common among unmarried women, whereas overweight is more prevalent among parous women, underscoring the need for life-stage-specific preconception nutrition programs. In our systematic review, micronutrient deficiencies vary widely between and within countries, reflecting regional disparities in nutritional status and inconsistencies in diagnostic methods. Associations of preconception underweight, overweight, anaemia and micronutrient deficiencies with health, nutrition, socio-demographic, and WASH indicators are mixed, emphasising the need for tailored, context-specific interventions. The lack of longitudinal studies limits our understanding of associations between preconception nutritional status and subsequent birth outcomes, underscoring the need for comprehensive, longitudinal studies across South Asia to inform and monitor targeted nutrition programs.

Indexed as

AdolescentAnaemiaDemographic and health surveyMicronutrientNutritionOverweightPreconceptionPregnancy planningReviewUnderweight

Identifiers

PMID40421123
PMCPMC12105519

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.