Effect of balanced protein–energy supplementation given to pregnant women on birth outcomes: A systematic review and meta-analysis
Background: There is an increased demand for nutrition during pregnancy to improve fetal growth and development. Several dietary interventions have been recommended to pregnant women to meet their maternal needs. Using a larger sample size, we aim to assess the effect of balanced protein–energy supp...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-04-01
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| Series: | Women's Health |
| Online Access: | https://doi.org/10.1177/17455057251335366 |
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| author | Aliha Iftikhar Hafsa Azam Mariam Ahmed Aliza Asad Amber Noorani Maaha Shabbir Kanza Aftab |
| author_facet | Aliha Iftikhar Hafsa Azam Mariam Ahmed Aliza Asad Amber Noorani Maaha Shabbir Kanza Aftab |
| author_sort | Aliha Iftikhar |
| collection | DOAJ |
| description | Background: There is an increased demand for nutrition during pregnancy to improve fetal growth and development. Several dietary interventions have been recommended to pregnant women to meet their maternal needs. Using a larger sample size, we aim to assess the effect of balanced protein–energy supplementation given to pregnant women on birth outcomes. Objective: To evaluate the effect of balanced protein–energy supplementation given to pregnant women on birth outcomes. Design: Search included PubMed, Cochrane Central, and Embase from initiation till 20 March 2023 to select relevant studies examining perinatal factors associated with balanced protein–energy supplementation. Mean differences (MD) and risk ratios (RRs) with a 95% confidence interval (CI) were calculated using Review Manager. Data sources and methods: Randomized controlled trials and observational studies were included. Out of 218,720 studies initially identified, 24 met the inclusion criteria, involving pregnant women who received balanced protein–energy supplementation and reported outcomes related to perinatal death, birthweight, length, or head circumference. Results: Meta-analysis of pooled studies revealed that balanced protein supplementation had a significant effect on birthweight (g) (MD: 62.67, CI: 27.92–97.43), low birth weight (LBW) (RR: 0.73, CI: 0.57–0.95), birth length (MD: 0.20, CI: 0.10–0.30), and small-for-gestational-age (SGA) babies (RR: 0.74, CI: 0.59–0.93) and had no significant effect on the birth head circumference (MD: 0.05, CI: −0.09 to 0.20), perinatal death (RR: 0.83, CI: 0.50–1.37), and preterm birth (RR: 0.86, CI: 0.68–1.08). Conclusion: Balanced protein–energy supplementation is an effective intervention for birth length, birth weight, risk of LBW, and SGA births, particularly in women who are undernourished. |
| format | Article |
| id | doaj-art-c6b36ebe1add48518463544c078ee63b |
| institution | DOAJ |
| issn | 1745-5065 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Women's Health |
| spelling | doaj-art-c6b36ebe1add48518463544c078ee63b2025-08-20T03:14:01ZengSAGE PublishingWomen's Health1745-50652025-04-012110.1177/17455057251335366Effect of balanced protein–energy supplementation given to pregnant women on birth outcomes: A systematic review and meta-analysisAliha Iftikhar0Hafsa Azam1Mariam Ahmed2Aliza Asad3Amber Noorani4Maaha Shabbir5Kanza Aftab6Jinnah Sindh Medical University, Karachi, PakistanJinnah Sindh Medical University, Karachi, PakistanJinnah Sindh Medical University, Karachi, PakistanJinnah Sindh Medical University, Karachi, PakistanJinnah Sindh Medical University, Karachi, PakistanJinnah Sindh Medical University, Karachi, PakistanJinnah Sindh Medical University, Karachi, PakistanBackground: There is an increased demand for nutrition during pregnancy to improve fetal growth and development. Several dietary interventions have been recommended to pregnant women to meet their maternal needs. Using a larger sample size, we aim to assess the effect of balanced protein–energy supplementation given to pregnant women on birth outcomes. Objective: To evaluate the effect of balanced protein–energy supplementation given to pregnant women on birth outcomes. Design: Search included PubMed, Cochrane Central, and Embase from initiation till 20 March 2023 to select relevant studies examining perinatal factors associated with balanced protein–energy supplementation. Mean differences (MD) and risk ratios (RRs) with a 95% confidence interval (CI) were calculated using Review Manager. Data sources and methods: Randomized controlled trials and observational studies were included. Out of 218,720 studies initially identified, 24 met the inclusion criteria, involving pregnant women who received balanced protein–energy supplementation and reported outcomes related to perinatal death, birthweight, length, or head circumference. Results: Meta-analysis of pooled studies revealed that balanced protein supplementation had a significant effect on birthweight (g) (MD: 62.67, CI: 27.92–97.43), low birth weight (LBW) (RR: 0.73, CI: 0.57–0.95), birth length (MD: 0.20, CI: 0.10–0.30), and small-for-gestational-age (SGA) babies (RR: 0.74, CI: 0.59–0.93) and had no significant effect on the birth head circumference (MD: 0.05, CI: −0.09 to 0.20), perinatal death (RR: 0.83, CI: 0.50–1.37), and preterm birth (RR: 0.86, CI: 0.68–1.08). Conclusion: Balanced protein–energy supplementation is an effective intervention for birth length, birth weight, risk of LBW, and SGA births, particularly in women who are undernourished.https://doi.org/10.1177/17455057251335366 |
| spellingShingle | Aliha Iftikhar Hafsa Azam Mariam Ahmed Aliza Asad Amber Noorani Maaha Shabbir Kanza Aftab Effect of balanced protein–energy supplementation given to pregnant women on birth outcomes: A systematic review and meta-analysis Women's Health |
| title | Effect of balanced protein–energy supplementation given to pregnant women on birth outcomes: A systematic review and meta-analysis |
| title_full | Effect of balanced protein–energy supplementation given to pregnant women on birth outcomes: A systematic review and meta-analysis |
| title_fullStr | Effect of balanced protein–energy supplementation given to pregnant women on birth outcomes: A systematic review and meta-analysis |
| title_full_unstemmed | Effect of balanced protein–energy supplementation given to pregnant women on birth outcomes: A systematic review and meta-analysis |
| title_short | Effect of balanced protein–energy supplementation given to pregnant women on birth outcomes: A systematic review and meta-analysis |
| title_sort | effect of balanced protein energy supplementation given to pregnant women on birth outcomes a systematic review and meta analysis |
| url | https://doi.org/10.1177/17455057251335366 |
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