Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis

Autores
Cormick, Gabriela; Betrán, A.P.; Romero, I.B.; Lombardo, C.F.; Gülmezoglu, A.M.; Ciapponi, Agustín; Belizan, Jose
Año de publicación
2018
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Evidence shows that adequate calcium intake during pregnancy reduces the risk of hypertensive disorders of pregnancy. In most low- and middle-income countries (LMICs) the daily calcium intake is well below recommendations. Mapping calcium intake during pregnancy worldwide and identifying populations with low calcium intake will provide the evidence base for more targeted actions to improve calcium intake. Objective: To assess dietary calcium intake during pregnancy worldwide. Search strategy: MEDLINE and EMBASE (from July 2004 to November 2017). Selection criteria: Cross-sectional, cohort, and intervention studies reporting calcium intake during pregnancy. Data collection and analysis: Five reviewers working in pairs independently performed screening, extraction, and quality assessment. We reported summary measures of calcium intake and calculated the weighted arithmetic mean for high-income countries (HICs) and LMICs independently, and for geographic regions, among studies reporting country of recruitment, mean intake, and total number of participants. When available, inadequate intakes were reported. Main results: From 1880 citations 105 works met the inclusion criteria, providing data for 73 958 women in 37 countries. The mean calcium intake was 948.3 mg/day (95% CI 872.1?1024.4 mg/day) for HICs and 647.6 mg/day (95% CI 568.7?726.5 mg/day) for LMICs. Calcium intakes below 800 mg/day were reported in five (29%) countries from HICs and in 14 (82%) countries from LMICs. Conclusion: These results are consistent with a lack of improvement in calcium dietary intake during pregnancy and confirm the gap between HICs and LMICs, with alarmingly low intakes recorded for pregnant women in LMICs. From the public health perspective, in the absence of specific local data, calcium supplementation of pregnant women in these countries should be universal. Tweetable abstract: Despite dietary recommendations, women in LMICs face pregnancy with diets low in calcium.
Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Betrán, A.P.. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Romero, I.B.. Organizacion Mundial de la Salud; Argentina
Fil: Lombardo, C.F.. Universidad Nacional de La Matanza; Argentina
Fil: Gülmezoglu, A.M.. Universidad Nacional de La Matanza; Argentina
Fil: Ciapponi, Agustín. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Materia
CALCIUM
DIETARY
HIGH-INCOME COUNTRIES
HYPERTENSION
LOW- AND MIDDLE-INCOME COUNTRIES
PRE-ECLAMPSIA
PREGNANCY
SYSTEMATIC REVIEW
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/147735
Acceder
id CONICETDig_6cd65030e9e70c0d6bc3714fe58fa9e2
oai_identifier_str oai:ri.conicet.gov.ar:11336/147735
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysisCormick, GabrielaBetrán, A.P.Romero, I.B.Lombardo, C.F.Gülmezoglu, A.M.Ciapponi, AgustínBelizan, JoseCALCIUMDIETARYHIGH-INCOME COUNTRIESHYPERTENSIONLOW- AND MIDDLE-INCOME COUNTRIESPRE-ECLAMPSIAPREGNANCYSYSTEMATIC REVIEWhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: Evidence shows that adequate calcium intake during pregnancy reduces the risk of hypertensive disorders of pregnancy. In most low- and middle-income countries (LMICs) the daily calcium intake is well below recommendations. Mapping calcium intake during pregnancy worldwide and identifying populations with low calcium intake will provide the evidence base for more targeted actions to improve calcium intake. Objective: To assess dietary calcium intake during pregnancy worldwide. Search strategy: MEDLINE and EMBASE (from July 2004 to November 2017). Selection criteria: Cross-sectional, cohort, and intervention studies reporting calcium intake during pregnancy. Data collection and analysis: Five reviewers working in pairs independently performed screening, extraction, and quality assessment. We reported summary measures of calcium intake and calculated the weighted arithmetic mean for high-income countries (HICs) and LMICs independently, and for geographic regions, among studies reporting country of recruitment, mean intake, and total number of participants. When available, inadequate intakes were reported. Main results: From 1880 citations 105 works met the inclusion criteria, providing data for 73 958 women in 37 countries. The mean calcium intake was 948.3 mg/day (95% CI 872.1?1024.4 mg/day) for HICs and 647.6 mg/day (95% CI 568.7?726.5 mg/day) for LMICs. Calcium intakes below 800 mg/day were reported in five (29%) countries from HICs and in 14 (82%) countries from LMICs. Conclusion: These results are consistent with a lack of improvement in calcium dietary intake during pregnancy and confirm the gap between HICs and LMICs, with alarmingly low intakes recorded for pregnant women in LMICs. From the public health perspective, in the absence of specific local data, calcium supplementation of pregnant women in these countries should be universal. Tweetable abstract: Despite dietary recommendations, women in LMICs face pregnancy with diets low in calcium.Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Betrán, A.P.. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Romero, I.B.. Organizacion Mundial de la Salud; ArgentinaFil: Lombardo, C.F.. Universidad Nacional de La Matanza; ArgentinaFil: Gülmezoglu, A.M.. Universidad Nacional de La Matanza; ArgentinaFil: Ciapponi, Agustín. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaWiley Blackwell Publishing, Inc2018-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/147735Cormick, Gabriela; Betrán, A.P.; Romero, I.B.; Lombardo, C.F.; Gülmezoglu, A.M.; et al.; Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis; Wiley Blackwell Publishing, Inc; BJOG - An International Journal of Obstetrics and Gynaecology; 126; 4; 9-2018; 444-4561470-0328CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/http://doi.wiley.com/10.1111/1471-0528.15512info:eu-repo/semantics/altIdentifier/doi/10.1111/1471-0528.15543info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:12:06Zoai:ri.conicet.gov.ar:11336/147735instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 10:12:06.627CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis
title Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis
spellingShingle Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis
Cormick, Gabriela
CALCIUM
DIETARY
HIGH-INCOME COUNTRIES
HYPERTENSION
LOW- AND MIDDLE-INCOME COUNTRIES
PRE-ECLAMPSIA
PREGNANCY
SYSTEMATIC REVIEW
title_short Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis
title_full Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis
title_fullStr Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis
title_full_unstemmed Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis
title_sort Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis
dc.creator.none.fl_str_mv Cormick, Gabriela
Betrán, A.P.
Romero, I.B.
Lombardo, C.F.
Gülmezoglu, A.M.
Ciapponi, Agustín
Belizan, Jose
author Cormick, Gabriela
author_facet Cormick, Gabriela
Betrán, A.P.
Romero, I.B.
Lombardo, C.F.
Gülmezoglu, A.M.
Ciapponi, Agustín
Belizan, Jose
author_role author
author2 Betrán, A.P.
Romero, I.B.
Lombardo, C.F.
Gülmezoglu, A.M.
Ciapponi, Agustín
Belizan, Jose
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv CALCIUM
DIETARY
HIGH-INCOME COUNTRIES
HYPERTENSION
LOW- AND MIDDLE-INCOME COUNTRIES
PRE-ECLAMPSIA
PREGNANCY
SYSTEMATIC REVIEW
topic CALCIUM
DIETARY
HIGH-INCOME COUNTRIES
HYPERTENSION
LOW- AND MIDDLE-INCOME COUNTRIES
PRE-ECLAMPSIA
PREGNANCY
SYSTEMATIC REVIEW
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Evidence shows that adequate calcium intake during pregnancy reduces the risk of hypertensive disorders of pregnancy. In most low- and middle-income countries (LMICs) the daily calcium intake is well below recommendations. Mapping calcium intake during pregnancy worldwide and identifying populations with low calcium intake will provide the evidence base for more targeted actions to improve calcium intake. Objective: To assess dietary calcium intake during pregnancy worldwide. Search strategy: MEDLINE and EMBASE (from July 2004 to November 2017). Selection criteria: Cross-sectional, cohort, and intervention studies reporting calcium intake during pregnancy. Data collection and analysis: Five reviewers working in pairs independently performed screening, extraction, and quality assessment. We reported summary measures of calcium intake and calculated the weighted arithmetic mean for high-income countries (HICs) and LMICs independently, and for geographic regions, among studies reporting country of recruitment, mean intake, and total number of participants. When available, inadequate intakes were reported. Main results: From 1880 citations 105 works met the inclusion criteria, providing data for 73 958 women in 37 countries. The mean calcium intake was 948.3 mg/day (95% CI 872.1?1024.4 mg/day) for HICs and 647.6 mg/day (95% CI 568.7?726.5 mg/day) for LMICs. Calcium intakes below 800 mg/day were reported in five (29%) countries from HICs and in 14 (82%) countries from LMICs. Conclusion: These results are consistent with a lack of improvement in calcium dietary intake during pregnancy and confirm the gap between HICs and LMICs, with alarmingly low intakes recorded for pregnant women in LMICs. From the public health perspective, in the absence of specific local data, calcium supplementation of pregnant women in these countries should be universal. Tweetable abstract: Despite dietary recommendations, women in LMICs face pregnancy with diets low in calcium.
Fil: Cormick, Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Betrán, A.P.. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Romero, I.B.. Organizacion Mundial de la Salud; Argentina
Fil: Lombardo, C.F.. Universidad Nacional de La Matanza; Argentina
Fil: Gülmezoglu, A.M.. Universidad Nacional de La Matanza; Argentina
Fil: Ciapponi, Agustín. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Belizan, Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
description Background: Evidence shows that adequate calcium intake during pregnancy reduces the risk of hypertensive disorders of pregnancy. In most low- and middle-income countries (LMICs) the daily calcium intake is well below recommendations. Mapping calcium intake during pregnancy worldwide and identifying populations with low calcium intake will provide the evidence base for more targeted actions to improve calcium intake. Objective: To assess dietary calcium intake during pregnancy worldwide. Search strategy: MEDLINE and EMBASE (from July 2004 to November 2017). Selection criteria: Cross-sectional, cohort, and intervention studies reporting calcium intake during pregnancy. Data collection and analysis: Five reviewers working in pairs independently performed screening, extraction, and quality assessment. We reported summary measures of calcium intake and calculated the weighted arithmetic mean for high-income countries (HICs) and LMICs independently, and for geographic regions, among studies reporting country of recruitment, mean intake, and total number of participants. When available, inadequate intakes were reported. Main results: From 1880 citations 105 works met the inclusion criteria, providing data for 73 958 women in 37 countries. The mean calcium intake was 948.3 mg/day (95% CI 872.1?1024.4 mg/day) for HICs and 647.6 mg/day (95% CI 568.7?726.5 mg/day) for LMICs. Calcium intakes below 800 mg/day were reported in five (29%) countries from HICs and in 14 (82%) countries from LMICs. Conclusion: These results are consistent with a lack of improvement in calcium dietary intake during pregnancy and confirm the gap between HICs and LMICs, with alarmingly low intakes recorded for pregnant women in LMICs. From the public health perspective, in the absence of specific local data, calcium supplementation of pregnant women in these countries should be universal. Tweetable abstract: Despite dietary recommendations, women in LMICs face pregnancy with diets low in calcium.
publishDate 2018
dc.date.none.fl_str_mv 2018-09
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/147735
Cormick, Gabriela; Betrán, A.P.; Romero, I.B.; Lombardo, C.F.; Gülmezoglu, A.M.; et al.; Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis; Wiley Blackwell Publishing, Inc; BJOG - An International Journal of Obstetrics and Gynaecology; 126; 4; 9-2018; 444-456
1470-0328
CONICET Digital
CONICET
url http://hdl.handle.net/11336/147735
identifier_str_mv Cormick, Gabriela; Betrán, A.P.; Romero, I.B.; Lombardo, C.F.; Gülmezoglu, A.M.; et al.; Global inequities in dietary calcium intake during pregnancy: a systematic review and meta-analysis; Wiley Blackwell Publishing, Inc; BJOG - An International Journal of Obstetrics and Gynaecology; 126; 4; 9-2018; 444-456
1470-0328
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/http://doi.wiley.com/10.1111/1471-0528.15512
info:eu-repo/semantics/altIdentifier/doi/10.1111/1471-0528.15543
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley Blackwell Publishing, Inc
publisher.none.fl_str_mv Wiley Blackwell Publishing, Inc
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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