Evidence map›Paper›PMID 21924491›Full record

ArticlePlacenta2011

Mother's lifetime nutrition and the size, shape and efficiency of the placenta.

N R Winder, G V Krishnaveni, S R Veena, J C Hill, C L S Karat, K L Thornburg, C H D Fall, D J P Barker

Abstract read
In one paragraph

Article in Placenta, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Fetal Growth Restriction.Journal of obstetrics and gynaecology of India · 2020
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Placental Origins of Chronic Disease.Physiological reviews · 2016
    Review
  13. Placental Growth Measures in Relation to Birth Weight in a Latin American Population.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2016
    Observational
  14. The programming of cardiovascular disease.Journal of developmental origins of health and disease · 2015
    Review
  15. Article
  16. Cohort profile: Mysore parthenon birth cohort.International journal of epidemiology · 2015
    Observational
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

N R WinderMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK. nw@mrc.soton.ac.uk
G V Krishnaveni
S R Veena
J C Hill
C L S Karat
K L Thornburg
C H D Fall
D J P Barker

Funding

Medical Research Council G0400519Medical Research Council MC_U147574246Medical Research Council MC_UP_A620_1016Medical Research Council U.1475.00.004.00005.01(74246)Wellcome Trust 059609Wellcome Trust 079877Wellcome Trust 083460
6 · The paper itself

Abstract

backgroundStudies have shown that the shape and size of the placenta at birth predict blood pressure in later life. The influences that determine placental morphology are largely unknown. We have examined the role of mother's body size.

methodsWe studied 522 neonates who were born in a maternity hospital in Mysore, South India. The weight of the placenta and the length and breadth of its surface, were measured after delivery.

resultsHigher maternal fat mass predicted a larger placental surface (p = 0.02), while larger maternal head circumference predicted a more oval placental surface (p = 0.03). Higher maternal fat mass and larger maternal head circumference were associated with greater placental efficiency, indicated by lower ratios of the length (p = 0.0003 and p = 0.0001 respectively) and breadth (p = 0.0002 and p < 0.0001) of the surface to birthweight. In a sub-sample of 51 mothers whose own birthweight was available, higher maternal birthweight was related to lower ratios of the length and breadth of the surface to birthweight (p = 0.01 and 0.002). Maternal height was unrelated to placental size or shape.

conclusionsHigher maternal fat mass, reflecting the mother's current nutritional state, and larger maternal head circumference, reflecting the mother's fetal/infant growth, are associated with changes in the shape and size of the placental surface and greater placental efficiency. We suggest that these associations reflect effects of the mother's nutrition at different stages of her lifecourse on the development of the placenta and on materno-placento-fetal transfer of nutrients.

Indexed as

AdultBirth WeightEfficiencyFemaleHumansIndiaInfant, NewbornMaleMaternal Nutritional Physiological PhenomenaMothersNutritional StatusNutrition DisordersOrgan SizePlacentaPlacentationPregnancy

Identifiers

PMID21924491
PMCPMC3223394

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Registered trials

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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.