Quality Appraisal of Nutritional Guidelines to Prevent, Diagnose, and Treat Malnutrition in All Its Forms during Pregnancy

This work aimed to identify clinical practice guidelines (CPGs) that include recommendations for the prevention, diagnosis, and treatment of women’s malnutrition during pregnancy and to evaluate the quality of these guidelines using the Appraisal of Guidelines for Research and Evaluation (AGREE II)...

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Main Authors: Cinthya Muñoz-Manrique, Mónica Ancira-Moreno, Soraya Burrola-Méndez, Isabel Omaña-Guzmán, Elizabeth Hoyos-Loya, Sonia Hernández-Cordero, Alejandra Trejo-Domínguez, Mónica Mazariegos, Natalia Smith, Scarlett Alonso-Carmona, Jennifer Mier-Cabrera, Loredana Tavano-Colaizzi, Belén Sánchez-Múzquiz, Fermín Avendaño-Álvarez, Karla Muciño-Sandoval, Nadia C. Rodríguez-Moguel, Magali Padilla-Camacho, Salvador Espino-y-Sosa, Lizeth Ibarra-González, Cristina Medina-Avilés
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/21/4579
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author Cinthya Muñoz-Manrique
Mónica Ancira-Moreno
Soraya Burrola-Méndez
Isabel Omaña-Guzmán
Elizabeth Hoyos-Loya
Sonia Hernández-Cordero
Alejandra Trejo-Domínguez
Mónica Mazariegos
Natalia Smith
Scarlett Alonso-Carmona
Jennifer Mier-Cabrera
Loredana Tavano-Colaizzi
Belén Sánchez-Múzquiz
Fermín Avendaño-Álvarez
Karla Muciño-Sandoval
Nadia C. Rodríguez-Moguel
Magali Padilla-Camacho
Salvador Espino-y-Sosa
Lizeth Ibarra-González
Cristina Medina-Avilés
author_facet Cinthya Muñoz-Manrique
Mónica Ancira-Moreno
Soraya Burrola-Méndez
Isabel Omaña-Guzmán
Elizabeth Hoyos-Loya
Sonia Hernández-Cordero
Alejandra Trejo-Domínguez
Mónica Mazariegos
Natalia Smith
Scarlett Alonso-Carmona
Jennifer Mier-Cabrera
Loredana Tavano-Colaizzi
Belén Sánchez-Múzquiz
Fermín Avendaño-Álvarez
Karla Muciño-Sandoval
Nadia C. Rodríguez-Moguel
Magali Padilla-Camacho
Salvador Espino-y-Sosa
Lizeth Ibarra-González
Cristina Medina-Avilés
author_sort Cinthya Muñoz-Manrique
collection DOAJ
description This work aimed to identify clinical practice guidelines (CPGs) that include recommendations for the prevention, diagnosis, and treatment of women’s malnutrition during pregnancy and to evaluate the quality of these guidelines using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. We conducted a literature review using PubMed and different websites from January 2009 to February 2021. The quality of the CPGs was independently assessed by reviewers using the AGREE II instrument, which defines guidelines scoring >70% in the overall assessment as “high quality”. The analysis included 43 guidelines. Among the main findings, we identified that only half of the CPGs (51.1%) obtained a final “high quality” evaluation. AGREE II results varied widely across domains and categories. The two domains that obtained the highest scores were scope and purpose with 88.3% (range 39 to 100%) and clarity of presentation with 87.2% (range 25 to 100%). Among the “high quality” CPGs, the best scores were achieved by the three guidelines published by the National Institute of Health and Care Excellence (NICE) and the World Health Organization (WHO). Due to the importance of maternal nutrition in pregnancy, it is essential to join forces to improve the quality of the guidelines, especially in CPGs that do not meet the reference standards for quality.
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spelling doaj.art-0f65a53a3c874bb0afd2d1cf9122fd5a2023-11-24T06:13:49ZengMDPI AGNutrients2072-66432022-11-011421457910.3390/nu14214579Quality Appraisal of Nutritional Guidelines to Prevent, Diagnose, and Treat Malnutrition in All Its Forms during PregnancyCinthya Muñoz-Manrique0Mónica Ancira-Moreno1Soraya Burrola-Méndez2Isabel Omaña-Guzmán3Elizabeth Hoyos-Loya4Sonia Hernández-Cordero5Alejandra Trejo-Domínguez6Mónica Mazariegos7Natalia Smith8Scarlett Alonso-Carmona9Jennifer Mier-Cabrera10Loredana Tavano-Colaizzi11Belén Sánchez-Múzquiz12Fermín Avendaño-Álvarez13Karla Muciño-Sandoval14Nadia C. Rodríguez-Moguel15Magali Padilla-Camacho16Salvador Espino-y-Sosa17Lizeth Ibarra-González18Cristina Medina-Avilés19Health Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoMaternal and Child Health and Nutrition Network (MaCHiNNe), Observatorio Materno Infantil (OMI), Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoMaternal and Child Health and Nutrition Network (MaCHiNNe), Observatorio Materno Infantil (OMI), Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoDepartment of Pediatrics, University of California, San Francisco, San Francisco, CA 94143, USAHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoMaternal and Child Health and Nutrition Network (MaCHiNNe), Observatorio Materno Infantil (OMI), Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoMaternal and Child Health and Nutrition Network (MaCHiNNe), Observatorio Materno Infantil (OMI), Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoHealth Department, Universidad Iberoamericana, Prolongación Paseo de Reforma 880, Lomas de Santa Fe, Mexico City 01219, MexicoThis work aimed to identify clinical practice guidelines (CPGs) that include recommendations for the prevention, diagnosis, and treatment of women’s malnutrition during pregnancy and to evaluate the quality of these guidelines using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. We conducted a literature review using PubMed and different websites from January 2009 to February 2021. The quality of the CPGs was independently assessed by reviewers using the AGREE II instrument, which defines guidelines scoring >70% in the overall assessment as “high quality”. The analysis included 43 guidelines. Among the main findings, we identified that only half of the CPGs (51.1%) obtained a final “high quality” evaluation. AGREE II results varied widely across domains and categories. The two domains that obtained the highest scores were scope and purpose with 88.3% (range 39 to 100%) and clarity of presentation with 87.2% (range 25 to 100%). Among the “high quality” CPGs, the best scores were achieved by the three guidelines published by the National Institute of Health and Care Excellence (NICE) and the World Health Organization (WHO). Due to the importance of maternal nutrition in pregnancy, it is essential to join forces to improve the quality of the guidelines, especially in CPGs that do not meet the reference standards for quality.https://www.mdpi.com/2072-6643/14/21/4579AGREE IIclinical practice guidelinespregnancyhealthy pregnancymalnutrition
spellingShingle Cinthya Muñoz-Manrique
Mónica Ancira-Moreno
Soraya Burrola-Méndez
Isabel Omaña-Guzmán
Elizabeth Hoyos-Loya
Sonia Hernández-Cordero
Alejandra Trejo-Domínguez
Mónica Mazariegos
Natalia Smith
Scarlett Alonso-Carmona
Jennifer Mier-Cabrera
Loredana Tavano-Colaizzi
Belén Sánchez-Múzquiz
Fermín Avendaño-Álvarez
Karla Muciño-Sandoval
Nadia C. Rodríguez-Moguel
Magali Padilla-Camacho
Salvador Espino-y-Sosa
Lizeth Ibarra-González
Cristina Medina-Avilés
Quality Appraisal of Nutritional Guidelines to Prevent, Diagnose, and Treat Malnutrition in All Its Forms during Pregnancy
Nutrients
AGREE II
clinical practice guidelines
pregnancy
healthy pregnancy
malnutrition
title Quality Appraisal of Nutritional Guidelines to Prevent, Diagnose, and Treat Malnutrition in All Its Forms during Pregnancy
title_full Quality Appraisal of Nutritional Guidelines to Prevent, Diagnose, and Treat Malnutrition in All Its Forms during Pregnancy
title_fullStr Quality Appraisal of Nutritional Guidelines to Prevent, Diagnose, and Treat Malnutrition in All Its Forms during Pregnancy
title_full_unstemmed Quality Appraisal of Nutritional Guidelines to Prevent, Diagnose, and Treat Malnutrition in All Its Forms during Pregnancy
title_short Quality Appraisal of Nutritional Guidelines to Prevent, Diagnose, and Treat Malnutrition in All Its Forms during Pregnancy
title_sort quality appraisal of nutritional guidelines to prevent diagnose and treat malnutrition in all its forms during pregnancy
topic AGREE II
clinical practice guidelines
pregnancy
healthy pregnancy
malnutrition
url https://www.mdpi.com/2072-6643/14/21/4579
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