Evidence map›Paper›PMID 40421124›Full record

ReviewThe Lancet regional health. Southeast Asia2025

Effects of preconception nutrition interventions on pregnancy and birth outcomes in South Asia: a systematic review.

Naomi M Saville, Sophiya Dulal, Faith Miller, Danielle Schoenaker, Ranadip Chowdhury, Avishek Hazra, Jane Hirst, Zivai Murira, Vani Sethi

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 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. Optimizing pre-conception care in South Asia.The Lancet regional health. Southeast Asia · 2025
    Article
  2. Policies and programmes to improve preconception nutrition in South Asia.The Lancet regional health. Southeast Asia · 2025
    Review
  3. Review
  4. 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

9 authors.

Naomi M SavilleInstitute for Global Health, University College London, London, UK.
Sophiya DulalSchool of Health Sciences, Western Sydney University, Sydney, Australia.
Faith MillerInstitute for Global Health, University College London, London, UK.
Danielle SchoenakerSchool of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
Ranadip ChowdhurySociety for Applied Studies, New Delhi, India.
Avishek HazraPopulation Council Consulting, New Delhi, India.
Jane HirstThe George Institute for Global Health, School of Public Health, Imperial College London, UK.
Zivai MuriraUnited Nations Children's Fund (UNICEF) Regional Office for South Asia (ROSA), Kathmandu, Nepal.
Vani SethiUnited Nations Children's Fund (UNICEF) Regional Office for South Asia (ROSA), Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Undernutrition amongst reproductive age women, low birth weight, small for gestational age and preterm birth present significant health burdens in South Asia which interventions in pregnancy alone have not resolved. Effectiveness of preconception nutrition interventions is not well-documented. This systematic review summarises evidence on the effect of preconception nutrition interventions on pregnancy and birth outcomes in South Asia. We found highly heterogeneous evidence across four micronutrient supplementation, two food supplementation, and three complex interventions trials. Preconception micronutrient supplementation alone did not affect birth size, but food supplementation was effective with and without multiple micronutrients, especially when initiated at least 90 days before conception. Combined health, nutrition, psychosocial care, and WaSH interventions addressing determinants at multiple levels were most effective. However intensive delivery by project employees poses problems for scale-up. More robust South Asian preconception intervention trials to identify scalable interventions that are effective in real-world delivery settings are needed. Funding: UNICEF Regional Office for South Asia contract number 43384734.

Indexed as

Birth outcomesComplex interventionFood supplementationMicronutrient supplementationPreconception nutritionPregnancy outcomesSouth asiaSystematic review

Identifiers

PMID40421124
PMCPMC12105516

What Socratic holds

Textmetadata
LicenceCC BY
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.