Evidence map›Paper›PMID 21700880›Full record

ArticleDiabetes2011

Higher cord C-peptide concentrations are associated with slower growth rate in the 1st year of life in girls but not in boys.

Nolwenn Regnault, Jérémie Botton, Barbara Heude, Anne Forhan, Régis Hankard, Bernard Foliguet, Teresa A Hillier, Jean-Claude Souberbielle, Patricia Dargent-Molina, Marie-Aline Charles and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Diabetes, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  14. Placental function in maternal obesity.Clinical science (London, England : 1979) · 2020
    Review
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  16. Observational
  17. Article
  18. Article
  19. Prenatal exposure to phenols and growth in boys.Epidemiology (Cambridge, Mass.) · 2014
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 2 countries.

Nolwenn RegnaultINSERM, U1018, Center for Research in Epidemiology and Population Health, Lifelong Epidemiology of Diabetes, Obesity, and Chronic Kidney Disease, Villejuif, France. nolwenn.regnault@inserm.fr
Jérémie Botton
Barbara Heude
Anne Forhan
Régis Hankard
Bernard Foliguet
Teresa A Hillier
Jean-Claude Souberbielle
Patricia Dargent-Molina
Marie-Aline Charles
EDEN Mother-Child Cohort Study Group
Centre de recherche en Epidémiologie et Santé des Populations · FRInserm · FRKaiser Permanente Center for Health Research · USSorbonne Université · FRUniversité de Lorraine · FRUniversité de Poitiers · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand the relationships between maternal glycemia during pregnancy and prenatal and early postnatal growth by evaluating cord C-peptide and IGF-I as mediating biomarkers in boys and girls separately. RESEARCH DESIGN AND

methodsWe evaluated 342 neonates within the EDEN mother-child cohort study born to mothers without diabetes diagnosis before pregnancy. We measured maternal glycemia at 24-28 weeks of gestation and neonates' cord blood C-peptide (used as a proxy for fetal insulin) and IGF-I at birth. Reported maternal prepregnancy BMI and all measured infant weights and lengths in the 1st year were recorded. Growth modeling was used to obtain an individual growth curve for each infant in the 1st year. Path models, a type of structural equation modeling, were used for statistical analysis. Path analysis is a multivariate method associated with a graphical display that allows evaluation of mediating factors and distinguishes direct, indirect, and total effects.

resultsCord C-peptide at birth was positively correlated with maternal prepregnancy BMI and maternal glycemia and was higher in girls. In a path model that represented prenatal growth, there was no significant direct effect of maternal glycemia on birth weight, but the effect of maternal glycemia on birth weight was mediated by fetal insulin and IGF-I in both girls and boys. However, in girls only, higher concentrations of cord C-peptide (but not cord IGF-I or maternal glucose) were associated with slower weight growth in the first 3 months of life.

conclusionsOur study underlines the role of the fetal insulin-IGF-I axis in the relationship between maternal glycemia during pregnancy and birth weight. We also show for the first time that high insulin concentration in female fetuses is associated with slower early postnatal growth. This slow, early growth pattern may be programmed by fetal hyperinsulinemia, and girls may be more susceptible than boys to its consequences.

Indexed as

Birth WeightBlood GlucoseBody HeightChild DevelopmentCohort StudiesC-PeptideDiabetes, GestationalFemaleFetal BloodGrowthHumansInfantInfant, NewbornInsulinInsulin-Like Growth Factor IMaleBlood GlucoseC-PeptideInsulinInsulin-Like Growth Factor I

Identifiers

PMID21700880
PMCPMC3142086
OpenAlexW2135494391

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.