Evidence map›Paper›PMID 41083952›Full record

ArticleBMC pregnancy and childbirth2025

Sources of dietary recommendations and adherence to clinical guidelines in pregnant women in Germany.

Alexandra Hett, Martin Smollich

Abstract read
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Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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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

2 authors.

Alexandra HettInstitute of Nutritional Medicine, University Hospital Schleswig-Holstein, Luebeck, Germany.
Martin SmollichInstitute of Nutritional Medicine, University Hospital Schleswig-Holstein, Luebeck, Germany. martin.smollich@uksh.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNutrition during pregnancy affects the health of both the mother and the child with potential long-term consequences. Consequently, educating pregnant women about recommended nutritional practices is essential. This cross-sectional study examined dietary information sources used by pregnant women in Germany and evaluated their adherence to clinical guidelines.

methodsPregnant women (≥ 6th week of gestation) were recruited nationwide via social media (January–June 2022), and completed an online questionnaire assessing sources and content of their nutritional information. The data were subsequently analyzed for their alignment with guidelines provided by the Germany-wide Healthy Start Network of the Federal Center for Nutrition and the German Nutrition Society. Chi-square and t-tests were used to explore associations, and multivariable logistic regression was conducted to identify significant predictors of supplement use and dietary practices, considering sociodemographic and behavioral factors.

resultsOf 3,363 participants, 68.66% reported dietary changes during pregnancy, yet 82.76% received limited or no counseling from healthcare providers. Most women (77.70%) sought information online. While 89.03% took dietary supplements, this percentage was significantly higher among pregnant women with higher income (OR = 1.55, CI 1.18–2.03, p < 0.001) and higher educational levels (OR = 1.47, CI 1.15–1.88, p = 0.001). Although most of the women (87.87%) supplemented with folic acid, only 66.10% supplemented with iodine. However, when considering dosage and supplementation period, at least 37.08% of women for folic acid and 46.06% for iodine did not meet recommendations or did not supplement at all.

conclusionsWhile recommendations to avoid specific foods and to take a folic acid supplement are widely recognized, the dietary practices of pregnant women frequently deviate from professional guidelines. These results emphasize the importance of targeted education and standardized counseling by qualified professionals to ensure optimal nutrition during pregnancy and reduce potential risks to both mother and child. Future research should identify strategies to effectively address these problems.

Indexed as

Guideline AdherencePregnant PeoplePrenatal CareAdultCounselingCross-Sectional StudiesDietary SupplementsFemaleGermanyHumansNutrition PolicyPregnancySurveys and QuestionnairesYoung AdultDietary counselingFetal healthHealth information sourcesMaternal nutritionNutritional recommendationsNutrition guideline adherenceNutrition guidelinesPregnancyPrenatal careSocial media

Identifiers

PMID41083952
PMCPMC12516835

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.