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Record W4417416299 · doi:10.1080/19338244.2025.2603898

Aflatoxin B1 exposure during pregnancy and neonatal outcomes: A systematic review

2025· review· en· W4417416299 on OpenAlexaff
Behnam Ghorbani Nejad, Zahra Sadat Mirshafiei, Mohammad Hosein Darijani, Fatemeh Mehravar, Mahtab Zarei, Azadeh Dehghani, Milad Rahimzadegan, Somayyeh Karami‐Mohajeri, Hamzeh Alizadeh

Bibliographic record

VenueArchives of Environmental & Occupational Health · 2025
Typereview
Languageen
FieldAgricultural and Biological Sciences
TopicMycotoxins in Agriculture and Food
Canadian institutionsInstitute of Genetics
Fundersnot available
KeywordsPregnancyAflatoxinAdverse effectEpidemiologySystematic reviewGestation

Abstract

fetched live from OpenAlex

Background Evidence has suggested that exposure to aflatoxin B1 (AFB1) during pregnancy may be associated with adverse neonatal outcomes; however, available data are inconclusive. We conducted this systematic review to estimate the relation of AFB1 exposure during pregnancy to neonatal outcomes.Methods Scopus and PubMed databases were systematically searched for relevant publications published before December 2022 evaluating the connection between AFB1 exposure in pregnant women and outcomes such as small for gestational age (SGA), birth length, low birth weight (LBW), birth weight, and preterm birth (PTB).Results This study comprised 7 studies with a combined sample size of 4,047 participants. After pooling all available effect sizes, it was determined that there was no significant correlation between increased AFB1 exposure during pregnancy and SGA, PTB, LBW, birth weight, and birth length. Significant heterogeneity was observed across studies for LBW (I2 = 68.6%, p = 0.02), birth weight (I2 = 96.8%, p ≤ 0.001), and birth length (I2= 93.1%, p ≤ 0.001). However, the sensitivity analysis suggested that exposure to AFB1 might be significantly linked to higher odds of LBW infants and inversely related to both birth weight and birth length.Conclusion Exposure to AFB1 in pregnant women might be linked to adverse neonatal outcomes. Given the heterogeneity and the limited number of studies available, further high-quality, standardized research is essential to confirm or refute these findings with greater confidence.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.340
Threshold uncertainty score0.591

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.019
GPT teacher head0.283
Teacher spread0.265 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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