Evidence map›Paper›PMID 23515667›Full record

ArticleMolecular human reproduction2013

Epigenetics of gestational diabetes mellitus and offspring health: the time for action is in early stages of life.

Harald Lehnen, Ulrich Zechner, Thomas Haaf

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Molecular human reproduction, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
23.1field-weighted citation impact, top 1% 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.

NCT03523143 naterminatednot on this mapstarted 2018, after this paper: background citation

The Effect of Early Screening and Intervention for Gestational Diabetes Mellitus on Pregnancy Outcomes: the TESGO Randomized Trial

TypeinterventionalSponsorNational Taiwan University HospitalRan2018 to 2022Enrolled967ConditionsPregnancy Complications, Gestational Diabetes Mellitus in PregnancyArmsearly screening and intervention, standard screening and intervention
NCT03569501 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Influence of DHA/Oat on Maternal and Neonatal Metabolic Health in Gestational Diabetes Mellitus

TypeinterventionalSponsorXinhua Hospital, Shanghai Jiao Tong University School of MedicineRan2017 to 2019Enrolled80ConditionsGestational Diabetes Mellitus in PregnancyArmsDHA, oat grains
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 3 syntheses or guidelines pooled it, 139 citations in OpenAlex.

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  20. Gestational Diabetes Mellitus: A Harbinger of the Vicious Cycle of Diabetes.International journal of molecular sciences · 2020
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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

3 authors at 3 institutions in 1 country.

Harald LehnenDepartment of Gynecology and Obstetrics, Municipal Clinics, Hafenstrasse 100, 41239 Moenchengladbach, Germany.
Ulrich Zechner
Thomas Haaf
Johannes Gutenberg University Mainz · DEStädtische Kliniken Mönchengladbach · DEUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The epidemic increase of type 2 diabetes and obesity in developed countries cannot be explained by overnutrition, physical inactivity and/or genetic factors alone. Epidemiologic evidence suggests that an adverse intrauterine environment, in particular a shortage or excess of nutrients is associated with increased risks for many complex diseases later in life. An impressive example for the 'fetal origins of adult disease' is gestational diabetes mellitus which usually presents in 1% to >10% of third trimester pregnancies. Intrauterine hyperglycemia is not only associated with increased perinatal morbidity and mortality, but also with increased lifelong risks of the exposed offspring for obesity, metabolic, cardiovascular and malignant diseases. Accumulating evidence suggests that fetal overnutrition (and similarly undernutrition) lead to persistent epigenetic changes in developmentally important genes, influencing neuroendocrine functions, energy homeostasis and metabolism. The concept of fetal programming has important implications for reproductive medicine. Because during early development the epigenome is much more vulnerable to environmental cues than later in life, avoiding adverse environmental factors in the periconceptional and intrauterine period may be much more important for the prevention of adult disease than any (i.e. dietetic) measures in infants and adults. A successful pregnancy should not primarily be defined by the outcome at birth but also by the health status in later life.

Indexed as

Diabetes, GestationalEpigenesis, GeneticFemaleFetal DevelopmentHumansObesityPregnancyPrenatal Exposure Delayed Effectsdevelopmental origins hypothesisfetal overnutritionfetal programminggestational diabetes mellitusmetabolic disease

Identifiers

PMID23515667
PMCPMC3690806
OpenAlexW2120278105

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.